Application
OEKO‑TEX® STANDARD 100 /LEATHER STANDARD /ORGANIC COTTON
Edition 02.2024
OEKO-TEX®
International Association for Research and Testing in
the Field of Textile and Leather Ecology.
國際環保紡織及皮革協會

OEKO-TEX Service GmbH
Genferstrasse 23, CH-8002 Zurich+41 44 501 26 00
www.oeko-tex.com

Application: OEKO‑TEX® STANDARD
100 / LEATHER STANDARD

To the Institute / 遞交至機構

Application

申請表

General indication:一般說明：

If an article consists of both textile and leather
components it will either be tested and certified according to OEKO-TEX® STANDARD 100/ORGANIC COTTON or OEKO-TEX® LEATHER STANDARD, in fact dependent on, if the dominant or
mainly part (visible surface, mass) of the article
consists of textile material or leather. The applicant
will receive only one certificate and label for the article(s). The final decision on this (particularly also
at ambiguous cases) has the mandated and certifying institute.

如果產品同時包含紡織品和皮革成分，將根據
OEKO-TEX® STANDARD 100/ORGANIC COTTON
或 OEKO-TEX® LEATHER STANDARD 進行檢測和
認證，具體取決於產品中紡織材料或皮革是否佔主導
或為主要部分（可見的外觀、品質）。 申請人只能收
到其一的產品證書和標籤。 最終決定權（尤其是在不明確的情況下）歸授權和認證機構所有。

Please mark what applicable

請勾選適用的方框。

1

Choice of certificate

證書選擇

1.1

Please select the product you are
applying for:請選擇您要申請認證的產品：

1.2

OEKO-TEX® STANDARD 100

OEKO-TEX® STANDARD 100

OEKO-TEX® LEATHER STANDARD

OEKO-TEX® LEATHER STANDARD

OEKO-TEX® ORGANIC COTTON (100% organic cotton)

OEKO-TEX® ORGANIC COTTON（100%有機棉）

OEKO-TEX® ORGANIC COTTON blended(>70% organic cotton)

OEKO-TEX® ORGANIC COTTON blended（>70%有機棉）According to which test criteria
do you want your products to becertified?

For more information about the annexes please refer to sections 5.2.1 as well as 4.3.5 of the OEKOTEX® STANDARD 100 Standard. In case of a
LEATHER STANDARD certification, this question is
only relevant for non-leather components of thecertification.

您希望根據哪項檢測標準對產品進行認證？

有關附錄的更多資訊，請參見 OEKO-TEX® STANDARD 100 標準的 5.2.1 節和 4.3.5 節。 對於 LEATHER STANDARD 認證，此問題僅與認證中的非皮革組
分相關。

Annex 4附錄 4Annex 6附錄 601.04.2024

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1.3

您的申請理由是什麼？

What is the reason for yourapplication?
Initial certification

初次認證

Certificate renewal

證書續期

Certificate modification

證書修改

申請人

Applicant
Firm

公司

Street No.

街道

ZIP-Code

郵政編碼

City

城市

State

洲/省

Country

國家/地區Phone / FAX

電話/傳真Homepage

主頁

E-mail電子郵箱

Responsible person (technical)
Name

姓名

Phone / FAX

電話/傳真

E-mail電子郵箱

Responsible person (marketing/sale)
Name

姓名

Phone / FAX

電話/傳真

E-mail

電子郵箱

技術負責人

市場/銷售負責人

Due to their independent status for the purposes ofquality assurance, the testing institute and certification body are obliged to keep all data secret.
Therefore the institute gives a guarantee of absolute secrecy. These data of the application are exclusively used to determine the number of tests
necessary for the certification.

鑑於品質保證目的的獨立狀態，測試機構和認證主體
有義務對所有信息進行保密。測試機構也因此應完
全確保信息保密。本申請中所涉及數據僅可用於確
定認證必要的測試數量。

Contact details (company, responsible person, address, e-mail address, telephone and fax number)
as well as information about the certificate (certificate number, name of products , product class, information validity , etc.) are transmitted during thecertification process to the OEKO-TEX® Service
GmbH / OEKO-TEX® Secretariat, Genferstrasse
23, CH-8027 Zurich and processed there further.

在認證過程中，聯絡信息(公司名稱、負責人、地址、
電子郵箱、電話和傳真號)及證書信息（證書編號、產
品名稱、產品級別及有效期等）將被傳送至 OEKOTEX® Service Ltd ./OEKO-TEX® 秘 書 處 (Genferstrasse 23, Zurich, CH-8027) 進一步處理。

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Information in the application regarding used colorants, chemicals, auxiliaries and source materials aswell as 3rd party certifications may be verified withthe respective supplier directly.

於本申請表涉及的著色劑、化學品、助劑及原材料以及第三方證書，其相關資料可能會直接向各供應商核
實。

Any missing, unclear or contradictory entries in theapplication form may delay the certification process.

