EPA认证申请表[Application for the EPA Certification]

                               EPA认证申请表

Application for the EPA Certification

Applicant:

申请者                                                                           

Address:                                           Post Code: 

地址                                                   邮政编码                  

Manufacturer:

生产厂家                                                                         

Address:                                           Post Code:

地址                                               邮政编码                      

Product:                              Type:

产品                                  型号                                       

参数说明：                                                                       

Proposed date of test:

建议测试日期          ƒASAP尽快       ƒDATE 具体日期                            

Proposed date of Factory Inspection:                                   

建议工厂检查时间                                                                 

Coordinator for test procedure:            Department:

联系人姓名                             所属部门                                  

Tel:                                    Fax: 

电话                                   传真                                      

Applicant Director Name:

申请者法人代表姓名                                 

Date日期                                     Stamp and Singnature签名及盖章