TÜV Rheinland Bangladesh Pvt. Ltd.

Plot 17, Road 113/A, Alauddin Tower (5th-8th Floor) Gulshan-2, Dhaka-1212, Bangladesh
Tel + 88 02 2222 94904, e-mail: info-bd@bd.tuv.com

Free Sample Pick-up Facility: Cell: +8801755551893,

Email: login.tuv@bd.tuv.com; BD-KAM-ProjectManagement@bd.tuv.com

TEST REQUEST FORM

(*) Marked areas are mandatory to fill
*Service Type ☐ Regular ☐ Express (40% surcharge) ☐ Urgent (100% surcharge)
(4 Working Days) (2 Working Days) (24 Hours)
Nickel Release test takes 9-10 days by its nature of testing
*Applicant      
Laboratory’s Use Only
Details
Report. No.:
*Address      
*Contact Person       *Mob       Log in Date:
Telephone       Fax       Due Date:
*E-mail      
*Invoice To :       *Contact      
Person:
*Address:      
*Tel/ Mobile:       Fax:       *E-mail:      
*Sample Information (Please fill in information and tick appropriate boxes)
*Buyer Name       Agent       Manufacturer      
*Sample Description       *No. of Sample       *Fibre      
Content
*Style No.       Article No       *PO No.      
*Colour Names      
Fabric / Garment       Export to /       *End Use of      
Weight Market Product
*Size/ Age Range ☐ Men ☐ Woman ☐ Children ☐ Infant Season Dye Type
Choose an
Finish Type Choose an item. Fabric Type Choose an Print Type
Choose an
Other Care Instructions:      
*Care Symbols:

*Test(s) Required: (Please fill/ tick appropriate boxes) Is this a Re-Test? Yes, previous report no. Is      

Chemical Tests: Colour Fastness: Physical Tests:

☐ Azo ☐ Total Lead Content ☐ Washing Dimensional Stability (Shrinkage):
☐ Tear Strength (Woven only)
☐ PH Value ☐ CPSC Lead ☐ Dry-clean ☐ Washing No. of wash      
☐ Tensile Strength (Woven ☐ Dry-clean No. of cycle      
☐ Formaldehyde Content ☐ Cadmium Content ☐ Perspiration only)
☐ Formaldehyde Spot ☐Extractable Heavy metal ☐ Water ☐ Seam Strength (Woven only)
☐ Phthalate ☐ Total Heavy metal ☐ Light (Grade:      ) ☐ Seam Slippage (Woven only) Appearance Retention:
☐ CPSC Phthalate Content ☐ Rubbing/ Crocking ☐ Bursting Strength (Knit only) ☐ After Washing No. of wash      
☐ PCP /TeCP/ TCP ☐ Nickel Spot ☐ Chlorine bleach ☐ Pilling Resistance ☐ After Dry-clean No. of cycle      
(Chlorophenols) ☐ Nickel release ☐ Non-Chlorine bleach ☐ Abrasion Resistance
☐ PAH’s ☐ Chromium VI ☐ Saliva ☐ Thread count/ Stitch Density ☐ Spirality/ No. of wash      
☐ Allergenic dyes ☐ Organotin ☐ Ozone ☐ Yarn Count Twisting
☐ Carcinogenic dyes ☐ SCCP ☐ Solar UV protection ☐ Fabric Weight ☐ Skew & Bow
☐ COC ☐ CMR Test Package ☐ Phenolic Yellowing ☐ Zipper Strength
☐ DMFu ☐ Antimicrobial & Biocides ☐ Light & Perspiration ☐ Small Parts Print Durability:
☐ DMFa ☐ Chrome pigment ☐ Saliva & Perspiration ☐ Print Durability No. of wash      
☐ Sharp point/ Sharp Edge
☐ PFOA/PFOS
☐ AP/ APEO
☐ Triclosan
☐ Bisphenol- A
☐ Chlorinated water
☐ CF to Hot Pressing
☐ Care Label recommendation Note: For additional info.
☐ Care label verification
☐ PVC ☐ Siloxanes ☐ CF to Sea Water ☐ Pull / Attachment strength
☐ Navy Blue ☐ VOC Flammability Tests: ☐ Snapping/ Un-snapping of
☐ Corrosion Resistance/ ☐ VCM ☐ Flammability- Snap Fasteners
Rust Free ☐ Heavy metal in Please specify method ☐ Torque test
☐ SCCP/ MCCP Packaging ☐ ISO 14878 ☐ Snagging
☐ Flame retardant ☐ Thiourea ☐ 16CFR1610 ☐ Stretch & Recovery
☐ OPP ☐ AEEA ☐ 16CFR1615/1616 ☐ Spray test
☐ BHT ☐ UV Absorber ☐ Fibre content/ Composition
☐ Nitrosamine

