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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Intertek
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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Intertek
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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MODEL YEAR (E.G. 2010)
COUNTRY OF ORIGIN
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Intertek
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