ID KIDS TESTING APPLICATION FORM

(Please fill in the form in English ) version：202106

Section A: Applicant Details:
Applicant: Abu Sayed Contact Person: Mr. Suman & Mr. Sayed
MODELE DE CAPITAL
Factory name (MUST) Factory code (MUST) U0000322 (7 digits)
IND LTD
Address: TALLAH ROAD , KHAPUR , FATULLAH , NARAYANGANJ
shamim@modelebd.com,
suman@modelebd.com,
01313826622,
Email: sayed@modelebd.com , Tel: Fax:
01622613132
lab@modelebd.com,
ariful@modelebd.com
Billing Information (MUST):
Invoice to applicant: Yes No (Please fill in below payer information)
Payer: MODELE DE CAPITAL IND LTD Contact person: Mr. Suman & Mr. Shamim
Address: TALLAH ROAD , KHAPUR , FATULLAH , NARAYANGANJ
shamim@modelebd.com, 01313826622,
Email: Tel : Fax:
suman@modelebd.com 01713275719
Buyer information :

Supplier email address(供应商收报告人)（必填）:

Send report to ID Group merchandiser if any(ID Group 采购:
Jacadi buyer by email: cc to : qualitejacadi@jacadi.fr
Others pls specify:

Supplier email address:

Send report to ID Group merchandiser if any(ID Group):
Okaidi Obaibi buyer by email: cc to : TO UPDATE FURTHER TO COUNTRY CONTACT
Others pls specify:

Supplier email address: sayed@modelebd.com, suman@modelebd.com

Catimini Absorba Other Please Specify Send report to ID Group merchandiser if any(ID Group）:
buyer by email: cc to :Ariful.Islam@xoin.eurofinsasia.com, mbillah@asia.idgroup.com
Others pls specify:
Section B: Sample Details: TO BE FILLED BY THE SUPPLIER
Sample Description: GIRL'S LEGGING
No
Colour: K0819 Beige chiné Construction: S/J Children Sleepwear :
Yes
6M, 9M, 12M, 18M,
Fibre Content: 95% CTN 5% EA Fabric Weight: 180 Age Range :
2A, 3A
Season（
End Uses: Customer E21 H21 E22 C23H *If above 3A exclude 3A include 3A
MUST）:
Nominated Fabric:
Style No.)/ Style
0703289 L TALENT Country of origin (MUST) : Bangladesh For Which No Yes
name (MUST):
component?

Order No. (MUST):

391260-02 Country of Destination : France Nominated Fabric testing report:
(Only 6 digits)

Care Instruction (Wash / Care Code): (Please state care label if shrinkage or colour fastness tests are required)
Others : WASHED PRODUCT: NO YES

(Please provide the certificate copy with test request form)

If Oeko-tex 100 CLASS I certificate? For Which component?
12.HBD.13819
Textile / leather with water repellent & oleofuge treatments: NO YES

TREATED DENIM: NO YES

Re-test No Yes, the previous report no.:
FLUO COLOR: NO YES

Nominated trim suppliers information：

Jacadi/Okaidi/Obabi
Zipper: YKK SAB Albert Zip Graden
MAX SBS No zippe Other brand name:
Snap: YKK DNG SN&BETS Graden
No snap Other brand name:
Catimini &Absorba
ESO-BAIYUAN (HK) APPAREL JUNYU-Zhongshan Huawei Metal
YKK(Button,Zipper)
TECHNOLOGY(Zipper) Technology
SN&BETS - GOLDEN BUTTON TRADING
TAICAN JINGYANG Garments Shanghai Chaoyi Garment Accessories
(Metal trims/button/plate/rivets/buckles/plastic
Accessoires(badge/tape/drawstring) Co Ltd(badge/tape/drawstring)
button)
YUNLING (Price Tag/OrganicTag/Paperpackage/Main Label/Tab label/Size label
 Section C: Test(s) Required: (Whole product and all samples will be tested unless specified)

Jacadi
Testing Package
Minimum Package(mandatory)
Physical+pH&AZO Formaldehyde CPSIA
Full Package(Applied only on selected references for REACH test}
Physical Formaldehyde CPSIA REACH+AZO+Ph(on raw material)
Okaid i& Obaibi
Physical Package Test
Package 1 (Product not having printing or thermofusing: 1 wash (according to care label temperature).
Package 2 (Product having printing or thermofusing then it is 3 washes (according to care label temperature) which included 1 wash & 3 washes results
Production washing package
Chemical Package Test

