Ugra · Lerchenfeldstrasse 5 · CH-9014 St. Gallen	' Your business card is appreciated here
Ugra c/o EMPA House Lerchenfeldstrasse 5 9014 St. Gallen Switzerland	Submit order form by Priority Mail or by E-Mail: info@ugra.ch Fax: 0041 71 552 02 49

Swiss Accredited Testing Services – Security Printing

Company	PO #:
Contact:	Customer ID:
E-Mail:	Telephone:
Delivery address
Invoice address
Sample description (ID, lot or similar)	Hazardous samples / Class: MSDS attached
Sample Conditioning	23 °C and 50 % rH acc. ISO 20187	20 °C and 65 % rH acc. ISO 20139
Sample handling after test	Return to customer* Archiving at Ugra for 2 years* Destroying (Certificate of Destruction)*
Test Documentation	Short Report (test results only) Test Report with conclusion Certificate of Analysis	PDF digital signed (by E-Mail, free) Hard copy (shipping*)
English (standard)	German (standard)
Technical translation* (by translation agency)	Language:
Evaluation	acc. to specification (please attach to this order form)
Desired delivery date	Express Service 1-2 days (+100 %) Express Service 3-4 days (+50 %)
Standard Service 5+ days
Tests to be performed Please specify your required tests here OR mark it on page 2 OR attach test plan	1	6
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5	10
Test methods marked on page 2	Test plan attached
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* charged at cost acc. quotation

I hereby accept the general terms and conditions.

Date	2014-09-29	Signature	Firm stamp

N°	Test methods on paper	N°	Test methods on banknotes
1	ISO 534 Thickness of paper	31	Analysis of magnetic properties
2	ISO 535 Water absorptiveness (Cobb)	32	Analysis of security features (Intaglio printing)
3	ISO 536 Grammage of paper	33	Analysis of security features (Letterpress)
4	ISO 1924-2 Tensile strength (dry)	34	Analysis of security features (Offset printing)
5	ISO 1974 Tearing strength (Elmendorf)	35	Analysis under infrared light (IR)
6	ISO 2144 Residue ash on ignition (900 °C)	36	Analysis under ultraviolet light (UV)
7	ISO 2470-1 ISO Brightness	37	Bacteria total count on circulated banknotes
8	ISO 2471 Opacity	38	Chemical resistance tests (see next page)
9	ISO 2493 Bending resistance (Taber)	39	Colour CIE Lab
10	ISO 2758 Bursting strength (paper)	40	Counting of fluorescent security fibers (UV light)
11	ISO 2759 Bursting strength (cardboard)	41	Environmental simulation test (-40 to +180 °C)
12	ISO 3781 Tensile strength (wet)	42	Folding endurance on banknotes
13	ISO 4593 Thickness of film and sheeting	43	Heat resistance (up to 360 °C)
14	ISO 5626 Folding endurance (Schopper)	44	IGT 11.02 Crumpling test dry
15	ISO 5631 Colour of paper	45	IGT 11.02 Crumpling test wet
16	ISO 5636-3 Porosity (Bendtsen)	46	ISO 105-B02 Colour fastness to Xenon light
17	ISO 5636-5 Porosity (Gurley)	47	ISO 6330 Washing machine test 30 °C
18	ISO 6588-1 pH of aqueous cold extract	48	ISO 6330 Washing machine test 60 °C
19	ISO 6588-2 pH of aqueous hot extract	49	ISO 6330 Washing machine test 95 °C
20	ISO 8254-1 Gloss 75° TAPPI	50	Life cycle simulation of banknotes, soft
21	ISO 8254-2 Glanz 75° DIN	51	Life cycle simulation of banknotes, medium
22	ISO 8791-2 Roughness (Bendtsen)	52	Life cycle simulation of banknotes, hard
23	ISO 8791-2 Smoothness (Bendtsen)	53	Life cycle simulation of banknotes, extreme
24	ISO 9184-1 Fiber furnish analysis	54	Limpness test
25	ISO 9184-3 Fiber furnish analysis (Herzberg)	55	Oscillation test on security threads
26	ISO 15754 Z-directional Tensile Strength	56	Pelikan test (absorption of test ink)
27	IGT 11.02 Crumpling test dry	57	Rub resistance test (ink and varnish)
28	IGT 11.02 Crumpling test wet	58	Stacking test (adhesion and blocking)
29	PVOH identification test	59	Surface profile analysis (contact profilometer)
30	TAPPI T569 Internal Bond Strength	60	Tesa Test – foil adhesion test

Further tests on request. All test methods can be also performed acc. to standards published by DIN, CEN or TAPPI.

Date	2014-09-29	Signature	Firm stamp

N°	Chemical resistance tests on banknotes	Concentration % if different specify below	Temperature °C if different specify below	Duration min. if different specify below
1	Acetone	100%	23 °C	30 min.
2	Acetic acid	20%	23 °C	30 min.
3	Boiling water	100%	100 °C	30 min.
4	Deionized water	100%	23 °C	20 min.
5	Deionized water	100%	60 °C	30 min.
6	Detergent mild	1% Ariel liquid	30 °C	30 min.
7	Detergent solution	0.5% Persil, 1% Na2CO3	60 °C	30 min.
8	Detergent solution	0.5% Persil, 1% Na2CO3	95 °C	30 min.
9	Diethylene glycol	100%	23 °C	30 min.
10	Ethyl alcohol	95%	23 °C	30 min.
11	Hydrochloric acid	5%	23 °C	30 min.
12	Hydrogen peroxide	5%	23 °C	30 min.
13	Hot water	100%	60 °C	30 min.
14	Petrol	100%	23 °C	30 min.
15	Sodium hydroxide	5%	23 °C	30 min.
16	Sodium hypochlorite	5%	23 °C	30 min.
17	Sulfuric acid	5%	23 °C	30 min.
18	Synthetic sweat	pH 3.2	23 °C	30 min.
19	Test ink Pelikan 4001	10%	23 °C	10 min.
20	Test ink acc. DIN 53126	100%	23 °C	0.5 min.
21	Tetrachloroethylene	100%	23 °C	30 min.
22	Toluol	100%	23 °C	1 min.
23	Xylol	100%	23 °C	30 min.
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Further chemicals on request.

Date	2014-09-29	Signature	Firm stamp