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苏州电器科学研究院股份有限公司试验委托书 No. Commission Form of Suzhou Electircal Apparatus Science Research Instutute Co.,Ltd 委托编号（由本院填写）/Commission No. filled by us : 、 、 、 委托单位全称 Full name of client 地址 Address 法人代表 Corporate representative 电话 Tel. 联系人姓名 Contact person 工作部门 Department 联系电话 Tel. 开户银行 Account bank 帐号 Account 试品型号名称 Sample name/type 试品规格数量 Model/Number of sample 产品标准 Product standard 试验项目 Test Items 试验要求 Test requirements 试验目的 Test purpose 要求试验日期 Requested testing date 同意试验日期 Approved testing date 备注 Remark 上列试品委托你院试验并遵照你所各项规定办理 We entrust you the samples and agree to act in accordance with your rules. 同意接受委托，希按照本院“客户委托试验须知”各项规定办理 Commission test approved, please go through the formalities according to “Comission Test Notification”. （委托单位公章） 联系人（签章） Cachet of client Contact person signature/seal （承试单位公章） 经办人（签章） Cachet of testing institute Responsible person signature Date: Date: 联系地址 Contact address 苏州新区滨河路永和路7号 No.7 Yonghe Street, Binghe Road 邮编 Postcode 215011 院长 Executive 胡德霖 Hu Delin Tel. 座机电话号码（Service center）座机电话号码（Sample room） 座机电话号码（Technical room）座机电话号码（Complaint） E-MAIL：Eservice@ http：// 注意：1. 本试验委托书一式四联，粗线框内由我院填写，如委托单位试品，标准未送全，应说明情况及时补全并由我院人员在粗线框中注明。 2．委托单位送试试品如有特殊要求，如需观察、试毕试品自提或托运等均需在事先说明，由我所人员在粗线框中说明，以便安排。 3．提取试品需凭本委托书原件或复印件加盖委托单位公章及办理完其他手续后，方能提取。 Attention: 1. This commission form is in quadruplication, blank in the overstriking frame will be filled by us. In the case client fail to send us the product or Standard on time, please tell us the reason and timely make up. This case shall be remarked in the overstriking frame. 2. If client has special requirements such as observing the test, fetching the sample in person or mailing the sample after the test, please tell us in advance to make arrangement. It shall be remarked in the overstriking frame. 3. The client could only take back the sample with this original form or copy with cachet after completion of relevant procedure. 苏州电器科学研究院股份有限公司试验委托书 No. Commission Form of Suzhou El