Application for use of codes and barcodes

 

SOCIALIST REPUBLIC OF VIETNAM

Independence – Freedom – Happiness

——————

…………….., Date…. month……year……….

APPLICATION FOR USE OF CODES, BARCODES[1]

Organization information:

Name in Vietnamese[2]:

Name in English (or Vietnamese without accents):

Business registration certificate/ Establishment decision – Number:

Date of issue: ……………….Issuing authority:

Address*:

Phone number*: …………………  Email:

Register for automatic debit (Fill in ✓ in the blank box):
 
🗆 Via account                            🗆 Via e-wallet
 
🗆 Via bank card                         🗆 Other: Cash
 
Field of operation (Fill in ✓ in the blank box):
🗆 Manufacturing                🗆 Trade                                🗆 Retail
 
🗆 Services                         🗆 Other:
 
We would like to register to use the code type* (Fill in ✓ in the blank box):
  🗆   GS1 Company Prefix GCP   🗆 12-digit GS1 Company Code (GCP-12)
  🗆 10-digit GS1 Company Code (GCP-10)
  🗆 9-digit GS1 Company Code (GCP-10)
  🗆 8-digit GS1 Company Code (GCP-10)[3]
  🗆  Global Location Number[4] **   🗆 For physical location
  🗆 For digital location
  🗆 For legal entity
  🗆 For functional entity
  🗆 EAN-8 8-digit Global Trade Item Number (GTIN-8)**

 

[1] The declared information can be updated in accordance with the requirements of the GS1 International Code and Barcode Organization

[2] Mandatory information fields

[3] Only issued according to the recommendations of the GS1 International Code and Barcode Organization

[4]** List of location codes, trade items attached

Representative of Organization/Enterprise*

Title Full name Position Phone/fax E-mail
Email        
Main contact person        
 
We guarantee that the information declared above is correct and commit to fully comply with the provisions of law related to codes, barcodes, regulations on fees and the following terms:
 
– Only use the assigned codes for our products and services;
 
– Strictly comply with the regulations on payment of fees and maintenance fees as prescribed by law;
 
– When for some reason (dissolution, bankruptcy, etc.) we no longer need to use the assigned code, we will notify the General Department of Standards, Metrology and Quality in writing within one month from the date of dissolution or bankruptcy;
 
– If there is a change in name, legal status or address, we will notify the General Department of Standards, Metrology and Quality within one month from the date of change to complete the procedure for changing the certificate.

…., date… month… year…

ORGANIZATIONAL LEADERSHIP
 
(Signature, seal)

 

……………, date………. month……… year……..

List of locations requiring GLN registration

No GLN code type5] Name/Description Address Note
         
         
         
         

 

List of 8-digit EAN-8 Global Trade Item Numbers (GTIN-8) that require registration

No Product name Product description Note
       
       
       
       

[5] GLN code types include: Physical location / Digital location / Legal entity / Functional entity

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