SAMPLE REQUISITION FORM OF UTAH H/O

Date : 19-Oct-20 GENDER

LADIES
01. BUYER : JORDACHE req# RECEIVED

02. DEPARTMENT : LEDIES Mlist AS PER T/P YES NO

03. PROTO/STYLE 21-2120 FABRICS X

05. ITEM : V NECK S/SLEEVE T-SHIRT MAIN &SIZE LABEL X

06. SAMPLE FOR : Add Sample S.THREAD X

EMBROIDERY X
08. FABRICS : Description Buyer Requirement Sample Fabrics MOBILON TAPE X
100% COTTON S/JERSEY
FABRIC-A 120 GSM
100% COTTON S/JERSEY 120 GSM
100% COTTON S/JERSEY
NEDCK BINDING 120 GSM
100% COTTON S/JERSEY 120 GSM

BACK NECK TAPE DTM SATIN TAPE DTM SATIN TAPE

09. COLOR / QNTY : COLOR SIZE & QTY

S M L XL XXL
BLACK 4 2 2 _ _
COOL BREEZE 3 3 2 _ _
Job - JORK468
WHITE 3 2 3 _ _
WATERMELON BEACH 3 2 2 2 _
Job - JORK469 PINEAPPLE COLADA 3 2 2 _ 2

Total 16 Pcs 11 PCS 11 Pcs 2 Pcs 2 Pcs

10. Wash Type : na
11. Required Date : 21-Oct-20
Special
12.
Instruction:

NO SAMPLE WILL LEAVE OFFICE PREMISES WITH ANY DISCREPANCIES OR WRONG COLOR COMBINATION

SHAHBUDDIN DEPUTY MANAGER SIGNATURE SIGNATURE SIGNATURE SIGNATURE

SR. MERCHANDISER OF THE PDM OF THE M. M OF THE A.G.M SAMPLE DEPT

PLEASE ATTACHED SWATCH OVER HERE. ( IN CASE OF

MORE THAN ONE SWATCH, PLS USE SWATCH CARD SIGNED BY THE MERCHANT )