ILC Registration Form

Organization / Lab Details

Name of Organization /
Lab:
Postal Address:

Contact Details
Contact Person:
Designation:
Contact Number:

Email:

Our laboratory is willing to participate in the Inter Laboratory Comparison Program

organized by <Name of Controlling Lab> for the following tests;

A
B
C
D
* Tick the boxes for the tests your lab wants to participate in.
As a participant we agree to the below mentioned terms;
a. Specified timing requirements such as starting date, order of testing specimens
and finishing date of the program must be rigidly followed
b. The method provided with sample will be adhered to.
c. Samples must be handled in accordance with the instructions
d. A qualified operator must perform the tests.
Having a fair appraisal of our capabilities and facilities, we feel that we will be
adequately prepared for the Inter Laboratory Comparison of the tests selected above.
Signature:
Name:
Designation:

To be filled by the <Name of Controlling Lab> Lab

ILC Program Code:
Commencement:
Lab Code:
Signature:
<Concerned Designation>