QUEST 3+

??Market Sampling Application (Unregistered User)

Company Name *

Phone No. *

Fax No. *

Email *

Company Address *

Company Registration Letter *
- File type *.jpg or *.pdf only. File size must not exceed 2 MB

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Notes:: 1. If you wish to add product(s), please fill in the product particulars and click "Add" button.; 2. To remove the product, please click "REMOVE" button.

1. Source of Product :

Imported Product

Locally Manufactured

2. Product Name

(Product name shall include trade mark/brand name together with an invented name. Example: ABC Whitening Cream)

(If you copy product name from other resource, kindly not include white space at the beginning or the product name would not be paste. Example: 'ABC Whitening Cream', NOT as ' ABC Whitening Cream')

3. Quantity to be imported/manufactured

4. Packaging Type

5. Pack Size

Per Unit

Add Items

List of Product(s)

Product Name	Quantity	Pack size per Unit
DENTI.ME Mouth Spray 15ml	10 bottle	15 ml
YQ==	1 ampoule	1 ml
Q2hyaXN0b3BoZSUyMFJvYmluJTIwY2xlYW5zaW5nJTIwcHVyaWZ5aW5nJTIwc2NydWIlMjAlMjYlMjBoYWlyJTIwbWFzayUyMA==	3 tube	1.76 ml

I hereby declare that the ingredients used in the product formulation are permitted under the current laws and regulations and will abide to all requirements of Guidelines for Control of Cosmetic Products in Malaysia.