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Project Name:

Hyderabad Metro Rail

Date:

(1)
S. No.:

(2)
Location

1
2
3
4
5
6
7
8
9

MYP RSS SCADA ROOM

10
13
14
15
17
18
19
20
21
22
23
24
25
26
27
28
29
31
32

MYP RSS SWITCH GEAR ROOM

33
34
35

MYP RSS SWITCH GEAR ROOM

36
37
38
39
40
41
42
43
44
45
46
47
48
49
51
52
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
78
79

MYP RSS UPS ROOM

MYP RSS UPS ROOM


80
81
82
83
85
86

MYP RSS BATTERY ROOM

91

92
95
96
98
99
100
101
102
103
105
106

MYP DEPOT S &TC UPS ROOM

107
108
109
110
111

MYP DEPOT S&TC Battery ROOM

112
113
114
115

MYP DEPOT UPS ROOM

116
117

MYP DEPOT UPS ROOM

118
119
120
121
122

1MVA DG SET

123

mpletion of First Inspection(Columns #1 to #4)

Issued By:
Received By:

Print Name
Print Name

On completion of all above snag points


Final Close-out Remarks:

Closed By:

Print Name

PUNCH LIST
Punch List Ref. No.:
Previous Punch List(s) Ref(s).

(3)
Punch List Description

RTCC panel TT-2 tapchange position analogmeter not working


RTCC panel TT-1 oil ,HV temperature indicating analog meter not working .
CRP panel TT-1 earth switch semophole not working.
CRP panel AT-2 breaker control switch not glowing.
RTCC panel TT-1 back door not closing.

Near tpc SCADA operating system PVC flexible pipe to be arranged to


RJ45 cables which is connected between RTU & SCADA sytem.
In CRP panel bus coupler breaker semophole & breaker control switch is in reverse
condition.
Scheme diagram of 132Kv ,33KV &25KV for Miyapur RSS should be modified.

All earth pits rusted.


In SCADA Room some lights are not fitted properly.

In C&R panel no 2&5 relays doesn't have batteries.


In RSS some windows locks not locking.
In SCADA room false ceeling not fitted properly some sheets were
broken at the edges some are cracked
Body earthing not provided for the RTCC panel.
One Insulating mat should be provided at 33kv AIS
Nameplate not provided for every MCB inside the PDB -4 also there are some open
gaps at MCBS .
Nameplate not provided for every MCB inside the PDB -1 also there are some open
gaps at MCBS .
Nameplate not provided for every MCB inside the PDB -2 also there are some open
gaps at MCBS .
RED light indicater cap not there Extinction in progress of theCTR fire protection
system panel of PT-2.
Nameplate not provided for every MCB inside the LDB -2.
Lock damaged for the LDB-2 & also there are some open gaps at MCBS .
Locks not provided for the DT-1&2 doors.
Automatic fire extinguition system not provided to ACDB panel

(4)
Due Date

Automatic fire extinguition system not provided to 33KV AIS panel.


Nameplate not provided for every MCB inside the LDB -1(LG) also there are some
open gaps at MCBS .
In 33KV AIS panel earth switch keys are bended.
In 33KV AIS panel earth switch klocks are jamed with broken keys in panel no(6&7)
In 33KV AIS PANEL (panel no:14) breaker mechanical ON/OFF push button liver not
working(DT-2 Feeder).
cable tags not provided for the RTD panels of DT-1,DT-2.
cable tags not provided for the CTR fire protection system panels .
Feeder to feeder conctivity SLD not provided.
At 33KV AIS panel no 04 breaker door is not locking properly.
At 33KV AIS panel no 12 back door bolts not provided properly.
lighting panel door not closing .
In wash rooms lights not provided.
In MDB I/C-2 Breaker display is flickering.
For 33KV AIS 5th & 8th Panel, Relay Communication Port cap is not present.
Oil leakage found in TT -2 transformer radiater bushing side.
At MA AT 001 transformer 33Kv side cable tags missing.
Silica gell not filled fully in OLTC breather of TT-1.
Silica gell not filled fully in main tank breather of TT-1.
Bolts not provided for all the values in AT-1.
At AT-1 dummy of the value behind the OLTC marshal box not painted properly.
Welding socket at TT-2 switch is not operating.
cable tags not provided for the marshalling box of TT-2 & also at thermo syphone
marshal box.
locks not provided for all marshal boxes in switch yard.
At AT-01 name plate was damaged.
Name plate not provided for the lighting mast marshal boxes in switch yard.
Earth strips not painted properly in entire switch yard .
Oil leakage found in TT -2 transformer radiater bushing side.
Cable tags not provided for the marshalling box of TT-1.
At TT-1 at sump motor control box the cable supporting pipe must be covered.

