1、出口商或者代理商备案申请表
Application Form of Food Exporter/Agent
□初次申请备案Initial Filing
第1项——企业信息 Section 1-Applicant’s Information
*企业名称(中英文)Name (in Chinese AND English)
*企业地址(中英文)Address(in Chinese AND English)
*企业类型Company Type:□出口商Exporter □代理商Agent
*国家(地区)Country/Region:
*邮政编码Postal Code
*联系
2、人姓名Contact Name:
*联系人电话/传真(请注明国家/地区代码及区域码)或者手机
Contact Telephone/Fax (Include Area/Country/Region Code) or Cell Phone:
*联系人电子邮件信箱Contact E-mail:
*第2项——经营食品种类(多选项)Section 2-Food Category of Operation
□肉类 meat
□蛋及制品类 egg and egg products
□水产及制品类 aquatic products and preserved aquatic products
3、
□中药材类 traditional Chinese medicinal materials of animal and plant origin
□粮谷及制品类 grains and grain products
□油脂及油料类 oil and oil seeds
□饮料类 soft drinks and drinking water
□糖类 sugar
□蔬菜及制品类 vegetable and vegetable products
□植物性调料类 processed flavorings of plant origin
□干坚果类 dried fruits and nut
4、s
□其他植物源性食品类 other plant origin food
□罐头类 canned foods
□乳制品类 dairy products
□蜂产品类 bee products
□酒类 alcoholic beverage
□糕点饼干类 pastry biscuits and crackers
□蜜饯类 candied (preserved) fruits
□卷烟类 cigarette
□茶叶类 tea
□调味品类 processed flavorings
□其他加工食品类 other processed foods
□特殊食品类 foods for spe
5、cial dietary uses
□其他,请描述 others, please describe
第3项——中国贸易伙伴信息Section 3-Information of the Chinese Trade Partner to be contracted with:
企业名称(中文)Name (in Chinese):
企业地址(中文)Address (in Chinese):
联系人Contact person:
电话/传真 Telephone/Fax:
电子邮件信箱E-mail:
第4项——承诺书Sect
6、ion.4-letter of commitment
兹承诺: 上述资料信息准确、真实。I hereby commits: The information we submit is authentic and accurate.
*填表人姓名(印刷体)Contractor name (in printing version):
*填表人电话/传真或者手机 Contractor’s office Telephone/Fax or cell phone:
*填表人电子邮件信箱Contractor’s E-mail Address:
*填表日期 Date of submitting this form:
第5项——填表说明 Note
1、标“*”的项目必须填写。 The above items with mark * must be effectively filled in.