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Testing Requisition Form

The document is a testing requisition form for PSGTECHS COE INDUTECH, promoted by the Ministry of Textiles, Government of India. It includes fields for personal information, testing details, and payment options for various textile testing services. The form also contains sections for signatures and office use related to sample testing and billing.

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naveenpandiamutha
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13 views1 page

Testing Requisition Form

The document is a testing requisition form for PSGTECHS COE INDUTECH, promoted by the Ministry of Textiles, Government of India. It includes fields for personal information, testing details, and payment options for various textile testing services. The form also contains sections for signatures and office use related to sample testing and billing.

Uploaded by

naveenpandiamutha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PSGTECHS COE INDUTECH

CENTRE OF EXCELLENCE FOR INDUSTRIAL & HOME TEXTILES


Promoted by Ministry of Textiles - Government of INDIA.
Dept. of Textile Technology & Automobile Engineering - PSG College of Technology
Avinashi Road, Neelambur, Coimbatore-641 062
Tel: 0422 3933 250-252 * E-mail: (testing.int@psgtech.ac.in & testing1.int@psgtech.ac.in )
SRR – 11/11/14

TESTING REQUISITION FORM


ULR No: TC50791900000 F/P/N Date:………………….

Name :………………………………………………… BILL IN THE NAME OF


Designation/Course :…………………………………………………
Organization / College Name :………………………………………………… ……………………………………………
Address :………………………………………………… ……………………………………………
…………………………………………………
Contact Number :………………………………………………….
Email Id :………………………………………………….
Testing details
1. Test Required :.…………………………………………………
2. Type of sample :………………………………………………….
3. Sample Specifications :………………………………………………… Allotted To: GSK/BGL/VMK
4. Standards to be carried out : ………………………………………………….
5. Number of samples to be tested : ………………………………………………….
6. Category : Industry / Research scholar / Students
7. Expected date of reporting : Immediate / 3 days / one week

* Customer signature Sample Received by Authorized Signature


* I have read and agreed all the terms and conditions described by PSGTECHS COE INDUTECH
************************************* FOR OFFICE USE ***************************************
1. Number of samples or hour tested : Testing Date:
2. Rate/Sample or Hour :……………………… Testing Time:
3. Total : Rs…………………
4. GST @ 18.00 % : Rs…………………
5. Total (Including GST) : Rs…………………
Received Rs ……………………………………………………………………………………………….………… Only.
Mode of payment: Cash / Cheque or DD/ Bank Deposit / Net Transfer / Credit
(DD or cheque drawn in the name of “PSG INDUSTRIAL INSTITUTE”)
Cheque /DD Number:…………………….. Date:………….………. Bank:……………………………………………..

QA Authorized Sign Accountant Joint Director’s

A/c Code: Bill No: Date: Report Sent on:

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