Cooling fans covers not tighted.


At TT-02 secondary side cable supporting pipes are not closed.
At AT-02 secondary side cable supporting pipes are not closed.
At AT-02 at neutral cable supporting pipes are not closed.
At 132KV breaker of AT-2 some cable tags not provided.
At TT-02 drain value gascut is not fitted properly.
ATS 'ON/OFF"switch(LBS Q3) handle missing.
ATS Cable supporting pipe should be closed
Isolation transformer -1 on front door lock damaged .
Float cum boost charger "Y"phase indication lamp is not glowing.
lights are flickering in UPS room.
Body earthing not done for the isolation transformers.

Wheel locks for isolation transformers not welded.


Float cum boost charger back side door one fram of air exaust is broken.
Isolation transformer -1 cannopy back fram is damaged .
In UPS room black sheets to be provided for the window glasses
Body earthing not done for UPS.
At battery rack front insulation fiber flaps to be provided.
In Battery room black sheets to be provided for the window glasses
Lights are flickering in Battery room.
At Depot ASS cable trenches are opened in between 33KV ais panels & in between
RTU panel & battery charger.
shyncronisation relay not there in LTMDB panel
ASS Room door beside RTU panel lock not provided.
some earth strips were bended in ASS.
In board no 2 panel no 4 indication lamps not working.
earth strip paints not provided.
Some trench covers are excess in Depot ASS.
civil work pending in ASS.
Unwanted materials there in ups room.
wheel locks not provided to isolation transformers.
Junction box at ups room must be closed.
cabel trench shoud be close.
under UPS cable dressing not done properly .
cable tags not provided .
Earth strips not painted properly.
juction box at battery room must be closed.
Battery room must be cleaned.
Earth strips not painted.
false ceeling not done properly.
some earth strips were bended in UPS room.
Earth strips not painted.
Earth strips not painted.
Depot UPS room must be cleaned.
Trench behind the UPS should be closed.
Earth strips not painted.
No lights in CANNOP.
In AMF panel 1 indication lamp not working(1600Amps FPMF ACB out going feeder
ACB "OFF"indication lamp).
No fire Fire extingution cylender in DG room.
Cabel trench shoud be close.
Inside the DG set cabels are hanging.

Print Name

Company Name

Print Name

Company Name

Print Name

Company Name

Err:504
Package Name:
Issued By:

(5)
Re-Inspection
Date

(6)
Date
Completed

3/4/2015
3/4/2015

(7)
Current Status
(Closed /
Transferred to
Another Punch List)

open
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5 IE

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Company Name

Signature

Date
Date

Company Name
Signature

Company Name

Signature

Date

(9)
Signature
(On-Short
Closure)

PUNCH LIS
Project Hyderabad Metro Rail
Date:

(1)
S. No.:

3/31/2015

(2)
Location

1
2
3

DT-1

4
5
6
7

DT-2

8
9
10
11

MDB-1

12
13
14
15

MDB-2

16
17
18
19
20
21
22

MIYAPUR ASS -1
GIS HT BOARD1

MIYAPUR ASS -2
GIS HT BOARD-2

23
24
25

ERIO-1

26

SDB-1

27

SDB-1

28
29
30

SDB-2

31
32
33
34

LIGHTING PANEL

35
36
37
38

RETAIL AREA PANEL-1

39
40
41

RETAIL AREA PANEL-2

42
43
44
45

UPS OUTGOING PANEL

46
47
48

FCBC BATTERY
CHARGER

49
50
51

FCBC-BATTERY ROOM

52
53
54
55

EPS-ROOM

56
57
58
59
60
61
62
63

S&T UPS ROOM

64
65

S&T UPS BATTERY


ROOM

66
67
68
69

APFC 1&2

70

tion of First Inspection(Columns #1 to #4)

Issued B
Print Name
Received
Print Name

ompletion of all above snag points

Final Close-out Remarks:

Closed B
Print Name

PUNCH LIST
Punch List Ref. No.:
Previous Punch List(s) Ref(s).

