APPLICATION  FORM

Important Notice : Please fill in all the blanks for an effective quotation.

COMPANY NAME

*Please write the Legal Name of your company as it appears in the Trade Registration files which will be indicated on the certificate.

COMPANY ADDRESS

*Please write the Legal Address of your company as it appears in the Trade Registration files which will be indicated on the certificate.

CONTACT PERSON

*Your Name and Surname

PHONE NUMBER
FAX NUMBER
E-MAIL ADDRESS

*Please write a valid e-mail address for communications.

WEB PAGE
PRODUCTS TO BE CERTIFIED

Important Notice : Since UkrSEPRO Certificate is not only a system- but also a product-oriented document, please specify your products with all applicable codes, variants and sub-variants. Please indicate the G.T.I.P (Customs Tariff Position Number) for each product.

TARGET CERTIFICATION TYPE AND DURATION
FOR RUSSIAN FEDERATION









FOR UKRAINE





FOR KAZAKHSTAN

TRADEMARKS
EXISTING QUALITY DOCUMENTS

* Please indicate your previous ISO 9000 or TSE, TSEK, GOST-R Certificates or CE Marking commitments, if any. Please forward copies thereof.


Other :
STAFF SITUATION

*The quantity of all personnel (Workers+Management) at your factory.

ADDITIONAL INFORMATION

If necessary, you can submit more info.