SGS尼日利亚PC申请表

Important:This formmust becompleted andALWAYS sentto SGSbefore theshipment ofthe goods.Country DestinationAlgeriaBurundi Cameroon□Egypt Ethiopia□□□□Gabon GhanaIndia□Kenya Kuwait□□□□□Mongolia□Nigeria□Qatar□Saudi Arabia□Tanzania□Uganda□Zanzibar□Ivory Coast□Others:Application For:Other InformationNEWRENEWAL REVISIONCertificate of Conformity□□□IDF No.Kenya only:Registration□□□UCR No.Kenya only:License□□□Form MNo.Nigeria onlySONCAPCertificate Nigeriaonly□□□Dll No.Burundi onlyProductCertificate Nigeriaonly□□□Declaration dImportationCameroon only:Others pls.specify:CertificateofConformity tobe collectedby:□Exporter□ImporterTrade Parties-Seller ExporterDetails:Trade Parties-Importer/Buyer DetailsNameNameAddress AddressTelephoneTelephoneFax FaxEmailEmailContact PersonContact PersonComm.Registration No.SA onlyCo.TIN No.口/Trade Parties-Supplier Manufacturer□if diff,from SellerPlace ofInspection DetailsNameNameAddress AddressTelephoneTelephoneFax FaxEmailEmailContact PersonContact NameComm.Registration No.SA onlyDate ofInspectionShipment DetailsShipment MethodSales Invoice/P.O.Details Currency□USD□EURPlacePort of□Air□Road Inv./P.O.No.□Other:___________LoadingFOBPort ofDischarge□Sea□Rail AmountIncotermValue:__________Country ofSupply Shipmenton FCLfor KE,NG orSA:Nbr.of FCL_____20______40Shipment Method□Total□PartialDocuments Attachedto thisApplicationGoods Condition□3rd PartyTest reports/certificates□Product identificationDeclaration PID□New□Factory InspectionReport□QMS Certificatee.g.IS09001/ISO/TS16949,IS022000□Second Handused□Copy ofProduct Registrationnon-SGS□Product SpecificationSheet□Reconditioned overhauled□Copy ofProduct Licensenon-SGS□Photographs□Authorized DistributorCertification□Others pls.specify:□Damaged Outof orderAssemblyState□Assembled□Partially AssembledSKD□Disassembled CKDCertificate/Registration/License DetailsProd.Certificate No.Registration No.License No.Remarks/Additional Information:Applicant DetailsApplicantName AddressSignatureTel./Fax E-mailIMPORTANTPleasecompletetheaboveinformationandtheattacheddeclarationofconformity.Bothcompletedformsandrequireddocumentsproformainvoiceorsimilarplusthedocumentsthatproveconformity,suchasdetaileddescriptionofthegoodswithtechnicalcharacteristicsandproperties,availabletestreports,qualitymanagementsystemcertificates,marksofconformity,-e.g.CEdeclaration,technicaldatasheets,nationalapprovals,franchiseagreementorsimilarforsupplyingbrandedgoods-aswellashealth,hygienic,phytosanitary,fumigationcertificatesasapplicableshouldbereturnedtoSGSbyemailorbyfax.DatasheetandGuidelinesforExporterandtheRulesforthesuspensionandwithdrawaloftheCertificateofConformityareavailablefromourwebsiteTheclientshallnotmakereferencetoitsproductcertificationincommunicationmediasuchasdocuments,brochuresoradvertisingunlessauthorizedbythecompany.Asapplicable,thecertifiedproductsshallcontinuetofulfilproductrequirementsifthecertificationappliestocontinuingproduction.SGSGovernmentandInstitutionalServicesOfficeisavailabletoprovideadditionalinformationaboutthePre-shipmentVerificationofConformityPVoCprocedures.ThisorderwillbeperformedaccordingtotherequirementsoftheauthoritiesinthecountryofdestinationofthegoodsandissubjecttotheapplicableSGSGeneralConditionsforProductConformityAssessmentServices,availableat:SGSTermsandConationsPlease useyour owncompanys LetterHead hereDECLARATIONOF CONFORMITYWe,replace withname ofyour companywith address_place vourcompany addresshere declare thatthe product/s listedbelow is/are notaffected byany productrecall northey aresubstandard orcounterfeit,to thebest ofour knowledge.We alsodeclare thatthe technicaldocumentationrequired todemonstrate productcompliance withthe importcountry rulesand regulationshas beencompiled bythe signatorybelow andis attachedfor viewingbythe relevantenforcement authorities.We furtherdeclarethatwe takeresponsibility andacknowledge thatwe areaware ofthe importcountrys regulatoryrequirements ontheimportation ofthe below-listed productsand committo complywith suchrequirements.Name andPosition:Signature andStamp:Place anddate ofissue:。