Application　for　Registration

　  中华人民共和国国家工商行政管理总局制
　　Compiled by State Administration for Industry and Commerce of the People’s Republic of China

　　代表机构或代表名称__________________________________________________
　　Name of the Agency or Agent_________________________________________
　　在华地址___________________________电话_____________________________
　　Address in China __________________Telephone No.____________________
　　开户银行和帐号_____________________Bank with________________________
　　驻留期限___________________________Duration stay____________________
　　接待单位和电话______________________________________________________
　　Sponsores by ______________________Telephone No.____________________
　　批准设立机关及文号、日期____________________________________________
　　Approved by ________________________________________________________
　　　　　on___________________________No. of Approval Document____(Date)
　　业务范围____________________________________________________________
　　Business Scope______________________________________________________

　　有关派驻机构情况____________________________________________________
　　名称_______________________________国别_____________________________
　　Sent by ___________________________Country__________________________
　　地址________________________________________________________________
　　Address_____________________________________________________________
　　提交证件名称________________________________________________________
　　Name of Documents
　　to be submitted_____________________________________________________
　　董事长姓名__________________________副董事长姓名____________________
　　Name of the Chairman
　　of the Board________________________________________________________
　　Name of the
　　Vice-Chairman of the Board__________________________________________

　　代表及外籍工作人员
　　Agent and Foreign staff
　　姓名_________性别________职务______国籍
　　Name_________Sex ________Post______Nationality
　　姓名_________性别________职务______国籍
　　Name_________Sex ________Post______Nationality
　　姓名_________性别________职务______国籍
　　Name_________Sex ________Post______Nationality
　　姓名_________性别________职务______国籍
　　Name_________Sex ________Post______Nationality

　　中华人民共和国国家工商行政管理局审批意见
　　Remarks of Approval of Rgeistration Authority and Commerce of the People’s Republic of China

    ____年____月____日
    Date   

　　登记证号
　　No. of Registration Certificate_______________________________________
　　发证日期
　　Date of Issue_________________________________________________________
　　领证人签名
　　Holder of the Certificate_____________________________________________
　　　　　　　　　　　　　　　　　　　　　　　　　(Signature)

　　附注
　　Note__________________________________________________________________