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??ࡱ?>?? ?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????[? ?R???bjbj????.?ΐΐ? ???????xx??>>>????RRR8??R?*?22222?)?)?)?)?)?)?)$?,?5/|?)?>?"?)??22?e*???8?R2>2?)??)???n&D"F(2????@(x??r?RN??'?){*0?*?'??/?90(F(F(8?/d0$>~(,??)?) x?*????????????????????????????????????????????????????????????????????90x ?: Footwear and Recreation Technology Research Institute Testing and Inspection Laboratory No. 11, 8th Rd., Industrial Park, Xitun Dist., Taichung City, Taiwan,ROC. Tel:+886-4-23590112 ext.726 Fax: +886-4-23598903 Work Request Form Date Received? Application No.?[ ] Date of receipt? Signature of receiver? Applicant?Contact?Phone No.?Email?Mobile phone?Address?Fax no.?Registered No.?Manufacturer?Contact?Phone No.?Email?Mobile phone?Address?Fax no.?Registered No.?Sample references?Quantity?Testing ItemMethod / ConditionEstimated priceNoticeRegular(7Working Days)Express(3 Working Days)Urgent(24hrs)Estimated date? ?%Chinese report Copies ?%English report Copies ?% Fax to Applicant[ ]Collect on completionReturn tested and/or remaining sample (within 7 days)?% Fax to Manufacturer[ ]?%Post report to applicant (NT$50 add.)?% E-Mail to Applicant[ ]?%Post report tested and/or remaining sample (NT$100 add.)Samples confirmation??%TAF/ilac-MRA Mark ?%Outsourcing testConformity statement: ?%Y ?%N Decision rule: ILAC-G8:09/2019 Simple Acceptance ?%according to standard requirement?%according to customer s requirement ?%I hereby confirm that I have read and understood the content of this Work Request Form, and agree to make my personal data available to Footwear and Recreation Technology Research Institute under the terms and conditions set out in the Act and this Work Request Form.Authorized person /Applicant Title/Signature? Date?Company stamp?Note?After signing this form, it means the clients does understand and agree with Terms and Conditions as following and acknowledge that all tests are destructive tests.Total price?0 0 Registered No.?0 0Review? Signature of recipient?0 00 007.1-M-4-N003-6 Apr. 17, 2023 updated Terms and Conditions This Terms and Conditions is part of the Work Request Form, applicant should confirm the application, understand and agree with all test requests are following on this Terms and Conditions. Please prepare enough samples with Work Request Form and send to Footwear and Recreation Technology Research Institute (FRT). The test request is valid when the Work Request Form is filled out, including test methods and conditions and signed by the authorized person of client. If these application procedures have not been finished, the tests will not be undertaken. All tests are destructive tests. The period for the validity of the test reports is one year. The test report relates exclusively to the samples being tested and shall not apply to the lot of the original of the samples. The samples which has been tested will be destroyed at the expiration of a period of 3 months. If any requirements of deletion, division, modification of sample description, or additional notes for the test report, please request within one month of the finished date report, and an amount of surcharge would be added. The test report should not be used for public advertisement, commercial promotion or purchase specification. FRT accepts no responsibility if the client uses the test report without the prior written permission from FRT. If the above actions cause any damages to FRT, the client should be responsible for the legal liability. 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JB*CJOJPJQJ^Jph)h?Z h~bB*CJOJPJQJ^Jph&hj{?B*CJOJPJQJ^Jo(ph&hl ?B*CJOJPJQJ^Jo(ph,h?Z ht?B*CJOJPJQJ^Jo(ph .??\b?|B????p???؃ڃ8?J?P???„?Խ??????zczNz?9???9)h?Z h?.?B*CJOJPJQJ^Jph)h?Z h?W?B*CJOJPJQJ^Jph,h?Z h?-B*CJOJPJQJ^Jo(ph)h?Z hK,?B*CJOJPJQJ^JphU,h?Z h\Z?B*CJOJPJQJ^Jo(ph)h?Z h?G?B*CJOJPJQJ^Jph,h?Z h?G?B*CJOJPJQJ^Jo(ph)h?Z h/`FB*CJOJPJQJ^Jph,h?Z h/`FB*CJOJPJQJ^Jo(ph, damage or expense as a result of negligence or willful default of FRT test report shall in no circumstances exceed a total aggregate sum equal to 5 times the amount of the fee paid in respect of the testing service which gives rise to such claim. Before the service fee was totally paid by the client, FRT would not offer test report to the client. The Work Request Form and Terms and Conditions shall be governed, interpreted in accordance with the local laws of Republic of China (Taiwan), without regard to the conflicts of law principles. The test report with measurement uncertainty generally refers to the test results coverage factor of about 1.96 and confidence level of about 95%. The Declaration of Conformity report in the test report are based on the judgment results of the decision rules after considering the measurement uncertainty. If the customer has a compliance result request and does not specify a decision rule to use, then agree to use the decision rules used by the laboratory. According to the Personal Data Protection Act, Footwear and Recreation Technology Research Institute (hereinafter as FRT) issues its statement of personal data protection and collection agreement to notify you of your responsibilities and rights and solicit your consent to the collection, processing and use of your personal data by FRT. According to the Personal Data Protection Act (ROC), you are entitled to make the following requests?(1)To check or review the collected data. (2)To receive a photocopy of the collected data.(3)To supplement or revise the collected data.(4)To cease the collection, processing or use of the collected data.(5)To delete the collected data. Any matters have not been stated in this Terms and Conditions shall be governed by the civil law and related law of ROC. 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