RS/GPTP/PTB/PB/114/2022/00

Proficiency Testing Program

CIN NO. U74140DL2010PTC20147 Registration Form

1. Participant Lab Name:

2. Address:

Pin Code:

3. Shipping Address: Please mark tick if the address is same as mentioned in S. No. 2

4. Billing Address: Please mark tick if the address is same as mentioned in S. No. 2

5. E-mail ID: GST No.:

6. Details of Contact Person:

Name Designation Mob. / Tel. No.

7. Accredited By (if any):

8. Willingness to publish your organisation name in the Final PT Report: Yes No

9. PT Program Details: [tick (√) the selected parameters]

PT Scheme Name PT Scheme Code PT Parameters Min Max Test Method

Range Range
1 PROFICIENCY TESTING ON PTB/PB/114/2022 Compressive Strength, N/mm2 40.0 80.0 IS 15658/ BS 6717 (P-1)
PAVER BLOCK
Water Absorption, % 1.0 6.0 IS 15658
* PT parameters & range may vary depending upon the stake holder's requirements or request.

Note: Various aspects of the proficiency testing scheme can be subcontracted to accredited laboratories and Global PT Provider is responsible for their work.

10. This PT Programme is covered under Accreditation Scope as per ISO 17043: 2010.

11. Payment Mode:

Cheque Cash DD RTGS

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CIN NO. U74140DL2010PTC20147

[please select the box by √, the DD/Cheque is to be made in favour of GLOBAL PT PROVIDER PVT LTD and payable at
KALKAJI, NEW DELHI [DL] ]

12. Details of Account (for Cash Deposit/NEFT/ECS/Fund Transfer):

Bank Name: Axis Bank Branch Name: KALKAJI, NEW DELHI [DL]
CIN No. U 7 4 1 4 0 D L 2 0 1 0 P T C 2 0 1 4 7 9
GST No. 0 7 A A O C S 1 4 5 9 G 1 Z 3
PAN No. A A O C S 1 4 5 9 G
A/c No. 9 1 2 0 2 0 0 6 2 0 1 9 3 3 0
IFS Code: U T I B 0 0 0 1 0 2 1
MICR Code: 1 1 0 2 1 1 0 7 7

13. Mode of Transport:

First Flight DTDC Courier DHL Aramex Blue Dart

Note: For International Customer Aramex courier service is free of cost.

14. Terms and Conditions

a. Payment
Payment in full is required from each Participants within 7 days after enrolling in the PT program.
b. Laboratories outside India
Courier costs will be added and itemized separately on the invoice. Please ask for a quote.
Delivery of your order will be facilitated when you send us all relevant permits and import certificates prior to the shipping date.
Cheques and Bank Drafts
* Customers within India can pay by Company Cheque.
* Customers outside India can pay by Official Bank Draft on provision that all transaction fees are met by the customer.
Electronic Transfer
* All customers may pay by electronic funds transfer provided all fees are paid by the customer.
Credit Card
* GPTP accepts VISA card, Master Card. A surcharge of 2.5% will be added for
use of this facility. Cash
* GPTP accepts direct cash from the customer at company premises or can direct deposit in Bank Account.

c. Return of results
Laboratories who are participate in proficiency testing programs on the understanding that they will be sharing their results and
information anonymously with other laboratories performing the same analysis. Non-return of results compromises the spirit of the
programs, and reports will not be sent to laboratories unless they return results. Payment in full is required from all laboratories enrolling
whether they return results or not.

d. Errors in Participant Proficiency Testing Results

Errors in Participant Proficiency Testing Results: Proficiency testing reports should reflect the level of accuracy that a regular
testing client would receive. If a participant finds an error in their proficiency testing results, they may notify us in writing and
change their submission PRIOR to the due date for return. Changes in result after submission of result will not be accepted. GPTP
reports results as submitted by participants.

On occasion, it seems as though participants have mixed up the samples or not processed the samples according to the
instructions. GPTP cannot make assumptions of this nature and change results 'to suit'. We also cannot compromise the integrity
of the programs by suggesting to some participants that they should review their results prior to the due date. (This is unfair to other
participants).