(3)
Punch List Description

Temperature scanner cable tags should be provided.


Temperature scanner cable dressing should be done with cable tags instead
of GI wire.
Identification name plate should be provided.
Cable tags should be provided for both HV & LV cables.
Cleaning required & Scrap material should be removed.
Cable tags should be provided for both HV & LV cables.
Wall side earth flats to fixed properly.
Identification name plate should be provided.
Cable tags to be provided.
Warning signs to be provided with voltage level.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
Wall side earth flats to fixed properly.
Warning signs to be provided with voltage level.
Cable tags should be provided.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
Panel-3 earth semaphore broken
One side of the panel earthing to be connected.
Warning signs to be provided with voltage level.
Identification name plate should be provided.
On top of the panel scrap material to be removed.
Warning signs to be provided with voltage level.
Cable tags to be provided.
Panel earthing to be done.
Correct nomenclature should be provided.

(4)
Due Date

(5)
Re-Inspection
Date

Cable termination to be done.


Cable tags to be provided.
Correct nomenclature should be provided.
Rack identification name plate should be provided.
Cable termination to be done.
Correct nomenclature should be provided.
Cable termination to be done.
Rack identification name plate should be provided.
Cable tags should be provided.
Cable termination to be done.
Correct nomenclature should be provided.
Rack identification name plate should be provided.
Cable tags should be provided.
Correct nomenclature should be provided.
Cable termination to be done.
Cable tags should be provided.
Cable termination to be done.
Correct nomenclature should be provided.
Fire protection system to be connected.
Panel earthing to be done.
Earth flats to be connected properly.
Cleaning required & Scrap material should be removed.
Identification name plate should be provided.
Falsealing to be provided.
Civil work to be done.
UPS Batteries to be installed.
UPS to be installed.
Falsealing to be provided.
Civil work to be done.
Cleaning required & Scrap material should be removed.
AC's to be comminissed.
Falsealing to be provided.
Civil work to be done.
Cable termination to be done.
Earth flats to be connected properly.
Fire extingushers to be provided.
Cleaning required.

Permanent lighting to be provided.


Warning signs to be provided.
Fire extingushers to be provided.
Correct nomenclature should be provided.
Panel earthing to be done.
Cable tags should be provided.
Warning signs to be provided with voltage level.

Print Name

Company Name

Print Name

Company Name

Print Name

Company Name

Err:504
Package Name:
Issued By:

(6)
Date
Completed

(7)
Current Status
(Closed /
Transferred to
Another Punch List)

5 LTMRHL

5 IE

(8)
Remarks

(9)
Signature
(On-Short
Closure)

Signature

Date

Signature

Date

Signature

Date

PUNCH
Project Name:

Hyderabad Metro Rail

Date:

3/31/2015

(1)
S. No.:

(2)
Location

1
2
3

DT-1

4
5
6
7
8

DT-2

9
10
11
12
13
14

MDB-1

15
16
17
18
19

MDB-2

20
21
22
23

JNTU ASS-1
GIS HT BOARD-1

24
25
26

JNTU ASS-2
GIS HT BOARD-2

27

JNTU ASS-2
GIS HT BOARD-2

28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

ERIO-1

SDB-1
SDB-2
LIGHTING PANEL
RETAIL AREA PANEL-1
RETAIL AREA PANEL-2
EMERGENCY PANEL
FCBC BATTERY
CHARGER

44
45
46

FCBC-BATTERY ROOM

47
48
49
50

EPS-ROOM

51
52
53
54
55

S&T UPS ROOM

56
57
58
59
60

S&T UPS BATTERY


ROOM

61
62
63

APFC 1&2

APFC 1&2
64

mpletion of First Inspection(Columns #1 to #4)

Issued By:
Print Name
Received By:
Print Name

On completion of all above snag points

Final Close-out Remarks:

Closed By:
Print Name

PUNCH LIST
Punch List Ref. No.:
Previous Punch List(s) Ref(s).

(3)
Punch List Description

Temperature scanner cable tags should be provided.


