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Lab Test

1. Product Details

2. Lab Test Details

3. Attachment Details

Product Details

International Barcode/ DM Barcode

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Brand:

Country:

Manufacturer:

Trade Name:

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Group:

Category:

Sub Category:

Weight:

Weight Unit :

Packaging Type:

Shelf life(Days):

Storage Conditions:

HS Code

Group: {{selected.Group}}

Brand: {{selected.Brand}}

Country of origin: {{selected.Country}}

Barcode: {{selected.InternationBarcode}}

Lab Test Details

Fields indicated with * are mandatory

Dm Barcode

International Barcode

Emirates*

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Request Type*

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Unit*

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Number of Units*

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Testing Lab*

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Sample REF No*

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Sample Type*

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Sample Date*

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Sample Source*

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Sample Weight / Volume *

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Production Date

Expiry Date

Batch/Lot No. *

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Sample Description *

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Request Remarks

Final Results*

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Result Change Reason *:

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Test Sample Parameters*

Parameter	Other	Final Result	Action
{{$select.selected.Name}} This field is required	This field is required	{{$select.selected.Name}} This field is required

Attachment Details

Note: Please be sure that following documents are part of your request

Allowed file size is 3 MB max, Allowed file types are (JPG, JPEG, PNG, BMP & PDF)

LabTest Result

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Lab Test

Product Details

{{selected.TradeName}}

Lab Test Details

Attachment Details