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Entrusting Unit
*
Entrustment Date
*
Contact Person
*
Mobile Number
*
Contact Address
*
Sample Model
*
Sample Number
*
Sample Supplier
*
Type of Sample
*
LED Devices
LED Module
Others
Is there product traceability information available?
NO
There is printed information on the product(If present, please photograph)
There is printed information on the outer packaging: (If present, please photograph)
Testing Purpose
*
Report Language
*
Chinese
English(English Name of the Entrusting Unit))
Email for receiving test reports
*
Should the sample be returned?
*
Yes
No
*
Code：
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