TEST REQUEST FORMAT
No. TRF/1027



Date 02-09-2020








Company Name :








Contact Person :








Billing Address :








Report to be on (if different than the above given name & address)








Name :








Address :








Sample Name : No. of Sample Submitted :








Marks on the sample (if any) : Work order/quotation No :








Batch no./ Lot No. :













MFG Date : 01-01-1970


EXP Date/Best Before : 01-01-1970









Report to be sent by :












Testing Parameter Details
Sample No. Laboratory Sample Parameter Process Min Qty. Sample No. Charges
1.a.






1.b.






1.c.






1.d






1.e.






1.f.






1.g.






1.h.






1.i.






1.j.






2.a.






2.b.






2.c.






2.d.






2.e.






2.f.






2.g






2.h.






2.i.






2.j.






3.a.






3.b.






3.c.






3.d.






3.e.






3.f.






3.g.






3.h.






3.i.






3.j.






4.a.






4.b.






4.c.






4.d.






4.e.






4.f.






4.g.






4.h.






4.i.






4.j.






5.a.






5.b.






5.c.






5d.






5.e.






5.f.






5.g.






5.h.






5.i.






5.j.






6.a.






6.b.






6.c.






6.d.






6.e.






6.f.






6.g.






6.h.






6.i.






6.j.






7.a.






7.b.






7.c.






7.d.






7.e.






7.f.






7.g.






7.h.






7.i.






7.j.






8.a.






8.b.






8.c.






8.d.






8.e.






8.f.






8.g.






8.h.






8.i.






8.j.






9.a.






9.b.






9.c.






9.d.






9.e.






9.f.






9.g.






9.h.






9.i.






9.j.






10.a.






10.b.






10.c.






10.d.






10.e.






10.f.






10.g.






10.h.






10.i.






10.j.







0






* Addition 18% GST will be charged extra on the total amount payable








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