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IRAQ - IQB scheme - REQUEST FOR CERTIFICATE FORM 1.0

The document is a Request for Certificate Form for a Certificate of Inspection (COI) related to a shipment from Kosmos Metal İmalat A.S to TAS Energy For Electromechanical Works L.L.C. It outlines the necessary information regarding trade parties, shipment details, goods description, and the applicant's declaration of compliance with Bureau Veritas terms. The form must be returned to the nearest Bureau Veritas office along with supporting documents for processing.

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9 views

IRAQ - IQB scheme - REQUEST FOR CERTIFICATE FORM 1.0

The document is a Request for Certificate Form for a Certificate of Inspection (COI) related to a shipment from Kosmos Metal İmalat A.S to TAS Energy For Electromechanical Works L.L.C. It outlines the necessary information regarding trade parties, shipment details, goods description, and the applicant's declaration of compliance with Bureau Veritas terms. The form must be returned to the nearest Bureau Veritas office along with supporting documents for processing.

Uploaded by

muratcan
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
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Return the form and other documents to your nearest BV office www.group.bureauveritas.

com
http://verigates.bureauveritas.com

REQUEST FOR CERTIFICATE FORM


COI certificate (electronic / security paper )
Note: the Certificate (or Non Conformity Report) is issued based on the information communicated. Unless of a specific arrangement, the draft of the certificate is not sent
prior issuance.

Trade parties:
Buyer (Importer): Name and Address
TAS Energy For Electromechanical Works L.L.C
Seller (Exporter): Name and Address Telephone : +971 4 2522798
Kosmos Metal İmalat A.S Email: [email protected]
Telephone : +90 288 263 4100 Contact name: Contract # 861 dated 30-12-2023 For Invitation No. 1783,
Email: [email protected] Self-Cleaning system for Khour AL-Zubair
Contact name: Öznur KORKMAZ
Local commercial registration No.: 5800885328 Importer/consignee is an Iraqi ministry or related Iraqi
administration/authority: yes No

If the Applicant is not the Seller, please tick the type: Payer: Same as Seller or Company name:
Buyer (Importer see above) Authorised Dealer Address:
Forwarding Agent Other (please specify): VAT No.:
Name and Address: Telephone :
Telephone : Email:
Email: Contact name:
Contact name: Purchase Order No.:
Email address/Address for Invoices to be sent to:
Proforma Invoice / Contract Purchase Order of the consignment
PFI number and date Currency: Freight value (If applicable)
PO number and date Total Value Insurance value (If applicable)
Incoterm: FOB Value Other value ((If applicable)

Shipment & inspection information


Shipment method:
Type of delivery: Total Partial Final
FCL : x20” FCL x40”FCL (FCL could be on truck)
Transport mode:
LCL Bulk General Cargo/Conventional
Air Sea Road Rail Unknown
Trucks (size/volume: ) Consolidated cargo
Location where goods are available for inspection (if same as the Country of supply:
applicant, please tick the box ): Expected date of shipment:
Address: Date of availability of goods:
Contact name: Telephone:
Email:
Internet connection is available at the inspection site (good 3G or more or Wi-Fi)? Yes No
If so, are you willing to have the inspection (if any) performed remotely*? Yes No
*This inspection without any additional cost and with lower environmental impact, is subject to formal consent and eligibility check

Goods information
Goods Description: Please attach list of products (proforma invoice…)
Goods subject to VOC Iraq Program: Not subject Subject*
(*DO NOT FILL THE BELOW - ”IRAQ – VOC - REQUEST FOR CERTIFICATE FORM” to be filled instead)
Goods conditions: New Second hand/Used Complete Complete Knock Down (CKD) Semi knock down (SKD)
ISO 9001 Certificate: Yes No Other Certification :
Test Report provided: Yes No Testing done by: Own lab Third party lab
Certificates provided: Yes No
Applicable standards (if Known):
Lab information: ISO 17025 accreditation Yes No Other:

Shipment Method and Points of Entry to Central Iraq (Information on Points of Entry Is Mandatory):
The following points of entry are located in Central Iraq :

Air Bagdad airport Al-Basra airport Al-Najaf airport Al-Mosul airport Syria – Rabeaa (Mosul)

Sea/river Umm Qasr port Khor Al-Zubair port Al-Maaqal port Abu Floos Port Abu Ghreib Dry Port

Road Bagdad Train station Zarbatiya Jordan – Trabeel (Ramadi) KSA – Arar Kuwait – Safwan (Basra)

The following points of entry are located in Kurdistan province:


(To be used only for COI and for products shipped to Iraqi Ministry or related administration in Central Iraq – Refer to IRAQ (IQB scheme) datasheet)

Air
Erbil airport Al-Sulaymaniyah airport Turkey – Ibrahim El-Khalil
Road

Other point of entry - please specify:

Note: Goods shall be quickly delivered after issuance of the COI. If products with expiry dates/validity, products shall not expire before expected
arrival in Central Iraq

Comments

IRAQ – IQB Scheme - REQUEST FOR CERTIFICATE FORM (RFC) 1/2


Edition: 1.0
Return the form and other documents to your nearest BV office www.group.bureauveritas.com
http://verigates.bureauveritas.com

General Declaration and Consent of the Applicant


I hereby declare that: my shipments will be accompanied with a valid certificate of inspection, I shall only ship to Iraq goods (i) specifically identified
in the certificate issued by Bureau Veritas (description, brand/manufacturer name, quantity and, as applicable, productions-expiry dates (If any),
batch number (if any)), (ii) compliant and consistent with the conformity documents I provided (as applicable). I accept Bureau Veritas terms and
conditions of service which are available on request and I authorize and consent to Bureau Veritas processing and disclosing all personal information
to concerned authorities when requested to do so. Purpose(s) of processing personal information means the purposes for which Client personal
information is processed under or in connection with this request, as further set out in the BUREAU VERITAS GROUP PERSONAL DATA
PROTECTION POLICY FOR USERS that may be viewed at: https://personaldataprotection.bureauveritas.com/privacypolicy.
Applicant name: Title:
Company: If different from above:
Signature: Email:
Date: telephone:
Please complete the above information and kindly return the form together with proforma invoice, copy of L/C – 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. Bureau Veritas remains available to provide additional
information about the VoC Programs. The Applicant accepts the quotation / fees mentioned in the datasheet of the program available on https://verigates.bureauveritas.com. The Applicant
with a Verigates user account can consult the status of his files on line on Bureau Veritas web platform. Users without a Verigates access can ask for an account clicking the following link:
https://verigates.bureauveritas.com/verigates/gsit/support/ask_account/form.do?smenuitem=-1
Important Notice: The issuance of inspection report does not release the Seller and Buyer from their own responsibilities and fulfilment of their respective obligations. If you have any
complaints/appeals regarding the certification service, please inform in writing to [email protected]

IRAQ – IQB Scheme - REQUEST FOR CERTIFICATE FORM (RFC) 2/2


Edition: 1.0

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