Temperature scanner cable dressing should be done with cable tags instead
of GI wire.
Identification name plate should be provided.
Cable tags should be provided for both HV & LV cables.
Cleaning required & Scrap material should be removed.
Temperature scanner box door glass should be provided.
Door glass should be provided.
HV cable termination to be done.
Cable tags should be provided for both HV & LV cables.
Identification name plate should be provided.
Cable termination to be done.
Warning signs to be provided with voltage level.
Cable tags should be provided.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
1R,2R,3R,4R Door lock center guide broken.
Cable termination to be done.
Warning signs to be provided with voltage level.
Cable tags should be provided.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
Cable termination to be done.
On top of the panel scrap material to be removed.
Warning signs to be provided with voltage level.
Cable termination to be done.
On top of the panel scrap material to be removed.

(4)
Due Date

(5)
Re-Inspection
Date

Warning signs to be provided with voltage level.


Rear side of the board earth flats are not connected properly.
Cable termination to be done.
Panel earthing to be done.
Cable termination to be done.
3rd rack door glass to be provided.
Identification name plate should be provided.
Cable termination to be done.
Cable termination to be done.
One side of the panel earthing to be connected.
Cable termination to be done.
One side of the panel earthing to be connected.
Cable termination to be done.
1st rack door glass to be provided.
Cable termination to be done.
Panel earthing to be done.
Cleaning required & Scrap material should be removed.
Identification name plate should be provided.
Falsealing to be provided.
Civil work to be done.
UPS Batteries to be installed.
UPS to be installed.
Falsealing to be provided.
Civil work to be done.
Cleaning required & Scrap material should be removed.
AC's to be comminissed.
Falsealing to be provided.
Civil work to be done.
Cable termination to be done.
Earth flats to be connected properly.
Fire extingushers to be provided.
Cleaning required.
Permanent lighting to be provided.
Warning signs to be provided.
Fire extingushers to be provided.
Panel earthing to be done.
Cable tags should be provided.

Warning signs to be provided with voltage level.

Print Name

Company Name

Print Name

Company Name

Print Name

Company Name

Err:504
Package Name:
Issued By:

(6)
Date
Completed

(7)
Current Status
(Closed /
Transferred to
Another Punch List)

5 LTMRHL

5 IE

(8)
Remarks

(9)
Signature
(On-Short
Closure)

Signature

Date

Signature

Date

Signature

Date

PUNCH
Project Name:

Hyderabad Metro Rail

Date:

3/31/2015

(1)
S. No.:

(2)
Location

1
2

DT-1

3
4
6
7

DT-2

8
11
12
13
14

MDB-1

15
16
17
18
19

MDB-2

20
21
22
23
KPHB ASS-1
GIS HT BOARD-1

24

25
26
27

KPHB ASS-2
GIS HT BOARD-2

28
AUTOMATION PANEL
29
30
31
33
34
35

ERIO-1

SDB-1
SDB-2

LIGHTING PANEL

36
37

RETAIL AREA PANEL-1

39

RETAIL AREA PANEL-2

41
42
43

EMERGENCY PANEL

FCBC BATTERY
CHARGER

44
45
46

FCBC-BATTERY ROOM

47
48
49
50

EPS-ROOM

51
52
53
54
55
56
57
58

S&T UPS ROOM

59
60

S&T UPS BATTERY


ROOM

61
62
63

APFC 1&2

64

mpletion of First Inspection(Columns #1 to #4)

Issued By:
Print Name
Received By:
Print Name

On completion of all above snag points

Final Close-out Remarks:

Closed By:
Print Name

PUNCH LIST
Punch List Ref. No.:
Previous Punch List(s) Ref(s).

(3)
Punch List Description

Identification name plate should be provided.


Cable tags should be provided for both HV & LV cables.
Cleaning required & Scrap material should be removed.
In lv side cabels tied with covers ,it shoud be remove and tie with cable ties
HV @ LV cable termination to be done.
Cable tags should be provided for both HV & LV cables.
Identification name plate should be provided.
In lv side cabels tied with covers ,it shoud be remove and tie with cable ties
Cable termination to be done.
Warning signs to be provided with voltage level.
Cable tags should be provided.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
Top cabels shoud be dress
Cable termination to be done.
Warning signs to be provided with voltage level.
Cable tags should be provided.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
Cable termination to be done.
On top of the panel scrap material to be removed.
On cabels no R Y B indications not provided
No nomenclatures
back side doors shoud be closed
Warning signs to be provided with voltage level.

