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( Refineries Division )

PARADIP REFINERY PROJECT


PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen signatu
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip as
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE MODE OF TRANSPORT / REGD
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/ NO. OF VEHICLES.
ARE TO BE SHIFTED
1 2 3 4 5
1 VFD Drive Model - ACS850 Make:ABB 01No

----------------------------------------- -------------------------------------------------------- --------------------------------------------


Dated signature of the authorized Dated signature with designation of the
Verified & allowed the materials
representive of the contractor authorized officer / signatory of IOCL/
outside IOCL / PDRP, para
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


DATE:_28.08.17___________
____

cimen signature is appended below is


y, Paradip as mentioned below:

MATERIALS
INCOMMING CHALLAN PURPOSE REMARKS
NO. / DATE, IF ANY
6 7 8
269/15.04.17

------------------------------------ ----------------------------------
d the materials to be taken Dated signature of the Duty
CL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SANKARSAN PRADHAN authorized representative of M/S CREW (P) Ltd whose specimen sig
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

/S CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF
( Refineries Division )
PARADIP REFINERY PROJECT
PARADIP - DIST:-JAGATSINGHPUR, ODISHA

CONTRACTOR'S MATERIAL(S) GATE PASS ( NON - RETURNABLE )

GATE PASS NO._______________

Shri SELVAKUMAR.G authorized representative of M/S CREW (P) Ltd whose specimen signatu
hereby allowed to take the materials belonging to the said agency / contractor outside IOCL Refinery, Paradip
LOCATION FROM
DESCRIPTION OF THE QUANTITY WHERE THE
SL.NO.
MATERIALS WITH UNIT MATERIALS IS/
ARE TO BE SHIFTED
1 2 3 4
1
2
3
4
5
6
7
8
9
10

----------------------------------------- --------------------------------------------------------
Dated signature of the authorized Dated signature with designation of the
representive of the contractor authorized officer / signatory of IOCL/
taking the materials ( Out Side ) PDRP, paradip.
Recommendation of consultant Date:

Time ( Out ):

Rank:

Name:

CISF UNIT PDRP, Paradip


sion )
Y PROJECT
NGHPUR, ODISHA

PASS ( NON - RETURNABLE )

DATE:________________

CREW (P) Ltd whose specimen signature is appended below is


contractor outside IOCL Refinery, Paradip as mentioned below:

MATERIALS
MODE OF TRANSPORT / REGD
INCOMMING CHALLAN PURPOSE REMARKS
NO. OF VEHICLES.
NO. / DATE, IF ANY
5 6 7 8

----------------------------------------------------------- ----------------------------------
Verified & allowed the materials to be taken Dated signature of the Duty
outside IOCL / PDRP, paradip. officer / shift In-charge,CISF

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