範例 衛生福利部食品藥物管理署
食品及相關產品資料表
Food and Drug Administration, Ministry of Health and Welfare Information Form for Foods and Related Products
申請書號碼:
Application No
貨物名稱(品名):
Description of goods
內容物(成分及食品添加物)
Ingredients and Food Additives
製造日期:
Manufactured date
製造批號:
Manufactured lot number
國內負責廠商:(同報驗義務人者,本欄得免填)
Local manufacturer
地址:
Address
電話:
Telephone number
包裝方式
Type of packages
:□散裝
In bulk
□袋裝Bags
□罐裝Cans
□瓶裝Bottles
□盒裝Boxes
□桶裝 Bucket
□其他
Other
包裝材料
Packing material
:□紙類
Paper
□玻璃Glass
□陶瓷器ceramic
□施琺瑯enamel
□塑膠plastic
□鐵容器Iron
□鋁容器
Aluminium
□鋁箔包Tetra Pak
□其他Other
產品種類
Type of goods
:□低酸性罐頭
Low Acid Canned
□酸化罐頭Acidified Canned
□其他Other
產品殺菌值
Standard sterilization value (F o ) of goods
: 最終產品 pH 值The finished equilibrium pH value of goods
: 檢附文件及其他申報資訊Attached papers and declaration
:□衛生福利部或食品藥物管理署許可文件
MOHW or TFDA permit document
□輸出國衛生證明
The original document of the product sanitary certificate from exported countries
□輸出國檢疫證明書
The photocopy of the quarantine certificate from exported countries
□輸出國輸臺證明書
The certificate for export to Taiwan
□輸出國認可試驗室檢驗報告
The original document of the test report from authorized laboratories of exported countries
□食品業登錄字號
Food industry login code
:□產品登錄碼
Product login code
:□其他
Othe
r:經公告輸入食品應檢附證明文件者,因新型冠狀病毒肺炎疫情影響因素,證明文件正本延遲抵達,先行提送證明文件影本或掃描檔,正本將後續補送。