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Company Name

Address

Contact Person

Tel

Email

Fax

Please arrange the inspection according to the information as below: Applicant

Product Description

Product Model

ORDER NO./P.O. NO.

Packing type

Quantity/Total value

Expected Inspection Date

Remark

Inspection Location

Inspection Location

Factory Name

Factory Address

Contact Person

Tel

Email

Fax

Services requested

Services requested

Others

Scope of Inspection

Scope of Inspection

Required Inspection Percentage

Required Photo

Inspection times

Witness loading times

Others

Required Samples

Required Samples

Required Samples

Others

Requested AQL

Requested AQL

Requested AQL

Requested AQL

Other Documents

Stamp & Signature

Date of Requisition