ARMAGGAN Culture Tourism Trade and Industry Inc.
DATU Laboratory
ANALYSIS REQUEST FORM
I
Client’s Name and
Surname
Address
Telephone number
Fax number
E-mail
Owners of the sample
(If different from the
customer)
II Address
Telephone number
Fax number
E-mail
Billing
□ I □ II
Tax ID
number
Tax office
INFORMATION OF THE SAMPLE *
Request
Number
Description of the sample
(Inventory No )
and Sub Feature:
Subs
cript
num
ber
The name of the analysis/
Method of analysis to be applied
This section will be
completede by the
laboratory.
The prices of Analysis
* Additional pages can be used if higher number of samples requested.
THE SAMPLING SERVICE
Method of Sampling
Total Sum
Sampling service is requested.
Yes □
No □
Special Conditions:
1. If the sampling service is not demanded , the customer is
responsible for the sampling service based on the analysis conditions
(+VAT)
Analysis Requesting Authority
(name-surname) (signature- cachet)
Date:
2. If the customer does not demand the sampling service, samples’s
Laboratory Contact and Bank Account Information
transportation, packaging and preservation is under customer’s
responsibility. necessary information. All informations are given to the Address
TLM.08-Instruction of Sample Accept.
Armaggan Kültür Turizm Ticaret ve San. A.Ş.Keyap sitesi A2
3. After the analysis, analyzed samples are returned or eliminated. Blok No:14 34775 Y. Dudullu Ümraniye/ISTANBUL/TURKEY
Return and disposal fee belong to the customer.
Phone: 0216 527 40 60 Fax: 0216 527 40 63
http://www.armaggan.com/ E-mail: datulab@armaggan.com
4. Inappropriate samples will be reported to the customer with
Bank Account Information
TLM.08- Instruction of Sample Accept.
5. If methods are not specified or specified wrong by the customer,
it is determined by the laboratory and asked for customer’s approval.
6. Report is sent to the customer upon receipt of your payment to
the laboratory.
GARANTI BANK, TAKSIM BRANCH, BRANCH CODE)
ACCOUNT No :6296374
IBAN No:TR020006200161000006296374
Return of sample or samples
Yes □
No □
Measurement uncertainty
Yes □
No □
7. Unless indicated, the analysis report is prepared in 3 copies.
FRM.038/04.01.2016-02
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ARMAGGAN Culture Tourism Trade and Industry Inc.
DATU Laboratory
ANALYSIS REQUEST FORM
8. The samples are stored indefinitely and objection period to
the reports is maximum 1 year. In case of returning the
sample,there is no right to make objection.
Analysis report is requested to
be sent by
9. if this form is approved by the relevant parties , it serves as a
contract.
Delivered by hand □
If customer demands comments in the analysis
report,content of comments:
10. Istanbul courts are authorized in case of dispute.
E-mail □
Cargo □
The following information will be filled by the laboratory .
Explanation
Starting Date to Analysis
INFORMATION OF THE SAMPLE
Request
Number
Definition of the sample
(Inventory Number) and Sub
Feature:
Request number
The request of analysis
accepted by
Estimated Completion Date
( additional page or pages)
Subs
cript
num
ber
The name of the analysis/
Method of analysis to be applied
This section will be filled by
the laboratory.
Price of Analysis
Total Sum
(+VAT)
Image or images of the material ( if available)
FRM.038/04.01.2016-02
Image of the area that the analysis sample is
received( if available)
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