Other Tests please mention on below:       Fabric Type: ☐ Coating ☐ without coating
(Please indicate test method or special request )
Method to be used: ☐ ISO/BS/EN ☐ AATCC/ASTM ☐ AS ☐ DIN ☐ JIS ☐ CAN ☐ Other (Please Specify):      
Composite Tests: ☐ No ☐ Yes (If composite test failed, individual test will be performed and charged separately)
If necessary, some of above tests will be subcontracted to TÜV RHEINLAND OTHER LOCATION ☐ Agree ☐ Disagree
Return Samples (applicant pays delivery fee): ☐ Remain Sample ☐ Tested Sample
We request for the above tests and agree that all testing will be carried out subject to TÜV Rheinland Bangladesh Pvt. Ltd’s 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 and overleaf.

Authorized Signature and Company Chop 0rolr

(P.T.O./ See the next page for General Terms and Conditions )
Date:      

The laboratory apply decision rule for giving statement of conformity considering measurement of uncertainty at 95% confidence level
1. To avoid delays, the applicant has to fill the test request form clearly.
2. There is a minimum charge of USD 5 + applicable VAT & Tax per report issued.
3. The test results for above items will be described in one report.
4. Please see General terms & conditions

Appendix 4 of MS-0044086, Rev 3 Page 1 of 3

 General Terms and Conditions of Business of TÜV Rheinland
Bangladesh Pvt. Ltd.

