Service Request Form
(To be filled by customer)
1. Contact Details
2. Previous communication Details:
3. LAB -
3.2 Details of Equipment:
| Sl. No. | Equipment Name | Range (along with units) | Model No | Serial No / Identification No | Calibration Points | Quantity | Mode of Calibration | Remarks |
|---|---|---|---|---|---|---|---|---|
| 1 | ||||||||
| 2 | ||||||||
| 3 | ||||||||
| 4 | ||||||||
| 5 |
4. Advance Payment Details:
| Date of Payment | Amount | UTR / Transaction details | IT TDS Amount deducted* | IT TDS % deducted* | TAN |
|---|---|---|---|---|---|
* Form 16A will be submitted within 45 days from end of quarter in which deduction was made.
~ In case you are authorized to make deduction of GST at source under section 51 of CGST Act
5. Calibration Requirement:
Note: The instrument shall be calibrated whenever the instruments suffer any damage or has been subject to any repair
6. Address in certificate / report:
Note: If the calibration certificate is in the name of any other company, you have to submit a request letter in the letter head of the organization whose name has to be incorporated in the report.
7. Equipment return Mode:
8. Statement of Conformity:
9. Decision Rule (if any):
10. As per quotation terms and conditions are accepted by customer
Customer Name / Signature:
Designation:
Date:
For SPLTA Use:
- Condition of the item received:
- Probable Date of Completion:
- Payment Received (Yes / No):
Amendment (if any)
1.
2.
Amend Accepted by (Customer):
Amend Accepted by (Lab):
Prepared & Issued by:
Deputy Technical Manager
Deputy Technical Manager
Approved by:
Quality Manager
Quality Manager
