BV申请表-肯尼亚

Return the form andother documentsto yournearest BVoffice.REQUEST FORCERTIFICATE FORM曙::能.,01』0Your referencenumber ifany:IDF/Licence numberIf any:

3.Country ofdestination:口口口口口口口口□Algeria BotswanaCote dUvoireEthiopia Gabon Ghana Libya Kenya Morocco区口D TanzaniaMainland TanzaniaZanzibar ZimbabweIfany,BV RegistrationSoR No.:BV LicensingSoL No.:Note:the Certificateor NonConformity Reportis issuedbased onthe informationcommunicated.Unless ofa specificarrangement,the draftof thecertificate isnot sentprior issuance.Trade parties:Buyer Importer:name andaddressSeller Exporter:name andaddressTelephone:Telephone:Email:Email:Contact name:Contact name:BPN ZWE/ICE MARNo.:口Payment informationInvoice tobe sentto:Purchase OrderNo.:Same asSeller orCompanyname:Address:VAT number:Contact name:Tel:Email:Proforma Invoice/Contract PurchaseOrderPFI number and dateCurrency:Freight value If applicablePOnumberanddate TotalValue InsurancevalueIfapplicableIncoterm:FOB ValueOther valueIf applicableShipmentinspection information口Packing:FCL:x20FCL x40TCL口口口Type ofdelivery:Total PartialFinalFCL couldbe ontruckShipment method:口口口Details:LOL:Bulk GeneralCargo/Conventional□trucks size/volume:口口口□Air□Sea RoadRail Unknown口Consolidated cargoLocationwhere goodsare availablefor inspectionif sameas theapplicant,Country ofsupply:口please tickthe boxExpecteddate ofshipment:Date ofavailability ofgoods:Expected portofAddress:Contact name:destination:Telephone:Email:Goods informationGoodsDescription:Please attachlist ofproducts includingHS codesproforma invoice...口口口口口Goods conditions:New Secondhand/Used CompleteComplete KnockDown CKDSemi knockdown SKD口口Other Certification:ISO9001Certificate:Yes No口口口口Test Reportprovided:Yes NoTesting doneby:Own labThird partylab口口Certificates provided:Yes NoApplicablestandards ifKnown:口口Lab information:IS017025accreditation Yes□No Other:Country ofCdte divoireAlgeriaBotswana EthiopiaGabonGhanaLibyaKenyaMorocco TanzaniaZanzibar ZimbabwedestinationElectronic-□□-□□-□□□□□certificateemail toexporterOriginal□□□□□□□□□□□-certificate toexporterOriginal--□----□□--□Nairobicertificate to□MombasaimporterCommentsGeneral declarationof theApplicantI herebydeclare that:my shipmentswill beaccompanied witha validcertificate ofconformity,I acceptBureau Veritasterms andconditions ofservice andIauthorize BureauVeritas todisclose informationto concernedauthorities whenrequested todo so,□I wouldlike toask foran accountof Verigatesto followup allmy filesonlineApplicant name: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 Servicewill becarried outaccording tothe BureauVeritass 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。