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Request Form for Testing - JFRL

Request form for Testing Please fill in the form below, after having read and accept the General Conditions of Testing Service on page 3. ( Accept JFRL Agreement). Test No. Date (use by JFRL). (use by JFRL). Payment Information Client Information (If it differs from Client information). Company name Address Department Email @ Contact Person Mr. / Ms. Mr. / Ms. Phone/. Facsimile / FAX / FAX. Test Report Information (If it differs from above Client information). Client Company name Company name in certificates/reports cannot be changed once they are issued.

Request Form for Testing (Nov 2017) Test No. (use by JFRL) No. Sample name Sample name in certificates/reports cannot be changed once they are issued

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