Instructions: In order to give you an accurate quote for man-days and travel we need as much information as you can provide about the products to be inspected and factory location. This form must be completed in English except (where relevant) for the Chinese/ local language section which is vital information for our inspectors. Red Asterisk (*) fields are mandatory.

Definitions: ‘Client’ would usually be the retailer who has requested the inspection. ‘Supplier/ Vendor’ can be an agent or also the factory itself. ‘Factory’ is always the actual site that needs to be visited.

Terms & Conditions: By submitting this booking form to Verisio we (the applicant company) agree that all required services will be carried out subject to our existing Service Agreement with Verisio and the Standard Terms & Conditions. We agree to take full responsibility for payment of all invoices due to us within the agreed time frames.


CLIENT


* Company Name (required):

Address :
City :
Country :
* Contact Name (required):

Your Email :

Mobile :

* Tel (required):

SUPPLIER / VENDOR


* Company Name (required):

* Address (required):
* City (required):
* Country (required):
* Contact Name (required):

*Email Address (required):

Mobile :

*Tel (required):


FACTORY



* Company Name (required):

* Address (required):
*City (required):
* Country (required):

* Contact Name (required):

* Email Address (required):

* Mobile (required):

*Tel (required):

Additional info - FACTORY IN CHINESE



Company Name:

Address:
City :
Country:

Contact Name:

Scheduling


* Service request date (required):

Closing date (for inspection):

Shipment date (for inspection) :


Requirement


Category :

Service Request :

AQL :

Critical : Not Allow

Major :

Minor :


Inspection information


1) Inspection Item 1
Item#:
Product Description:
PO#:
Approved sample sealed #:
Quantity:
Unit:
2) Inspection Item 2
Item#:
Product Description:
PO#:
Approved sample sealed #:
Quantity:
Unit:
3) Inspection Item 3
Item#:
Product Description:
PO#:
Approved sample sealed #:
Quantity:
Unit:
4) Inspection Item 4
Item#:
Product Description:
PO#:
Approved sample sealed #:
Quantity:
Unit:
5) Inspection Item 5
Item#:
Product Description:
PO#:
Approved sample sealed #:
Quantity:
Unit:
6) Inspection Item 6
Item#:
Product Description:
PO#:
Approved sample sealed #:
Quantity:
Unit:
If inspection more then 6 items, please list out inform on remarks text box or as attachment.
Attachment Here :

Information attached


File upload:

Shipping Mark:
Purchasing Order:
Specification:
Others:

Special Requirement