(All applications to be accompanied by one copy of each of the relevant packing list and invoice indicating FOB value of shipment to be inspected.)
Quotation Ref. No.: Q -
Applicant (Company Name):
Chinese Name:
Address:
E-mail: CMA Member: Yes (CMA Membership No. ) No
Contact Person: Tel No.: Fax No.:
Buyer / Vendor (Company Name):
Chinese Name:
Contact Person: Client Ref. No.:
Address:
Article / Model No.: P.O. No.:
Full Description:
Inspection Location:
Contact Person: Tel: Fax:
Quantity: Inspection Date (YYYY/MM/DD): / /
Inspection Requirement* (Please state specifications and / or inspection plan):
*If there is no special requirement from client, CMA Testing will keep using standard ANSI Z1.4, Level II, AQL: Major 2.5/ Minor 4.0.
Are there any legal proceedings involved in this application?
No
Yes, please state the legal proceedings:
Invoice to supplier and agreed by (Signature and Company Chop)
Do you need paper report**? Yes (The cost for each paper report is HK$100 unless prior agreement) No
The Inspection Report should beCollected by us at
Posted to us*** (if different from the above): (Company: )
Remained sample will be Scrapped by CMA
Collected by us atCMA Fo Tan / Central / Mongkok / Kwun Tong Office
(Must be within one month after issuance of report / certificate. Please notify CMA 3 working days before collection.)
Return to us by＃Surface / Air Mail / Courier
** Client must answer this question.
***Client is requested to make full payment before inspection report delivery.
# Service charges may be applied (subject to size and weight of sample).
Invoice To (if different from the above):
We, with declaration to the truthiness and correctness of the above information, apply for the above tests/inspection and agree that all testing/inspection will be carried out subject to CMA Testing's scale of charges as set forth in its latest price list/quotation of which we have seen a copy (unless otherwise agreed by CMA Testing in prior writing). This document is issued subject to the latest CMA Testing General Terms and Conditions of Testing and Inspection Services, available on request or accessible at website document shall not be reproduced except in full or with written approval by CMA Testing.
Signature and
Company Chop: Name: Date:
Remark: Deposit, as stated in quotation, should be submitted together with application form and corresponding quotation.
Payment should be in cash or crossed cheque and made payable to the “CMA Industrial Development Foundation Limited”.
FOR INTERNAL USE ONLY / REMARK:
Fees paidHK $ / Receipt No. / Date
BalanceHK $ / Receipt No. / Date
Report received by / Date
Requisition for Inspection Service
Ref: WF-BD-003-R2 Update at 29June 2018