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TEST REQUEST FORMAT |
No. |
TRF/1037
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Date |
25-09-2020
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Company Name : |
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Contact Person : |
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Billing Address : |
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Report to be on (if different than the above given name & address) |
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Name : |
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Address : |
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Sample Name : |
No. of Sample Submitted : |
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Marks on the sample (if any) : |
Work order/quotation No : |
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Batch no./ Lot No. : |
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MFG Date : 01-01-1970 |
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EXP Date/Best Before : 01-01-1970 |
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Report to be sent by : |
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Testing Parameter Details |
Sample No. |
Laboratory |
Sample |
Parameter |
Process |
Min Qty. |
Sample No. |
Charges |
1.a. |
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1.b. |
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1.c. |
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1.d |
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1.e. |
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1.f. |
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1.g. |
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1.h. |
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1.i. |
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1.j. |
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2.a. |
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2.b. |
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2.c. |
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2.d. |
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2.e. |
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2.f. |
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2.g |
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2.h. |
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2.i. |
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2.j. |
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3.a. |
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3.b. |
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3.c. |
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3.d. |
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3.e. |
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3.f. |
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3.g. |
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3.h. |
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3.i. |
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3.j. |
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4.a. |
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4.b. |
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4.c. |
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4.d. |
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4.e. |
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4.f. |
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4.g. |
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4.h. |
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4.i. |
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4.j. |
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5.a. |
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5.b. |
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5.c. |
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5d. |
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5.e. |
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5.f. |
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5.g. |
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5.h. |
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5.i. |
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5.j. |
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6.a. |
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6.b. |
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6.c. |
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6.d. |
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6.e. |
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6.f. |
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6.g. |
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6.h. |
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6.i. |
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6.j. |
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7.a. |
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7.b. |
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7.c. |
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7.d. |
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7.e. |
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7.f. |
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7.g. |
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7.h. |
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7.i. |
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7.j. |
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8.a. |
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8.b. |
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8.c. |
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8.d. |
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8.e. |
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8.f. |
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8.g. |
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8.h. |
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8.i. |
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8.j. |
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9.a. |
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9.b. |
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9.c. |
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9.d. |
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9.e. |
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9.f. |
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9.g. |
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9.h. |
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9.i. |
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9.j. |
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10.a. |
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10.b. |
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10.c. |
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10.d. |
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10.e. |
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10.f. |
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10.g. |
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10.h. |
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10.i. |
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10.j. |
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0
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* Addition 18% GST will be charged extra on the total amount payable |
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Name |
Designation |
Company |
Mobile |
Email |
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