坦桑尼亚PVOC申请表

IntertekRFI NO:CO USEREQUEST FOR CERTIFICATION FORM*Request for Certification,Request for SONCAP Certificate,Request for Technical Inspection ReportTHIS FORM MUST BE COMPLETED IN FULL.APPLICATIONS WILL NOT BE PROCESSED WITHOUT ALL OF THE INFORMATION COMPLETED.IF MORE SPACE ISNEEDED,ADDIIONAL SHEETS MAY BE ATTACHED.ANNEX SHALL BE FILLED WITH FULL DESCRIPTION OF YOUR PRODUCT(S).ANNEX I SHALL BE USED FOR ALLPRODUCTS EXCEPT NEW VEHICLES.ANNEX lI SHALL BE FILLED FOR NEW VEHICLES ONLY.SERVICES REQUESTED☐SAUDI ARABIA☐KENYA▣KUWAIT▣NIGERIA☐UGANDA☐ALGERIA☐QATAR☐BOTSWANA☒TANZANIAEXPORTER DETAILSIMPORTER DETAILSCOMPANY:COMPANY:ADDRESS:ADDRESS:NAME:NAME:T且：T且：+FAX:FAX:E-MAIL:E-MAIL:PROFORMA INVOICE/CONTRACTMODE OF PAYMENTREF NO:DATE:☒CASH口CREDITSHIPMENT REFERENCEIF CREDIT,INTERTEK REFCODE:BL OR AWB No:ADDRESS WHERE INVOICE IS TO BE SENT:IDF No(KENYA):FORM M(NIGERIA):UC NO(ALGERIA):LOCATION OF GOODSADDRESS:FULL CONTAINER:NAME:PORT OF LOADING:TEL:PORT OF DISCHARGE:FAX:EXPECTED SHIPMENT DATE:E-MAIL:GOODS AVAILABILITY DATE:MODE OF TRANSPORT:COUNTRY OF ORIGIN:CHINAEXPORTING CARRIER:COUNTRY OF SUPPLY:DOCUMENTS ATTACHED TO THIS APPLICATIONPERFORMA FINAL INVOICE☐COPY OF B/L&AWBPHOTOGRAPHS OF PRODUCTS▣COPY OF TEST REPORTS☒PACKING LISTCOPY OF SFR/PC/SC/TER/LICENCE CERTIFICATECOPY OF L/C(IF APPLICABLE)OTHERS,PLEASE SPECIFYREMARKS AND COMMENTSDECLARATION..THE UNDERSIGNED EXPORTER,CONSENT TO INTERTEK'S TERMS AND CONDITIONS AND THEREQUIREMENTS STATED ON PAGE 4 HEREIN WHICH FORM AN INTEGRAL PART OF THIS APPLICATION.I ALSO AGREE TO SHARE ANY OF THEDATA,RESULTS AND DOCUMENTATION GATHERED AND GENERATED DURING THE PERFORMANCE OF THIS SERVICE WITH THE CONCERNEDAUTHORITIES.NAME:MS SHENSIGNATURE:SHEN FEIYAN21 November 2011.Revision 07Page 1 of 4Goverment and Trade Services