In a society with ever-improving laws, there are various matters that require an application form, which is an instrument used when we make a request. So how should the application be written to be appropriate? The following is my carefully organized application for a health permit, welcome to read, I hope you can enjoy.
Application for a health license 1Application unit: application date:
(official seal)
Application unit
Contact phone number
Address of the unit
Zip code
Legal representative
The number of employees
The person in charge of the unit
The number of people who should be examined state-owned Collective Individual Private Institution Career Joint-stock Foreign Wholly Owned Chinese-Foreign Equity Chinese-Foreign Cooperation Fixed Assets (million yuan) Use Area (square meters)
Economic Nature
Completion and Acceptance Accreditation Certificate
Scope and type of production and operation:
Declarations and Confidentiality Requirements No. Name of Material
1. Health check-up of practitioners to qualify the certificate;<2>, Practitioners health knowledge training certificate; 3, proof of property rights or proof of lease; 4, legal person or legal representative of the qualification certificate; 5, health management organization and system; 6, basic sanitation facilities; 7, the layout of the equipment and process flow diagram; 8, municipal health supervision agencies on-site acceptance report (municipal health supervision agencies); 9, preventive health supervision information (new, altered, expanded) ; (1) construction project design health review approval; (2) construction project completion health acceptance approval; 10, food processing enterprises are also required to provide the following information; □ (1) corporate standards (Technical Supervision Bureau for the record); proof of inspection; (3) municipal health administrative organs recognized by the inspection agency recently (within three months) inspection report; (4) two samples of shaped packaged products, labels and instructions; (5) Other materials:
Confidentiality requirements
(2) enterprise laboratory situation (test equipment, testing items, the name of the inspector, gender, age, education) or commissioned
I (unit) to ensure compliance with a variety of laws, regulations and health norms to ensure that the materials provided are accurate, truthful, legal and effective.
The person in charge of the application unit (signature): month and year
Acceptance date: month and year
Legal Audit Section comments:
Health Supervisors:
Referred to the Legal Audit Section date: the year of the health supervision agency comments: month and year
Referred to the Institute of the leadership of the date: the year of the views of the health administration: month and year
Date of referral to the health administrative department: year and month
Date of referral to the window of the approval service center: year and month
Certificate No.: Zao Wei food word (validity: year and month to) the year and month
Application for a health license 2__ Township Health Center:
I sincerely expect, on the day of the establishment of the health office in the village of __ under the direct leadership of the Township Health Center, for the __ village basic medical and health services to make a greater contribution to the __ village basic medical and health services. village basic medical and health services to make a greater contribution!
I have been practicing medicine for 12 years and have been engaged in basic medical and health services in ___ village. Although I did not enter the medical school for study, but rely on self-study and take the self-test, through the Chinese medicine profession 10 courses, and then because of the self-test years over the standard is not allowed to participate in the examination of licensed physicians and give up the other two courses of study. 1997, I passed the WUWEI County village doctor qualification examination, 20xx, I passed the qualification examination of rural doctors in Anhui Province. 20xx, I wrote "rheumatoid arthritis pathogenesis". In 20xx, my paper "Pathogenesis of Rheumatoid Arthritis" was adopted by China Journal of Traditional Chinese Medicine; in the following year, my paper "Diagnosis and Treatment Flow Chart > Development of Purpose, Characteristics and Significance" was included in the "Seminar on Modernization of Traditional Chinese Medicine and its Implementation Countermeasures" sponsored by Chinese Society of Traditional Chinese Medicine. In the same year, I entered the field of China's health care system reform for research; in 20xx, Anhui Province Department of Health forwarded the materials of the Ministry of Health, asked me to carry out research on health care reform. 20xx ~ 20xx, I have completed the "China's health care system status quo and the reform of the analysis of the report", "the Chinese people's **** and the country's basic medical care law (draft)", "the national basic medical care to formulate the (provisional) conditions ( (Draft)", "the Chinese people *** and the country's basic medical care law implementation regulations (Draft)", etc., and served as the State Council's Medical Reform Coordination Group of China's medical reform group leader, for China's medical and health system reform to do their part.
My experience tells me that without the care and cultivation of the township health center, I would not be where I am today. When I encountered difficulties in my work, the rural health center to help me overcome; when I made a little achievement on the way forward, the rural health center to give praise and encouragement, I can only dedicate my strength to repay the rural health center to give me love.
