延期登记申请表

Application Form for Extension of Registration

机构名称

Name of the Office

首席代表姓名

Name of Chief

Representative

驻在地点

Office Address

批准部门

Approved by

登记证号码

No.of Registration

Certificate

变更情况

Aiteration ojRegistration

其   它

Others

代表签字: Signature:

延期限期: Extended to:

审核意见: