Sample Details
PRIME PROGRESSION
(LINER DIVISION)
SAMPLE REQUEST FORMAT
DATE :
From :
To :
Please arrange to supply the following sample as detailed below :
01 SAMPLE NAME / DWG NO
02 QUANTITY
03 DELIVERY SCHEDULE
04 ADDRESS DETAIL
05 OTHER DETAILS IF ANY
Authorized Signatory
Despatch / Courier Details: (To be filled by the supplier)
1. Date & Time of Completion
2. Name of the courier/person
3. Airway Bill No/Date
4. Weight of the sample
5. Date / Time of Despatch
6. Other Remarks, if any
7. Q.C inspection report
To be provided with the sample
Authorized Signatory
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