SGS (Malaysia) Sdn Bhd (10871-T), No.

26, Jalan Anggerik Vanilla 31/93, Kota Kemuning, 40460

Shah Alam, Selangor Darul Ehsan, Malaysia

For SGS use:

Application No.: Date of Filing

Coordinator Contact

Conformity Enquiry Form

For Applicant used:

Dear Customer,

Thank you for your inquiry, in order to provide you with quick and accurate quotes, please fills in the required
information in the table. If there any questions regarding following table, please contact the undersigned. Thank
you for your cooperation!

Part I (General Information)

Applicant Company Name

Company Address

Company Registration No. (copy of

registration certificate and other related
certificates required be attach with this
form during submission)
Contact Person

Phone No.

Fax No.

E-mail

Official Site Link

Accredited to ISO9001 (double click on

box and select checked) Yes OR No

Business Activity i.e. manufacturer, buyer,

supplier, etc.

Part II (Finance Information)

Billing Address

CEF(PC)/Ver.00/07.10.2016
 SGS (Malaysia) Sdn Bhd (10871-T), No. 26, Jalan Anggerik Vanilla 31/93, Kota Kemuning, 40460
Shah Alam, Selangor Darul Ehsan, Malaysia

Contact Person

Phone No.

Fax No.

Email

Part III (Conformity Information)

Certification Address

Contact Person

Phone No.

Fax No.

Email

Part IV (Product Information)

Name of Product To Be Certified

Product Standard

Specification i.e. Model, Size, Rating, etc.

Certification Scheme (double click on box Batch OR Full OR Both

and select checked)

Quantity of each type of product:

Batch

Full

Part V (Testing Information)

Manufacturing Location
(Applicable if defer in Part III)

Testing Laboratories Available In the Facilities Yes OR No

(double click on box and select checked)

Testing Conducted Internal or External (double Internal OR External

click on box and select checked)

If External, Please Provide Detail of The

Laboratories (Company Name, Address, Phone
No., Fax No., Name of Person In Charge and
Email)

CEF(PC)/Ver.00/07.10.2016
 SGS (Malaysia) Sdn Bhd (10871-T), No. 26, Jalan Anggerik Vanilla 31/93, Kota Kemuning, 40460
Shah Alam, Selangor Darul Ehsan, Malaysia

Laboratories Accredited to ISO / IEC Yes OR No

17025 (double click on box and select
checked). If Yes, Please Provide Copy of
Accreditation Certificate and Scope of
Accreditation.

Full Testing Will Be Performed In Yes OR No

According To The Certification Standard
(double click on box and select checked).
If No, Please Specify Which Testing Wish
To Be Exempted or Not Going To Be
Conducted.

List Of Testing Wish To Be Exempted / Not Going To Be Conducted:

Standard / Code No. and Name Description Of Testing

Part VI (Supporting Document)

Please attach product English technical document as below:

Technical documentation (specification)
photo and drawing
list of components / accessories
Test procedure

CEF(PC)/Ver.00/07.10.2016