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1、Application for the CCC Certification页码,1/7申请:生产厂:Application No.: A2013CCC1606-1602697Factory Code.:A072660CCC 认证变更申请书CCC Application Form Change of申请日期/Date: 2013-07-11产品类别/Product type: 1606中 国 质 量 认 证 中 心China Quality Certification Centre2013-07-13Application for the CCC Certification页码,2/71、认证委
2、托人/Applicant1.1、认证委托人名称/Name of Applicant:康佳通信科技/SHENZHENKONKAMUNICATION TECHNOLOGY CO.,.、付款人名称、地址/Name、Address of Payer: /认证委托人地址、/Address andt code of Applicant:市华侨城深南大道9008号东部工业区康佳 4#厂房7楼 /Overseas Chi Town ,SHENZHEN SPEL ZONE,P.R.CHINA. 1.4、邮寄地址、/Address andt code ofing:市龙岗区横岗街道社区排榜兴旺路88号501 518
3、100批准书/各类通知书邮寄地址、/Address andt code of approving forchange of certification or notice of suspen, withdrawal, cancellation orresumption:市龙岗区横岗街道 社区排榜兴旺路88号501 518100组织机构代码:联系人/Contactanization Code: 708480572、:/ephone:传真/Fax:电子邮件/:移动/Mobile phone:2、机构或中国办事处 /Agent or office in China2.1、机构/中国办事处名称/Nam
4、e of Agent or Office in China:2.2、联系人/Contact/ephone:传真/Fax:、电子邮件/:移动/ Mobile phone:3、生产者(制造商)/Manufacturer(which is responsible for certified product)3.1、生产者(制造商)名称/Name of Manufacturer:康佳通信科技有限公 司/SHENZHEN KONKAMUNICATION TECHNOLOGYCO.,.3.2、生产者(制造商)地址/Address of Manufacturer:市华侨城深南大道9008号东部工业区康佳 4
5、#厂房7楼/Overseas Chi ZONE,P.R.CHINA. Town ,SHENZHEN SPEL3.3、联系人/Contact:/3.4、/ephone:、传真/Fax:、电子邮件/:3.7、移动/Mobile phone:2013-07-13Application for the CCC Certification页码,3/74、生产企业/Factory4.1、生产企业名称/Name octory:吉事达通讯/SHENZHEN GSTARMUNICATION CO.,.4.2、生产企业地址、/Location and联社区排榜兴旺路88号3、4、5楼 /t code octory
6、:市龙岗区横岗街道四3F、4F、5F,NO.88 PAIBANG ROAD,SILIAN COMMUNITY,HENGGANG STREET,LONGGANG DISTICT,SHENZHEN,R.R.CHINA、联 系 人/Contact电子邮件/:/ephone:传 真/Fax:/Mobile phone:/Factory Code: A072660移动工厂产品名称/Name of Product: /5、6、7、8、产品类别/Product type:1606产品商标/Trade mark:/型号和规格(中文)/Type and Specification(in Chi):型号和规格(英
7、文)/Type and Specification(in English):9、申请认证产品的GB标准号/GB standard for the product to be certified:9.1、安全标准/Standard for Safety: 9.2、EMC标准/Standard for EMC(/If applicable): 10、 申请认证的产品是否有CB测试awarded the CB Test/ Has the product to be certified been:是/Yes否/No如果有,给出CB测试date of the CB Test的和获证日期/If Yes,
8、give the number and i: inga. CB号/No. Of CB Testb. 获证日期/Iing Date: 的认证机构/Name of the NCB iing the CB Testc. 颁发CB测试:11、申请CCC认证的同时,是否申请CB测试/Whether CB Testwill beappd for when CCCis appd for: 是/Yes 否/No12、 说明生产企业是否有同类产品获得过CCC,如果有,请列出。Please indicate if the factory has products in same type ied withCCCs
9、, if yes, then list theNo:13、 请选择本次申请的获证模式/Please choose the certification m:普通类型/Common OEM ODM 其他利用已获结果/Others with2013-07-13Application for the CCC Certification页码,4/7s acquired注:若原获证产品的关键项目发生变更(如规格、结构、关键原材料/元器件及其供应商变更)时,本ODM产品也应随之变更并办理变更手续。原产品未涉及上述变更时,本产品也不能变更。Note: If the original certified pro
10、ducts are changed (for exle: specification,structure, critical materials/ components and theirrs), then this ODMproducts shall also apply for modification. If the original products are not changed as above mentioned, then this ODM product cannot be changed.14、 备注/Remark:以下是有关变更的信息2013011606624103,20
11、13010805622191,2013011606621378,2013011606608447没有相关测试原:原测试号:编变更类别:1、2、商标更改由于产品命名方法的变化引起的获证产品名称、型号更改产品型号更改、不影响电器安全的安全和电磁兼容问题)结构不变(经判断不涉及3、4、5、6、7、8、9、10、11、在在上增加同种产品其它型号上减少同种产品其它型号生产企业名称更改,地址不变,生产企业没有搬迁生产企业名称更改,地址名称变化,生产企业没有搬迁生产企业名称不变,地址名称更改,生产企业没有搬迁生产企业搬迁原认证委托人的名称和/或地址更改原生产者(制造商)的名称和/或地址更改产品认证所依据的变
12、化、技术规则或者认证实施细则发生了12、明显影响产品的设计和规范发生了变化,如电器安全结构变更或获证产品的关键件更换增加/减少适用性一致的关键件供应商或关键件供应商名称变更13、14、生产企业的质量体系发生变化(例如所发生了变化)其他机构换证申请其它、组织机构或管理者15、16、17、认证委托人填写申请书的变更内容序号 变更项目变更前变更后市龙岗区横岗街道社区排榜兴旺路 号 、 、楼市龙岗区横岗街道社区排榜兴旺路 号工程师核定后的变更序号 变更项目表内容(打变更前送给客户的变更变更后表内容)认证委托人承诺/Declaration of the Applicant2013-07-13Applic
