7/30/2019 General New
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TextileTestRequisitionForm Form No:Service Required: Regular
Express (40% Surcharge) Shuttle* (100% Surcharge) Same Day*(150%
Surc
(3 Working Days) (1 Working Day) (8 Working Hour)*Available for
Certain Tests Only
Applicant H. Nizam Din & Sons :Address : P.O. Box63, D/64,
S.I.T.E. Karachi Pakistan
Contact Person: Ms. Sadia Mukhtar Mobile:03032117713Telephone:
021-32578095-8 Fax: 32563115Email: [email protected]
I nvoice to Applicant Yes / No
Official Use Only
Rpt. No.:
A/ C No.:
Please Charge to Company Name: Contact Person:Address:
Fax:Email: Phone: Fax:
Sample Information (Please fill in information and Tick
Appropriate Boxes)
Buyer: Contact Person:Agent: Manufacturer:Sample Description:
Two Different Supplier Rib Stop Quality (1) Sapphire (2) Madina
Color NaturaStyle No: Fiber ContenPO No: Fabric/Garment
Weight:Product End Use Men Women Children Infant
Care I nstructi on and / Or Symbols :Additional Care I
nstruction :
Test( s) Required: (Please Fill In Information and Tick
Appropriate Boxes)
Dimensional Stability (Shrinkage) Washing PhysicalTensile
Strength (Woven Only) Eco Test Azo DyesDry Cleaning Tear Strength
(Woven Only) Individual Test
Appearance Retent ion Seam Strength (Woven Only) Mixed TestAfter
Washing Seam Slippage (Woven Only)After Dry Cleaning Bursting
Strength (Knit Only)
Color Fastness Pilling Resistance I s this Re-Test?Washing
AbrasionResistance Yes, Previous Report No is:Actual laundering
Thread per Inch / Stitch DensityDry Cleaning Yarn Count Oth er
Tests (Please Indicate test Method if Possible Perspiration Fabric
Weight Special Request):Water FormaldehydeLight PH ValueRubbing /
Crocking Flammability
Fiber Content Test Met hod Reference to:Care Label
Recommendation AATC ISO (International)
BS UK Other S ecif :Exportedto/Market:
Comm ent s on Test Result s: Yes No (Please See Note 5)Return
Samples: No Remained Tested AllReport Deliver y Service: Yes NoWe
request for the above tests and agree that all testing will be
carried out subject to INTERTEK PAKISTAN (PRIVATE) LIMITED scale of
charges as set forth in their prevale
price list of which we have seen a copy and upon and subject to
the te rms and conditions set out hereon.
Authorized SignatureAnd Company Chop: Date:
* Terms and Conditions app ly, for any query contact Intertek
Pakistan Pvt Ltd.
Intertek Pakistan (Private) Limited,
First Floor, S/94-A, S.I.T.E., Karachi-PakistanTelephone: +92
(21) 32590157, 32590156, 32590155, Facsimile: +92 (21) 32590172
E-Mail: [email protected],
Website:www.intertek.com
mailto:[email protected]://www.intertek.com/http://www.intertek.com/http://www.intertek.com/http://www.intertek.com/mailto:[email protected]
