Rail Vikas Nigam Limited East Central Railway ply of balla, taaton of track (meh LP vein of ONE, Sipvasing a Poa Tetudloghen 411 66 to phe Mii fat Cenveat Rallvray, Dita B/harenand, dine Date of AM SuDmisiion WS [I2Doera etyaneeg ed Govy Gay Gy 2ES Wea nto S becuse 4:7 96)U73 to BSAMawS [Side (RHS/LHS) Whe secuest you arrange (or the Inspection éhacking approval of following material work [sracture ]__Railted “Suney | SSTIOHE by Contractor 2 y eure. Se B Signature: Sow aes Name: tata frere pate: 24) 12202, Jonas by rime: yo As res.(Please tick the box) Sheet/Check list/Test reportMeasurement sheet/ Other if any esngerrmengauen of chmtsfMeg Represents: Jime =» oO. 39¢ Je OS MRL gir vee wan ged 905 28 Activity Inspection Status:(Please tick the box) Ww Acti yspection Sratus:| ] wwoeetion & recess wan nat sctnay vonpection & Process wth next att i cere & esate Inspeeton. & Comey per commant & renee, Fial/Survey Work Engr. Of PMC’ | Earth/Bridge/Material/Survey Work Engr. Of CLIENT s PRoveD | APPROVED / NOT APPROVED itativ CLIENT's RepresentativeVikas Nigam Limited Bate of RAT Submission Frapecton Dare] Na} a}r02> isl h2022 aK BeSeTBTOR a Ts Ronee Claeper stb eeg deme LET ex ere ore Hisbe Sieger osJea Joene Ints/PMps Representative, Al i ek gre for cp pw See | — OO ae | — | |Rail Vikas « Ro elpey Teorvgeweniee Keow BIPC “ MOS Ob Fe) Loe Core eeee Baie TR SubrsnoT Frpectan Dare wsse yilapee vise | tose bws tober 7 Eames Taster [ie ceaccst you arrange for He Repecton checiong approval of following material work Survey |__ SSTIORE Tacs, I eee ise ey Joop eg tpn sale WEEE eamWarg bescrphon, "DS Sieger Shitveg Pyer QES VRID to AM NERS Received by Client’ Jrome; Aabred Panes? Name: hae ape h ajo } ners cae Ne ate | Time Time: weog hes. Tengatigryof Clint OY fas Aap Activity inepeetion Status: (Please tec the box) p Actiity CET eli i the bod "APPROVED / NOT APPROVED.HOES Representa ted clr ak = in > S27faerde ass © +) ey