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  • Registration Form

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    Anubhav Lakhmani
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    This document is a registration and payment form for a laboratory to participate in proficiency testing programs. It requests the laboratory name and address, contact details including email and phone number, accreditation status, name to appear in reports, selected testing programs including codes and parameters, and preferred payment method and account details for transaction. The form provides the payment account name, number, bank, and other financial details to enable online, cheque, draft or funds transfer payment for registration in the proficiency testing schemes.

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    CRM STANDARD RANGE and uncertainty

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    This document is a registration and payment form for a laboratory to participate in proficiency testing programs. It requests the laboratory name and address, contact details including email and phone number, accreditation status, name to appear in reports, selected testing programs including codes and parameters, and preferred payment method and account details for transaction. The form provides the payment account name, number, bank, and other financial details to enable online, cheque, draft or funds transfer payment for registration in the proficiency testing schemes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    41 views1 page

    Registration Form

    Uploaded by

    Anubhav Lakhmani
    This document is a registration and payment form for a laboratory to participate in proficiency testing programs. It requests the laboratory name and address, contact details including email and phone number, accreditation status, name to appear in reports, selected testing programs including codes and parameters, and preferred payment method and account details for transaction. The form provides the payment account name, number, bank, and other financial details to enable online, cheque, draft or funds transfer payment for registration in the proficiency testing schemes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Registration & Payment Form

    1. Name of the Laboratory __________________________________________________________


    2. Address for communication _______________________________________________________
    ________________________________________________________________________________
    ______________________________________________ Pin Code:_________________________
    3. E-mail ID: _____________________________________ GST no.: ________________________
    4. Details of Contact Person:
    Name Job Profile Mob. / Tel No.

    5. Status of accreditation:___________________________________________________________
    6. Name of the laboratory to be appeared in the PTP report:_______________________________
    7. Participating Program Details:
    PT Scheme Code PT Scheme name Test Parameter Test Method

    8. Payment Mode:
    Online Cheque DD NEFT
    [please select box by the DD/Cheque is to be made in favour of Deep Metallurgical Services, and payable at Wagle Industrial
    Estate, Thane]

    9. Details of Account (for NEFT/DD/Online/Cheque):


    Name: Deep Metallurgical Services
    Account No: 004140300002905
    Bank Name: TJSB SAHAKARI BANK LTD.
    Branch: Tip Top Plaza, LBS Marg, Wagle Estate Thane-400604, Maharashtra
    RTGS/NEFT IFSC No: TJSB0000004
    Pan No: AAEFD6053A
    GSTIN: 27AAEFD6053A1ZW
    GST Category: Technical Testing & Analysis Services
    SAC: 998346

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