Final Inspection Request Form

Supplier Name : PEARL GLOBAL INDUSTRIES LTD. (16/17) Date : September 26, 2017

Shipment Available at : plot no. 16/17 khandsa

(Factory Address)

MODE SEA Ship Window 10/02-10/06 / 10/05-10/11 AND 10/12-10/18

MC PID QUANTITY WINDOW FINAL INSPECTION DT.

855592 #27179 M 17,583 10/02-10/06 3-Oct-17

855594 #27013 P 1389 10/02-10/06 3-Oct-17
854650 #100004300 M 3579 10/02-10/06 4-Oct-17
114614 #100004300 M (NAV) 144 10/02-10/06 4-Oct-17
121034 #100004300 M (HBC) 60 10/05-10/11 4-Oct-17
119084 #100010445 M (HBC) 60 10/12-10/18 4-Oct-17

TOTAL----> 22815

Please be advised that above PO#'s are ready for Final inspection at above mentioned factory location.
Request, the designated Q.C be made available on As per above dts. At *
It is confirmed that all necessary documents relating to above shipments have been correctly prepared /
obtained from the concerned autorities.

Requestor's Name VIPUL RAI

Confirmation By :

1.MMG Dealing Merchandiser.

* Suppliers based in Delhi must send copy of the format duly filled 4 days in advance and 10 days
for the out station suppliers.