It is the responsibility of the participants to check all aspects of the program, including sample identification, p reparation, testing
instructions, calculations and reporting of the results prior to results submission. If samples are not in good condition on arrival
to the participant laboratory, GPTP must be notified in writing IMMEDIATELY, as often samples can be replaced in good time.
Claims about samples received in bad condition will not be accepted after the report has been issued.

e. Late Enrolments and Late Results

Late enrolment requests cannot always be accommodated, as sample manufacture must be scheduled well in advance to the

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shipping date of the program to allow all necessary quality assurance activities to be carried out.
Shipping of PTP materials and evaluating test results from PTPs out-of-cycle with the mainstream programs is considerably
time consuming and therefore costly.
In order not to disadvantage participants able to comply with time frames, GPTP will charge a late fee in the following circumstances:
* Requests for enrolment in PTPs after the advertised cut-off date
* Requests that GPTP staff enters results on behalf of participants
* Requests to record results after the due date
* Requests for PTP participation that is out-of-cycle with the scheduled dates

f. Shipping fees and Customs clearance

Costs incurred for shipping samples and clearance of same through customs are the responsibility of the participating laboratory
unless otherwise indicated.

g. Non-payment of fees
GPTP retains the right to withhold reports and/or PT materials and services when invoices are outstanding.

h. Confidentiality of results
All data and information received by GPTP from its clients are considered confidential unless the client has given express
permission to pass on information.

i. Use of reports
Proficiency Test Reports are the copyright of Global PT provider P ltd. They are issued under controlled conditions to participants
and to organizations with responsibility for the participation of laboratories in PT Schemes. Reports may not be passed to or used by
other organizations without the express authority of GPTP.

j. Acceptance of Orders
Orders for participation in GPTP proficiency testing programs and services may be accepted by receipt of a written request (i.e. by
fax, letter, or official company order form), sent to the company.
Once an order is placed, it can only be cancelled in writing. This MUST occur more than one week before the scheduled date
of dispatch. Once samples have been dispatched, an order cannot be cancelled.

k. Participant Collusion and Falsification of Results

The dictionary definitions of “collusion” and “falsification” are as follows:

Collusion: A secret agreement or cooperation for a fraudulent or deceitful purpose.

Falsification: Deliberately changing something to be false.

In proficiency testing terms, collusion is comparing data (and perhaps changing data) to fit in with a believed “correct” result.
This is contrary to the spirit of proficiency testing programs, which are issued with the intention of providing an objective comparison of a
laboratory’s performance with others.

GPTP tries to minimize the occurrence of collusion by being aware that laboratories should be objective when they report their
results, and should therefore not know the intended results at the time they are reporting to us. Answers are not provided to clients until
results have been submitted.
We are also vigilant about checking the similarities in data which is submitted by more than one participant, particularly if the answers are incorrect.
However, it is seldom possible to substantiate suspicions of copied data from submitters and it would therefore be difficult to make
accusations. It is ultimately up to the participating laboratories to get the most benefits from a PT program. This is achieved through
integrity, completing the tests without foreknowledge of the intended or possible results and submitting the answers they actually generate.
To prevent collusion and falsification our advice to clients is:

DON'T confer with others about PT samples or results.

DO accept the fact that everyone makes errors.
DON'T average the results or opinions of every person in the laboratory before selecting the answer to be submitted.
DO have confidence in your own results.

Proficiency Testing (PT) is a compulsory part of laboratory accreditation, but it is also an important tool for giving you confidence
in your results. “Enhancing” your PT results with assistance from another participant cannot increase confidence in your laboratory’s
performance.
Clients are always welcome to contact GPTP to seek advice or information about collusion or falsification of data.

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l. Policy for Participant Appeal of PTP Performance Assessment
If participants disagree with their performance assessment in a proficiency report, they should inform GPTP in writing to appealing
officer or through our website www.globalptprovider.com
Written submissions are assessed by GPTP staff, and a response should be expected within 7 days.
The response will include GPTP’s interpretation of the outcome of the re-assessment and an explanation of that outcome.
(For example, explanation of a calculation, or the rationale for the outcome of the evaluation.)
If a mistake has been made by GPTP, it will be dealt with via GPTP’s non-conformity (incident) system.
If the mistake is seen to be the customer's, it will be entered as customer feedback in GPTP's incident register for further
review. The incident register is used to improve programs and customer service, and will result in clearer documentation where
deemed appropriate.

Signature:

Name:

Designation:

Company Sealed:

Contact Details:

Mr. Salil
TR. PT COORDINATOR

Global PT Provider Pvt. Ltd.

F 89/22 Okhla Industrial Area, Phase I, New Delhi - 110020
Mob.: 09873001545 / 09582999061 Ph: 011-40722200
Email: care@globalptprovider.com / info@globalptprovider.com
[Note: kindly fill up this form and original copy and DD/Cheque/Cash in our company account, send us by post to confirm your participation
and must keep duplicate copy.

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