Please use your own company's Letter Head here by ouz10208

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									                        Please use your own company’s Letter Head here

                                     REGISTRATION
                         APPLICATION AND DECLARATION OF CONFORMITY


  *********************************************************************************************
  1.     Application is made by: (Please type or print clearly)

            Applicant:

            The Applicant is:      Manufacturer           Exporter

            Address:                              Country :

            Contact Person:

            Position:

            Telephone:                            Fax:

            E-mail



  2.        For Registration of:


Regulated Product

BRAND NAME:

Product Type Designation/Model Number/Name               Product :                   We declare: Products complies
                                                         Information and Description with the
                                                                                     following Standard(s) or
                                                                                     Specification(s)
       1)

       2)

       3)

       4)

       5)

       6)

       7)


  Name and position:


  Place and date of issue:

								
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