FKUSK1 F 11 Test Report NEW
Deputy Dean (Research and Internationalization)
Office
Level 2, Administration Building
Faculty of Medicine and Health Sciences
Universiti Putra Malaysia
43400 UPM Serdang, Selangor
Tel: 03-8947 2300 Fax: 03-8947 2585
Website: www.medic.upm.edu.my
TEST REPORT
REPORT NO. :
DATE:
PAGE:
of
This Test Report refers only to samples submitted by the applicant and tested by Faculty of Medicine and Health Sciences.
This Test Report shall not be reproduced, except in full and shall not be used for advertising purpose by any means without
written approval from Deputy Dean (Research and Internationalization), Faculty of Medicine and Health Sciences , Universiti
Putra Malaysia.
Applicant
:
Description of Product
:
Date Received
:
Sample ID
:
Test Method
:
Job No.
:
Date Tested
:
Completion Date
:
Result of analysis:
Approved Signatory
………………………………
Name:
Chemist, IKM No. :
Date:
Deputy Dean (Research and Internationalization)
Office
Level 2, Administration Building
Faculty of Medicine and Health Sciences
Universiti Putra Malaysia
43400 UPM Serdang, Selangor
Tel: 03-8947 2300 Fax: 03-8947 2585
Website: www.medic.upm.edu.my
TEST REPORT
REPORT NO. :
DATE:
PAGE:
of
This Test Report refers only to samples submitted by the applicant and tested by Faculty of Medicine and Health Sciences.
This Test Report shall not be reproduced, except in full and shall not be used for advertising purpose by any means without
written approval from Deputy Dean (Research and Internationalization), Faculty of Medicine and Health Sciences , Universiti
Putra Malaysia.
Approved Signatory
………………………………
Name:
Chemist, IKM No. :
Date:
Office
Level 2, Administration Building
Faculty of Medicine and Health Sciences
Universiti Putra Malaysia
43400 UPM Serdang, Selangor
Tel: 03-8947 2300 Fax: 03-8947 2585
Website: www.medic.upm.edu.my
TEST REPORT
REPORT NO. :
DATE:
PAGE:
of
This Test Report refers only to samples submitted by the applicant and tested by Faculty of Medicine and Health Sciences.
This Test Report shall not be reproduced, except in full and shall not be used for advertising purpose by any means without
written approval from Deputy Dean (Research and Internationalization), Faculty of Medicine and Health Sciences , Universiti
Putra Malaysia.
Applicant
:
Description of Product
:
Date Received
:
Sample ID
:
Test Method
:
Job No.
:
Date Tested
:
Completion Date
:
Result of analysis:
Approved Signatory
………………………………
Name:
Chemist, IKM No. :
Date:
Deputy Dean (Research and Internationalization)
Office
Level 2, Administration Building
Faculty of Medicine and Health Sciences
Universiti Putra Malaysia
43400 UPM Serdang, Selangor
Tel: 03-8947 2300 Fax: 03-8947 2585
Website: www.medic.upm.edu.my
TEST REPORT
REPORT NO. :
DATE:
PAGE:
of
This Test Report refers only to samples submitted by the applicant and tested by Faculty of Medicine and Health Sciences.
This Test Report shall not be reproduced, except in full and shall not be used for advertising purpose by any means without
written approval from Deputy Dean (Research and Internationalization), Faculty of Medicine and Health Sciences , Universiti
Putra Malaysia.
Approved Signatory
………………………………
Name:
Chemist, IKM No. :
Date: