1. Application Form for Provisional Registration of Overseas
Supplier Enterprises of Imported Scrap Materials
Type of Application □First-time Application □Renewal Review
□ Change in Registration □Reapplication
Application Number
Name of Enterprise
Country/Region the Enterprise Located
Contact Person
Contact Tel. No.
Date of Application
day/month/year
Prepared by the General Administration of Quality Supervision, Inspection and
Quarantine of the People’s Republic of China
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2. Name of Enterprise
Address Zip Code:
Legal Representative Tel/Fax No.
Certificate No. of Last
Provisional Registration
Expiry Date for
Certificate of Last
Provisional
Registration
Changes in Information of
Provisional Registration
Types of Scrap Materials
Exported for This
Application
General Information on the Enterprise
InformationonMajorDepartments/Selection
andProcessingPlants
Depa
rt
Nam
e
Office
Size(width&
Length)
Amount of
Employees
Chief Tel No.
MajorProductionandTesting
Equipment
Name
of
Equip
ment
Specificati
on and
Type
Main
Functio
n
Quanti
ty
Purchase
Year
Operating
Status
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3. Details on
Certification
of Enterprise’s
Quality
Control
System
Type of
Certificatio
n
Certification
Organization
Certificate
No.
Date of Issuance
Export of Scrap Materials of the Enterprise
Year Starting to
Export Scrap
Material
Date of Initial
Export of Scrap
Material to China
Major Sources of
Supply for Scrap
Materials
Major Ports for
the Shipment of
Scrap Materials
Export of Scrap
Materials to China
in the Past 3 years
Year Type Export
Volume
Passing Rate of
CIQ Inspection
and Quarantine
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4. StatementofApplicant
This enterprise hereby applies for the provisional registration of overseas
supplier enterprises of imported scrap materials. This enterprise agrees to abide
by the laws and regulations on entry-exit inspection and quarantine and the
technical regulations on environmental protection of the People’s Republic of
China.
This enterprise hereby certify that the information provided is true and
correct, and agrees to bear reasonable expenses incurred during the process of
assessment, verification and acceptance, examination, supervision and
administration, and etc. by AQSIQ and the bodies authorized by AQSIQ.
The attached documents include ：
、
、
、
、
Signature of the legal representative ：
（ Stamp of Enterprise ）
day/month/year
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5. CommentsontheApplicationforProvisionalRegistration
After the evaluation, it was found that:
□ the enterprise complies with the basic requirements for provisional
registration of overseas supplier enterprises of imported scrap materials. The
application submitted by the enterprise will be accepted, and it is suggested to
conduct examination on the enterprise.
□ the enterprise does not comply with the
requirements for application due to:
, it is suggested to notify the applicants to supplement
materials within 30 days.
□ the enterprise does not comply with the
basic requirements for provisional registration, therefore, the application
submitted by the enterprise will not be accepted.
Processed by ： Responsible personnel:
Day/month/year Day/month/year
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6. CommentsontheApplicationforProvisionalRegistration
After the evaluation, it was found that:
□ the enterprise complies with the basic requirements for provisional
registration of overseas supplier enterprises of imported scrap materials. The
application submitted by the enterprise will be accepted, and it is suggested to
conduct examination on the enterprise.
□ the enterprise does not comply with the
requirements for application due to:
, it is suggested to notify the applicants to supplement
materials within 30 days.
□ the enterprise does not comply with the
basic requirements for provisional registration, therefore, the application
submitted by the enterprise will not be accepted.
Processed by ： Responsible personnel:
Day/month/year Day/month/year
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