IAQ 实验室认可认证申请表格

APPLICANT DETAILS 申请者信息

Company Name 公司名称*
Co. Reg. No. 注册号码*
Nature of Business 企业性质*
Address 地址*
Telephone No. 电话号码*
Email Address 电邮*
Website 网址*

PERSONAL INFORMATION 个人信息

Contact Person 联系人名字*
Designation 职称*
Mobile No. 电话*
IC No. 身份证号*
Email Address 电邮*
Gender 性别*

CATEGORIES 项目

Alcohol free 不含酒精Aluminium free 不含铝Lead free 无铅Paraben free 不含对羟基苯甲酸酯Phosphate free 不含磷酸盐Soy free 不含大豆Sulphate free 不含硫酸盐Cadmium free 无镉Gluten free 不含麸质Low fat 低脂肪Mercury free 不含水银/汞Phthalate free 不含邻苯二甲酸盐Sugar free 无糖Vegan 素食
Name of brand 品牌*
Specify broad category that your brand qualifies (e.g. food & beverage, consumer product, etc.)
所符合的广泛类别（例如食品和饮料，消费品等）*
Specify sub- category for (e.g. food & beverage – coffee/ tea, if applicable)
所符合的广泛类别（例如食品和饮料，消费品等）
Place of origin 原产地*
1 Team Photo 1张团队照片
Co. Registration Certificate 商业注册证明
Company Logo in .ai File / .png File 公司商标
1 Corporate Photo 1 张企业照片
1 Personal High Res Photo (Full Body) 1 张高清全身照
1 Product Photo 1张产品照片

Note 备注

Application fee for each application is USD 750.00 / MYR 3000 / RMB 4750.
每份申请的申请费为750美元/ 3000马币/ 4750元。
Kindly write your company name on the bank-in-slip and fax or email it to: +603-8079 0497 / certified@myiaqcertified.com
请在银行存折上写下您的公司名称并传真或通过电子邮件发送至： +603-8079 0497 / certified@myiaqcertified.com
Application fees is non-refundable.
申请费不予退还。
Applicant will receive the results within 2 weeks of submission.
申请人将在提交后2周内收到结果通知。
If the application is successful, applicant need to arrange a time and place for the presentation ceremony.
如申请成功，申请人需要安排时间和地点参加颁发仪式。

ADDITIONAL BENEFITS OF THE IAQ’S LABORATORY CERTIFICATION AND ACCREDITATION IAQ 实验室认可认证附加利益
Entitlement to use the related IAQ’s Laboratory Certification and Accreditation logo as your corporate marketing materials. 有权使用IAQ实验室认可认证标志作为您的企业营销材料。 An analysis report will be given by email. 检测报告将透过电邮发出。 A certificate will be presented on any occasion organized by applicant. 一张证书将在申请人主办的任何场合上颁发。 Recipients name and/or company name will be able to search on the IAQ Website (www.myiaqcertified.com). 成功申请者姓名和/或公司名称将能够在IAQ网站（www.myiaqcertified.com）上进行搜索。 Winning News will publish on the IAQ Facebook (@iaqcertified) and the IAQ Website (www.myiaqcertified.com) (Searchable on Google). 获证新闻将发布在IAQ Facebook面子书（@iaqcertified）和IAQ网站（www.myiaqcertified.com）（可在Google上搜索）。 Short Introduction on the Southeast Asia Top 1 Chinese Business Magazine Magazine Facebook Page @tclmagz. 简短介绍在东南亚第一中文商业杂志《企业总裁》杂志面子书专页@tclmagz. Enjoy special advertising rate from HWT Group Media for a period of one year. 享有HWT Group 旗下媒体的特别广告价格，为期一年。 Opportunity to network with other leading entrepreneurs, key government officials, and sponsors, through the event organize by the International Association for the Advancement of Quality. 通过国际品质促进协会主办的活动，与其他领先企业家，主要政府官员和赞助商建立联系的机会。 Opportunity to join the courses that organize by the International Association for the Advancement of Quality. 有机会参加国际品质促进协会主办的课程。

ADDITIONAL BENEFITS OF THE IAQ’S LABORATORY CERTIFICATION AND ACCREDITATION
IAQ 实验室认可认证附加利益

Entitlement to use the related IAQ’s Laboratory Certification and Accreditation logo as your corporate marketing materials.
有权使用IAQ实验室认可认证标志作为您的企业营销材料。
An analysis report will be given by email.
检测报告将透过电邮发出。
A certificate will be presented on any occasion organized by applicant.
一张证书将在申请人主办的任何场合上颁发。
Recipients name and/or company name will be able to search on the IAQ Website (www.myiaqcertified.com).
成功申请者姓名和/或公司名称将能够在IAQ网站（www.myiaqcertified.com）上进行搜索。
Winning News will publish on the IAQ Facebook (@iaqcertified) and the IAQ Website (www.myiaqcertified.com) (Searchable on Google).
获证新闻将发布在IAQ Facebook面子书（@iaqcertified）和IAQ网站（www.myiaqcertified.com）（可在Google上搜索）。
Short Introduction on the Southeast Asia Top 1 Chinese Business Magazine Magazine Facebook Page @tclmagz. 简短介绍在东南亚第一中文商业杂志《企业总裁》杂志面子书专页@tclmagz.
Enjoy special advertising rate from HWT Group Media for a period of one year.
享有HWT Group 旗下媒体的特别广告价格，为期一年。
Opportunity to network with other leading entrepreneurs, key government officials, and sponsors, through the event organize by the International Association for the Advancement of Quality.
通过国际品质促进协会主办的活动，与其他领先企业家，主要政府官员和赞助商建立联系的机会。
Opportunity to join the courses that organize by the International Association for the Advancement of Quality.
有机会参加国际品质促进协会主办的课程。

BANKING DETAILS 汇款信息
Bank Country 银行国家	Malaysia
Bank Name 银行名称	Malayan Banking Berhad (Putra Indah Branch)
Bank Address 银行地址	G-M Floor, Wisma Ssp, 1, Jalan Sr 8/3, Taman Serdang Raya, 43300 Seri Kembangan, Selangor, Malaysia.
Bank Account Name 银行户口名称	Pertubuhan Kemajuan Kualiti Int’l
Bank Account No. 银行户口号	5126 6106 1860

I acknowledge that I have read and agree to the above Terms and Condition, IAQ Agreement, IAQ Standard Terms of Business, IAQ Privacy Policy.
我承认我已阅读并同意上述条款和条件，IAQ协议，IAQ标准业务条款，IAQ隐私政策。