Test Request Form

Quotation Number

       

Company Name

 

Address

 

Contact Person

 

E-Mail

   

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
Comments  
Enter Code