INTERTEKPVOC 申请表 VERSION 35

mtertekfoul OuaittY.Assurvd,REQUEST FORCERTIFICATE OFCONFORMITY**Request forTechnical InspectionReport*Request forCertification ofInspectionIMPORTANT:The qualityand completenessof thedocumentation submittedby theApplicant directlyinfluences thetime andcost ofprocessing theCertificationrequest.Incomplete applicationswill notbe processed.TYPE OFAPPLICATION/Single Shipment□Multiple Shipment**Valid fromValid toAPPLICANT TYPE□Authorized**Multiple Shipmentsis onlyVALID forregular exportershaving frequent□Authorized Dealer□ManufacturerDistributorshipments of the sameproducts.This RFCcan be used formultiple shipmentsofthe sameproducts withinthe validityperiod indicated.Validity periodshall□Trader□Third-Party Logisticsnotexceed oneyear inall cases.□Other pleasespecifySHIPMENT CERTIFICATIONREQUEST FORCountry nameEXPORTERIMPORTERCompany NameCompanyAddressContact PersonE-Mail AddressTelephoneNo.Commercial RegistrationNo.or equivalentCertificate of OriginNo.Date□Proforma InvoiceNo.DateCustomer DealerNo.埃及合约请填写□Warehouse LicenceNo.□AWB No.□BA No.尼日利亚合约请填写□BLNo.□FDI No.科特迪瓦合约请填写□Importer Code□IDF No.肯尼亚合约请填写□L/C No.□RC/BN No.尼日利亚合约请填写□TIN尼口利亚合约请填写□□UCR No.肯尼亚合约请填写Other pleasespecifyINSPECTION LOCATIONPAYER partyresponsible forpaying thecertification service如青填写中文验货地址Company NameCompanyAddressContactPersonE-Mail AddressTelephoneNo.Payment Type□Cash□Credit IntertekCredit ReferenceNo.Invoice Currencyto beusedAddresses forinvoices tobe sentPurchaseOrder tobeused□Yes□NoIf eligible,would youlike tohave yourinspections conductedwith InviewRecommended□Yes□NoGTS-PM-CAP-FRM-RFC-35Inview isInterteks remoteinspection solutionwhich canprovide youwith quickeraccess toInterteks teamof qualifiedtechnical inspectionexperts andfaster inspectionturnaround□Registration/Licence e.g.GOEIC/SoR/TER/PC□Certificate ofOrigin□Photographs ofProducts□L/C□QMS Certificatese.g.ISO9001,ISO/TS16949□Packing List□B/L orAWB□Test Reports□Proforma Invoice□IDF□Other pleasespecifytime.Inview delivershigh qualityinspections thatmeet ourTotal QualityAssurance standard,all whilepromoting publichealth andwell-being.For moreinformation,please visit.SHIPMENT DETAILSPort of LoadingPortofDischargeVessel NameGoods Condition□New□UsedCountry ofSupply CHINADelivery□Full□PartialGross ConsignmentGoods AvailabilityWeightDate ExpectedShipment Dateif availableModeof Transport□Air□Rail□Road□Sea□Other pleasespecifyMode ofShipment□Bulk□FCL□LCL□Tanker□Trailer□Truck□Other pleasespecifyQuantityNo.of Container伊拉克合约请备注Container Type□20□40，□Other pleasespecifyDOCUMENTS ATTACHEDTO THISAPPLICATIONDECLARATIONBy submittingthis Application/l/We herebyconfirm thatthe informationprovided hereinfor thepurpose ofobtaining theshipment certificationdocument isaccurate andcomplete inallrespects tothe bestof my/our knowledge./l/We haveread andfully comprehendthe Intertek/s Terms and Conditions for Governmentand TradeServices GTSwhich isavailable atand herebyconfirmmy/our acceptanceof theseTermsandConditionsforobtaining theshipment certificationdocument.Name Position*Signature Date•Signatures ofAuthorized Representativescan beaffixed bya Physicalsignature Handwritten;or bDigital signatureDigital imageofthesignature;or cElectronic signaturePrintedName;or dCompany StampPhysical orDigital images.PRODUCT DETAILSPleaseclick theappropriate exceltemplate for the dataentry ofthe productdetails applicableforthecertification ofyour shipment.g•Request forCertificate ofConformity-General ProductDetailsg•Request forCertificate ofConformity-CosmeticsPerfumery ProductsH•Request forCertificateofConformity-Vehicle DetailsREQUEST FORCERTIFICATE OF CONFORMITYtotalQuaitty.Aswrvd.NOTE:Ingeneral,theapplicantacknowledgesthatallimportedgoodswhicharesubjecttospecificprogrammerequirementsmayberandomlyselectedforinspectionandtestingforsafety,qualityandtradecompliancepurposesatthecustomsterritoryoftheimportingcountry.Intertekperformstheevaluationofconformitybasedonarandomsamplingoftheirproductsandontestingoflimitedparametersthroughriskassessmentapproach.Theapplicantagreestotakeresponsibilityandacknowledgesthattheyareawareofthecustomslegislativeandregulatoryrequirementsgoverningtheimportoftheirproductsandcommittocomplywiththoserequirements.PleasecompletethebelowrequireddetailsifthisinformationhasNOTbeenmadeavailableinthesubmittedinvoice/shipmentdocuments.REQUEST FORCERTIFICATE OFCONFORMITY CONTINUATIONPAGE:PRODUCT DETAILS-GENERALREGISTRATION/BATCHNO./COUNTRYOF MANUFACTURERSNAMEANDSTANDARD LICENCENO.SN PRODUCTDESCRIPTIONQUANTITYUnitPrice UnitofMeasurePACKING HSCODEBRAND PRODUCTIONMATERIALSORIGIN ADDRESSREFERENCE SoR/TER/PCIfDATETYPE Available12Thankyoufortakingthetimetofilloutthisform.Weappreciateyourbusiness.Pleasevisitourwebsite tolearnabouttheshipmentcertificationservicesforothercountries.intertekREQUEST FORCERTIFICATE OFCONFORMITYtotalQuaitty.Aswrvd.NOTE:Ingeneral,theapplicantacknowledgesthatallimportedgoodswhicharesubjecttospecificprogrammerequirementsmayberandomlyselectedforinspectionandtestingforsafety,qualityandtradecompliancepurposesatthecustomsterritoryoftheimportingcountry.Intertekperformstheevaluationofconformitybasedonarandomsamplingoftheirproductsandontestingoflimitedparametersthroughriskassessmentapproach.Theapplicantagreestotakeresponsibilityandacknowledgesthattheyareawareofthecustomslegislativeandregulatoryrequirementsgoverningtheimportoftheirproductsandcommittocomplywiththoserequirements.PleasecompletethebelowrequireddetailsifthisinformationhasNOTbeenmadeavailableinthesubmittedinvoice/shipmentdocuments.REQUESTFORCERTIFICATEOFCONFORMITY CONTINUATIONPAGE:PRODUCT DETAILS-GENERALREGISTRATION/BATCHNO./COUNTRYOF MANUFACTURERSNAMEANDSTANDARD LICENCENO.SN PRODUCTDESCRIPTIONQUANTITYUnitPrice UnitofMeasurePACKING HSCODEBRAND PRODUCTIONMATERIALSORIGIN ADDRESSREFERENCE SoR/TER/PCIfDATETYPE AvailableThankyoufortakingthetimetofilloutthisform.Weappreciateyourbusiness.Pleasevisitourwebsite tolearnabouttheshipmentcertificationservicesforothercountries.intertek。