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Nike – GB TEST
Textile Test Requisition Form
Form
No.:
Applicant: Official Use
Nike Sports (China) Only
Co. Ltd Reg. No.
10th Floor, Plaza 66, Tower II, 1366 Nanjing Xi Lu, Shanghai, China,
Address: 200040. Job No.
Colorway* :
Style No* :
Nike Factory Code*:
Season*
Comments
* Indicate mandatory information required. In case of being lack of these information, the report shall be on-hold in the lab.
Service Required #: All the tests required under this test program shall be defaulted as Regular (4 working days)
Hardcopy of test report should be delivered to Nike (China.) 正本报告寄送测试申请方.
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.
Authorized Signature
Date and Company Chop
Notes: 1. To avoid any delay, the applicant should fill the test requisition form clearly.
2. Client should retain the DUPLICATE for own reference and present the same for collection of test report in our office.
3. The test results for above items will be described in one report.
4. No comment may be given for the test items if related standard or specification is not available.
* Please refer to INTERTEK TESTING SERVICES LTD.,Shanghai Prevalent price list for the amount of surcharge.
# There is no express or shuttle, same day services for some items.
Updated version: 3/2/12