I am well aware that my `basic medical and health service level and the requirements of the township hospital are too far apart. However, I am determined to the spirit of the Central Committee (20xx) No. 6 to require themselves to seriously study the knowledge of basic medical and health services, resolutely implement the public welfare nature of basic medical and health care, wholeheartedly for the people to provide basic medical and health services, in order to achieve the goal of basic medical and health services for all people to struggle for life.
Please approve the rural health center!
Health license application 3Office of the health license application letter County Food Hygiene Supervision: Sunjiaqiao Middle School Department of boarding schools, more than 300 boarding students at school. Schools on the canteen food hygiene management is very strict, the establishment of a special school food hygiene management and supervision body, health management system is sound, canteen staff after medical examination, physical health, the school to open the canteen is fully in line with the standards of health and safety. Has been in September 20xx for the food hygiene license, the validity of this certificate has arrived, apply for a replacement certificate, please handle as a thank you!
Sunjiaqiao Middle School
Application for a health license 4Application unit
Application date
People's Republic of China *** and the State Ministry of Health system
The name of the applicant unit (font size) responsible for the person in charge (head of household) address total number of employees (including temporary) fixed assets (million yuan) completion of the acceptance of the certificate No. Application for permission to apply for the project (mode of production and operation) <
Economic nature of the legal person and the legal representative of the phone should be medical examination, training number of people production and business premises using the area of the original health license certificate number
Declarations (No., name of the material)
Requirement for confidentiality of the material:
Sanitary facilities (name and number)
(The above by the applicant to fill in) competent department comments
Received Date of application Date of acceptance of application Date of medical examination and training number of people
Year Month Day Year Month Day
Recipient Acceptance of the number of people issued a certificate of compliance
Initial review of the opinion: 1, after a written review and on-site sub-examination, in line with the conditions of issuance of licenses; 2, the application of the NO.Y05-health license; 3, can be approved by the licensing program.
(official seal)
Undertaker:
Reviewer:
Month and year
Issuing authority to approve the licensing project
Issuing authority chapter
Issuer of the health license No.: Y05-3-2 is valid until
< p> Year Month Day Health Permit Application 5XX County Health Bureau:
XX County, located in, responsible for:, employees, has obtained the health department's certificate of hygiene knowledge training and health certificate. I store health system is sound, disinfection facilities are complete,, the store fly, dust, rodent facilities are complete, the health environment is neat and clean, there is a dedicated (part-time) health administrator, special application for a health permit.
Health administrator:
Applicant:
x year x month x day
Application for health license 6Application for a health license County Food Hygiene Supervision:
xxx Middle School Department of boarding school, more than 300 students in the school boarding. Schools on the canteen food hygiene management is very strict, the establishment of a special school food hygiene management and supervision body, health management system is sound, canteen staff after medical examination, physical health, the school runs a canteen in full compliance with the standards of health and safety. Has been in September 20xx for the food hygiene license, the validity of this certificate has arrived, apply for a replacement license, please handle as a thank you!
xxx Middle School
20xx, xx month xx
Application for Health License 7Applicant: __________________
Date of application: __________________
The People's Republic of China*** and the State of the Ministry of Health system
Applicant.
Economic nature
Person in charge of the unit
Legal person and legal representative
Address of the unit
Telephone number
Number of employees
Number of people who should undergo medical examination
Fixed assets (RMB 10,000 yuan)
Area of use
Completion acceptance endorsement certificate number
Original Sanitation license number
Application for license project:
Application materials and confidentiality requirements:
No. Name of material pages
Sanitation facilities:
Opinion of the competent department
(official seal)
Month and year
Date of receipt of the application
Month and year
Supervisor's opinion
Health Supervisor's opinion:
Month and year
Health Supervisory Authority Approval of License Items
(Official Seal)
Month and year
Date of Issue of License and No.
Month and year
No.
Valid for the period of month and year to
Year and month
Remarks:
Instructions for filling in
1. This book is filled in by the person who filled in and submitted to the designated health organization
2. Fill in the use of brushes or pens, the text should be concise, clear and no alteration, blanks to the word "no" to fill in.
3. "Application for a license project" fill in the application for the scope and type of production and business.
4. Submission of the application, the following materials must be submitted
(1) construction project design health review and approval of the completion of the health acceptance certificate.
