Date: Application for Admission as Certification Subscriber I (name ...

Mongkok Certification Office:1701, Wai Fung Plaza,664 Nathan Road, KowloonTel: 2396 3318Tsim Sha Tsui Certification Office:Tel: 2302 1621Central Certification Office:Tel: 2845 4966Kwai Chung Certification Office:Tel: 2421 0951Date:Application for Admission as Certification SubscriberI(name in block letters) on behalf of(name of company)wish to be registered as a subscriber to the Federation’s Certification Service.Signature of Applicant :(Please affix company chop)SERVICES(a) certification services at member rate(b) advice on overseas certification requirements and origin criteria.FEESThe annual subscription fee is $1,000 and the application fee is $100Please complete the application form on the back page in block letters and return it together with a cheque forHK$1,100 made payable to the “Federation of Hong Kong Industries” to the address stated above.

□Application for Admission as Certification SubscriberName of Company(in English):(in Chinese):Name ofRepresentativeName ofContact personOffice Address(in English): Mr./ Mrs./ Miss(in Chinese):Mr./ Mrs./ MissPosition:Telephone No.Fax No.E-mail AddressWebsiteHong KongBusinessRegistration No.Type of CompanyLimited CompanySole Proprietorship□(Please Specify) ____________________________□Products / ServicesPartnershipMajor MarketsOther BusinessesOtherDate of ApplicationFOR OFFICE USE ONLYSubscriber No.Processed by ________ DateExpiry DateRemarks