Minimum Package
Factory belongs to Which Group?(MUST) Group A Group B
Classical Package
Fabric testing package Test
Physical test Please choose at specify fabric test part
PH Value ,Formaldehyde, Organotins (if applicable)
Socks testing package Test
Inside waist prints on polyamide Tight (Select by supplier when required, )
Socks Package Anti-slipping Package-Color transparent (Select by supplier when required)
Tights Package Anti-slipping Package-Other colors (Select by supplier when required)
Thermoreguling products (Select by supplier when required)
Catimini &Absorba
Testing Package Test
Physical Package
Chemical Package
CPSIA Test (Catimini only)
Socks Test (Catimini only)
Specific Test
Fabric test
pH Formaldehyde Organotins
Fabric Weight (before wash) Appearance after 3 washes Dimensional stability after 3 washes
Spirality on washing (Knit fabric only) Angular variance / Warping Before and Pilling resistance Before and After 3 washes: (Pilling
After wash (Woven fabric only) box & Martindale Method for Knit)
Pilling resistance Before and After 3 washes: (Martindale Tear strength Bursting strength (Knit<180 g/sqm ,Light synthetic
Method for Woven) woven for PAM)
Seam slippage (for <200 g/sqm only) Fibre composition Spray test Before and After 3 washes
Color fastness to washing Color fastness to light Color fastness to sea water (Swimwear only)
Color fastness to chlorine water (Swimwear only) Color fastness to rubbing Color fastness to perspiration
Color fastness to water Color fastness to saliva Water resistance (Before and After 5 machine
washes for Coats)
Physical test
Pulling test(EN 71-1) Wash test (CEN/TR 16792/C) Colorfastness to rubbing
Appearance after 1/3 washes Dimensional stability after 1/3 washes Twisting after 1/3 washes
Color fastness to Saliva Color fastness to Perspiration Composition analysis
Pilling Colorfastness to sea water Colorfastness to light
Colorfastness to chlorine Colorfastness to dye transfer Anti UV light fabric (for all)
Seam slippage Spray test Water resistance
CLO TEST ISO 11092 CLO TEST ISO 15831 Tearing strength
Flammability(XP G 30-106) Flammability (NF EN ISO 12952) Flammability (EN 14878)
Sun Regulation(ISO 12312) Nickel test(SUNGLASSES) Phthalate test(SUNGLASSES)
TOG TEST ISO 11092
Chemicall test
pH Formaldehyde Azo dyes PAH
Allergenic dyes Carcinogenic dyes Phthalates Total Cadmium content
Chromium VI (after ageing) Total Lead content Extractable Heavy Metal (Cd,Cr,Pb,As) Nickel release
Organotin Compounds Dyméthylfumarate APEO & AP Flame retardant
Phenylmercury compounds Benzene Nonylphenol Ethoxylates (NPE) Pentachlorophenol (PCP)
PFOA PFOS Chloroalcanes C10-C13 (PCCC / SCCP) Quinoline
Solvent Chlorinated Aromatic Hydrocarbons
CPSIA
Lead in paint and coating - 16 CFR 1303 Phthalates - CPSIA Section 108 Lead content in substrates - CPSIA Section 101
Flammability - 16 CFR 1610 Flammability - 16 CFR 1615/1616 Small Parts - 16 CFR 1501
Sharp Points/ Sharp Edges - 16 CFR 1500.48 & 49
Section D Service Required:
Regular *Express (+40% surcharge) * Emergency (+100% surcharge) * Double Express (+150% surcharge)
Comments / Conclusions required Return Residual Sample Quotation Upon Request
There is a minimum charge of CNY 200 report issued.
Our services are subject to the terms and conditions described in SGS website: (www.sgs.com/terms_and_conditions.htm)
Please Signify Your Acceptance By Authorized Signature & Company Chop:
________________________ _

Date : (See General Conditions of Service Printed Overleaf)

 GENERAL CONDITIONS OF SERVICE

1. General failing which interest will become due at a rate of 1.5% per month (or such other rate as
may be established in the invoice) from the Due Date up to and including the date
(a) Unless otherwise agreed in writing or except where they are at variance with (i) the payment is actually received.
regulations governing services performed on behalf of governments, government bodies
or any other public entity or (ii) the mandatory provisions of local law, all offers or
services and all resulting contractual relationship(s) between any of the affiliated
companies of SGS SA or any of their agents (each a “Company”) and Client (the
“Contractual Relationship(s)”) shall be governed by these general conditions of service
(hereinafter the “General Conditions”). (c) Client shall not be entitled to retain or defer payment of any sums due to the
(b) The Company may perform services for persons or entities (private, public or Company on account of any dispute, counter claim or set off which it may allege
governmental) issuing instructions (hereinafter, the “Client”). against the Company.

