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Gi) ANGLIA INTERNATIONAL SERVICES LIMITED RC: 326988 ; DATE: / ji REQUEST FOR INFORMATION (R F 1) NXP NO.: EXPORTER TO COMPLETE BOXES 1-5 AND SUBMIT WITH THE FORM AND RELATED DOCUMENTS, AT THE ANGLIA AREA OFFICE NEAREST TO THE POINT OF INSPECTION. BOX 1 EXPORTER'S NAME: EXPORTER’S FULL ADDRESS: EXPORTER'S CONTACT/REPRESENTATIVE: IMPORTER'S NAME/ADDRESS: EXPORTER'S CONTACT TELEPHONE NO: PLEASE NOTE - INCOMPLETE INFORMATION COULD CAUSE DELAY IN PROCESSING THE CERTIFICATE OF INSPECTION BOX 2 FULL DESCRIPTION OF GOODS TO BE INSPECTED: PLEASE NOTE - COPIES OF CERTIFICATES OR ANALYSIS ISSUED BY RELEVANT AGENCIES MUST BE PROVED. BOX 3 FULL ADDRESS WHERE GOODS ARE TO BE INSPECTED: CONTACT NAME: CONTACT TELEPHONE NUMBER: PLEASE NOTE - INCOMPLETE INFORMATION REGARDING LOCATION FOR INSPECTION COULD CAUSE DELAY. BOX 4 DATE WHEN GOODS WILL BE AVAILABLE FOR INSPECTION: PLEASE NOTE - THE INSPECTION COMPANY IS TO BE GIVEN AT LEAST 10 DAYS NOTICE PRIOR TO. THE PROPOSED DATE OF THE PRESHIPMENT INSPECTION BOX 5 PROPOSED PORT OF SHIPMENT: PORT OF DESTINATION: PROPOSED DATE OF SHIPMENT: FOR OFFICIAL USE ANGLIA INTERNATIONAL SERVICES LIMITED BOX 6 INSPECTION FINDINGS: BOX 7 DATE OF INSPECTION: TIME OF COMPLETION: EXPORTER’S REPRESENTATIVE:—__ POSITlION_____ SIGNATURE ANGLIA INTERNATIONAL SERVICES LTD. INSPECTOR:————_——_—____—______________SIGNATURE:  PAGE 2 ener LAT RC: 326983 DATE: / | ANGLIA INTERNATIONAL SERVICES LIMITED / REQUEST FOR INFORMATION (R F 1) NXP NO.: | SUPPLEMENTARY INFORMATION 1. NXP FORM LODGED AT AREA OFFICE: TICK LAGOS OFFICE Plot 1709 Olugbosi Close off Bishop Oluwole Street Victoria Island, Lagos. KANO. 8 SARDAUNA CRESCENT, OFF LAMIDO CRESCENT, KANO STATE 2. LIST OF ADDITIONAL DOCUMENTS BEING LODGED 3. C.Cl. TO BE COLLECTED AT: PLEASE NOTE 1. PROVIDED INSPECTION FINDINGS ARE SATISFACTORY, EXPORTER'’S C.C.1. WILL BE ISSUED AT AREA OFFICE 48 HOURS FROM COMPLETION OF INSPECTION OR 2. AT BRANCH OFFICE 72 HOURS FROM COMPI FTION OF INSPECTION TICK LAGOS OFFICE Plot 1709 Olugbosi Close off Bishop Oluwole Street Victoria Island, Lagos. KANO. 8 SARDAUNA CRESCENT, OFF LAMIDO CRESCENT, KANO STATE BRANCH OFFICE: (SPECIFY — SEE UIST) vs .csssesscevecsiescvcassesrtaus