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KKiinnggddoomm ooff SSaauuddii AArraabbiiaa

Order Ref. No :

Order Receipt Date :

Internal Reference No :

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CoC No :

Issuance Date :

Page :

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Importer:

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Phone # Fax #

E-Mail

Exporter:

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Phone # Fax #

E-Mail

Place of shipment Port of destination :

Shipment Mode : Country of Supply:

FOB Value : Invoice No : Date:

Quantity Product ICS Standard /

Normative REF Registration / licence Ref.

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Remarks :

Signed:

Provided and authenticated by XXXXXXXXXXXXXXXX on Date: XXXXXXX

Issuing Office: XXXXXXXXXXXXXXXXXXXXXX

We certify that the above described goods comply with approved standards in the Kingdom of Saudi Arabia.

This certificate is issued according to the requirements of the Ministry of Commerce and Industry (MOCI) of the Kingdom of Saudi Arabia and is subject to the applicable SGS General Conditions for System, Product & Service Certification available at http://www.sgs.com/general_conditions_for_certification_services.htm .

This document does not discharge exporters from their contractual obligations in relation to quality and quantity of the goods referred to herein, nor does it discharge the exporter or the importer from exercising all their rights and discharging all their liabilities under the Contract of Sale. Stipulations to the contrary are not binding on SGS. This document does not evidence shipment.