(Rev. 5.1 20070115-1/1)
Cert. No. of Works/Type/Drawing Approval or Standards Suited
Intend for / Others
International voyage□
Domestic voyage□
Others□
International voyage□
Domestic voyage□
Others□
Ordered by and Hull No.:
Date of surveyor’s arrival requested:
Total price of the product:
Anything concerning the Products or the Application supplemented by the applicant:
The Applicant agrees toprovide an active cooperation and necessary for CCS in the course of inspection and pay the fee for the specified service and, in addition, any traveling and other expenses incurred by the surveyor related to the services. In the event of this project not being completed under the Society's services because of the Applicant’s reason, the Applicant also agrees to pay the relevant fee and expenses for the services provided.
Signature of Representative of applicantDate:
Name of applicant:
(Applicant’s Stamp)
Address of applicant: Post Code:
Liaison man of applicant : Tel.: Fax:
The Applicant guarantees that all contents declared in this Application and all materials submitted are true, and the use and supply of the following technical documents of the products are legally justified. If any false data are found, the Applicant shall assume legal responsibility, and hold responsibility for all the serious consequences arising therefore.
申请单位代表人签署：年月日
申请单位名称：
（申请方公章）Leabharlann 申请单位地址：邮编：
申请方联系人：
电话：
传真：
制造单位名称：
制造单位地址：
邮编：
制造单位联系人：
电话：
传真：
申请检验船用产品的描述
序号
船用产品名称
型号规格
数量/编号
认可证书号、图纸批准号或船用产品执行标准
船用产品用途和其他
国际航行船□
国内航行船□
其他□
国际航行船□
国内航行船□
其他□
船用产品订货单位及拟用于的船舶工程编号（如有时）：
船用产品总价：
邀请验船师到现场检验日期拟定于：
对证书文字的要求：请用文
申请方对本次检验申请需要说明的其他情况和要求：
(Rev. 5.1 20070115-1/1)
附录4Form:RWPMP701-A（E）
To: CCS
附录3Form:RWPMP701-A
产品检验申请书
中国船级社（CCS）：
申请方已了解：本申请一经申请方签署和盖章并被中国船级社受理，即构成申请方与中国船级社之间的合同证明。除非申请方另有说明，中国船级社最新颁布的《钢质海船入级规范》中的有关条款，包括但不限于规范中总则部分的条款，构成申请方与中国船级社之间的合同内容,并调整与本申请有关的一切服务。
申请方保证在本申请表中所填写的内容和所提供的图纸、资料、检测和试验记录均属实，并且完全合法拥有提交的图纸资料。如查有不实之处，申请方负法律责任，以及承担由此造成的一切后果。
申请方保证提供检验条件，并按规定支付检验费和验船师为执行检验工作所必需的差旅费和其它开支。即使此项检验由于申请方的原因未能由船级社完成，申请方也同意向中国船级社支付上述相关费用。
Name of manufacturer:
Address of manufacturer: Post Code:
Liaison man of manufacturer: Tel. Fax:
Particular to Products
No.
Name of the Product
Type/Model
Quantity/Series No.
The Applicant acknowledges: Once this Application with the Applicant’s signature and stamp is processed by China Classification Society, This Application shall be deemed the evidence of contract between the Applicant and CCS. Unless otherwise agreed with CCS, the relevant terms in the latest edition of Rules and Regulations for the Classification of Seagoing Steel Ships of CCS, including, but not limited to, the General Part of the Rules, constitute the contract between the Applicant and CCS, which governs all services provided in connection with this Application.