VILLAGE TATARPUR, JATOLA ROAD, PALWAL - 121102

ACCEPTANCE TEST REPORT WO # 1271

CUSTOMER : PENNAR INDUSTRIES LTD. DATE OF TEST (M/D/Y) : 01/09/2017
TEST CONDUCTED AT CUSTOMER SITE - PATANCHERU,HYD SAMCO PERSONNEL :
Mr. Amit Chauhan - Automation
Mr.Virender Verma - Assembly
Mr. Rajbir - Electrical
Mr. Balbir - Mechanical

PRODUCT,LINE OR TOOLING TESTED CUSTOMER'S PERSONNEL :

Double Duplex Type Rollforming Line - Mr. Dayasagar Rao
Complete Line √ Fully √ Partially □ Mr. Bhimeshwar Rao

The subject of above WO # (line , equipment, tooling etc) has been tested by

SAMCO □ CUSTOMER □ SAMCO IN THE PRESENCE OF CUSTOMER √

As a result of acceptance test , I certify that the subject of above WO # 1271 (PENNAR INDUSTRIES LTD.)

Fully complies with the specification and is accepted …………………………………………………………………………………… √

Not completely complies with the specifications , but is accepted (see comments on back) …………………………. □

Method of Testing : AUTO MODE

Subject of W.O. described above has been tested and was found to be within the
specifications outlined in SAMCO's proposal and customer's purchase order.

Date : 01/09/2017 (M/D/Y) Customer's Sign Off ………………………………

Signing the acceptance report does not release SAMCO Machinery India Pvt. Ltd. From the warranty
specified in the condition of sale. However , It is the customer's responsibility to comply
with all terms and conditions within the agreed quotation.

Distribution List : □ Project Binder □ Traffic Department □ Quality Assurance