在申請中任何的信息缺失、不清楚或者矛盾之處可能
會導致認證流程的延誤。

This application is valid only when bearing an authorized signature on page 21.

本申請僅在第 21 頁簽名後有效。

1.4

是否曾經或正在向其他機構申請 OEKOTEX® STANDARD 100 或 OEKO-TEX®
LEATHER STANDARD 認證？

Have you ever applied or are you
currently applying for acertificate according to OEKOTEX® STANDARD 100 and/or
OEKO-TEX® LEATHERSTANDARD with anotherinstitute?
yes,

是Institute, if available certificate number:

機構名稱，證書號（如可提供）no否

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2

Description of the products

產品描述at renewal, extension process possibly request ofchange在續期、擴大過程中可要求更改

3

產品級別

4

Product class concerned

See also to STANDARD 100 or rather to
OEKO-TEX® LEATHER STANDARD (Pt.
4.3 and Annex 4, possibly 6)

另請參見 STANDARD 100 或 OEKO-TEX® LEATHERSTANDARD（4.3 節和附錄 4，也可能是附錄 6）

I Products for babies

嬰幼兒產品

II Products with direct contact to skin

直接接觸皮膚類產品

III Products without direct contact to skin

非直接接觸皮膚類產品

IV Decoration material

裝飾材料

At renewal and extension
process only

僅限證書續期和擴大
待續期證書的詳細信息

Details of the certificate to be renewed

Number of the certificate

證書編號Date of certification

認證日期

End of the period of validity

有效截止日期

5

Applicant

申請人

5.1

To fill out at application OEKOTEX® STANDARD 100

在申請 OEKO-TEX® STANDARD 100 時填寫Trader and/or retailer

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經銷商和/或零售商

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生產商

Producer
In which production stages

所屬生產階段Ginning軋花

Fibre production纖維生產

Spinning

紡紗

Weaving梭織

Knitting

針織Dyeing

染色

Printing

印花Finishing

後整理

Coating

塗層整理

Sewing, making-up

縫紉Heat treatment process

熱處理過程

Others

其他

please fill in / 請填寫

5.2

To fill out at application OEKOTEX® LEATHER STANDARD

在申請 OEKO-TEX® LEATHER STANDARD
時填寫

Trader and/or retailer經銷商和/或零售商

Producer生產商In which production stages

所屬生產階段Semi-finished leather (e.g. Wet-blue, Wetwhite, etc.)

半成品皮革（例如藍濕革、白濕革等）

Crust

生皮

Dyed Crust

染色生皮

Finished leather

成品皮革

Leather fibre board

皮革纖維板

Leather garment, ready made皮革服裝成品Other leather article, ready made (e.g.
bags)

其他皮革製品、成品（例如，包）Others

其他

please fill in / 請填寫Remark:

備註：

Coated textiles (formerly described as artificial /synthetic leather) is not a genuine leather and has
to be certified according to the requirements of the
OEKO-TEX® STANDARD 100.

塗層紡織物（以前稱為人造/合成革）不是真皮，需根據 OEKO-TEX® STANDARD 100 的要求進行認
證。

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5.3

生產場所，儲存場所;
先前/當前正在進行的申請

Production site(s), Storagesite(s);Previous/current runningapplications

Is the address of the production site(s), including
sub-contractors, identical to the address given on
the front page? Storage site(s) with different address have to be listed also separately (if necessary
please attach enclosure).

生產場所（包括分包商）的地址是否與首頁的地址一
致？不同地址的儲存場所也必須單獨列明（如需要，請附上附件）。

yes

是No, then please indicate the address of the
production site here

不，請在此處闡明生產場所地址。

Address / 地址Tel / 電話
Fax / 傳真E-mail / 電子郵箱
Contact person / 聯繫人

6

品質保證和管理體系

Quality assurance andmanagement systems

Who is responsible for the quality assurance (nameof the person)

品質保證負責人（姓名）6.1

如何確保品質？

1
2

How is the quality assured?
By externally certified management system(please attach a copy of the certificate)1

通過外部的管理體系認證（請附上證書影印本）1

By an in-house system (please give a short description in an attachment)2

通過內部認證（請附上簡略描述）2

No quality assurance installed

目前沒有品質保證措施

for example / 例如以下管理體系 ISO 9000, ISO 14000, EMAS, OEKO-TEX® STeP, SA 8000
Must contain information about suppliers/purchasers, goods inward, process and final control / 必須包
含以下信息：供應商/採購商、進貨、生產過程和最終產品的檢查和控制。

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77.1

Source materials

原材料

Source materials

原材料

須列明除化學品、助劑及著色劑以外的所有原材料

with the exception of chemicals,
auxiliaries and colorantsnon

無Source materials are partly or not certified according to OEKO-TEX® STANDARD 100,
OEKO-TEX® LEATHER STANDARD and/or
OEKO-TEX® ORGANIC COTTON.

原材料部分通過或未通過 OEKO-TEX® STANDARD
100, OEKO-TEX® LEATHER STANDARD 和 / 或
OEKO-TEX® ORGANIC COTTON 認證。

Source materials are certified without exception according to OEKO-TEX® STANDARD
100, OEKO-TEX® LEATHER STANDARD
and/or OEKO-TEX® ORGANIC COTTON.

原 材 料 全 部 通 過 OEKO-TEX® STANDARD 100,
OEKO-TEX® LEATHER STANDARD 和 / 或 OEKOTEX® ORGANIC COTTON 認證。

All source materials used have to be mentioned in
enclosed lists (designation of the product, supplier,and, if available: OEKO-TEX® certificate number,
expiry date of validity, product class). For eachsource material that is not certified according to
OEKO-TEX® STANDARD 100, OEKO-TEX®
LEATHER STANDARD or OEKO-TEX® ORGANICCOTTON respectively, a sample has to be sent in.
In case of source materials that are already certified according to OEKO-TEX® STANDARD 100,
OEKO-TEX® LEATHER STANDARD or OEKOTEX® ORGANIC COTTON respectively, the numberof samples is reduced according to the following
table.

所有用到的原材料必須在附件列表中說明（產品名稱、供應商，以及（適用的話）OEKO-TEX®證書編號、有效截止日期、產品級別）。 對於未經 OEKOTEX® STANDARD 100 ， OEKO-TEX® LEATHERSTANDARD 或 OEKO-TEX® ORGANIC COTTON
認證嘅原材料，必須提交樣品。 如果原材料已通過
OEKO-TEX® STANDARD 100 ， OEKO-TEX®
LEATHER STANDARD 或 OEKO-TEX® ORGANICCOTTON 認證，可以根據下表減少樣品數量。

Number of OEKO-TEX® certificates from source materials
原材料的 OEKO-TEX®證書數目

Number of reference samples to be sent in
所需遞交的樣品數量1-4
1-4

One sample for each certificate
每張證書 1 份樣品

5 - 105 - 105 samples from 5 different certificates分屬 5 張不同證書的 5 份樣品

11 - 20
11 - 20

7 samples from 7 different certificates分屬 7 張不同證書的 7 份樣品

21 - 50
21 - 50

10 samples from 10 different certificates分屬 10 張不同證書的 10 份樣品More than 50
超過 50 份15 samples from 15 different certificates分屬 15 張不同證書的 15 份樣品

7.2

原材料

Source materials

Chemicals, auxiliaries and colorants
No OEKO-TEX® ECO PASSPORT certificatesfor chemicals, auxiliaries and/or colorants areavailable

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化學品、助劑和著色劑
化學品、助劑和/或著色劑無 OEKO-TEX® ECO PASSPORT 證書

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OEKO-TEX® ECO PASSPORT certificates forchemicals, auxiliaries and/or colorants are
partly available (please mention in the Annex„list of suppliers with OEKO-TEX® certificate“ (see below) and enclose copies of thecertificates)

部分化學品、助劑和/或著色劑有 OEKO-TEX® ECO
PASSPORT 證書（請在附錄“OEKO-TEX®證書供應商名單”中註明（見下文）並附上證書影印本）

8

Details concerning thearticles to be certified

待認證產品詳述

8.1

Owner of the materials

原材料所有者

Applicant (own business)

申請人（自身經營）

Ordering customer (commission business)

承包人（委託加工）

Mixed (own and commission business require
two certificates)

混合 (自身經營和委託加工需申請兩張證書)8.2

Qualitative composition anddescription of all individualmaterials

Designation where ever possible: forleather according DIN EN 15987; for
textile materials according to DIN
60001-1 and EU Regulation 1007/2011
or FTC rules

每種材料的成份和描述根據適用的標準來定義材料：皮革使用 DIN EN 15987；
紡織材料使用 DIN 60001-1 和歐盟法規 1007/2011 或
FTC 規則e.g. for leather kind of animal, aniline, semianiline,
pigmented etc.;

例如，動物皮革、苯胺革、半苯胺革、染色革等；

e.g. dyed knitted fabrics: 60 % cotton, 40 % polyester; sewing threads: 100 % polyester; dyed buttons: 100 % polyester.

例如，染色針織面料：60 % 棉, 40 % 滌綸；縫紉線：100 % 滌綸；染色鈕扣：100 % 聚酯

8.2.1

棉/有機棉

Cotton / organic cotton

organic cotton used (mandatory test for GMO
and third party certification for organic cotton)

使用有機棉（強制檢測 GMO 並提供第三方有機棉證書）

conventional cotton used

使用常規棉

conventional cotton used (voluntary GMO test
- mentioning of GMO test on certificate possible)

使用常規棉（自願檢測 GMO 並在證書中提及 GMO 檢
測）organic cotton and conventional cotton used
(two certificates necessary) (mandatory testfor GMO and third party certification for organic cotton)

使用有機棉和常規棉（需分兩張證書）（強制檢測 GMO
並提供第三方有機棉證書）

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Indications:說明:

If organic cotton is used and consequently is declared additional a valid certificate has to be submitted which proves the bio/organic origin and thenot-usage of genetically modified organisms(GMO). At the cotton fibres/materials additionallya special laboratory test is performed mandatory
which has to confirm too that no genetic modifications are detectable. This procedure applies forboth materials made of 100 % organic cotton andalso for mixtures of organic cotton with other materials (except mixtures of organic cotton with conventional and GV cotton; see above).

