K.V.
IMPEX
14/16, BHANDARI CROSS LANE, 1ST FLOOR, ROOM NO 13, VADGADI, MUMBAI – 400 003.
Tel No: - 65182428, Mob No: - 9819311606, Email: - [email protected]
FACTORY TEST REPORT
Name of Applicant: K.V Impex CM/A ………………
Valid up to
Address of Applicant: C-109, First Floor, Shree Umiya Complex, Kalher, Bhiwandi: 421302. Dist: Thane. Maharashtra.
IS 9873:2019 Product
Grade/Type/Variety/Class:
Declared values:
Batch/Lot No.
Date of Manufacturing: 29/11/2020 Any other information
Date of start of testing: 30/11/2020 Date of completion of testing: 30/11/2020
Sr. Tests IS Clause Specified Requirement Observed Remarks
No. Value(s)
1 Visual OK Satisfacto
Inspection ry
Note: Attach extra sheet, if required. The above mentioned sample manufactured and tested at our premises is
conforming/non-conforming to the requirement(s) of IS ……..........................................
Seal of Firm
Signature of Testing Personnel
Name: Seemab Ansari
Designation: QC Control In charge
Date: 02/12/2020