(4)
Due Date

(5)
Re-Inspection
Date

back side doors shoud be closed


Cable termination to be done.
On top of the panel scrap material to be removed.
Warning signs to be provided with voltage level.
No nomenclatures
On cabels no R Y B indications not provided
Panel earthing to be done.
Cable termination to be done.
Panel earthing to be done.
Identification name plate should be provided.
Cable termination to be done.
Identification name plate should be provided.
Cable termination to be done.
Fire protection system to be connected.
Cable termination to be done.
One side of the panel earthing to be connected.
Cable termination to be done.
Cable termination to be done.
Cable termination to be done.
Panel earthing to be done.
Cleaning required & Scrap material should be removed.
Cable termination to be done.
Identification name plate should be provided.
Falsealing to be provided.
Civil work to be done.
UPS Batteries to be installed.
UPS to be installed.
Falsealing to be provided.
Civil work to be done.
Cleaning required & Scrap material should be removed.
AC's to be comminissed.
Falsealing to be provided.
Civil work to be done.
Cable termination to be done.
Earth flats to be connected properly.
Fire extingushers to be provided.
Cleaning required.

Permanent lighting to be provided.


Warning signs to be provided.
Fire extingushers to be provided.
Panel earthing to be done.
Cable tags should be provided.
Warning signs to be provided with voltage level.

Print Name

Company Name

Print Name

Company Name

Print Name

Company Name

Err:504
Package Name:
Issued By:

(6)
Date
Completed

(7)
Current Status
(Closed /
Transferred to
Another Punch List)

5 LTMRHL

5 IE

(8)
Remarks

(9)
Signature
(On-Short
Closure)

Signature

Date

Signature

Date

Signature

Date

P
Project Name:

Hyderabad Metro RaiPunch List Ref. No.:

Date:

3/31/2015

(1)
S. No.:

(2)
Location

Previous Punch List(s) Ref(s).

(3)
Punch List Description

Identification name plate should be provided.

Cable tags should be provided for both HV & LV cables.

3
4
5
6
7
8
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
24
25
26
27
28
29
30
31
32
33

DT-1

Cleaning required & Scrap material should be removed.


Earth flats to be connected properly.
In lv side cabels tied with covers ,it shoud be remove and tie
with cable ties

HV @ LV cable termination to be done.


Cable tags should be provided for both HV & LV cables.
Earth flats to be connected properly.
DT-2
Identification name plate should be provided.
In lv side cabels tied with covers ,it shoud be remove and tie
with cable ties
Cable termination to be done.
Warning signs to be provided with voltage level.
Cable tags should be provided.
MDB-1
Earth flats to be connected properly.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
Top cabels shoud be dress
Cable termination to be done.
Warning signs to be provided with voltage level.
Earth flats to be connected properly.
MDB-2
Cable tags should be provided.
Fire protection system to be connected.
On top of the panel scrap material to be removed.
Cable termination to be done.
On top of the panel scrap material to be removed.
KUKATPALLY ASS- Earth flats to be connected properly.
1
On cabels no R Y B indications not provided
GIS HT BOARD-1 No nomenclatures
back side doors shoud be closed
Warning signs to be provided with voltage level.
back side doors shoud be closed
Cable termination to be done.
KUKATPALLY ASS- Earth flats to be connected properly.
2
On top of the panel scrap material to be removed.
GIS HT BOARD-2

