Entrusting unit: manager:

Reasons for requesting assessment:

surname

gender

cockscomb

nation

occupation

Major disease

Blood transfusion history

Residential address

place of work

ID number (date of birth)

Marital status: marriage certificate number. : Tel:

Appraisal result: 1) self-signed ID card: 2) mailing address and zip code:

Special requirements:

Note: 1. Generally, the subject is required to take samples on site. This appraisal center is not responsible for the authenticity of the samples submitted for inspection, and the client is responsible for the impact on the appraisal results.

2. The customer should describe the nature of the specimen in as much detail as possible, and specify the material range of multiple identification parts and mark them. For some old, corrupt, traced or contaminated samples with quality problems, we can't guarantee that the results will be achieved. Please ask the entrusting party to cooperate. If necessary, we need to take another sample.

3. Single parent paternity test, the conclusion can only be "excluding or not excluding parent-child relationship." If paternity test is needed, an agreement must be signed to agree with the above conclusion.

4. The customer can receive the report according to the time indicated on the inspection report receipt. In order to ensure that our appraisal work is carried out in an orderly manner and avoid mistakes in our work, please ask the entrusting party not to urge the test results within the prescribed time limit. If you have any questions about the specimen or case, we will contact the client in time. Please sign:

Take the reporter's signature: