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Company and Factory Information

1. Company Name:
Office address:

Office phone number: +88 02-29291534

Office email: [email protected]

Description of Business: (i.e. Factory, buying house) Factory

Name of Owner: Mohammad Abul Kalam Azad

Owner’s contact information- phone number and email: +8801762 686600

And Email id: [email protected]

Name of Merchandiser: Md. Salim Sharkar

Merchandiser contact information- phone number and email:

Cell# +8801762 686633 email id: [email protected]

Compliance Officer Name: Md. Al-Amin Sarkar

Compliance Officer Phone number: +8801762 686628

____________________________ _______________________
Signature or company stamp Date

For GT use only:


QC inspection done by:
Approved by:
Date:
Each production factory requires a separate sheet to be completed. Please
ensure all information is complete before sending

2. Factory Name:
Factory address: House# 89/2, Degerchala Road, Chaydana, National University,

Gazipur Sadar, Gazipur.

Factory email: [email protected]

Factory phone number:+88 02-29291534

Compliance Officer Name: Md. Al-Amin Sarkar


Compliance officer phone number and email: Plz fill-up.
Square footage of factory: Plz fill-up.
Number of workers: Plz fill-up.

Number of floors in building: 3

Shared building- yes or no: No

Number of buildings: 2
Factory Certifications: BSCI, ACCORD, OEKO-TEX etc.

____________________________ _______________________
Signature or company stamp Date

For GT use only:


QC inspection done by:
Approved by:
Date:

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