BV申请表-坦桑尼亚

Return the form andother documentsto yournearest BVoffice.REUEST FORCERTIFICATE FORM，Your referencenumber ifany:IDF/Licence numberIf any:~°Country ofdestination:□Algeria□Botswana□Cdte dIvoire□Ethiopia□Gabon□Ghana□Libya□Kenya□Morocco凶Zl TanzaniaMainland TanzaniaZanzibar□ZimbabweIf any,BV RegistrationSoR No.:BV LicensingSoL No.:SShhiippmmeennttiinnssppeeccttiioonn iinnffoorrmmaattiioonnPacking:□FCL:x20FCL x40TCLType ofdelivery:□Total□Partial□FinalFCL couldbe ontruckShipment method:Details:□LCL:□Bulk□General Cargo/Conventional□trucks size/volume:□□Air□Sea□Road□Rail□UnknownConsolidated cargoLocationwhere goodsare availablefor inspectionif sameas theapplicant,please tickthe box□:Address:Contact name:Country ofsupply:Telephone:Expected dateof shipment:Date ofavailability ofgoods:Expected portofEmail:destination:Note:the Certificateor NonConformity Reportis issuedbased onthe informationcommunicated.Unless ofa specificarrangement,the draftof thecertificate isnot sentprioHssuance.Trade parties:Buyer Importer:name andaddressSeller Exporter:name andaddressTelephone:Telephone:Email:Email:Contact name:Contact name:BPN ZWE/ICE MARNo.:Payment informationInvoice tobe sentto:Purchase OrderNo.:Same asSeller□orCompany name:Address:VAT number:Contact name:Tel:Email:Proforma Invoice/Contract PurchaseOrderPFI number and dateCurrency:Freight value If applicablePOnumberanddate TotalValue InsurancevalueIfapplicableIncoterm:FOB ValueOther valueIf applicableGoodsinformationGoods Description:Please attachlist ofproducts includingHS codesproforma invoice...Goods conditions:□New□Second hand/Used□Complete□Complete KnockDown CKD□Semi knockdown SKDISO9001Certificate:□Yes□No OtherCertification:Test Reportprovided:□Yes□No Testingdone by:□Own lab□Third partylabCertificates provided:□Yes□NoApplicable standardsif Known:Lab information:IS017025accreditation□Yes□No□Other:Country ofAlgeriaBotswana Cotedivoire EthiopiaGabon GhanaLibya KenyaMorocco TanzaniaZanzibar ZimbabwedestinationElectronic-□□-□□-□□□□□certificateemail toexporterOriginal□□□□□□□□□□□-certificate toexporterOriginal--□----□Nairobi□□--certificate to□MombasaimporterCommentsGeneral declarationof theApplicantI herebydeclare that:my shipmentswill beaccompanied witha validcertificate ofconformity,I acceptBureau Veritasterms andconditions ofservice andIauthorize Bureau Veritas todisclose informationto concernedauthorities whenrequested todo so,□I wouldlike toask foran accountof Verigatesto followup allmyfiles onlineApplicantname:Title:Company:If differentfrom above:Signature:Email:Date:Telephone:Please completethe aboveinformation andkindly returntheformtogether withproforma invoice,copy ofLC-if applicable-and documentsproving conformitysuch asdetailed descriptionofthe goodswith technicalcharacteristics andproperties,available testreports,quality managementsystem certificates,marks ofconformity,national approvals,franchise agreementorsimilar forsupplying brandedgoods aswell ashealth,hygienic,phytosanitary,fumigation certificatesas applicable.BV remainsavailable toprovide additionalinformation aboutthe VoCPrograms.〃The Applicantaccepts thequotation/fees mentionedin thedatasheet ofthe programavailable onhttps:Remark:The Servicew川be carriedout accordingto theBureauVeritas,s GeneralConditions ofService.The issuanceof inspectionreport doesnot releasethe Sellerand Buyerfrom theirownresponsibilities andfulfilment oftheir respectiveobligations.If youhave anycomments/complaints/appeals regardingthe certificationservice,please informin writingtoVOC AFRICA-REQUEST FORCERTIFICATE FORMRFC1/1Edition:

6.0。