Applicant:
 *
Address:
  
Contact Person:
  *
Email:
  *
Tel:
  *
Fax:
Website:
Supplier:
Address:
Contact Person:
Email:
Tel:
Fax:
Website:
Service Required:
  
Factory Audit Pre-shipment Inspection
Social Compliance Audit Supervision of Loading
Pre-production Inspection Re-inspection
During Production Inspection Others
Merchandise Description:
Total Value ( FOB )
Order No.
Colour
Total Quantity
Model / Article No
Size
For Inspection Will be Proceed Smoothly, Please Provide Following Document(s):
Purchasing order / Contract / Proforma Invoice Samples Product specification Instruction Sheet Other

We declared that the above information given by us is true and correct. We agree that the inspection be carried out in accordance with an agreed inspection plan and HQTS has the full discretion to carry out the inspection. We agree that the Inspection Certificate or Report is issued on the understanding that it cannot form the basis of, or the instrument for, any legal liability against HQTS.
Printed Name and Position:   Date: