Basic Conditions of Application Manufacturer

Full Name of Manufacturer

Address of Manufacturer

Country / Region

Corporate

Representative

Liaison

Phone Number

Facsimile Number

E-mail Address

Post Code

Website Homepage

Date of Establishment

Total Employees

Management Representative

Position of Management Representative

Registration or Certification

Achieved

Items under Registration or Certification

Certification Organization

Date of issue

Date of Expiration

Application Agent

Full Name

Address

Organization Code

Corporate Representative

Representative

on Manufacturer’s Behalf

Phone Number

E-mail Address

Facsimile Number