SOFTLINES

TEST REQUISITION FORM

Pick-up & Delivery
Tel: +92 21 34320802-05 Fax: +92 21 34320828
Email: ramsha.anees@intertek.com
#Service required Regular Shuttle *(100% surcharge / next working day)
Express *(40% surcharge / 3 working days) Same day *(150% surcharge / 8 working hrs)
Note: Treated as regular if left blank. * Applicable to certain tests only.
Company name RSJ Inspection Services For Official use only
Address B-58, second Floor, sec-60, Noida 201307. Uttar Pradesh Rpt. No.
Contact person Shubhangi Sontakke Mobile +919315912944
Telephon (Ext A/C No.
Fax
e )
Email
Invoice to applicant? No, please bill below company:
Company name RSJ Inspection Services Contact person Shubhangi Sontakke
Address B-58, second Floor, sec-60, Noida 201307. Uttar Pradesh
Telephon +919315912944 Email Shubhangi.sontakke@rsjinspection.com
Fax
e

Sample information (Please fill in information and tick applicable boxes. Attach supplement sheet if space is not enough.)
#Buye Contact person No. of sample(s)
r
Agent Manufacturer
Sample description
Colour Sample attached
Style No. Fibre content
PO No. Fabric/garment weight
#Product end use Men Women Children Infant
#Care instruction and/or symbols If not provided, labels on the products will be followed.

Please mount face side up

Test(s) required (Please fill in information and tick applicable boxes. Attach supplement sheet if space is not enough.)
Dimensional stability Physical Eco test #Test method reference
(shrinkage) Tensile strength (woven only) Azo dyes AATCC / ASTM (USA)
Washing Tear strength (woven only) Individual test Mixed test ISO (International)
Drycleaning Seam strength (woven only) Below must be indicated: BS (UK)
Appearance retention Seam slippage (woven only) Pigment print Dye print Other, please specify:
After washing Bursting strength (knit only) CPSIA
After drycleaning Pilling resistance Please specify age
Colourfastness Abrasion resistance grade used for
washing Thread per inch / stitch density testing
Actual laundering Yarn count Full compliance on CPSIA #Exporting to/ market
Drycleaning Fabric weight Flammability
Perspiration Formaldehyde Lead (surface/ non surface coating)
Water pH value Sharp points / sharp edges/ small parts
Light Flammability (raised surface)
Rubbing / crocking Flammability (plain surface) (For children up to 3 years of age) Is this a re-test?
Sharp points / Sharp edges only Yes, previous report
Fibre content Phthalates No.:

Care label recommendation (Note 3)

Other tests, please specify test
methods or special request:
#Comment on test results
Yes No (Please see Note 4)
• Composition (Regulation CE 1007/2001)
• Water absorption (ISO 105 E01) ( correct test Name should be Colour fastness to water)
• Shrinkage test (ISO 6330)
#Report delivery arrangement (Report will be sent to invoice recipient if no special request.)
Yes No (Please see Note 6) Other arrangement: Decision Rule: Yes No

We request for the above test(s) and confirm that all testing will be carried out subject to Intertek Pakistan (Private) Limited scale of charges
as set forth in the prevalent price list of which we agree to, and acknowledge observing the Terms & Conditions on forthcoming pages.

Intertek Pakistan (Private) Ltd. (SOP/SYS/08- FOM/001/Rev.02)

First Floor, Baig Tower, Plot E-6, Block 7 & 8, KCHSU, Main Shahrah e Faisal, Karachi , Pakistan. Issue Date: 04-04-2022
+92 21 34320802-05
 Note: #Authorized
1. Photocopy of Test Requisition Form will not be accepted for submission. signature and
2. Customer should retain a copy for own reference and present it for test report collection at our office. company chop
3. For care label recommendation services, additional testing turnaround time will be required when failure
of invoicing
occurs during the initial testing and alternative testing or re-testing under different conditions is needed.
4. No comment can be given for test items that related standard or pass/ fail specification is not available. recipient
5. All items with # are compulsory.
6. Handling charge will be applied for overseas delivery. #Date

[Local company name] [Form code XXX]

[Local address]
[Contact]