REQUEST FOR DETAILED INFORMATION

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SR No. X.02.104188
Service for Indonesia Various Goods - Various Goods: Project
SGS Business Governments and Institutions Services SR Created Date : 28/08/2018 SR Validity : 09/05/2019

Dear Exporter,

The Ministry of Trade of the Government of the Republic of Indonesia mandates that the goods you

propose to supply to Indonesia be subject to a technical survey prior to shipment. Please return

immediately with following attachment, by email :

ID.GIS.VPTI@sgs.com

1. Photos of product:

- Filetype must be saved in JPG/JPEG format & the size must be less than 2 MB.
- Min. 2 – 10 photos of total applied products.
- If Any , photos of label , packing, etc can be included also

2. General documents:

- Proforma Invoice / Final Invoice

- Packing List

3. Detail documents for specific product:

- Checklist of textile composition document

- Manufacturer declaration ( Must be sign and stamp) / CoA / QC / Test Lab certificate.

ONLY WITH COMPLETENESS OF THIS FORM AND REQUIRED DOCUMENTS AS ABOVE (POINT 1, 2 & 3) THE
SCHEDULLING OF INSPECTION IS POSSIBLE

Please note:
1) Sellers are requested to give SGS 3 working days' notice of the date on which they require survey.
2) The validity period of Physical Inspection Result (PIR) is 30 days from the date of inspection completed and
state in the PIR.

3) If the validity of inspection (PIR) has expired and the goods have not being shipped, re-inspection
must be applied.

4) If a second inspection/re-inspection is arranged, SGS is authorized to charge fees to the account

of the exporter/supplier under local arrangement.
5) SGS may also invoice the exporter/supplier in the event of excessive duration of inspection due to
nonstandard process of container vanning.
6) The costs incurred by the exporter/supplier in presenting the goods for inspection, such as unpacking,
repacking etc., are for the account of the exporter/supplier.
7) If SR Validity is expired, exporter would check the VO number with importer for the update news.
8) For multiple shipments, please copy this form and advice for each shipment, please also inform your importer
9) On case LCL method (no supervision loading and container not seal), the additional or exchange items
after inspection are prohibited without prior notice. Please make sure the document (total quantity) is
accordance with VO declared.

10) Total attachment size must be less than 30 MB.

1. SGS will treat all information received as business confidential. In case of need, please

use additional blank paper and refer your answer to the relevant box number.

2. A proforma invoice is needed in all cases to arrange for inspection. A packing list must be

made available at the latest at the inspection site before commencement of the inspection.
 REQUEST FOR DETAILED INFORMATION
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SR No. X.02.104188
Service for Indonesia Various Goods - Various Goods: Project
SGS Business Governments and Institutions Services SR Created Date : 28/08/2018 SR Validity :09/05/2019

SGS Contact Office Seller Communication to Exporter

SGS-CSTC Standards Technical Services Co., Ltd

9/F, 3rd Building No. 889, Yishan Road, Xuhui District,

Shanghai, China

Phone# +86 (021) 61152262

Fax# +86 (021) 64958981/64955851
Email vivian.zhou@sgs.com

Documents
Category & Description External References Deliv. Date Issuance Date Issued by

Buyer (Importer) Seller (Exporter)

PT. LESLIE ARCHI SELECTION NANTONG EUROANTIQUE FURNITURE CO.LTD

DS BAWU RT. 012 RW. 003 BAWU, BATE ALIT - - 188# HEXING ROAD, NANTONG ECONOMIC & TECNOLOGICAL
DEVELOPMENT ZONE, JIANGSU. 226010 CHINA

KAB. JEPARA 59461 NANTONG

Phone# (0291) 7519062/081228111221 China
Fax# (0291) 7519062 Phone# 8651385356355, +8613485136235
Email riskaeuro11@yahoo.com; lesliearchiselection@gmail.com Fax# 8651385111836
NPWP # 76.613.006.6-516.000 Email giny@euroantique.com.cn

Contact Seller
GINY

188# HEXING ROAD, NANTONG ECONOMIC & TECNOLOGICAL

DEVELOPMENT ZONE, JIANGSU. 226010 CHINA

Phone# 8651385356355, +8613485136235

Fax# 8651385111836
Email giny@euroantique.com.cn

Supplier Contact Supplier

(Please complete the missing information) (Please complete the missing information)
... ...

... ...
Phone# ... Fax# Phone# ... Fax#
Email ... Email ...

Place Inspection Contact

(Please complete the missing information)
(Please complete the missing information)
... ...

...
Inspection Requested Date (Must be filled ; Mandatory) Phone# ... Fax#
From :. . . To:. . . Email ...
 REQUEST FOR DETAILED INFORMATION
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SR No. X.02.104188
Service for Indonesia Various Goods - Various Goods: Project
SGS Business Governments and Institutions Services SR Created Date : 28/08/2018 SR Validity : 09/05/2019

Shipment Shipping Schedule

Partial Shipment Allowed Y From Stage City Country
Shipment Method SEA SHANGHAI Loading CNSHA ETD : . . .
TANJUNG EMAS
Discharge IDTES ETA : . . .
Net In Weight
Voyage : ... (Please complete the missing information)

Container
Type
LCL
Serial No

Transaction Detail
Incoterm FOB FOB
Incoterm Line Freight

Mode Of Payment Currency USD Insurance

Term Of Payment Payment As From Total Transaction 5,519.35
Documents
Category & Description External References Deliv. Date Issuance Date Issued by

Proforma Invoice No. INV001/170801/FI/EA

Goods Description
Country of Declare Item To Quantity To
Classification Declared Description
Origin Quatity Inspect Inspect