(2) equipment and process flow diagrams, raw material formulations, the use of standards, special provisions for the approval of varieties of certificates, health inspections of employees and health training certificates.
(3) the basic health facilities, safety materials, inspection equipment and personnel.
(4) health supervision agencies require the declaration of other materials
5. Application in duplicate
Application for a health license 8County Food Hygiene Supervision:
I Shidi Middle School is a boarding secondary school, providing breakfast and dinner for boarding students. The school has a student cafeteria building, set up a special school food hygiene management and supervision institutions, health management system is sound, the cafeteria staff after a medical examination, physical health, handling food fully in line with the health and safety management.
In short, I Shidi Middle School cafeteria in full compliance with the standards of food hygiene and safety, special application for a food license!
Hereby
Salute!
Applicant: xxx
20xx year xx month xx
Health license application 9County Food Hygiene Supervision Institute:
xxx middle school is a boarding school, more than 300 students in the boarding school. The school on the canteen food hygiene management is very strict, set up a special school food hygiene management supervision body, health management system is sound, the canteen staff after physical examination, physical health, the school canteen fully in line with the standards of health and safety. Has been in September 20xx for the food hygiene license, the validity of this license has come, special application for a replacement license, please handle as a thank you!
Application for a health license 10County Food Hygiene Supervision:
I XX secondary school boarding secondary school, for boarding students in the school to provide breakfast and dinner. The school has a student cafeteria building, set up a special school food hygiene management and supervision institutions, health management system is sound, the cafeteria staff after medical examination, physical health, handling food fully in line with health and safety management.
In short, I Shidi Middle School cafeteria in full compliance with the standards of food hygiene and safety, special application for a food license!
Hereby
Salute!
Applicant: application form template
20xx XX month XX
Application for a health license 11xx Township Health Center:
I sincerely expect, on the day of the establishment of a health room in the village of xx, in the township health center under the direct leadership of the village health center, for the xx village of the basic medical and health services to make a greater contribution!
I have been engaged in basic medical and health services in XX village since XX years from medicine. Although I did not enter the medical school for study, but rely on self-study and take the self-test, through the Chinese medicine profession 10 courses, and then because of the self-test years over the standard is not allowed to participate in the examination of licensed physicians and give up the other two courses of study. 1997, I passed the WUWEI County village doctor qualification examination, XX, I passed the qualification examination of rural doctors in Anhui Province. xx, I wrote the "rheumatoid arthritis" paper was China's largest and most famous rheumatoid arthritis. In XX, my paper "Pathogenesis of Rheumatoid Arthritis" was adopted by China Journal of Traditional Chinese Medicine; in the following year, my paper "Diagnosis and Treatment Flow Chart > Formulation of the Purpose, Characteristics and Significance" was included in the "Symposium on Modernization of Traditional Chinese Medicine and its Implementation Countermeasures" sponsored by Chinese Society of Traditional Chinese Medicine. In the same year, I entered the field of China's health care system reform research; XX years, Anhui Province Department of Health forwarded the Ministry of Health materials, asked me to carry out research on health care reform. XX to XX years, I have completed the "China's health care system status quo and the reform of the analysis of the report", "the Chinese people's *** and the country's basic medical care law (draft)", "the country's basic medical care to formulate (provisional) conditions (draft)", "the Chinese people's *** and the country's basic medical care law (draft)", "the basic medical care of the country (provisional) conditions (draft)". Chinese People's *** and the State Basic Medical Care Law Implementation Regulations (Draft), etc., and served as the State Council Health Care Reform Coordination Group of China cyzy1 health care reform subject group leader, for China's health care system reform to do their part.
My experience tells me that without the care and training of the township health center, I would not be where I am today. When I encountered difficulties in my work, the rural health center to help me overcome; when I made a little progress on the road, the rural health center to give praise and encouragement, I can only dedicate my strength to repay the rural health center to give me love.
I am well aware that the level of my own basic medical and health services and the requirements of the township hospital are too far apart. However, I am determined to the spirit of the Central **** (XX) No. 6 documents require themselves to seriously study the knowledge of basic medical and health services, resolutely implement the nature of the public welfare of basic medical and health care, wholeheartedly for the people to provide basic medical and health services, in order to achieve the goal of basic medical and health services for all people to struggle for life.
Please approve the rural health center!