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KUKATPALLY ASS2
GIS HT BOARD-2 Warning signs to be provided with voltage level.
No nomenclatures
On cabels no R Y B indications not provided
Earth flats to be connected properly.
AUTOMATION PANELPanel earthing to be done.
Earth flats to be connected properly.
Cable termination to be done.
ERIO-1
Panel earthing to be done.
LIGHTING PANEL Fire protection system to be connected.
Cable termination to be done.
Earth flats to be connected properly.
One side of the panel earthing to be connected.
Earth flats to be connected properly.
RETAIL AREA
Earth flats to be connected properly.
PANEL-1
Cable termination to be done.
Earth flats to be connected properly.
RETAIL AREA PANEL-2
Earth flats to be connected properly.
Cable termination to be done.
EMERGENCY
Earth flats to be connected properly.
PANEL
Cable termination to be done.
Panel earthing to be done.
FCBC BATTERY
Cleaning required & Scrap material should be removed.
CHARGER
Earth flats to be connected properly.
Cable termination to be done.
FCBC-BATTERY
Identification name plate should be provided.
ROOM
Falsealing to be provided.
Earth flats to be connected properly.
Civil work to be done.
UPS Batteries to be installed.
EPS-ROOM
UPS to be installed.
Falsealing to be provided.
Earth flats to be connected properly.
Civil work to be done.
Cleaning required & Scrap material should be removed.
S&T UPS ROOM AC's to be comminissed.
Falsealing to be provided.
Civil work to be done.
Cable termination to be done.
Earth flats to be connected properly.
Earth flats to be connected properly.
Fire extingushers to be provided.
Cleaning required.
S&T UPS
Permanent lighting to be provided.
BATTERY ROOM
Earth flats to be connected properly.
Warning signs to be provided.
Fire extingushers to be provided.
Panel earthing to be done.
Earth flats to be connected properly.
APFC 1&2
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Cable tags should be provided.
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Warning signs to be provided with voltage level.

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GENERAL

PUNCH LIST
Err:504
Package Name:
Issued By:

(4)
Due Date

(5)
Re-Inspection
Date

(6)
Date
Completed

(7)
Current Status
(Closed / Transferred to
Another Punch List)

5 LTMRHL

(8)
Remarks

5 IE

(8)
Remarks

(9)
Signature
(On-Short Closure)

PUNCH LIST
Punch List Ref. No.:
Projec Hyderabad Metro Rail
Date:

Package Name:
Previous Punch List(s) Ref(s).

(1)
S.
No.:

(2)
Location

Test track

(3)
Punch List Description

Issued By:

(4)
Due Date

No number plate for the mast TT-27 in test track

(5)
Re-Inspection
Date

(6)
Date
Completed

(7)
Current Status
(Closed /
Transferred to
Another Punch List)

open

At STB 1093 Guy rod pin not provided

2/13/2015
2/13/2015

At STB 1092 Guy rod pin not provided

2/13/2015

open

Check nut not provided for back angle of the mast no STB1087

2/13/2015

open

No mast number plate provided for the anchor mast at buffer


end side of SBL-8

13/02/20015

open

check nut not provided for back angle of the mast for anchor
mast at buffer end side of SBL-8

2/13/2015

open

Pin not provided for the nut of the bottom insulator to the
bottom attachment at mast no STB-1081

2/13/2015

open

Pin not provided for the nut of the bottom insulator to the
bottom attachment at mast no STB-1077

2/13/2015

open

At mast no STB-1080 anchor adjuster is too short

2/13/2015

open

Stabling Lines

Page 53 of 62

5 LTMRHL

open

Aug 2014

10

Check nut not provided for back angle of the mast no STB1079

2/13/2015

open

At STB 1080 pin not provided for the bottom attachment

2/13/2015

open

INS-3013 portal earthing not provided

2/13/2015

open

At SS-122 visual indication at the conecting rod is showing


reverse

2/13/2015

open

At SS-132 the indication of the connecting is showing reverse

2/13/2015

open

At SS-129 connecting rod is not rottating fully to the indicater

2/13/2015

open

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Inspection Bay lines

14

Heavy cleaning track

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16
17

Isolators

Page 54 of 62

Aug 2014

Page 55 of 62

Aug 2014

On completion of First Inspection(Columns #1 to #4)

Page 56 of 62

Aug 2014

Issued
Print Name

Company Name

Signature

Print Name

Company Name

Signature

Receive

On completion of all above snag points


Final Close-out Remarks:

Closed
Print Name

Company Name

Page 57 of 62

Signature

Aug 2014

5 IE

(8)
Remarks

(9)
Signature
(On-Short
Closure)

Page 58 of 62

Aug 2014

Page 59 of 62

Aug 2014

Page 60 of 62

Aug 2014

Page 61 of 62

Aug 2014

Date

Date

Date

Page 62 of 62

Aug 2014