Request Form for Testing(☐ Accept JFRL Agreement)

Please fill in the form below, after having read and accept JFRL Agreement on page 3.

Test No.

Date (use by JFRL)(use by JFRL)

Payment Information(If it differs from Client information)

Client Information
Company
nameAddress
Department@

EmailContact
PersonPhone/
Facsimile@

Mr. / Ms.

Mr. / Ms.

☎ / FAX☎ / FAX
Test Report Information (If it differs from above Client information)

Company
nameAddress
Deliveryaddress
Purposeof yourrequest
Kind ofSampleNo.

☐ Client
Company name in certificates/reports cannot be changed once they are issued.

☐ Client☐ Client☎☐ Quality control, ☐ Research, ☐ Nutritional Labeling, ☐ Pharmaceutical application☐ Export to Japan, ☐ Handling complaint ,☐ Others(Storage condition)☐ Food, ☐ Food Additive*, ☐ Drinking water, ☐ Package for food, ☐ Chemical products*,☐ Cosmetics*(☐ Product*, ☐ Material*), ☐ Pharmaceuticals*, ☐ Quasi-Drug Ingredients*,☐ Medical Device, ☐ Feed, ☐ Feed Additive*, ☐ Pet food, ☐ Others*()

Kind of sample with " * " requires to check below;☐ Designated as Hazardous material(require to contact us before shipping), ☐ Not Hazardous material
Sample name
Sample name in certificates/reports cannot bechanged once they are issued☐ Room temperature☐ Refrigerated☐ Frozen

Test Parameter1

Note(Please write here if you want to tell us something more.)NET(use by JFRL)TAX/HC (use by JFRL)TOTAL(use by JFRL)(use by JFRL)・Test samples are disposed after completion of tests. ・Please refrain from testing other companies' products.
・Unless otherwise specified, we will choose appropriate test methods according to your sample information.
・When sample is designated as hazardous material, contact us before shipping. Reference document(1) Please send your completed form tokaigaisoudan@jfrl.or.jp(2) Please send your test samples to the address below.
・Tokyo Head Office; 52-1 Motoyoyogi-cho, Shibuya-ku, Tokyo 151-0062, Japan・Osaka Branch; 3-1 Toyotsu-cho, Suita-shi, Osaka 564-0051, Japan・Tama Laboratory; 11-10 Nagayama 6-chome, Tama-shi, Tokyo 206-0025, Japan

Phone: +81-3-3469-7131
Phone: +81-6-6386-1851
Phone: +81-42-372-6711(Apr 2023)

Test No.

Request Form for Testing(use by JFRL)

No.

Sample name
Sample name in certificates/reports cannot bechanged once they are issued

Test Parameter

2345678Note(Please write here if you want to tell us something more.)(use by JFRL)(Apr 2023)

GENERAL TERMS AND CONDITIONS OF ANALYSIS TESTThis Agreement defines basic agreements between the client as the consignor (hereinafter referred to as the “Client”) and Japan Food Research Laboratories (hereinafter referred to as“JFRL”) necessary for JFRL to carry out services concerning analytical testing contracted out by the Client (hereinafter referred to as the “Services”).
Article 1
Acceptance of Contract
1. The Client shall provide objects subject to analytical testing (hereinafter referredto as the “Samples”) and the following documents or information, and JFRL shall,
after receiving them (or after receiving any application form in the case where
there is no Sample), notify the Client that JFRL can accept the contract. The
acceptance of the contract of the Services is considered to take effect with thisnotification.1.
(1) A request for analytical testing on a form provided by JFRL (provided directly,
by post, fax, e-mail, etc.)(2) An application through a Web system of JFRL (Available only in Japanese)called named Bunsekinavi@jfrl(3) Conclusion of an individual agreement or other application regarding arequest for analytical testing
2. JFRL shall not accept any contract for which the purpose of any of the testing,test methods, Samples, etc. JFRL finds it inappropriate. In the case where it isfound inappropriate after accepting the contract, JFRL shall discontinue theServices and notify the Client of the fact. JFRL shall not be liable for any
consequential damages incurred by you or a third party arising from thediscontinuation of the Services.
Article 2
Method of Analytical Testing
1. The analytical testing shall be implemented in a manner JFRL finds appropriate.
2. In the event that the Client desires a specific method of analytical testing, theClient shall notify JFRL in advance. JFRL shall employ the method if JFRL finds
such a method feasible and reasonable.
3. If the analytical test method specified by the customer is the subject of a patentor other right of a third party, the customer shall perform the necessary
procedures to make the method available for use.
4. The methods of analytical testing conducted by JFRL may include those thathave been employed by JFRL and those specific to JFRL. Customers shall not
apply for patents on the methods of analytical testing used in this service without
the prior consent of JFRL.
5. The method and amount of preparation of the samples will be determined byJFRL. If there are any cautionary statements, the Client shall notify JFRL inadvance.
Article 3FeeThe fee for the Services shall be as prescribed by JFRL.
Article 4Payment
The payment conditions and the payment method shall be as follows unlessotherwise stipulated:(1) Payment shall be made to the designated bank account by the due datedesignated by JFRL; and(2) The costs in relation to the payment, including bank transfer costs shall beborne by the Client.
Article 5
Confidentiality
1. JFRL shall not disclose any Samples or any information disclosed or provided toJFRL for acceptance of the contract by the Client, or any information acquired
as a result of testing or as a result of consideration given to accepting thecontract of testing (hereinafter collectively referred to as “ConfidentialInformation”) to any third party without the prior consent of the Client, however,that this shall not apply to any of the following information:(1) Information that is already in the public domain/use when disclosed by oracquired from the Client;(2) Information that is already duly possessed by JFRL before being disclosed
by or acquired from the Client;(3) Information that enters the public domain not owing to any event attributable
to JFRL after being disclosed by or acquired from the Client;(4) Information that is independently developed by JFRL without involving theServices; and(5) Information that is acquired from a duly authorized third party without owing
any confidentiality obligation.
2. Notwithstanding the provisions of the preceding paragraph, in the event thatServices is partially entrusted to a third party in connection with theimplementation of the Services or the examination of activities to improve theservices of JFRL, JFRL shall be entitled to disclose the Confidential Information
to a such third party, provided that such third party is obliged to bear the sameobligations as those assumed under the provisions of the preceding paragraph.
3. The Client shall maintain in confidence information acquired in relation to thefacilities, equipment, and staff of JFRL, and information inherent in JFRL suchas the details of management methods and testing methods.
4. Notwithstanding the provisions of Articles 1 and 3, both the Client and JFRL
may disclose such information in the case where they receive an information
query or a disclosure order from a government agency, a judicial organ, or a bar
association to disclose such information by law.
Article 6
Purposes of Use of Personal Information
JFRL will not use the personal information of the Client for purposes other thancommunication and confirmation regarding the Services, sending
announcements or questionnaires related to events operated by JFRL,
examination of activities of JFRL, and the purposes specified at the time ofacquiring such information. JFRL strives to manage personal information inaccordance with the Personal Information Protection Policy(URL : https://www.jfrl.or.jp/english/privacy).
Article 7
Provision and Handling of Samples
1. The Samples and information required for the Services shall be provided free ofcharge.

