Scribd
Upload
319 views1 page

Eac Pvoc - Request For Certificate Form 1.2

This document is a request form submitted to Bureau Veritas for a certificate of conformity for a shipment from Inabensa Bharat Pvt Ltd in India to Kenya Electricity Transmission Co. Ltd (KETRACO) in Kenya. It provides details about the trade parties, purchase order, shipment, goods, delivery of certificate, and applicant declaration. The applicant, Brian Muchilwa of KETRACO, requests a pre-shipment verification of conformity certificate and agrees to Bureau Veritas' terms and conditions.

Uploaded by

Alphonse Mbara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
319 views1 page

Eac Pvoc - Request For Certificate Form 1.2

This document is a request form submitted to Bureau Veritas for a certificate of conformity for a shipment from Inabensa Bharat Pvt Ltd in India to Kenya Electricity Transmission Co. Ltd (KETRACO) in Kenya. It provides details about the trade parties, purchase order, shipment, goods, delivery of certificate, and applicant declaration. The applicant, Brian Muchilwa of KETRACO, requests a pre-shipment verification of conformity certificate and agrees to Bureau Veritas' terms and conditions.

Uploaded by

Alphonse Mbara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Return the form and other documents to your

nearest BV office.


www.bureauveritas.com/gsit/
verigates.bureauveritas.com


EAC PVoC REQUEST FOR CERTIFICATE FORM
Edition: 1.2
1/1

REQUEST FOR CERTIFICATE
Your reference number (if any): ORDER No.
4500516229/
Import Declaration Number or IDF No. (If any): //KRA
Exemption Letter from IDF.

Trade parties & Place of inspection
Seller (Exporter): name and address
INABENSA BHARAT PVT LTD
Telephone: No.(02676) 222600
Fax: (02667)222600
Email: [email protected]
Contact name: Vivek Gupta
Buyer (Importer): name and address
KENYA ELECTRICITY TRANSMISSION CO. LTD (KETRACO)
Telephone: +254 20 495 6000
Fax: +254 20 495 6010
Email: [email protected]
Contact name: Brian Muchilwa

Proforma Invoice / Contract Purchase Order
Number: 011/13-14 Currency: $ Dollars Freight value (If applicable) N/A
Date: 25/03/2014 Total Value 43,980.00 Insurance value (If applicable) N/A
Incoterm: CIF FOB Value 43,980.00 Other value ((If applicable) N/A

Shipment information:
Type of delivery: Total Partial Final
Shipment method:
Air Sea Road
Packing: FCL : x20 FCL x40FCL
FCL could be on truck
Details: LCL: Bulk General Cargo/Conventional
trucks (size/volume: )
Location where goods are available for inspection:
Address: PLOT NO.: 189-193 Village Chandrapura Taluka
Halol Dist PMS Gujarat 389350
Contact name: Vivek Gupta
Telephone: +(91) 9099915641 Fax: 02667)222600
Email: [email protected]
Expected date of shipment:
Date of availability of goods:
Country of destination: Kenya

Goods information
Goods Description: Please attach list of products (proforma invoice)
Goods conditions: New Second hand/Used Complete Complete knock down Semi knock down
ISO 9001 Certificate: Yes No Other Certification :
Test Report provided: Yes No Testing done by: Own lab Third party lab
Certificates provided: Yes No Registration No.: Licensing No.: :
Applicable standards (if Known): PVoC
Lab information: ISO 17025 accreditation Yes No Other:

Delivery of Certificate of Conformity - Please choose one of the followings:
to exporter in the exporting country to importer by our liaison office in the destination country

Comments


General declaration of the Applicant
Email: [email protected] Date of availability of goods:
I hereby declare that : my shipments will be accompanied with a valid PVOC certificate, I accept Bureau Veritas terms and
conditions of service and I authorize Bureau Veritas to disclose information to concerned authorities when requested to do so,
Applicant name: Brian Muchilwa
Company: KETRACO
Signature:
Date: 26/03/2014
Title: Project Engineer
If different from above:
Email: [email protected]
telephone: +254 20 495 6000


Please complete the above information and kindly return the form together with proforma invoice, copy of LC if applicable and documents proving
conformity such as detailed description of the goods with technical characteristics and properties, available test reports, quality management system
certificates, marks of conformity, national approvals, franchise agreement or similar for supplying branded goods -, as well as health, hygienic,
phytosanitary, fumigation certificates as applicable.
BV remains available to provide additional information about the PVOC Program.
If you have any comments/complaints/appeals regarding the certification service, please inform in writing to [email protected]

You might also like