REQUEST FOR CERTIFICATE OF CONFORMITY* *Request for Technical Inspection Report *Request for Certification of Inspection
IMPORTANT: The quality and completeness of the documentation submitted by the Applicant directly influences the time and cost of processing the Certification request. Incomplete applications will not be processed.
TYPE OF APPLICATION SHIPMENT CERTIFICATION REQUEST FOR (Country name)
Single Shipment Multiple Shipment**
Valid from Valid to APPLICANT TYPE
**Multiple Shipments is only VALID for regular exporters having frequent shipments of the same products. This RFC can be used for multiple shipments of the same products within the validity period indicated. Validity period shall not exceed one year in all cases.
Authorized Dealer Authorized Distributor Manufacturer
Trader Third-Party Logistics
Other (please specify)
Certificate of Origin No. & Date Proforma Invoice No. & Date
Customer Dealer No. Warehouse Licence No.
AWB No. FDI/IDF No. BL No.
BA No. Importer Code L/C No.
UCR No. RC/BN No. TIN
Other (please specify)
Company Name
Company Address
Contact Person
E-Mail Address
Telephone No.
Payment Type Cash Credit Intertek Credit Reference No. Invoice Currency to be used
Addresses for invoices to be sent
Purchase Order to be used? Yes No Other (please specify)
If eligible, would you like to have your inspections conducted with Inview? (Recommended) Yes No
Applicant may note that, based on the approval from the specific programme Government Authority, we have the technology to perform remote inspection/audits using Inview which is Intertek’s remote audit/inspection solution which can provide you with quicker access to Intertek’s team of qualified technical audit/inspection experts and faster audit/inspection turnaround time. Inview delivers high quality inspections that meet Intertek’s Total Quality Assurance standard, all while promoting public health and well-being. For more information, please visit www.intertek.com/government/inview/.
REQUEST FOR CERTIFICATE OF CONFORMITY
Thank you for taking the time to fill out this form. We appreciate your business.
Please visit our website www.intertek.com/government to learn about the shipment certification services for other countries.
GTS-PM-CAP-FRM-RFC-36 2
SHIPMENT DETAILS
Gross Consignment Weight
Goods Availability Date
Mode of Transport Air Rail Road Sea Other (please specify)
Mode of Shipment Bulk FCL LCL Tanker Trailer Truck Other (please specify)
Quantity
No. of Container Container Type 20' 40’ Other (please specify)
I/We declare that the Importer is registered/licensed with Government Authority (Applicable for SFDA and NFSA). Yes No
I/We declare that the Exporter is registered/listed with Government Authority (Applicable for SFDA). Yes No
I/We declare that products and its labelling are not marked with unauthorised Quality Marks Yes No
INLIGHT DETAILS (for Food Shipments)
Are you registered in Inlight for Fast Track Shipment Certification? Yes No
Inlight ID No. Registered Supply Chain ID No.
Have you changed any suppliers for the products registered in Inlight? Yes No
If yes, please specify
Registration/Licence (e.g. SoR/TER/PC) Certificate of Origin Photographs of Products L/C
QMS Certificates (e.g. ISO 9001, ISO/TS 16949) Packing List B/L or AWB Test Reports
Commercial Registration Certificate Phytosanitary Certificate Proforma Invoice IDF
Government Issued Registration Certificate (e.g. SFDA/GOEIC) Halal Slaughter Certificate/Halal Certificate
Authorization to use Quality Marks (e.g. KEBS letter) Copy of Label & Markings
Veterinary/Health Certificate Other (please specify)
DECLARATION
By submitting this Application
I/We hereby confirm that the information provided herein for the purpose of obtaining the shipment certification document is accurate and complete in all respects to the best of my/our knowledge.
I/We have read and fully comprehend the Intertek’s Terms and Conditions for Government and Trade Services (GTS) which is available at www.intertek.com/terms and hereby confirm my/our acceptance of these Terms and Conditions for obtaining the shipment certification document.
Name Position
*Signature Date
* Signatures of Authorized Representatives can be affixed by (a) Physical signature (Handwritten); or (b) Digital signature; or (c) Electronic signature; or (d) Company Stamp (Physical or Digital images).
PRODUCT DETAILS
Please click the appropriate excel template for the data entry of the product details applicable for the certification of your shipment.
• Request for Certificate of Conformity – General Product Details/Food Product Details
• Request for Certificate of Conformity – Cosmetics & Perfumery Product Details
• Request for Certificate of Conformity – Vehicle Details
General Product Details or Food
NOTE: In general, the applicant acknowledges that all imported goods which are subject to specific programme requirements may be randomly selected for inspection and testing for safety, quality and trade compliance purposes at the customs territory of the importing country. Intertek performs the evaluation of conformity based on a random sampling of their products and on testing of limited parameters through risk assessment approach. The applicant agrees to take responsibility and acknowledges that they are aware of the customs legislative and regulatory requirements governing the import of their products and commit to comply with those requirements. Please complete the below required details if this information has NOT been made available in the submitted invoice/shipment documents. *Expiration Date for Food and Food products.
REQUEST FOR CERTIFICATE OF CONFORMITY CONTINUATION PAGE: GENERAL PRODUCT DETAILS / FOOD PRODUCT DETAILS
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Cosmetics & Perfumery
NOTE: In general, the applicant acknowledges that all imported goods which are subject to specific programme requirements may be randomly selected for inspection and testing for safety, quality and trade compliance purposes at the customs territory of the importing country. Intertek performs the evaluation of conformity based on a random sampling of their products and on testing of limited parameters through risk assessment approach. The applicant agrees to take responsibility and acknowledges that they are aware of the customs legislative and regulatory requirements governing the import of their products and commit to comply with those requirements. Please complete the below required details if this information has NOT been made available in the submitted invoice/shipment documents.
REQUEST FOR CERTIFICATE OF CONFORMITY CONTINUATION PAGE: COSMETIC AND PERFUMERY PRODUCT DETAILS
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Vehicles
NOTE: In general, the applicant acknowledges that all imported goods which are subject to specific programme requirements may be randomly selected for inspection and testing for safety, quality and trade compliance purposes at the customs territory of the importing country. Intertek performs the evaluation of conformity based on a random sampling of their products and on testing of limited parameters through risk assessment approach. The applicant agrees to take responsibility and acknowledges that they are aware of the customs legislative and regulatory requirements governing the import of their products and commit to comply with those requirements. Please complete the below required details if this information has NOT been made available in the submitted invoice/shipment documents.
REQUEST FOR CERTIFICATE OF CONFORMITY CONTINUATION PAGE: VEHICLE DETAILS
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Intertek Credit Reference No:
Addresses for invoices to be sent:
Port of Loading:
Port of Discharge:
If yes please specify:
Authorization to use Quality Marks: Off
Veterinary/Health Certificate: Off
OtherdDoc: Off
Declaration_02: Off
Declaration_01: Off
Declaration_03: Off
Declaration_04: Off