China AQSIQ AGENT: WWW.AQSIQ.ORGRecycling@aqsiqgov.com
Application Form for Provisional Registration of Overseas Supplier Enterprises of Imported Scrap Materials
Type of Application First-time Application Renewal Review
Change in Registration ReapplicationApplication Number
Name of Enterprise
Country/Region the Enterprise Located Contact Person
Contact Tel. No.
Date of Application
Prepared by the General Administration of Quality Supervision, Inspection and Quarantine of the Peoples Republic of China
Name of Enterprise
Office Address(Actual working location)
Legal RepresentativeArea Zip .
Telephone No.Fax No.
Certificate No. of Last Provisional RegistrationExpiry Date for Certificate of Last Provisional Registration
Changes in Information of Provisional Registration
Types of Scrap Materials Exported for This Application
General Information on the Enterprise
Information on Major Departments/Selection and Processing PlantsDepart NameOffice Size(width&Length)Amount of EmployeesChief Tel No.
Major Production and Testing EquipmentName of EquipmentSpecification and TypeMain FunctionQuantityPurchase YearOperating Status
Details on Certification of Enterprises Quality Control SystemType of CertificationCertification OrganizationCertificate No.Date of Issuance
Export of Scrap Materials of the Enterprise
Year Starting to Export Scrap MaterialDate of Initial Export of Scrap Material to China
Major Sources of Supply for Scrap Materials Major Ports for the Shipment of Scrap Materials
Export of Scrap Materials to China in the Past 3 years YearTypeExport VolumePassing Rate of CIQ Inspection and Quarantine
Statement of ApplicantThis enterprise hereby applies for the provisional registration of overseas supplier enterprises of imported scrap materials. This enterprise agrees to abide by the laws and regulations on entry-exit inspection and quarantine and the technical regulations on environmental protection of the Peoples Republic of China.
This enterprise hereby certify that the information provided is true and correct, and agrees to bear reasonable expenses incurred during the process of assessment, verification and acceptance, examination, supervision and administration, and etc. by AQSIQ and the bodies authorized by AQSIQ.
The attached documents include
Signature of the legal representative
Stamp of Enterprise