出口商或者代理商备案申请表

1、仅供个人参考For personal use only in study and research; not for commercial use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In itial Fili ng?第 1 项企业信息 Section 1-Applicants Information* 企业名称（中英文）Name （in Ch in ese AND En glish）* 企业地址（中英文）Address（in Chi nese AND En glish）* 企业类型 Compa ny Type： 出

2、口商 Exporter?代理商 Age nt* 国家（地区）Country/Region：* 邮政编码 Postal Code*联系人姓名Con tact 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Con tact Teleph on e/Fax （In clude Area/C oun try/Regi on 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 product

3、s水产及制品类 aquatic products and preserved aquatic products中药材类 traditi on al Chin ese medici nal materials of ani mal and pla nt orig in 良谷及制品类 grains and grain products油脂及油料类 oil a nd 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 o

4、f plant origin干坚果类 dried fruits and nuts其他植物源性食品类 other pla nt origin food罐头类 canned foods乳制品类 dairy products蜂产品类 bee products酉类 alcoholic beverage羔点饼干类 pastry biscuits and crackers蜜饯类 can died （preserved） fruits卷烟类 cigarette茶叶类tea调味品类 processed flavorings仅供个人参考其他加工食品类 other processed foods特殊食品类 foo

5、ds for special dietary uses其他，请描述？ others, please describe? ?第 3项中国贸易伙伴信息 Section 3-1 nformation of the Chinese Trade Partner tcbe con tracted with:企业名称(中文)Name (in Chi nese):企业地址(中文)Address (in Chi nese)联系人 Con tact person电话 /传真 Telephone/Fax:电子邮件信箱E-mail:第 4 项承诺书 Section.4-letter of commitment兹承诺：

6、上述资料信息准确、真实。 1 hereby commits: The information we submit is authe ntic and accurate.* 填表人姓名(印刷体) Con tractor n ame (in prin ti ng versi on)：* 填表人电话 / 传真或者手机 Con tractors office Teleph on e/Fax or cell phone*填表人电子邮件信箱 Co ntractors E-mail Address：* 填表日期 Date of submitting this form:第5项填表说明Note1、标 “*的项

7、目必须填写。The above items with mark * must be effectively filled in.不得用于商业用途仅供个人参考仅供个人用于学习、研究；不得用于商业用途For personal use only in study and research; not for commercial use.Nur f u r depers?nlichen f u r Studien, Forschung, zu kommerziellen Zwecken verwendet werden.Pour l e tude et la recherche uniquementa des fins personnelles; pasa des fins comme