Name of Applicant (English)

工厂名称（英文）

Name of Applicant (Local language)

工厂名称（中文）

Physical Address (English)

地址（英文）

Physical Address (Local language)

地址（中文）

Country

Does the Applicant have operations in other locations?

在其他地方有工厂吗？

 Yes

If yes, please specify the nature of these operations:

 No

Have the Applicant applied for the ICTI CARE Process before? 之前有申請过吗？

 Yes

 No

Does the applicant currently hold an ICTI CARE Seal of Compliance? 已取得ICTI证书吗？

 Yes

If yes, please provide Seal number:

 No

Full Name

联系人姓名

Job title

职务

Email address

电邮

Phone number

电话

Mobile number

手机

Fax number

传真

Number of employees

雇员人数

Peak season 旺季

      workers 工人

      other staff 其他职员

Low season 淡季

      workers

      other staff

During audit 认证时

      workers

      other staff

Total production area (m²)

工厂面积

      m²