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F-_t
BHARAT PErR?l_EU_Y_coRPoRAfl oN LllD
MUMBAI REFINERY
b-
I Bharst
I PGtroloum
I
I

LoADING suPERVlstoN sLlP


::

t
01 PURPOSE

02 VEHICLE NO. I

03 DATE OF ENTRY

a4 TIME OF ENTRY

05 NAME OF CONTRACTOR / PARTY

06 ADDRESS OF CONTRACTOR /
PARTY

a7 DESCRIPTION OF MATERIAL TO
BE LOADED
C
SIGNATURE OF CONTRACTOR / (
08 PA.Rry 1 P.EPF.ESEI.IT,A:!'!VES !^"'!Ti-I
NAME u'

09 PLACE OF LOADING

10 AUTHORITY OF BPCL OFFICER

{1 CISF PERSONNEL DETAILED TO


WITNESS"
L-

tl2 SIGN. OF CISF PERSONNEL

13 SIGN. OF CISF OFFICER

14 GATE PASS NO.: ISSUING AUTHORIW ;

1C
IJ
DETAILS OF MATERIAL AS PER
GATE PAqS

16 SIGN. OF WITNE$SING PERSONNEL

17 SIGN, OF CHECKING OFFICER


i WITH NAME & RANK
:

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