若使用有機棉且在證書中體現，需提交額外 有效的證
書以證明有機來源及未使用轉基因棉。針對棉纖維/
材料額外的實驗室檢測是強制要求，以確認無轉基因成分被檢出。此檢測流程適用於 100%有機棉材料，
以及有機棉與其他材料的混紡產品（與傳統棉、GV
棉混紡的除外；見上文）

8.2.2

使用無鉻和無金屬鞣製皮革術語

Use of chrome-free and metalfree tanned leather terminology

Chrome-free tanned

無鉻鞣製Metal-free tanned

無金屬鞣製

Not relevant

不相關Indications:說明:

If the applicant wants to have the terms “chromefree tanned leather” and/or “metal-free tanned
leather” mentioned in the scope of the certificate
the following requirements need to be fulfilled:

如果申請人希望證書中含有“無鉻鞣製皮革”和/或“無金屬鞣製皮革”術語，則必須滿足以下要求：

The definition of “chrome-free tanned leather”
and/or “metal-free tanned leather” according to
ISO 15115 (2019) has been considered in tanning
process and fulfills the requirements of 3.20 and3.57 of the ISO 15115 (2019) respectively.

在鞣製過程中將“無鉻鞣製皮革”和/或“無金屬鞣製皮革”在 ISO 15115 (2019)中的定義考慮在內，並分別滿
足 ISO 15115 (2019)第 3.20 和 3.57 條的要求。

And additional lab test for proof shall be performed and the according limit values can be foundin Annex 4.

應進行額外的實驗室測試予以證明，相應的限量值見
附錄 4。

8.3

再生材料

Recycled material
Recycled material produced in-housechemical

再生材料是內部生產的
化學品

Please specify / 請說明mechanical

物理再生

Please specify / 請說明
Recycled material is purchased

再生材料是購買的with certificate

有證書

without certificate

無證書Provenience of recycled material:

再生材料的來源：post-consumer

消費後pre-consumer

消費前

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產品中再生材料的比例平均值：

Average recycled percentage in product:
< 20%

< 20%

20 - 60%

20 - 60%

60 - 99%

60 - 99%

100%

100%

Indications:說明:

If recycled material is used and declared accordingly, a valid proof of origin has to be submitted
additionally.

如果使用再生材料並作出相應聲明，則必須另外提交有效的來源證明。

8.4

成衣尺寸範圍

Range of garment sizes

From / 最小
up to / 最大8.5

Textile materials

紡織材料

8.5.1

Spinning process of synthetic
textile fibers

合成紡織纖維的紡絲工藝

not known

未知Dry, melt or wet spinning process without organic solvents

乾式、熔融或濕法紡絲無有機溶劑

Wet spinning process using organic solvents

使用有機溶劑之濕法紡絲Which / 那一種
Both (please clearly mark testing samples)

8.5.2

Constituents of the fibres

Dulling agents, dyestuff pigments,
antistatic agents, UV-stabilicers etc.

兩者皆有(請於測試樣品中清楚列明)纖維組份消光劑、染料顏料、防靜電劑、紫外線穩定劑等

not known

未知

none

無

UV-stabilizers used

使用紫外線穩定劑

see enclosed list (products, percentage weight)參見附表（包括：產品、重量百分比）

8.5.3

Fibre and yarn preparations

Reviving agent, sizing agent, wax agent,etc.

纖維和紗線預處理

包括：生色劑，石蠟, 上漿劑等。

not known

未知

none

無

see enclosed list (examples of recipes, products, coating)參見附表 (包括：配方實例、產品、塗層)

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8.5.4

預處理過程

Pretreatment processes

包括：清洗、漂白等

Washing, bleaching, etc.

not known

未知

none

無

see enclosed list (examples of recipes, products)參見附表（包括：配方實例、產品）8.5.5

Dyeing and printing procedures,
colorants used

染色和印花，所用著色劑not known

未知

none

無

see enclosed list (examples of recipes, trade
names, C.I. names, MAK-amines, heavy metals)

參見附表（包括：配方實例、商品名稱、C.I. 名稱, MAK胺、重金屬）

8.5.6

後整理/塗層處理Finishing/coating

not known

未知

none

無

mechanical finish:

機械整理:

chemical finish/coating

化學整理/塗層處理

Crease resistant finish

抗皺整理

Full handle

豐滿整理

Softener

柔軟整理

Washing

洗滌整理

Antistatic finish

抗靜電整理

Soil release finish

防污整理Hydrophobic finish

防水整理

Perfume/fragrance

香氛/香料

Coating

塗層整理

Water, soil or oil repellent finish or coating

防水、防污或抗油整理劑、塗層UV finish

防紫外線整理Other chemical finish:

其他化學整理Examples of recipes and all auxiliaries used in finishing must be compiled in a separate list with tradename and source of each product.

加工中使用的配方和所有助劑必須單列在一個列表
裡，註明每個產品的商品名稱和來源。

8.5.7

生產過程中使用富馬酸二甲酯 (DMFu)

Use of dimethylfumarat (DMFu)
during production

yes

是

no

否

not known

未知

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8.5.8

8.6

At renewal processes續期過程中What has changed in respect of theprocesses applied (e.g. reviving, sizing,
waxing, pre-treatment, dyeing andprinting, and finishing processes)
compared to the data given in theprevious application (for renewal)?

與上一次續期申請中申報的信息相比，採用的工藝方面（例如，复鞣、上漿、上蠟，預處理、染色和印花，以及後整理工藝）有何變化？

Leather material

皮革材料(To fill in at certification according to LEATHER （若產品也包含皮革材料、皮革纖維板、皮和/或毛，
STANDARD and also at certification according to 需填寫選擇依據 LEATHER STANDARD 和 STANDSTANDARD 100, if the article contains also leather, ARD 100 進行認證。）
leather fibre board, skin and/or fur)

8.6.1

皮革來源

Leather Origin

Necessary for compliance with the Regulation (EU)2023/1115 of the European Parliament and of theCouncil of 31 May 2023 on the making available on
the Union market and the export from the Union ofcertain commodities and products associated with
deforestation and forest degradation and repealing Regulation (EU) No 995/2010

需遵守歐洲議會和歐盟理事會 2023 年 5 月 31 日第2023/1115 號條例（ EU ），該條例涉及喺歐盟市場上
提供以及由歐盟出口與毀林和森林退化相關嘅某些
商品和產品，並廢除第 995/2010 號條例（ EU ）。

8.6.1.1

請指明所申請的生皮、毛皮或皮革材料的原產國/地區。

Please indicate the country oforigin of your hide, skin orleather material you are
applying forplease specify and attach relevant proofs

請註明並附上相關說明文件。

n/a

不適用

8.6.1.2 Do you consider in yourpurchasing practice that yourun-/processed hide or skin iscoming from speciesappropriate husbandry andanimal welfare consideredanimal farming/ facilities?

未加工/已加工生皮或毛皮採購，是否考慮來自
物種適宜畜牧業和動物福利養殖農場/工廠？

yes

是Partly部分

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please specify / 請指明
否no8.6.1.3 Is a risk analysis in regard oflegal and illegal deforestation, toavoid leather material comingfrom such areas, implemented orconsidered in your purchasing
practice?

採購時是否考慮或開展有關合法和非法濫伐
森林的風險分析，以避免採購來自非法區域的
皮革材料？

yes, please attach the risk analysis

是，請附上風險分析Only for leather materials coming from countries with high risk of deforestation (e.g. Brazil,
Paraguay)僅針對來自濫伐森林風險較高的國家/地區（例如巴西、巴拉圭）的皮革材料。

no否

please specify / 請指明

8.6.1.4 Is traceability of the leather
implemented or considered inyour purchasing practice?

在您的採購實踐中，是否實施或考慮了皮革 嘅可追溯性？

yes, traceable back to single slaughterhouseand farm by physical marking (e.g. laser engraving a number-code) and/or reliable datasystem?

是，透過物理標記（如激光雕刻數字代碼）和/或可靠嘅數據系統可追溯到單個屠宰場同農場？

yes, traceable back to single slaughterhouseand country by physical marking (e.g. laser engraving a number-code) and reliable data system?

是，透過物理標記（如激光雕刻數字代碼）同可靠嘅數據系統可追溯到單個屠宰場同國家？

yes, traceable back to slaughterhouse group,
region or country by georeferenced location,by physical marking (e.g. laser engraving a
number-code) or reliable data system?

是的，可透過地理座標、實體標記（例如雷射雕刻數位代碼）或可靠的數據系統追溯到屠宰場集團、地區或國
家？

no

否

8.6.2

鞣製

Tanning

not known

未知

Tanning with chromium(III) salts

用鉻 (III) 鹽鞣製

Tanning with glutardialdehyde

用戊二醛鞣製

Tanning with vegetable tanning agents

用植物鞣劑鞣製

Other Tanning:

其他鞣製：

Which / 那一種
Several (please clearly mark testing samples)

8.6.3

Conservation of semi-finishedleather

not known

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幾種（請清楚標記測試樣品）

半成品皮革防腐劑未知

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TCMTB

TCMTB

CMC

CMC

OPP

OPP

OIT

OIT

Others:

