INTERTEK申请表 VERSION 35

mtertekfoul OuaittY.Assurvd,REQUEST FORCERTIFICATE OF CONFORMITY*Request forTechnical InspectionReport*Request forCertification ofInspectionIMPORTANT:The qualityand completenessof thedocumentation submittedby theApplicant directlyinfluences thetime andcost ofprocessing theCertificationrequest.Incomplete applicationswill notbe processed.TYPE OFAPPLICATION SHIPMENTCERTIFICATION REQUEST FOR Countryname/Single Shipment□Multiple Shipment**Valid fromValid toAPPLICANT TYPE□Authorized**Multiple Shipmentsis onlyVALID forregular exportershaving frequent□Authorized Dealer□ManufacturerDistributorshipments of the sameproducts.This RFCcan beused formultiple shipmentsofthe sameproducts withinthe validityperiod indicated.Validity periodshall□Trader□Third-Party Logisticsnotexceed oneyear inall cases.□Other pleasespecifyInview isInterteks remoteinspection solutionwhich canprovide youwith quickeraccess toInterteks teamof qualifiedtechnical inspectionexperts andfasterinspection turnaroundtime.Inview delivershigh qualityinspections thatmeet ourTotal QualityAssurance standard,all whilepromoting publichealth andwell-being.□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 pleasespecifyFor 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 InterteksTerms andConditions forGovernment andTrade ServicesGTS whichis availableat andhereby confirmmy/our acceptanceof theseTerms andConditions forobtaining theshipment certificationdocument.Name Position*Signature Date*Signatures ofAuthorized Representativescan beaffixed bya Physicalsignature Handwritten;or bDigital signatureDigital imageofthesignature;or c日ectronic signaturePrintedName;or dCompany StampPhysical orDigital images.PRODUCT DETAILSPleaseclick theappropriate exceltemplate for the dataentry ofthe productdetails applicableforthecertification ofyour shipment.•Request forCertificate ofConformity-General ProductDetails•Request forCertificate ofConformity-CosmeticsPerfumery Products•Request forCertificate ofConformity-Vehicle DetailsmtertekREQUEST FORCERTIFICATE OF CONFORMITYTotalXalttY.Aswnd.NOTE:Ingeneral,theapplicantacknowledgesthatallimportedgoodswhicharesubjecttospecificprogrammerequirementsmayberandomlyselectedforinspectionandtestingforsafety,qualityandtradecompliancepurposesatthecustomsterritoryoftheimportingcountry.Intertekperformstheevaluationofconformitybasedonarandomsamplingoftheirproductsandontestingoflimitedparametersthroughriskassessmentapproach.Theapplicantagreestotakeresponsibilityandacknowledgesthattheyareawareofthecustomslegislativeandregulatoryrequirementsgoverningtheimportoftheirproductsandcommittocomplywiththoserequirements.PleasecompletethebelowrequireddetailsifthisinformationhasNOTbeenmadeavailableinthesubmittedinvoice/shipmentdocuments.REQUEST FORCERTIFICATE OFCONFORMITY CONTINUATIONPAGE:PRODUCT DETAILS-GENERALREGISTRATIONBATCHNO./COUNTRYOF MANUFACTURERSNAMEANDSTANDARD/LICENCENO.SN PRODUCTDESCRIPTIONQUANTITY UnitPriceUnitofMeasure PACKINGHSCODE BRANDPRODUCTIONMATERIALS ORIGINADDRESS REFERENCESoR/TER/PCIfDATETYPE Available12Thankyoufortakingthetimetofilloutthisform.Weappreciateyourbusiness.Pleasevisitourwebsite tolearnabouttheshipmentcertificationservicesforothercountries.GTS-PM-CAP-FRM-RFC-35mtertekREQUESTFORCERTIFICATEOFCONFORMITYTotalXalttY.Aswnd.NOTE:Ingeneral,theapplicantacknowledgesthatallimportedgoodswhicharesubjecttospecificprogrammerequirementsmayberandomlyselectedforinspectionandtestingforsafety,qualityandtradecompliancepurposesatthecustomsterritoryoftheimportingcountry.Intertekperformstheevaluationofconformitybasedonarandomsamplingoftheirproductsandontestingoflimitedparametersthroughriskassessmentapproach.Theapplicantagreestotakeresponsibilityandacknowledgesthattheyareawareofthecustomslegislativeandregulatoryrequirementsgoverningtheimportoftheirproductsandcommittocomplywiththoserequirements.PleasecompletethebelowrequireddetailsifthisinformationhasNOTbeenmadeavailableinthesubmittedinvoice/shipmentdocuments.REQUESTFORCERTIFICATEOFCONFORMITY CONTINUATIONPAGE:PRODUCT DETAILS-GENERALREGISTRATIONBATCHNO./COUNTRYOF MANUFACTURERSNAMEANDSTANDARD/LICENCENO.SN PRODUCTDESCRIPTIONQUANTITY UnitPriceUnitofMeasure PACKINGHSCODE BRANDPRODUCTIONMATERIALS ORIGINADDRESS REFERENCESoR/TER/PCIfDATETYPE AvailableThankyoufortakingthetimetofilloutthisform.Weappreciateyourbusiness.Pleasevisitourwebsite tolearnabouttheshipmentcertificationservicesforothercountries.GTS-PM-CAP-FRM-RFC-35。