60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 3.00 MTR

TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 12.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 20.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 20.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 30.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 9.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 10.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 20.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 9.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 12.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 7.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 11.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 5.00 MTR
TEXTURED, YARN DYED
60061000 100% OF WOOL, WEFT KNIT, PLAIN WAVE, NO CN 12.00 MTR
TEXTURED, YARN DYED
58013610 67% OF ACRYLIC, 11% OF COTTON, 22% OF CN 28.20 MTR
POLYESTER, WEFT KNIT, PLAIN WAVE, NO
TEXTURED, YARN DYED
58013610 67% OF ACRYLIC, 11% OF COTTON, 22% OF CN 32.10 MTR
POLYESTER, WEFT KNIT, PLAIN WAVE, NO
TEXTURED, YARN DYED
58013610 67% OF ACRYLIC, 11% OF COTTON, 22% OF CN 47.30 MTR
POLYESTER, WEFT KNIT, PLAIN WAVE, NO
TEXTURED, YARN DYED
 REQUEST FOR DETAILED INFORMATION
4/7

SR No. X.02.104188
Service for Indonesia Various Goods - Various Goods: Project
SGS Business Governments and Institutions Services SR Created Date : 28/08/2018 SR Validity :09/05/2019
58013610 67% OF ACRYLIC, 11% OF COTTON, 22% OF CN 49.90 MTR
POLYESTER, WEFT KNIT, PLAIN WAVE, NO
TEXTURED, YARN DYED
58013610 67% OF ACRYLIC, 11% OF COTTON, 22% OF CN 88.00 MTR
POLYESTER, WEFT KNIT, PLAIN WAVE, NO
TEXTURED, YARN DYED
58013610 67% OF ACRYLIC, 11% OF COTTON, 22% OF CN 190.40 MTR
POLYESTER, WEFT KNIT, PLAIN WAVE, NO
TEXTURED, YARN DYED
58013610 67% OF ACRYLIC, 11% OF COTTON, 22% OF CN 59.60 MTR
POLYESTER, WEFT KNIT, PLAIN WAVE, NO
TEXTURED, YARN DYED
 REQUEST FOR DETAILED INFORMATION
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SR No. X.02.104188
Service for Indonesia Various Goods - Various Goods: Project
SGS Business Governments and Institutions Services SR Created Date : 28/08/2018 SR Validity : 09/05/2019

FABRIC INSPECTION CHECKLIST

INSTRUCTIONS:
It is a must to completely fill-up the form to aid HS classification and to avoid any inconvenience. Each item inspected must have a separate If

"OTHERS" was chosen it is a must to specify what the other means.

Description: ................................................................................................................................................................................
Composition : ................................................................................................................................................................................
Unit weight : ................................................................................................................................................................................
Width : ................................................................................................................................................................................
Construction : ................................................................................................................................................................................

Staple Carded Wool

Combed Wool
Yarn Type: Others, pls. specify _______
Filament High Tenacity (expressed in cN/tex = __________ cN/tex)
Textured
Nontextured

Woven Plain weave

Twill weave 2/1; 1/2 twill
3/1; 1/3 twill
2/2; cross twill
Others, pls. specify _______
Satin weave
Pile Uncut weft pile
Cut weft pile
Uncut warp pile
Cut warp pile
Chenille
Terry towelling
Others, pls. specify
________
Knitted Warp knit Tricot
Raschel
Weft knit
Pile Long pile
Fabric Type: Looped pile
Cut pile
Others, pls. specify _______

Nonwoven Felt Needleloom

Stitchbonded
Others, pls. specify _______
Other nonwoven

Other fabrics Gauzes

Tulle
Lace Mechanically-made
Hand-made
Tapestry
Embroidery With visible ground
Without visible ground
Quilted fabrics

Unbleached
Finish / Bleached
Dyed white
Treatment: Piece dyed
Yarn dyed (yarns of different colors)
Printed

Not Coated / Not Flocked

Coated / Flocked,
Coated Totally coated (1 side) Visible
Invisible
Totally coated (2 sides) Visible
Invisible
Coating / Type of coating: PVC
PU
flocking: Rubber Tyre cord Rubberized Chafer canvas
Others
Others, pls. specify _______
Others, pls. specify _______
Others, pls. specify _______

Flocked Partially coated

Totally flocked)
Partially flocked
Type of flock : _________________________
 REQUEST FOR DETAILED INFORMATION
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SR No. X.02.104188
Service for Indonesia Various Goods - Various Goods: Project
SGS Business Governments and Institutions Services SR Created Date : 28/08/2018 SR Validity :09/05/2019

PACKING SLIP /TALLY

No Of Packing Remarks No Of Packing Remarks

CONTAINER LIST

CONTAINER NUMBER SEAL NUMBER COLOUR

DATE :

(...............................)
 LETTER HEAD OF COMPANY MANUFACTURE FABRIC

KNITTED FABRIC DECLARATION SHEET

We hereby declare that the goods are manufactured at our factory. The description and other
details are as under:

VO. Number : X.02……………………….

Invoice No. : ………………………………

1. Style/Art No. : ………………………………

2. Fiber composition/content (%) : ………………%/………………%/……………..%

3. Kind of knitt (warp, weft or pile) : ………………………………

4. If pile (long, looped or cut) : ………………………………

5. Finish/treatment

 Unbleached  Dyed White  Yarn Dyed

 Bleached  Dyed  Printed

6. Width : ………………………………

7. Unit weight : ……………………………… GSM (g/m2)

8. Used for (knitted swimwear fabric or no) : ………………………………

The above particulars are true and correct

(Name, position and company stamp)

*) If having various Style/Art No, but has the same specifications, please use 1 (one) form only.