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  • HCAMS 7.3F2 ALS Sample Submission Form

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    shalini
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    This document is a sample submission form for pharmaceutical chemistry testing from Halal Certification Authority Pty Ltd. It contains fields for the company name and contact details, address, email, phone number, purchase order number if applicable, sample names and specific testing required for each, specifications, turnaround time options of normal or urgent with required reporting date, and a note to enclose a hard copy of the completed form with the samples.

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    This document is a sample submission form for pharmaceutical chemistry testing from Halal Certification Authority Pty Ltd. It contains fields for the company name and contact details, address, email, phone number, purchase order number if applicable, sample names and specific testing required for each, specifications, turnaround time options of normal or urgent with required reporting date, and a note to enclose a hard copy of the completed form with the samples.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    23 views1 page

    HCAMS 7.3F2 ALS Sample Submission Form

    Uploaded by

    shalini
    This document is a sample submission form for pharmaceutical chemistry testing from Halal Certification Authority Pty Ltd. It contains fields for the company name and contact details, address, email, phone number, purchase order number if applicable, sample names and specific testing required for each, specifications, turnaround time options of normal or urgent with required reporting date, and a note to enclose a hard copy of the completed form with the samples.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    PHARMACEUTICAL

    CHEMISTRY ‐ SAMPLE SUBMISSION FORM Office use only:




    Company Name: Halal Certification Authority Pty Ltd

    Contact Person: Nadia
    El-Mouelhy Date:

    GPO Box 3906 Print &

    Sydney NSW 2001 Email to ALS Time:

    Street Address: Condition:

    10/2‐8 South St Rydalmere NSW 2116
    T: +61 2 8832 7500 | F: +61 2 9898 3472
    Opened by:
    Office use only: Email Address:
    nadia@halalauthority.org
    Affix ALS Workorder label Phone:
    0401 015 157 or 02 9232 6731
    C/ (insert clients full company name)
    Special
    Purchase Order No.
    Instructions:

     
    Sample Name Specific Testing Required Specification





















    TURNAROUND TIME (Please select one):
    Normal ✔
    URGENT (Prior approval required from ALS and may incur a surcharge) Please state reporting date required:
     

    Please enclose a hard copy of this completed form with the samples 
     

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