KEMA - Inspection Services


	Inspection Services

Order form

Please fill in this form and we will contact you as soon as possible.

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Date of Application *

Service Required *

Booking *

Re-inspection booking (previous report no.):

Amendment: *

Company Name *

Last Name *

Initial(s)

Mr/Mrs/Ms *

Address *

City

Postal/ZIP Code

Telephone

Fax

E-mail *

Product description *

Inspection Date *

Total Quantity (in pieces): *

Serial no. (if any) *

Buyer Order no.: *

Buyer Model no.: *

Supplier Model no.: *

AQL level

Major *

Minor *

Functional Test (specify number of products or according to KEMA Guidelines) *

Factory Name (English) *

Factory Name (Chinese): *

Factory Address (English) *

Factory Address (Chinese) *

Contact person in Factory: *

Tel./Mobile: *

Fax *

Factory location map attached (yes or no): *