其他:

Which / 哪一種：

8.6.4

复鞣

Retanning

not known

未知

Synthetic retannings

合成複鞣

Vegetable retannings

植物复鞣

Retanning with chromium(III) salts

用鉻 (III) 鹽复鞣

Others:

其他:

Which / 哪一種：

8.6.5

加脂

Fatliquoring

not known

未知

Fatliquors; please list below:

加脂劑；請在下方列出：Which / 那一種

8.6.6

Colouring (dyestuffs, pigments)

著色（染料、顏料）not known

未知

none

無

Dyestuffs/pigments (please list in the scheduled enclosure; examples of recipes, trade
names, C.I. names, MAK-amines, heavy metals)

染料/顏料(請列於預設附件中；例如配方、商品名稱、C.I. 名稱、
MAK 胺、重金屬）

8.6.7

皮革後整理

Leather finishingnot known未知No finish layer

無塗飾層

Mechanical treatment only

僅機械處理

Kind of finishing, e.g. PUR, acrylate etc.
(please list below):

後整理種類，例如，PUR、丙烯酸酯等（請在下方列出）：

Which / 哪一種
溶劑使用（請在下方列出）：

Usage of solvents (please list below):
Which / 哪一種Usage of additional products (please list below):

其他產品的使用（請在下方列出）：

Which / 哪種
See enclosed list

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8.6.8

使用的其他化學品

Other chemicals used

e.g. chemicals used to change the pH value, for liming, for fixation etc.

例如，用於改變 pH 值、浸灰、固定的化學品等等。

not known未知

See enclosed list

見附件列表

8.6.9

Use of dimethylfumarat (DMFu)
during production

生產過程中使用富馬酸二甲酯 (DMFu)

yes

是

no

否

not known

未知

8.6.10

Are dispersive dyes used during
production?

生產中使用分散染料嗎？

yes

是

no

否

not known

未知

8.6.11其他處理

Other treatments

not known

未知

none

無

Hydrophobation

防水整理

Soil release finish

防污整理UV finish

防紫外線整理Other chemical finish

其他化學整理Examples of recipes and auxiliaries used in finishingmust be compiled in a separate list with tradename, producer respectively source of each product.

加工中使用的配方和所有助劑必須單列在一個列表
裡，註明每個產品的商品名稱、生產商和來源。

8.6.12

續期過程中At renewal processes

What has changed in respect of the與上一次續期申請中申報的信息相比，採用的工藝方面
processes applied (e.g. tanning.
（例如，鞣製、防腐、加脂、著色、整理）有何變化？
conservation, fatliquoring, colouring,finishing) compared to the data given in
the previous application (for renewal)?

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8.7

是否曾使用生物活性物質或組份

Use of biological active
substances or components（所有相關原材料/產品都需回答）(Query for all materials / articles
relevant; has to be answered)

yes,

是

Name of the product / possibly number of certificate according to OEKO-TEX® STANDARD
100

產品名稱 / OEKO-TEX® STANDARD 100 證書編號（若
有）

no

否

Recipes, preparations, and components used must
be shown in a separate list with trade name andsource of each product. Enclose documents (delivery note, invoice or similar) of the supplier.

8.8

所用配方、配製劑和組份必須羅列於單獨的列表中，並列明每個產品的商品名稱和來源。須附上與供應
商的相關交易資料（如運單、發票或類似文件）。

是否曾使用阻燃物質或組份

Use of flame retardant
substances or components（所有相關原材料/產品都需回答）(Query for all materials / articles
relevant; has to be answered)

yes,

是

Name of the product / possibly number of certificate according to OEKO-TEX® STANDARD
100

產品名稱 / OEKO-TEX® STANDARD 100 證書編號（若
有）

no

否

Recipes, preparations, and components used must
be shown in a separate list with trade name andsource of each product. Enclose documents (delivery note, invoice or similar) of the supplier.

所用配方、配製劑和組份必須羅列於單獨的列表中，並列明每個產品的商品名稱和來源。須附上與供應
商的相關交易資料（如運單、發票或類似文件）。

8.9

在生產中使用海軍藍（索引編號611-070-00-2，EG 編號 405-665-4）

Use of Navy Blue (Index no.
611-070-00-2, EG no.
405-665-4) at the production（所有相關原材料/產品都需回答）(Query for all materials / articles
relevant; has to be answered)

yes

是

no

否

8.10

Use of PFAS

(Query for all materials/articles
relevant; has to be answered)

PFAS 的使用（查詢所有相關材料/文章;必須回答）

yes

是

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否no

非紡織和非皮革材料

8.11

Non-textile and non-leather
materials

8.11.1

Description of all chemical,
描述在非紡織和非皮革材料的生產過程中使
physical and thermal treatments 用的所有化學、物理和熱處理used during manufacture of nontextile and non-leather materials

8.12

Any other treatments

有否其他處理8.12.1

Description of any other not yet
described treatments (forexample transport preservation)

詳述是否有前面未提及的處理（如運輸、保存）9Information regarding
traded articles

商品的相關說明

9.1

Number of suppliers

供應商數量

9.2

Addresses of the suppliers

供應商地址

僅適用於未經申請者改動過的產品。

This information concerns only articles
that have not been changed by theapplicant (merchandise).

see enclosed list (Designation of the product, supplier incl. address, tel., fax, e-mail, and, if available:
OEKO-TEX® certificate number, expiry date ofvalidity, product class)01.04.2024

參見附表 (須包括：產品名稱，供應商包括地址、電話、傳真、電子郵箱，若有 OEKO-TEX® 證書：還須
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僅與 ORGANIC COTTON 和ORGANIC COTTON blended 申請相關

10Only relevant for ORGANICCOTTON and ORGANICCOTTON blended
applications

10.1

Please specify the percentage of 請註明待認證產品中有機棉所佔百分比。 如
organic cotton in the articles that 果無確切數位，請註明佔比範圍。
are to be certified. If there is arange, please specify.

10.2

If you buy your organic cotton
directly from the farm, do you
have a transaction certificate
issued by a member of the
IFOAM family of standards toprove that your cotton isorganic?

如果您是直接從農場採購的有機棉，那麼是否
有國際有機農業運動聯盟成員簽發的交易證
書，證明您所使用的棉花是有機棉？

Yes, please attach:

是，請附上：

No, certification according to ORGANIC COTTON (blended) not possible

否，無法根據 ORGANIC COTTON（blended）進行認證

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Declaration ofcommitment

聲明Name and address of the person who is in chargeof issuing the declaration

負責人姓名及地址

Description of the products proposed for certification according to OEKO-TEX® STANDARD 100 or
rather according to OEKO-TEX® LEATHERSTANDARD

描述申請 OEKO-TEX® STANDARD 100 或 OEKOTEX® LEATHER STANDARD 認證的產品

By signing this application with an authorized signature, the applicant is responsible for the data
given and is obliged to inform the testing instituteof any alterations immediately.

該申請表經授權人簽署後，申請者須對申請表中申報
的信息負責，並有義務在信息發生變更時通知測試機
構。

By signing the application the applicant is responsible to comply with the animal and species protection, which are relevant for him. Regarding to thisthe OEKO-TEX® Service Ltd. excludes any liability.

在申請上簽字即表明申請人有責任遵守與其生產相
關的動物保護法規和物種保護法規。關於這一點，OEKO-TEX® Service Ltd.不承擔任何責任。

In case of an application for renewal the applicant
confirms with an authorized signature of this application that all the above supplementary data, together with the data given in the original application, are to such a degree complementary that theyrefer to the today’s state. The applicant is further
obliged to inform the testing institute of any alterations immediately and takes note of the fact thatthe conformity declaration signed when obtaining
certification is still valid. In case that at the renewal
process the articles were tested the first time according to the Annex 6 of the OEKO-TEX® STANDARD 100 the applicant has to sign absolutely a new
declaration of conformity.

申請續期時，申請人在申請上簽名即表示確認所有上
述補充信息和首次申請中所提供信息在一定程度上是對當前狀態的補充。申請人有義務第一時間通知
測試機構所有變更，並且應注意，在獲得認證時簽署
的符合性聲明仍然有效。在續期流程中，根據
OEKO-TEX® STANDARD 100 的附錄 6 首次對產品進行檢測時，申請人必須簽署新的符合性聲明。

The applicant acknowledges that the use of protected trade names / marks as well as terms which areprotected elsewhere (for example by law, as it is
the case for „organic“) in the article description on
the certificate are in his sole responsibility.

申請人確認知曉受保護的商品名稱、商標和條款術語
在任何時候都是受保護的。 （例如：法律上，"有機"
一詞的使用）其在證書產品描述中的使用由申請者自行負責。

The applicant agrees that his address can be mentioned in an international reference list of all holders of OEKO-TEX® certificates (please cross out
this paragraph if you do not agree to this).

申請人同意其地址可用於 OEKO-TEX®獲證企業名錄（如不同意請將此段落劃掉）。

The applicant agrees that he will receive repeated
information from the International OEKO-TEX®
Service Ltd. in the form of an electronic newsletter

申請人同意接收從 OEKO-TEX® Service Ltd.以電子
通訊形式發送的重複信息至申請表所填寫的電子郵
箱中。 （如不同意請將此段落劃掉）。

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to the e-mail address mentioned in the application(please cross out this paragraph if you do not agree
to this).
Please read through the Terms of Use (ToU) at
www.oeko-tex.com/ToU and check the box if you
agree with them.

