1、 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 Initial Filing 第 1 项 企业信息 Section 1-Applicants Information*企业名称（中英文）Name (in Chinese AND English) *企业地址（中英文）Address(in Chinese AND English)*企业类型 Company Type： 出口商 Exporter 代理商 Agent *国家（地区）Country/Region ： *邮政编码 Postal Code*联系人姓名 Contact Na
2、me：*联系人电话/传真（请注明国家/地区代码及区域码）或者手机Contact Telephone/Fax (Include Area/Country/Region 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 products水产及制品类 aquatic products and preserved aquatic products中药材类 traditional Chinese medic
3、inal materials of animal and plant origin 粮谷及制品类 grains and grain products油脂及油料类 oil and 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 of plant origin干坚果类 dried fruits and nuts其他植物源性食品类 other plant origin food罐头类 canned foods乳制品
4、类 dairy products蜂产品类 bee products酒类 alcoholic beverage糕点饼干类 pastry biscuits and crackers蜜饯类 candied (preserved) fruits卷烟类 cigarette茶叶类 tea调味品类 processed flavorings其他加工食品类 other processed foods特殊食品类 foods 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-Information of t
5、he Chinese Trade Partner to be contracted with:企业名称（中文）Name (in Chinese)：企业地址（中文）Address (in Chinese)：联系人 Contact 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: 上述资料信息准确、真实。I hereby commits: The information we submit is authentic and accurate.*填表人姓名（印刷体）Contractor name (in printing version)： *填表人电话/传真或者手机 Contractors office Telephone/Fax or cell phone：*填表人电子邮件信箱 Contractors E-mail Address：*填表日期 Date of submitting this form：第 5 项填表说明 Note1、标“*”的项目必须填写。 The above items with mark * must be effectively filled in.
