Test Request Form

Quotation Number


Company Name




Contact Person




Phone No.


Mobile No.


Sample Information

SNoSample DetailsPhysical Description / Size / Material / QtyTest RequiredSpecification (if any) 
1 Remove
Note:As I do not want to get additional tests as recommended by you, I request you to book the job as per my requirement only.
  • As the sample is just sufficient for the required tests, it is agreed that I will not ask for future retesting /replicate testing.
  • As I am not conversant with the standards or codes to be followed for above sample. I authorize you to conduct test by any suitable code according to your experience.
  • I agree to pay full charges before collection of report.
  • I agree that sample will be destroyed after testing.
Payment Mode Report Collection
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