13、ation for the CCC Certification页码,5/7并确保以上认证申请内容的真实性、正确性,并承担因以上认证申请内容错误所导致的一切。已知晓并将遵守强制性产品认证管理规定、强制性产品认证标志管理办法、认证规则等CCC规定,提供纸面认证申请书,支付认证所需的申请、产品检测、工厂、批准与、 监督复查、年金等费用;妥善保管认证申请书、型式试验/产品描述、工厂检查资料、认证认证资料,以备监督检查使用。和认证变更批准等We declare and guaranteet all in above is true and accurate; we will bearall the le
14、gal liabilities for all consequence from contents error. We have known and will follow the rules of Regulations for Compulsory Product Certification, Regulations for Compulsory Product Certification Mark and CCCImplemenion Rules, providing the pr CCC Application Form and makepayment for the fees ari
15、sing from the application, testing, factory inspection,approval and register, surveillance, annuity ofetc, keng well CCCApplication Form, type test report/product description, factory inspectionmaterials, CCC CCC, approving for change of certification and relevants/materials in order to conduct the
16、follow up inspection.按标准规定和认证要求生产合格产品,并承担产品不合格的。We declaret the relevant product(s) produced by our factory are inconformity with the standards and certification requirements. We bear the corresponding legal liabilities with non-conformity product.1)遵守CCC产品评价活动计划的安排;/we undertake to always comply wi
17、th therelevant programme of Croduct Evaluation Plans;2)随时关注认证机构(中国质量认证中心产品认证业务申办系统)发布的涉及本申请的认证流程进展、认证决定(认证批准、暂停、撤销、注销、恢复)和相关通知;为进行认证、监督、与申诉/等相关的检查/作出必要的安排,包括检查文件、检测产品、进入认证涉及的所有区域、查阅有关和检查相关(如生产、检验、试验、质量管理等等);按时付清认证费用,承担因未交纳或未及时交纳认证费用所的一切结果;/we undertake to follow the certification progress,deci(certi
18、fication approval, suspen, withdrawal ,cancellation or resumption)and related notion CQC website (China Quality Certification Centre ProductCertification Online System). To make all nesary arrangements for the conduct ofcertification, surveillance, and inspection/ investigation related toplas,includ
19、ing provifor examiningation, testing products, acs to all areasinvolved in certification, examining records andnel (e.g. production, inspection,testing, quality management etc.); making payment on time and take all the consequence of not paid or not paid withhe time limit.3)获证后,确保认证产品始终符合认证标准、认证规则、强
20、制性产品认证标志管理办法、强制性产品认证管理规定等规定;We undertake to keep certified product to comply with certification standards, CCC Implemenion Rules, Regulations for Compulsory Product Certification and Regulations for Compulsory Product Certification Mark.4)仅在获证范围内作出有关认证的;在使用产品认证结果时,不得损害中国质量认证中心(CQC)的声誉,不采用误导的方式使用或部分使
21、用认证检测、工厂检查、认证和认证标志等;/We undertake to make claims regarding certificationonly in respect of the scope for which certification has been granted, we will not use our product certification in such a manner as to bring CQCo disrepute and ensuring notesting report, factory inspection report, part thereof
22、is used in a misleading manner.s and certification marks nor any5)对于涉及认证内容、获证产品及生产企业等的变更(可能影响认证产品与认证标准符合性或型式试验样机一致性的),按认证规则、产品认证更改的类型和程序(CQC公开文件)的要求执行;批准,不得实施认证变更;To follow theCCC Implemenion Rules and requirements of Types and Procedures for ProductCertification Modification (CQC published) for the
23、 modification refers tocontent, certified product and factory (whiay affect on the certifiedproduct in conformity with relevant standards or the consistency of type test sle). It is not allowed to modify without approval by CQC.6)支持CQC正当调阅有关,重要的应主动CQC;We undertake tomake all nesary arrangements to s
24、upport CQC examining complas records, theimportant complas will report to CQC votarily.7)认同认证机构(中国质量认证中心产品认证业务申办系统)发布的认证决定(认证批准、暂停、撤销、注销、恢复)的日期为本认证委托人知晓发布内容的日期;We undertake to indentify the certification deci(including certification2013-07-13Application for the CCC Certification页码,6/7approval, suspe
25、n, withdraw ,cancellation or resumption) and guaranteeing to knowthe details once released on CQC website (China Quality Certification Centre Product Certification Online System).8)获证后及时关注状态,在无效时(暂停、撤销、注销、过期)立即通知生产企业,不出厂、销售、进口相关产品;当和认证标志,同时停止涉及认证内容的被暂停或撤销时,立即停止使用认证、宣传;/We undertake to follow thesus,
