Application form for the change of special equipment manufacture license
Application No.:
Original name of
manufacturer
Manufacture License No.
Date of Expiration
(or. SQL license No.)
Item of Change □ Company Name □ Ownership □ Re-location
From:
Content of Change
To:
Reason of Change
Submitted Documents
1. The new copy of the corporate business license registered by your local government.
2. The copy of related update certificate ,such as ASME, ISO, etc.
The formal application letter declaring that there has only an name change and the address of
3. the factory , quality systems , resource of manufacturing ,manufacturing scope of products ,etc
are unchanged(For change of name or ownership only).
4. Others.
Authorized signature of applicant:
(Signature)
Title： Date：
Acceptance views and result of General Administration of Quality Supervision, Inspection and Quarantine
of the P. R. of China(AQSIQ)
Signature of Person in Charge:
(Sealed by SESA of AQSIQ)
Date:
Note:
1. “Item of Change” : Please confirm “Company Name”, “Ownership” or“ re-location” with “√” .
2. “Content of Change” : Please describe the complete update name or location so that the license may be
revised correctly. “From” refer to the old one, “To” refer to the new one required.