ミマ爍ア>?? IK????H?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????チ#` ソハ.bjbj\.\.:7>D>Dw??????、イvvv8ョツlイ゙":::::ヘマママ@/"$f$hホ&S"ES"::ロ?::ヘヘ:. HHGフv%ケョ"0゙"R'5R'R' S"S"5d゙"イイイト vイイイvイイイ????  APPLICATION FORM Project No. APPLICANT Name and addresscontact person: Phone: Fax E-mail:MANU-FACTURER (if different from the applicant)Name and address FACTORY/ PROD. SITE (if different from the manufacturer)Name and address PRODUCTName: Model/type: Ex marking: Data: Other specification: Name/trade mark/logo: THE PROJECT ィew project ィ Repeated examination, please indicate previous certificate No.: Standards according to: SUBMITTED/ ENCLOSED ィ Drawing(s) ィest sample(s) ィ Extra components ィ Wiring/circuit diagram(s) ィ Part list ィ Test report(s) from others ィ User s instruction ィ Mounting instruction ィ Certificate(s) from others ィ Other:  SPECIAL INFORMA- TION  Test sample(s) after examination:  Collected by applicant* ィ To be discarded by CQST ィ Returned at applicant s cost Certificate desired in: ィ English ィhinese ィ Other Delivery of result: ィ By mail ィ Preliminary by fax ィ By express service Remarks: * Will be discarded by CQST if not collected or notice given within 12 w +46pq~キヒ      * , . 、 ヲ ィ ハ フ ホ ミ     " $ \ ^ ` b カ ク コ シ 8 ? ツ ト ニ 萼菘萼テモテモテモテオテ・オテモテオテオテオ陛・テオテ・オテ・オテ・テオテ・オテ・オ陛オテモテオテ・オh?@??CJOJQJmHsHh?@??CJOJQJmHsHh?@??OJQJmHsHh?@??CJOJQJmHsH!h?5 ??CJOJQJmHsHh?@??CJOJQJmHsHh?h?OJQJ: +56GWYZabghpルラニエエエエエエエエエエエ$ ニ0?dリ$*$Ifa$$ ニ0?ъdリ*$`ъa$%$ ニ& 0?ミ?Rp@ ー?P ?dリ*$^ `?綢$レ-ネ.??pq。イウエオカppppppp ニ0?dリ$*$Ifkd$$If僕ヨヨF・yB(ヤノヨ0??????ヨ ???ヨ ???ヨ ???ヨ ???4ヨ laカキタヒ      ニ0?dリ$*$Iflkdュ$$If僕ヨヨ0・B(?ヨ0??????ヨ??ヨ??ヨ??ヨ??4ヨ la      v w } ~  ニ0?dリ$*$IflkdD$$If僕ヨヨ0・B(?ヨ0??????ヨ??ヨ??ヨ??ヨ??4ヨ la  ヲ {{llCC($ ニ# 0?ミ?p@ ー?P ?dリ$*$If^ `?綢$ ニ0?dリ$*$If ニ0?┻М?dリ$*$If^┻`М?lkdロ$$If僕ヨヨ0・B(?ヨ0??????ヨ??ヨ??ヨ??ヨ??4ヨ laヲ ニ ネ   * , ヨヨヨヨilkdr$$If僕ヨヨ0・B(?ヨ0??????ヨ??ヨ??ヨ??ヨ??4ヨ la ニ 0?ミ│Яdリ$*$If^│`Я ニ0?dリ$*$If , ホ `   リッte ニ0?dリ$*$If$ ニ0?dリ$*$Ifa$($ ニ# 0?ミP @ ター?P ?dリ$*$If^?`畭$($ ニ# 0?ミ?P @ ター?P ?dリ$*$If^ `?綢$'$ ニ 0?ミ?P @ ター?P ?dリ$*$If^ `?綢$  . 8 : < > YY*$ ニ& 0?ミ?p@ ー?P ?dx$*$If^?`畭$ ニ0?dリ$*$Iflkd $$If僕ヨヨ0・B(?ヨ0??????ヨ??ヨ??ヨ??ヨ??4ヨ la> \ 6:カリイdH$ ニ 0??p@ ーP $*$Ifa$'$ ニ& 0?ミ?p@ ー?P ?$*$If^?`畭$'$ ニ& 0?ミ?p@ ー?P #Г$*$If^#`Г藺$%$ ニ# 0?ミ?p@ ー?P ?$*$If^?`畭$'$ ニ& 0?ミ?p@ ー?P ?$*$If^?`畭$ニ jl~?「$&(*b+X-t-レ-ワ-゙-?????ツ.ト.ネ.ハ.糅メ糅糅メ糅メ糅ミャツ??券?~t板h?CJOJQJh?CJOJQJmHsHjh?Uh?h?OJQJjh?OJQJU*h?0J#>*B*CJOJQJmHph?sHh?CJOJQJmHsHUh?@??CJOJQJmHsHh?@??OJQJmHsHh?@??CJOJQJmHsH#カXZlnpD*+リリリリタィタ$ ニ0?ДР?$*$If^Д`Р?a$$ ニ0????$*$If^?`??a$'$ ニ& 0?ミ?p@ ー?P ?$*$If^?`畭$eeks after dispatch of the Return Notice. 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