26、 as ofinvalidation (suspen, withdraw, cancellation orexpiry), to notify the factory not tiver, sell and import the related products on time.We ame to upon suspenor cancellation of certification, discontinue the use of and certification mark, and stop using of all advertising mattert containsany refe
27、rence thereto.9)此申请中的产品在获得CCC认证后,并不免除其需符合国家其它相关要求的责任。The producthis application after iing the, it is cannot exemptfor conforming to other national laws and regulations。10)认证申请书中填写的认证委托人、生产者(制造商)、生产企业的名称、地址和、相关联系信息(邮寄地址和、联系人及其、传真、电子邮件、移动电话)均真实有效,内容不是机构的相关内容;一旦发生变更,以有效的方式及时在认证委托人、生产者(制造商)、生产企业间传递变更信息
28、,并及时以纸面形式(加盖本认证委托人公章)告知CQC认证受理部门;承担因上述信息填写错误和未及时将信息的变更告知认证机构所的一切结果,并不以此作为不接受认证决定的理由。We undertake to guarantee the applying information including the name, address,t code and related contact details (ing address andt code, contact,ephone, fax,and mobile phone) of applicant, manufacturer and factory i
29、scorrective and effective, which is not of agency. If there is any change, please notify the applicant, manufacture and factory on time and inform CQC product department in writing (with offil seal or signature of the applicant). Taking the responsibility for incorrect information and failing to inf
30、orm the change to CQC immediay, and do not make this as a reason not to accept the certification deci.注/Note:1、 认证委托人应将申请书寄受理部门。/The applicant should send the CCC Application Form to CQC product department.本申请受理部门/CQC product department:中国质量认证中心产品一部/China QualityCertification Centre Product Certific
31、ation Department 1 地址/Address:中国路188号9区 /Section 9,No.188,Nansihuan(the South Fourth Ring Road)Xilu(West南四环西Road),Beijing 100070,China/tcode:100070/ephone:2、请用中、英二种文字填写认证委托人、生产者(制造商)、生产企业和认证产品的名称。/Please fillhe names of the applicant, manufacturer, factory and products by bothChiand English.3、有关CQC产
32、品认证的公开文件可通过上网获取,是.cn/Publishedvia CQC website:.cns for CQC product certification can be acquired获取暂停、撤销、注销公开文件的路径是:首页()暂停、暂停、注销、撤销 暂停、注销、撤销条件与实施 CQC产品认证撤销、注销的条件与实施。Publisheds on suspen, withdrawal or cancellation of thecan beacquired from CQC website: homepage () suspen, withdrawal orcancellation of
33、 the or cancellation of thethe condition and implemenion for suspen, withdrawalthe condition and implemenion for suspen,withdrawal or cancellation of CQC product.4、可以登陆CQC进行申请。是.cn/The customer canlogin CQC website to apply online, website:.cn5、如果申请CCC认证,同时也申请CB测试,请填写完认证委托人承诺后,继续填写CB测试申请书。/If CB app
34、lication is appd at the same time with CCC application, please complete Declaration of the Applicant and then to fill in CB application form.6、CCC认证与CB认证同时申请时,生产者(制造商)必须相同。/If CCC certification and CB certification are appd at the same time, the manufacturer of them must be the same.7、CB申请书以英文填写为准,相
35、同的内容可以。/CB application form written inEnglish is accepted, and the same contents can be copied.8、认证委托人获证后有关注销、暂停(恢复)、撤销等重要信息,CQC将以“通知书”形式按上述“认证委托人”信息中的内容以“挂号信”方式进行邮寄、告之。2013-07-13Application for the CCC Certification页码,7/7如内容(认证委托人/生产者(制造商)/生产企业名称、地址等)发生变化,请及时申请变更。除内容外,认证委托人/生产者(制造商)/生产企业其它信息发生变化时(如
36、邮寄地址和、联系人及其、传真、电子邮件、移动等), he form of (resumption)请按本认证申请书中认证委托人承诺的第10项要求处置。/CQC will take“Notice” to notifyholder the information of cancellation, suspenor withdrawal. The “Notice” will send by registered letter according to the address of aboveapplicant information. If there is any change on applic
37、ant/manufacturer/factory), please apply theas for the change on other information (e.g. address andcontents (like the name, address of modificationime, exceptt,t code, contact,ephone, sed by item 10fax, mobile phone) of applicant/manufacturer/factory , it will be proin application.9、认证委托人获证后有关行查询。同时认证委托人需将CQC注销、暂停(恢复)、撤销的信息,进注销、暂停(恢复)、撤销的信息及时通知与之相关的生产者(制造商)、生产企业,并按照强制性产品认证的相关规定执行。/Theapplicant can visit CQC website () to get the informa
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