請 在 www.oeko-tex.com/ToU 仔 細 閱 讀 使 用 條 款
ToU,若同意請勾選。
我同意使用條款 ToU。

I agree to the Terms of Use (ToU)
Note: Without agreement testing and certification cannot be
conducted

注：不同意條款將無法進行檢測和認證流程。

Date / 日期
Signature / 簽名.........................................................................................................
Shopping guide

採購指南

In order to mention the certified articles in the
shopping guide the enclosed form has to be filled inand sent back.

為了在採購指南中展示獲證產品，請填寫並回傳隨附
的表格。

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1已獲 OEKO-TEX® 證書的供應商名單

List of suppliers with OEKO-TEX®
certificate

00000000
Institute

00000000
Institute

00000000
InstituteSupplier

Designation of sourced articles and/or
services (incl. material composition, mention oforganic cotton or recycled material, type offinishing) respectively chemicals in case of ECO
PASSPORT certified chemicals

供應商

分別列明採購的產品和/或服務（包括材料成分，是否 證書編號含有有機棉或再生材料，後整理類型），若採購化學品
通過 ECO PASSPORT 認證，列明化學品名稱。

Copies of all OEKO-TEX® certificates mentioned above as well as proof of
business relation (invoice/delivery slips) must be enclosed herewith, pay attention to the period of validity!

Certificate
numberExpiry date

Product class

Certification accordingtoAnnex (4 or 6?)

有效期

產品級別

附錄 4 或附錄 6 證書

請注意：必須在此提交上述表格中涉及的 OEKO-TEX®證書影印本，同時注意有效期。

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2

List of suppliers without OEKO-TEX®
certificate

未獲 OEKO-TEX® 證書的供應商名單

Supplier

Address, phone,. fax, e-mailDesignation of article (incl. material composition)

供應商

地址、電話、傳真、電子郵箱

商品名稱 (包括材料成分)

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3

所用著色劑Colorants used

Trade nameSourceColorant type

Application

C.I. name

商品名稱

來源

著色劑類型

申請

C.I.名稱

DystarDisperse

DyeingDisperse Blue 56

example / 範例
Dianix Blue AC-E

Additional information regarding heavy metal content and MAK amines mayhelp to optimize the testing program. Please attach MSDS.

備註：若可提供著色劑相關重金屬及 MAK 胺的附加資訊，將有助於優化測試專案的製定。請附上化學品安全說明書

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4

Auxiliaries and chemical compounds used

(Fibre constituents, Fibre and yarn preparations, Pretreatment processes, dyeing and printing procedures,
tanning chemicals, fatliquors, retanning substances, otherauxiliaries, finishings etc.)

使用的助劑和化學品（纖維成分、纖維和紗線製劑、預處理過程、染色和印花程序、鞣製化學品、加脂劑、复鞣物質、其他助劑、後整理等等）

Trade nameSourceType of auxiliary

Date of the safety data sheet

商品名稱

來源

助劑類型

安全數據說明日期

Textilcolor

Softener

11/2010

example / 範例
Softycon SM

Please attach MSDS of all products.

請附上所有產品之化學品安全數據說明

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5

再生材料列表List of recycled materials

Material Description

Provenience

Supplier (if applicable)

Address

Certificate
available?

If yes, which? (Please provide
copies)Used
percentage infinal product

材料說明

來源

供應商（如適用）

地址

是否有證書

如果是，是哪一個？ （請提供複印 成品中使用的比本）
例Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否Yes / 是No / 否
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100 / LEATHER STANDARD

TO BE FILLED IN ONLY FOR SAMPLES OFTEXTILE CARPETS, MATRESSES, FOAMS, AND
OTHER LARGER COATED ARTICLES AS WELL AS
FOR LEATHER MATERIAL WHICH IS USED IN
LARGE SCALE (E.G. LEATHER FOR FURNITURE)!

僅紡織地毯、床墊、海綿和其他較大的塗層樣品，以及大規模皮革材料（例如，皮革家具）需要填寫！

Denomination of the specimen / 樣品名稱Colour of test sample / 測試樣品的顏色
Date of production / 生產日期
Date of sampling / 取樣日期Dimensions of the product (e.g. foam
block) where the sample for the test
was taken from / 產品尺寸（例如：泡綿塊尺寸）、取樣地點Taken from / 樣品出處
Date of packing / 包裝日期
Sample size / 樣品尺寸
Date of dispatch / 寄送日期
Each testing sample has to be wrapped airtight and 每個測試樣品必須用鋁箔獨立密封包裝。
separately in plastic foil.
Required sample size / 所需樣品尺寸
Mattress parts and foams
床墊和泡綿

2 pieces of 25 x 20 x maximum used thickness [cm]
2 片 25 x 20 x 最大使用厚度[厘米]Other samples for the Emission chamber test
用於揮發物的揮發測試的樣品

2 pieces of 50 x 40 cm
2 片 50 x 40 厘米

to be filled in by the laboratory

以下由實驗室填寫

Date of sample arrival in the laboratory / 樣品接收日期
Date of analysis / 分析測試日期
Remarks / 備註

01.04.2024

Edition 02.2024

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