Name of Applicant (English)

工廠名稱（英文）

Name of Applicant (Local language)

工廠名稱（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?

在其他地方有工廠嗎？

 Yes

If yes, please specify the nature of these operations:

 No

Have the Applicant applied for the ICTI CARE Process before? 之前有申請過嗎？

 Yes

 No

Does the applicant currently hold an ICTI CARE Seal of Compliance? 已取得ICTI證書嗎？

 Yes

If yes, please provide Seal number:

 No

Full Name

聯(lián)系人姓名

Job title

職務(wù)

Email address

電郵

Phone number

電話

Mobile number

手機

Fax number

傳真

Number of employees

雇員人數(shù)

Peak season 旺季

      workers 工人

      other staff 其他職員

Low season 淡季

      workers

      other staff

During audit 認證時

      workers

      other staff

Total production area (m²)

工廠面積

      m²