(c) Unless the Company receives prior written instructions to the contrary from Client, no (d) Company may elect to bring action for the collection of unpaid fees in any court
other party is entitled to give instructions, particularly on the scope of the services or the having competent jurisdiction.
delivery of reports or certificates resulting therefrom (the “Reports of Findings”). Client (e) Client shall pay all of the Company's collection costs, including attorney's fees and
hereby irrevocably authorises the Company to deliver Reports of Findings to a third party related costs.
where so instructed by Client or, at its discretion, where it implicitly follows from
circumstances, trade custom, usage or practice. (f) In the event any unforeseen problems or expenses arise in the course of carrying
out the services the Company shall endeavour to inform Client and shall be entitled to
2. Provision of Services charge additional fees to cover extra time and cost necessarily incurred to complete the
(a) The Company will provide services using reasonable care and skill and in services.
accordance with Client's specific instructions as confirmed by the Company or, in the (g) If the Company is unable to perform all or part of the services for any cause
absence of such instructions: whatsoever outside the Company’s control including failure by Client to comply with
(1) the terms of any standard order form or standard specification sheet of the any of its obligations provided for in clause 3 above the Company shall nevertheless be
Company; and/or entitled to payment of:

(2) any relevant trade custom, usage or practice; and/or (1) the amount of all non-refundable expenses incurred by the Company; and

(3) such methods as the Company shall consider appropriate on technical, (2) a proportion of the agreed fee equal to the proportion of the services actually
operational and/or financial grounds. carried out.

(b) Information stated in Reports of Findings is derived from the results of inspection or 5. Suspension or Termination of Services
testing procedures carried out in accordance with the instructions of Client, and/or our The Company shall be entitled to immediately and without liability either suspend or
assessment of such results on the basis of any technical standards, trade custom or terminate provision of the services in the event of:
practice, or other circumstances which should in our professional opinion be taken into
account. (a) failure by the Client to comply with any of its obligations hereunder and such failure
is not remedied within 10 days that notice of such failure has been notified to Client; or
(c) Reports of Findings issued further to the testing of samples contain the Company’s
opinion on those samples only and do not express any opinion upon the lot from which (b) any suspension of payment, arrangement with creditors, bankruptcy, insolvency,
the samples were drawn. receivership or cessation of business by Client.

