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CERTIFICATION OF INSPECTION / IN-PROCESS QUALITY CONTROL

Exporter's Name and address :

Invoice No. & Date :
Manufacturer's Name & Address : Buyer's Order No. & Date :
Details of the Manufacturer's Seal, if any : Certificate No. :

Details of Seal of Inspection Authority, if any :

Specification Reference

Marks & No.

No. & kind of Pkgs.

Description of Goods (*)

As Declared by Exporter




Quantity

FOB Value

Remarks, if any :
** CERTIFICATION UNDER INSPECTION SYSTEM
I hereby declare that the consignment as per details given above has been inspected as require under the Act. It statistics the condition as applicable to it and is certified export worthy. Date of Inspection.

OR

** CERTIFICATION UNDER IN-PROCESS QUALITY SYSTEM
It is hereby certified, on the basis of controls carried out, that the commodities as per details given herein are in accordance with the standard specification prescribed under the Act.
 
Signature : Name :
 
Designation : Date :