GEI 07-010422F4.

9-01PT Item Receipt Ack Form 00-000000

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Green Economy Initiatives Private Limited

PT ItemReceipt AcknowledgementForm
22EM02P3 Ending 30.11.22

Lab Code: _____37_____________Date of Receipt of PT Item _______19-01-2023___________

Kindly fill this form and email scanned copy only(in pdf format)to projectgreeneconomyipl@gmail.com
immediately but not beyond 2 days of receipt of each sample packet (In case you do not send back this form as
above, it will be presumed that you have received the samples intact and no complaint shall be entertained later)
We have received sample as per details given in forwarding letter (Tick as appropriate)

1. The package and PT Item(s) inside are found in intact condition& fit for analysis YES / NO

2. If NO, are the PT Item(s)damaged beyond use YES / NO

3. If Yes, describe the damage:

_________________NA______________________________________________________________________

__________________________________________________________________________________________
4. Remarks if any

__________________________________________________________________________________________

Attach photographic evidence for the damage as described: _____________________

(You can click pictures from various angles and send Whatsapp on 8872061900)

Contact Person: Kushal P

Lab Name: KN LABORATORY,
Sy.no. 487, Behind SLI power Engineer, Bachupally, Hyderabad

Email knbiolabs@gmail.com Mobile  7036331978

Signature/ Stamp
Kindly make sure that all correspondence is done by key person / contact person as per registration form
For any clarifications contact: Dr. Randeep Singh Saini,PT Coordinator 8872061900
GEI 07-010422F4.9-01PT Item Receipt Ack Form 00-000000
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