(d) Should Client request that the Company witness any third party intervention, Client 6. Liability and Indemnification
agrees that the Company’s sole responsibility is to be present at the time of the third (a) Limitation of Liability:
party’s intervention and to forward the results, or confirm the occurrence, of the
intervention. Client agrees that the Company is not responsible for the condition or (1) The Company is neither an insurer nor a guarantor and disclaims all liability
calibration of apparatus, instruments and measuring devices used, the analysis methods in such capacity. Clients seeking a guarantee against loss or damage should
applied, the qualifications, actions or omissions of third party personnel or the analysis obtain appropriate insurance.
results.
(2) Reports of Findings are issued on the basis of information, documents and/or
(e) Reports of Findings issued by the Company will reflect the facts as recorded by it at samples provided by, or on behalf of, Client and solely for the benefit of
the time of its intervention only and within the limits of the instructions received or, in the Client who is responsible for acting as it sees fit on the basis of such Reports
absence of such instructions, within the limits of the alternative parameters applied as of Findings. Neither the Company nor any of its officers, employees, agents
provided for in clause 2(a). The Company is under no obligation to refer to, or report or subcontractors shall be liable to Client nor any third party for any actions
upon, any facts or circumstances which are outside the specific instructions received or taken or not taken on the basis of such Reports of Findings nor for any
alternative parameters applied. incorrect results arising from unclear, erroneous, incomplete, misleading or
false information provided to the Company.
(f) The Company may delegate the performance of all or part of the services to an agent
or subcontractor and Client authorises Company to disclose all information necessary for (3) The Company shall not be liable for any delayed, partial or total non-
such performance to the agent or subcontractor. performance of the services arising directly or indirectly from any event
outside the Company’s control including failure by Client to comply with any
(g) Should Company receive documents reflecting engagements contracted between of its obligations hereunder.
Client and third parties or third party documents, such as copies of sale contracts, letters
of credit, bills of lading, etc., they are considered to be for information only, and do not (4) The liability of the Company in respect of any claim for loss, damage or
extend or restrict the scope of the services or the obligations accepted by the Company. expense of any nature and howsoever arising shall in no circumstances
exceed a total aggregate sum equal to 10 times the amount of the fee paid in
(h) Client acknowledges that the Company, by providing the services, neither takes the respect of the specific service which gives rise to such claim or US$20,000
place of Client or any third party, nor releases them from any of their obligations, nor (or its equivalent in local currency), whichever is the lesser.
otherwise assumes, abridges, abrogates or undertakes to discharge any duty of Client to
any third party or that of any third party to Client. (5) The Company shall have no liability for any indirect or consequential loss
including without limitation loss of profits, loss of business, loss of
(i) All samples shall be retained for a maximum of 3 months or such other shorter time opportunity, loss of goodwill and cost of product recall. It shall further have no
period as the nature of the sample permits and then returned to Client or otherwise liability for any loss, damage or expenses arising from the claims of any third
disposed of at the Company’s discretion after which time Company shall cease to have party (including, without limitation, product liability claims) that may be
any responsibility for such samples. Storage of samples for more than 3 months shall incurred by the Client.
incur a storage charge payable by Client. Client will be billed a handling and freight fee if
samples are returned. Special disposal charges will be billed to Client if incurred. (6) In the event of any claim, Client must give written notice to the Company
within 30 days of discovery of the facts alleged to justify such claim and, in
3. Obligations of Client
any case, the Company shall be discharged from all liability for all claims for
The Client will: loss, damage or expense unless suit is brought within one year from:
(a) ensure that sufficient information, instructions and documents are given in due time o the date of performance by the Company of the service which gives
(and, in any event not later than 48 hours prior to the desired intervention) to enable the rise to the claim; or
required services to be performed;
o the date when the service should have been completed in the event of
(b) procure all necessary access for the Company's representatives to the premises any alleged non-performance.
where the services are to be performed and take all necessary steps to eliminate or
remedy any obstacles to, or interruptions in, the performance of the services; (b) Indemnification: Client shall guarantee, hold harmless and indemnify the Company
and its officers, employees, agents or subcontractors against all claims (actual or
(c) Supply, if required, any special equipment and personnel necessary for the threatened) by any third party for loss, damage or expense of whatsoever nature
performance of the services; including all legal expenses and related costs and howsoever arising relating to the
performance, purported performance or non-performance, of any services.
(d) ensure that all necessary measures are taken for safety and security of working
conditions, sites and installations during the performance of services and will not rely, in 7. Miscellaneous
this respect, on the Company's advice whether required or not;
(a) If any one or more provisions of these General Conditions are found to be illegal or
(e) inform Company in advance of any known hazards or dangers, actual or potential, unenforceable in any respect, the validity, legality and enforceability of the remaining
associated with any order or samples or testing including, for example, presence or risk provisions shall not in any way be affected or impaired thereby.
of radiation, toxic or noxious or explosive elements or materials, environmental pollution
or poisons; (b) During the course of providing the services and for a period of one year thereafter
Client shall not directly or indirectly entice, encourage or make any offer to Company’s
(f) Fully exercise all its rights and discharge all its liabilities under any relevant sales or employees to leave their employment with the Company.
other contract with a third party and at law.
(c) Use of the Company’s corporate name or registered marks for advertising purposes
4. Fees and Payment is not permitted without the Company’s prior written authorisation.
(a) Fees not established between the Company and Client at the time the order is 8. Governing Law, Jurisdiction and Dispute Resolution
placed or a contract is negotiated shall be at the Company’s standard rates (which are
subject to change) and all applicable taxes shall be payable by Client. Unless specifically agreed otherwise, all disputes arising out or in connection with
Contractual Relationship(s) hereunder shall be governed by the substantive laws of
(b) Unless a shorter period is established in the invoice, Client will promptly pay not later Switzerland exclusive of any rules with respect to conflicts of laws and be finally settled
than 30 days from the relevant invoice date or within such other period as may be under the Rules of Arbitration of the International Chamber of Commerce by one or
established by the Company in the invoice (the “Due Date”) all fees due to the Company more arbitrators appointed in accordance with the said rules. The arbitration shall take

Member of the SGS Group (SGS SA)

place in Paris (France) and be conducted in the English language.
Special Condition
Notwithstanding clause 8 above, and provided that the Company and Client both have
their registered offices in the same country, all disputes arising out of or in connection
with Contractual Relationships hereunder shall be governed by and construed in
accordance with the substantive laws of such country and all disputes shall be finally
settled under the Rules of Arbitration of the international Chamber of Commerce by one
or more arbitrators appointed in accordance with the said rules. The arbitration shall take
place in Hong Kong and be conducted in the English language.

Member of the SGS Group (SGS SA)