Textile Test Requisition Form

Service Required:
*Available for Certain Tests Only

Form No:
Same Day*(150% Surcharge) (8 Working Hour)

Regular

Express (40% Surcharge) (3 Working Days)

Shuttle* (100% Surcharge) (1 Working Day)

Applicant H. Nizam Address : 63, D/64, S.I.T.E. Karachi Pakistan Contact Person: Ms. Sadia Mukhtar Telephone: 021-32578095-8 Email: Invoice to Applicant Yes / No Please Charge to Company Name: Address: Email:

Din

&

Sons

: P.O. Box

Official Use Only Rpt. No.: A/C No.:

Mobile:03032117713 Fax: 32563115 lab@nizamcanvas.com

Contact Person: Fax: 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 Style No: PO No: Product End Use Natural Fiber Content: Infant

Men

Fabric/Garment Weight: Women Children

Care Instruction and / Or Symbols : Additional Care Instruction : Test(s) Required: (Please Fill In Information and Tick Appropriate Boxes) Dimensional Stability (Shrinkage) Physical Appearance Retention Color Fastness
After Washing After Dry Cleaning Washing Dry Cleaning Tensile Strength (Woven Only) Tear Strength (Woven Only) Seam Strength (Woven Only) Seam Slippage (Woven Only) Bursting Strength (Knit Only) Pilling Resistance Abrasion Resistance Thread per Inch / Stitch Density Yarn Count Fabric Weight Formaldehyde PH Value Flammability Fiber Content Care Label Recommendation Yes No Yes No (Please See Note 5) Remained No

Eco Test
Azo Dyes Individual Test Mixed Test

Is this Re-Test?

Washing Actual laundering Dry Cleaning Perspiration Water Light Rubbing / Crocking

Yes, Previous Report No is:

Other Tests (Please Indicate test Method if Possible or

Special Request):

Test Method Reference to:

AATC BS (UK) Exported to / Market: Tested ISO (International) Other (Specify): All

Comments on Test Results: Return Samples: Report Delivery Service:

We 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 prevalent price list of which we have seen a copy and upon and subject to the terms and conditions set out hereon.

Authorized Signature And Company Chop:

* Terms and Conditions apply, for any query contact Intertek Pakistan Pvt Ltd.

Date:
Intertek Pakistan (Private) Limited, First Floor, S/94-A, S.I.T.E., Karachi-Pakistan Telephone: +92 (21) 32590157, 32590156, 32590155, Facsimile: +92 (21) 32590172 E-Mail: Labtest.Pakistan@intertek.com, Website: www.intertek.com

(SOP/SYS/02-FOM/001/Rev.01) For More detail check my e-mail.