申请免3C资料填写范例-免3C产品安全符合性声明

CCC中国强制性产品认证在线 , 第2页 共2页CCC China Compulsory Certification Online申请免3C资料填写范例免3C产品安全符合性声明产品安全符合性声明 Declaration of Safety Standard Conformity制造商:XXXXXXXX(制造商的地址和名称)XXXXXXXXManufacturer:XXXXXXXXXXX(Name and address of manufacturer)XXXXXXXXXXXXXX特此声明:Hereby declare: 以下产品:(产品标识)Arena Hemodialysis Delivery SystemProducts indicated below: (product mark)符合以下协会指令条例：Compliance with following associations’ directive:1.__ANSI/AAMI RDS_______________________2.__AS/NZS 3200.1.0______________________其他(Other):__CAN/CSA-C22.2 No.601.1-90___EN 1060-1, EN1060-3IEC 60601-1 am1, am2IEC 60601-1-1IEC 60601-1-2IEC 60601-1-4 am1IEC60601-2-16IEC 60601-2-30此外，作为零部件，这些产品符合以下基本要求：In addition, these products are compliance with following basic demands as spare part: 1.______________________________________________2.______________________________________________其他(Other):____________________________________附加信息：(随附由有资质的检测机构或出厂方出具的检测报告，报告有效期控制在2年以内)Additional information: (please enclose test report that provided by qualified test institute or factory, and the term of validity within 2 years)作为零部件，这些机器在设计上符合以下基本要求：As spare part, these machines are compliance with following basic demands in design:1.______________________________________________2.______________________________________________其他(Other):____________________________________上述机器只有在声明已组装成符合机器指令的机器后才能投入使用。

The above machines will put into use only after declaration that the machines have been assembled into the machines which compliance with machine directive.认证标示年份：Certificate Mark Time:进口商签名(Importer’s Signature)XXXXXXXX盖章(Stamp)出厂方签名(Factory’s Signature)XXXXXXXX盖章(Stamp)标题(Title) ___________日期(Date) _2006-3-20___日期(Date) ___________递交免3C申请文件注意事项:1.申请免3C申请书下载地址: 2.提供免办3C认证申请书、企业营业执照复印件、发票复印件(如有须提供)、装箱单复印件(如有须提供)、运单复印件(如有须提供)、技术资料或产品的说明书和免3C申请单位及联系人的联系方式传真至：021-51095580-807，申请免3C产品的彩色照片发送至我们的电子邮箱(技术资料、说明书等也可发送至电子邮箱内)3.免3C申请指南:电话：021-51095580 传真：021-51095580-807 邮箱：ccc@TEL: 8621-51095580-805 FAX: 8621-51095580-807 E-mail: ccc@china-ccc-。