2. In the case where the Samples are hazardous materials, etc., the Client shallnotify JFRL of such fact in advance as JFRL may not accept such a contract. If
JFRL suffers personal or material damages due to those Samples without
notification, JFRL may claim compensation for damages.
3. The Samples which have not been used for testing shall not be returned inprinciple and shall be discarded by JFRL about one (1) month after thecompletion of the testing if they are preservable.
However, the Samples shall be returned to the Client, and expenses for such
return shall be borne by the Client in any of the following events:(1) In the event that JFRL finds that Samples cannot be easily discarded
because they are hazardous materials, etc., they are considerable inamount, or for any other reason; or(2) In the event that the Samples are rare items, etc., and the Client specifies
on the request for analytical testing, etc. the Client desires to have such
Samples returned.
Article 8
Report1. The results of the analytical testing shall be reported (including uploading to theWeb system) or sent by the specified due date as an analytical testing certificateor an analytical testing report (hereinafter referred to as the “Certificate”).
However, this shall not apply in the case of contents of which results cannot bedocumented, such as training. The due date may be changed owing to thesituation of analytical testing.
2. In principle, the description shall not be changed after the issuance of theCertificate.
3. In the case where the Client desires to have the Certificate sent, JFRL will send
it by post, email, or other means. JFRL shall not be liable for any accident ordelay attributable to a carrier or other transportation services.
4. Any additional Certificate, shall be issued for a fee, only within five (5) years fromthe original date of the issuance in principle.
5. Certificates except for Certificate of Measurement Certification cannot be used
for measurement certification inspection specified in the Japanese
Measurement Act.
Article 9Liability
1. JFRL shall not be liable for any damages due to the use of the results of theServices by the Client.
2. In the case where there is an error in the Services due to any cause attributable
to JFRL, JFRL shall take either of the following measures upon consultation withthe Client, and JFRL shall not be liable for any other matters:(1) Conduct the Services once more at the expense of JFRL; or(2) Reduce the fee for analytical testing.
(3) Compensate for damages up to the amount of the fee for the service.
3. JFRL does not warrant that the results of the Services will not infringe any
intellectual property right of a third party.
Article 10
Publication of Certificate
Although the results from analytical testing belong to the Client, in the case ofpublishing the results on products, labels, fliers, websites, etc. with the name ofJFRL, the Client shall do so at its own expense and risk.
In the event that the reputation or credibility of JFRL is damaged by thepublications the Client has created, JFRL shall take action to claim the damages
according to law.
Article 11
Alteration and cancellation
1. JFRL shall notify the Client in writing of any alteration and termination after
accepting the contract of the Services.
JFRL shall calculate any adjustment based on the actual amount of expenses
that have so far been incurred.
2. The Client shall be aware that analysis may become unfeasible owing to grounds
inherent in the Samples. In such a case, JFRL shall also calculate any
adjustment based on the actual amount of expenses that have so far been
incurred.
Article 12
Antisocial Forces
1. Clients ensure to JFRL that Clients, affiliated companies, and their officers andemployees are not involved in antisocial forces or have no cooperation, funding,or business relationships with those involved in antisocial forces.
2. When it is discovered that the assurances obligation in the preceding paragraphis violated or that there is a possibility of such violation, JFRL shall be able toimmediately cease entrusting the Services without requiring notice of any kindand bearing any liability. In addition, JFRL shall not be liable for any of theServices that have already been carried out, including those that are defective.
Article 13
Force majeure
In the event that it is difficult to carry out the Services owing to a force majeure
event such as a natural disaster of any kind, which is not attributable to JFRL,
actions to be taken shall be determined upon consultation between the twoparties.
Article 14Consultation
Any doubt arising from or relating to the provisions stipulated above shall be
resolved upon consultation between the two parties in good faith.
Article 15
Jurisdiction
This provision is subject to the laws of Japan and will be interpreted inaccordance with the laws of Japan. The Tokyo District Court shall haveexclusive jurisdiction in the first instance with respect to any dispute arising fromor relating to this Agreement.
(Apr 2023)(Apr 2023)