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["深圳市优尔检测技术有限公司"]
["检测服务申请表"]
["尊敬的客户：\n    感谢您对优尔国际业务的兴趣，请提供以下所要求的客户及产品信息。如果您不知道如何提供，请参考以下的格式，您也可以用其他的形式提供相同的内容，请将填写好的申请表发给我们。如可能，请用电子邮件的方式递交。提供的信息若在申请过程中有改变，或对此申请表有改进意见，请及时通知我们。\n电话:0755-33925037    \n邮箱：ycct@ycct.com.cn\n地址：深圳市宝安区沙井松福大道马安山蓝天科技园A4栋优尔国际1-3楼"]
["申请单位*"]
["地  址*"]
["联系人",{"$nulls":6},"电 话",{"$nulls":7},"邮 箱"]
["                                     样品描述"]
["名称*",{"$nulls":4},"型号*",{"$nulls":5},"材料*",{"$nulls":8},"颜色*"]
["额度温度*",{"$nulls":4},"电压*",{"$nulls":5},"功率",{"$nulls":5},"其他"]
["测试标准*",{"$nulls":9},"预计送样日期",{"$nulls":7},"样品数量"]
["印字内容"]
["客户对检测工作的要求（重要，请认真勾选）"]
["1.证书上是否需要判定：",{"$nulls":8},"需要",null,null,null,"不需要"]
["2.检测报告形式：",{"$nulls":8},"中文",null,null,null,"英文"]
["3.检测报告方式：",{"$nulls":8},"电子版",null,null,null,"纸质版"]
["4.报告传递方式：",{"$nulls":8},"自取",null,null,null,"快递",null,null,"电邮"]
["5.样品处置方式",null,"：",{"$nulls":6},"样品退回（快递费自付）",{"$nulls":6},"样品由实验室处理"]
["6.时间要求：",{"$nulls":8},"正常",null,null,null,"加急（加收30%测试费用）"]
["7.付款方式：",{"$nulls":8},"现金",null,null,null,"汇款",null,null,"支票"]
["8.如超出能力范围，是否同意分包：",{"$nulls":8},"同意",null,null,null,"不同意"]
["9.其他特别要求："]
["申请人签名：                          盖章：\n",{"$nulls":24}," "]
["备注：\n1、带*为必填项。\n2、如需出具英文报告，请提供相关英文信息（包括公司，地址，联系人，产品名称等英文信息）                                                                                                                                                                                  3、共享测试（TSP）主要解决工厂内部自检的委外测试，可出数据表单或检测报告，不含CNAS报告。                                                                                                                                               4、如需按CNAS报告，请在填写申请表时备注好，需额外处理。"]