1 Scope Ltd. as indicated on the invoice, stating the

4.5 In the case of inspection work, TÜV invoice and customer numbers.
1.1 The following terms and conditions apply to Rheinland Bangladesh Pvt. Ltd shall not be
agreed services including testing, responsible for the accuracy or checking of 8.3 In cases of default of payment,
Inspection, consultancy services, the safety programs or safety regulations TÜV Rheinland Bangladesh Pvt. Ltd shall
information, deliveries and similar services on which the inspections are based, unless be entitled to claim default interest at a
as well as ancillary services and other otherwise expressly agreed in writing. rate of 18% p.a. At the same time, TÜV
secondary obligations provided within the Rheinland Bangladesh Pvt. Ltd. deserves
scope of contract performance. the right to claim further damages.
5 Performance periods/dates
1.2 If there is any conflict between these 8.4 Should the client default in payment of
terms and conditions and the client’s 5.1 The contractually agreed periods and
the invoice despite being granted a
General Terms and Conditions of Business, dates of performance are based on
reasonable grace period, TÜV Rheinland
including the client’s Terms and Conditions estimates of the work involved which are
Bangladesh Pvt. Ltd shall be entitled
of Purchasing, if any, these terms and prepared in line with the details provided
to cancel the contract, withdraw the
conditions shall apply. No contractual by the client. They shall only be binding if
certificate, claim damages for non-
terms and conditions of the client shall confirmed as binding by TÜV Rheinland
performance and refuse to continue
form part of the contract unless specifically Bangladesh Pvt. Ltd. in writing
performance of the contract. TUV
referred to or incorporated in the Rheinland Bangladesh Pvt. Ltd also reserves
documents forming the contract with the 5.2 If binding periods of performance have
the right to publish the names of
client. been agreed, these periods shall not
defaulting clients in public domain as
commence until the client has
may be fit and also meet any other
2 Quotations submitted all required documents to
requirements as prescribed by
TÜV Rheinland Bangladesh Pvt. Ltd This
2.1 Unless otherwise agreed, all quotations accreditation agencies/bodies.
also applies, even without express
submitted by TÜV Rheinland Bangladesh
approval by the client, to all
Pvt. Ltd shall be subject to change 8.5 The provisions set forth in article 8.4 shall
extensions of agreed dates for performance
without notice. also apply in cases involving returned
not caused by TÜV Rheinland Bangladesh
cheques, cessation of payment, and
Pvt. Ltd.
commencement of insolvency proceedings
3 Coming into effect and duration of against the client’s assets or cases in which
contracts the commencement of insolvency
6 The client’s obligation to cooperate
proceedings has been dismissed due to lack
3.1 The contract shall come into effect for the
6.1 The client shall guarantee that all of assets.
agreed term upon the quotation letter of
TÜV Rheinland Bangladesh Pvt. Ltd or a cooperation required on its part, its
agents or third parties will be provided in 8.6 Objections to the invoices of TÜV Rheinland
separate contractual document being
good time and at no cost to TÜV Bangladesh Pvt. Ltd shall be submitted in
signed by both contracting parties, or
Rheinland Bangladesh Pvt. Ltd. writing within two weeks of receipt of
upon the works requested by the client
the invoice.
being carried out by TÜV Rheinland
Bangladesh Pvt. Ltd 6.2 Design documents, supplies, auxiliary staff,
etc. necessary for performance of the 8.7 TÜV Rheinland Bangladesh Pvt. Ltd shall
If the client instructs TÜV Rheinland
services shall be made available free be entitled to demand appropriate advance
Bangladesh Pvt. Ltd. without receiving a
of charge by the client. Moreover, payments.
prior quotation from TÜV Rheinland
Bangladesh Pvt. Ltd (quotation), TÜV collaborative action of the client must be
undertaken in accordance with legal 8.8 TÜV Rheinland Bangladesh Pvt. Ltd shall be
Rheinland Bangladesh Pvt. Ltd is – in its
provisions, standards, safety regulations entitled to raise its fees at the beginning of a
sole discretion – entitled to accept the
and accident prevention instructions. month if overheads and/or purchase costs
order by giving written notice of such
have increased. In this case, TÜV Rheinland
acceptance (including notice sent via
6.3 The client shall bear any additional Bangladesh Pvt. Ltd shall notify the client in
electronic means) or by performing the
cost incurred on account of work having writing of the rise in fees. This notification
requested services.
to be redone or being delayed as a shall be issued one month prior to the date
result of late, incorrect or incomplete on which the rise in fees shall come into
3.2 The contract term starts upon the coming
information or lack of proper cooperation. effect (period of notice of changes in fees). If
into effect of the contract in accordance
Even where a fixed or maximum price is the rise in fees remains under 5% per
with article 3.1 and shall continue for
agreed, TÜV Rheinland Bangladesh Pvt. contractual year, the client shall not have
the term agreed in the contract.
Ltd shall be entitled to charge extra for any special right of termination. If the rise in
such additional expense. fees exceeds 5% per contractual year, the
4 Scope of services client shall be entitled to terminate the
4.1 The scope of the services shall be contractual relationship by the end of the
decided solely by a unanimous 7 Invoicing of work period of notice of changes in fees. If the
declaration issued by both parties. If no contract is not terminated, the changed fees
7.1 If the scope of performance is not laid shall be deemed to have been agreed upon
such declaration exists, then the written down in writing when the order is placed,
confirmation of order by TÜV Rheinland expiry of the above period.
invoicing shall be based on costs
Bangladesh Pvt. Ltd shall be decisive. incurred. If no payment is agreed in 8.9 Only legally established and undisputed
writing, invoicing shall be in accordance claims may be offset against claims by TÜV
4.2 The agreed services shall be performed with the TÜV Rheinland Bangladesh Pvt.
in compliance with the regulations in Rheinland Bangladesh Pvt. Ltd.
Ltd. price list valid at the time of
force at the time the contract is entered performance.
into. 8.10 Any audit schedule cancelation prior to the
specified days after payment confirmation
7.2 Unless otherwise agreed, work shall be the cancelation rules to be followed as
4.3 Furthermore, TÜV Rheinland Bangladesh invoiced according to the progress of the
Pvt. Ltd is entitled to determine (in its stated on the quotation.
work.
sole discretion) the method and nature
of the assessment unless otherwise 8.11 In case of cancel an audit schedule, the
7.3 If the execution of an order extends received payment can be adjusted with next
agreed in writing or if mandatory over more than one month and the
provisions require a specific procedure to audit fees within 6 months after the audit
value of the contract or the agreed fixed cancelation.
be followed. price exceeds €2,500.00) converted into
Bangladeshi Taka at the prevailing
4.4 On execution of the work there shall be no exchange rates TÜV Rheinland Bangladesh 9 Acceptance
simultaneous assumption of any guarantee Pvt. Ltd may demand payments on account 9.1 Any part of the work ordered which
of the correctness (proper quality) and or in instalments. is complete in itself may be presented by
working order of either tested or examined
TÜV Rheinland Bangladesh Pvt. Ltd. for
parts nor of the installation as a whole and
acceptance as an instalment. The client
its upstream and/or downstream 8 Payment terms shall be obliged to accept it immediately.
processes, organizations, use and
application in accordance with regulations, 8.1 All invoice amounts shall be due
for payment on receipt of the invoice, 9.2 If the client fails to fulfil its
nor of the systems on which the
subject only to statutory deductions as acceptance obligation immediately,
installation is based; in particular, no
per applicable tax laws. No discounts shall acceptance shall be deemed to have
responsibility shall be assumed for the
be granted. taken place 4 calendar weeks after
construction, selection of materials and
performance of the work if TÜV Rheinland
assembly of installations examined, nor for
8.2 Payments shall be made to the bank Bangladesh Pvt. Ltd. has specifically made
their use and application in accordance
account of TÜV Rheinland Bangladesh Pvt. the client aware of the aforementioned
with regulations unless these questions are
deadline upon performance of the service.
expressly covered by the contract.

Issued on February 2021 Page 2 of 3

 General Terms and Conditions of Business of TÜV Rheinland
Bangladesh Pvt. Ltd.

receiving party hereby agrees to e) Unless prior instruction TRBD will

10 Confidentiality immediately dispose the Tested samples and
specimens without further notice after 3
10.1 For the purpose of this agreement,
a) return all confidential information, months from the received date of any
“confidential information” means all
including all copies, to the disclosing samples
information, documents, images, drawings,
know-how, data, samples and project party, and/or on request by the
documentation which one party (the disclosing party, to 12.2 TÜV Rheinland Bangladesh Pvt. Ltd shall not
“disclosing party”) hands over, transfers or b) destroy all confidential information, be liable for personnel made available by
otherwise discloses to the other party (the including all copies, and confirm the the client to support TÜV Rheinland
“receiving party”). Confidential information destruction of this confidential Bangladesh Pvt. Ltd in the performance of its
also includes paper copies and information to the disclosing party in services regulated under this contract. The
electronic copies of such information. writing, at any time if so requested by client shall indemnify TÜV Rheinland
the disclosing party but at the latest and Bangladesh Pvt. Ltd against any claims
10.2 The disclosing party shall mark all without special request after termination made by third parties for all loss that may be
confidential information disclosed in or expiry of this contract. This does not caused to or suffered by TUV Rheinland
written form as confidential before passing extend to include reports and certificates Bangladesh Pvt. Ltd due to acts of
it on to the receiving party. The same prepared for the client solely for the commission and commission by the client
applies to confidential information purpose of fulfilling the obligations
under this contract, which shall remain 12.3 The limitation periods for claims for
transmitted by e- mail. If confidential damages shall be based on statutory
information is disclosed orally, the with the client. However, TÜV Rheinland
Bangladesh Pvt. Ltd is entitled to make provisions
receiving party shall be appropriately
informed in advance. file copies of such reports, certificates 12.4 None of the provisions of this article 12
and confidential information that forms changes the burden of proof to the
10.3 All confidential information which the the basis for preparing these reports and disadvantage of the client
disclosing party transmits or otherwise certificates in order to evidence the
discloses to the receiving party in correctness of its results and for
general documentation purposes 13 Partial invalidity, written form, place of
accordance with this agreement: jurisdiction

a) may only be used by the receiving party 10.7 From the start of this contract and for a 13.1 No ancillary agreements to this contract
for the purposes of performing the period of three years after termination or have been concluded
purpose of the contract, unless expiry of this contract, the receiving party
expressly otherwise agreed in writing shall maintain strict secrecy of all 13.2 All amendments and supplements must be
with the disclosing party; confidential information and shall not in writing in order to be effective; this also
disclose this information to any third parties applies to amendments and supplements to
b) may not be copied, distributed, or use it for itself the requirement for the written form
published or otherwise disclosed by
13.3 Should one or several of the provisions
the receiving party, unless this is 11 Copyrights under this contract be or become
necessary for fulfilling the purpose of
ineffective, the contracting parties shall
the contract or TÜV Rheinland 11.1 TÜV Rheinland Bangladesh Pvt. Ltd shall
replace the invalid provision with a legally
Bangladesh Pvt. Ltd is required to pass retain all exclusive and joint copyrights in
valid provision that comes closest to the
on confidential information, inspection the expert reports, test results, calculations,
content of the invalid provision in legal
reports or documentation to the presentations etc. prepared by TÜV
and commercial terms
authorities or third parties that are Rheinland Bangladesh Pvt. Ltd.
involved in the performance of the 13.4 The place of jurisdiction for all disputes
contract 11.2 The client may only use expert reports, test arising in connection with this contract shall
results, calculations, presentations etc. be Dhaka. This contract is governed by
c) must be treated by the receiving party prepared within the scope of the contract Bangladesh substantive law
with the same level of confidentiality as for the contractually agreed purpose 13.5 All claims, disputes, differences, etc., arising
the receiving party uses to protect its out of and / or connected with the contract
own confidential information, but 11.3 The client may use test reports, test results, between TÜV Rheinland Bangladesh Pvt.
never with a lesser level of expert reports, etc. only complete and Ltd and the client shall be resolved
confidentiality than that which is unshorten. Any publication or duplication through arbitration to be conducted
objectively required for advertising purposes needs the prior under the provisions of the Arbitration
written approval of TÜV Rheinland and Conciliation Act. The seat of arbitration
10.4 The receiving party shall disclose any Bangladesh Pvt. Ltd shall be Dhaka, Bangladesh. The Arbitral
confidential information received from the Tribunal shall comprise of a Sole
disclosing party only to those of its Arbitrator to be nominated by the
12 Liability of TÜV Rheinland Bangladesh mutual consent of TÜV Rheinland
employees who need this information to Pvt. Ltd
perform the services required for the subject Bangladesh Pvt. Ltd and the client.
matter of this contract. The receiving party The arbitration proceedings shall be
12.1 Irrespective of the legal basis and in conducted in the English language only
undertakes to oblige these employees to particular in the event of a breach of
observe the same level of secrecy as set contractual obligations and tort, the liability
forth in this confidentiality clause 13.6 Subject to resolution of disputes through
of TÜV Rheinland (Bangladesh) Pvt. Ltd for arbitration, only the Courts in Dhaka,
all damage, loss and reimbursement of Bangladesh, shall be exclusive jurisdiction
10.5 Information for which the receiving party expenses caused by legal representatives
can furnish proof that: over all matters arising out of and /or
and/or employees of TÜV Rheinland connected with the contract between
(Bangladesh) Pvt. Ltd shall be limited to TÜV Rheinland Bangladesh Pvt. Ltd and the
a) it was generally known at the time of
disclosure or has become general client
a) in the case of contract with a fixed
knowledge without violation of this overall fee, an amount equal to the
agreement; or overall fee for the entire contract 14 Client’s obligation to cooperate TUV
Rheinland Health, Safety and Environment
b) it was disclosed to the receiving party b) in the case of contracts for annually (HSE) process
by a third party entitled to disclose recurring services, an amount equal to
this information; or the agreed annual fee 14.1 The client shall ensure that TÜV Rheinland
employees are provided necessary HSE
c) the receiving party already possessed c) in case of contracts expressly charged on inductions on the site-specific hazards, HSE
this information prior to disclosure by a time and material basis to a maximum plans, emergency procedures, additional
the disclosing party ;or of BDT10,00,000/=( Taka Ten Lacs only). activities, pre-cautions, PPE usage
And requirement etc. as applicable.
d) the receiving party developed it itself,
irrespective of disclosure by the 14.2 Client shall maintain all HSE legal
d) in the case of framework agreements
disclosing party, shall not be deemed requirement to provide safe workplace for
that provide for the possibility of placing
to constitute “confidential information” TÜV Rheinland employees while they will be
individual orders, to an amount equal to
as defined in this agreement at client’s premise.
three times the fee for the individual
order under which the damage occurred.
e) It is mandated by law or by an order of 14.3 The client shall disclose about any
The maximum liability of TÜV Rheinland
the Courts to disclose such information uncertain/ unexpected situation related to
Bangladesh Pvt. Ltd is limited in any
health and safety before client site visit and
event of damage or loss to the contract
10.6 All confidential information shall remain the for any such situation auditors/inspectors
value/BDT 10, 00,000/- (Taka Ten Lacs
property of the disclosing party. The can deny to perform the job.
only) whichever is lower

Issued on February 2021 Page 3 of 3