VerificationEst. 10–20 min17 fields

Supplier Verification Request Form

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Instructions

Submit this form to request a supplier verification assessment. GSR ASEAN will conduct a documentary review and, where applicable, a physical site visit. Turnaround time is 7–14 business days.

*Fields marked with an asterisk are required (11 required fields)

Section 1 — Requesting Party

Requesting Company Name*

Contact Person*

Email Address*

Phone Number*

Section 2 — Supplier Details

Supplier Company Name*

Supplier Country*

Supplier Address*

Supplier Contact Person

Supplier Email

Section 3 — Verification Scope

Verification Scope Required

Products to be Verified*

Urgency Level

Additional Notes or Special Requirements

Section 4 — Supporting Documents

Supplier Documents (if available)

Click to upload (.pdf, .jpg, .png)

Any existing certificates, test reports, or company profiles

Section 5 — Declaration

I/We confirm that this verification request is made in good faith for legitimate business purposes. I/We consent to GSR ASEAN contacting the named supplier as part of the verification process.

Full Name*

Date*

Signature*

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By submitting this form, you confirm that all information provided is accurate and complete to the best of your knowledge.

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