SCHEMEOFTHE ICEE FOR RECOGNITION OF RESULTs OFTESTING TOSTANDARDS FOD SAFETY OF ELECTRICAL EQUIPMENT（CB一SCHEME）．
国际电工委员会电工产品安全认证组织关于电工产品按安全标准测试结果的认可体系（CB体系）
Our reference申请人给其申请书的编号
Date申请日期
Appllcation for a CB Test Certificate CB测试证书申请书
Wehereby apply for a CB Test Certi ficate accordin g to Procedure ll and gl ve you the followin g deltailed information i Name and address of Applicant （ i．e，Man ufacturer ）我们按程序亚申请CB测试证书并提供下列详细情况：申请人（即制造厂）的名称和地址。
Manufacturr telelphOne number制造厂电话
ExtelnsiOn分机
Telegraphic address电报挂号
Telex No。 and answerback cede电传号和回报码
Name of l）erson dealing with the applicatiOn联系人姓名
NaMe and addrelss of factory or factories ， where the eq ui pment is produced生产产品的一个工厂或几个工厂的名称和地址。The CB Test Certificate is to cover the following kind of equipment（such as cable，rcwlrable or nollrewirable plug ， switch ， washing tnachine ， etc ）CB测试证书包括下述种类的产品（如电缆、重接或不可重接的插头、开关、洗衣机等）此栏填写申请CB测试证书的产品名称
Trade mar k or trade marks of the eq ui pmeln t产品商标
Description of equipment ： In geneal： type designation ， catalogue number ， etc。 For cords and cables：cod0， design ation s according to the rdrvan t standard an d n umber of cores and cr＜）ss一secti Onddl ateas。ctc For othc r eq uipmen t ： the in formatiQn specified in the relevant stan产品说明：一般包括型号、规格等，对于电线电缆包括相应标准的型号、芯线数和截面积等。对于其它产品应包括相应标准中规定的信息。
Refetenes to aII CB Test Cettificates which have been issued for cOmpOnents used the appliance，such as fuses ， switches ，appliance couples ， flexible supply cotds and cables ， plugs ， etc。 In case of retes-ing： Referenes to previous application。整机中使用的下述元件如：熔断器、开关、电器耦合器、电源线和软电缆线、插头等，如已获得CB测试证书可提供作为参照，如需复侧，参考以前的申请。
other information Of value to the NCbs（such as catalogues ， price lists ，advertising materia1 ， infotma-tory pamphlets,lists of compOnents or spare parts ， instructlons fOr maintelnance and repair pho-tographs ， drawings ， circuit diagrams ） is enclosed （ preferably ln quadruplicate ） adn is listed below：提供给NCB的其它有价值的信息（产品目录、价格表、宣传材料、小册子、元件或备件表、维修指南、照片、图纸、线路图）作为申请书附件（一式四份）
We are aware Of the fact that when Procedure lis applied the present application may be cancelled bythe First Testing Station ，if we have not handed in sufficient test samples to the two Testing Stationsbefore 6 months after receipt of the requests of the Testing Stations．（注：按新的规则和程序，程序1已取消）we declare that we Will follow the CB scheme。我们声明愿意遵守CB体系的规则。
