Aqsiq certificate application form

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    20-Mar-2017

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China AQSIQ AGENT: WWW.AQSIQ.ORGRecycling@aqsiqgov.com

Skype: AQSIQ-Justin

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

day/month/year

Prepared by the General Administration of Quality Supervision, Inspection and Quarantine of the Peoples Republic of China

Name of Enterprise

Registered Address

Office Address(Actual working location)

Legal RepresentativeArea Zip .

Telephone No.Fax No.

E-mail

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

day/month/year

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