Intertek Testing Services Ltd.

, Shanghai
3/F., No. 2 Building, Shanghai Comalong Ind. Park
No. 889 Yishan Road, Shanghai 200233, China
Nike China Regulation Requisition Form 中国上海宜山路 889 号上海齐来工业城 2 号楼 3 楼
邮政编码:200233
Nike 国标纺织测试申请表 Tel No.: +86 21 5339 5348 & +86 21 5339 5349
E-mail: shagblabnike@intertek.com
Chinese Website: http://www.intertek.com.cn

Form No.:
Applicant
申请公司 NIKE SPORTS (CHINA) CO., LTD. Official Use Only
Address
地址 TOWER 1, NO.99 JIANGWANCHENG RD,YANGPU DISTRICT, SHANGHAI, CHINA Rpt. No.
Contact Person
联系人 Cathy Tao A/C No.

Sample Information (Please fill in information and tick appropriate boxes)

Product Information
Season Contact Person
Style + Colour E-mail
Factory Code Telephone
Label
Please Put A Tick In The Remarks After Checking The Inormation. For Any Missing Labels, Please Fill The Reason In The Remarks.

Check Item Remarks

China Insert
CNC Woven Label
Hangtags Required On BOM
(Refer To Interchange Chart For China)
Any Missing Items

Consistent Information Checking

** Please Put A Tick On Below Non-Gray Areas After Checking The Information. Ensure That The Correct Labels Are Used On The Testing Samples.
Remarks: Country Of Origin On China Insert Is Only Required For Non-China Factories.
Consistent Information Checklist
Check Item C&C Label China Insert PO ID Label UPC Sticker
Style No.
Colourway No.
Country Of Origin
China Size Matrices
Content Information
Care Icon
Care Instruction

Test(s) Required: (Please fill in information and tick appropriate boxes)

Nike China Regulation Test Package Nike Retest（only apply for 1 st

test was failed）

* Delivery address: Intertek Testing Services Ltd., Shanghai—GB LAB

3/F., No. 2 Building, Shanghai Comalong Ind. Park No. 889 Yishan Road, Shanghai 200233, China
We request for the above tests and agree that all testing will be carried out subject to INTERTEK TESTING SERVICES LTD., SHANGHAI’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.(我们要求进行以上测试，并将按照上海天祥质量技术服务有限公司所制定的统一价目表来付费)
Authorized Signature and Company Chop 0
Date (P.T.O. for terms and conditions)
日期 S 签字及公司盖章
Notes: （备注）
1. To avoid any delay,the applicant should fill the test requisition form clearly.（为避免延误测试时间，请申请者清楚明了地填写此申请表）
2. *Available for certain test only.（*加快服务只使用于某些测试项目） # Regular Service is 4 working days for Banned Azo Dyes Test (禁用偶氮染料测试常规为 4 个工作日）
3. Client should retain the DUPLICATE for own reference and present the same for collection of test report in our office. 申请者请保留本表之复印件在提取测试报告时需向本公司出示）
4. The test results for above items will be described in one report.（以上测试结果将包含在同一份测试报告中）
5. No comment may be given for the test items if related standard or specification is not available.（如无相关标准和说明，本公司将不对所测试样品给予评价）
6. If you have any queried, welcome to call our hotline:+86 21 61206060*2012/2010 and please dial +86 21 61206060*2210 for pick-up and delivery services in downtown area of Shanghai.
( 如有任何疑问，欢迎拨打本公司热线: 021-61206060, 如需取送服务请拨打：+86 21 6120 6060*2210,只限于上海市区范围内)