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Hindustan Coca-Cola Beverages Pvt.

Ltd
Annexure 1 MODIFICATION FORM (MOD-FORM)

Location: _______________ Plant: _____________ Modification No.: _________________

Date: __________________ Title: _______________________________________________

1. Present System

2. Revised Scheme (Attach drawings/Sketches as necessary)

3. Additional Benefits

4. Estimated Expenditure (attach details)

5. Type of jobs to be undertaken:

6. It is a Technology change or a subtle facility change?

7. Who is authorized to approve the change?

8. Who is responsible to execute the project?

9. Remarks if any?

__________ ______________________________ _________________________

Change Initiator (Department Head) Factory Head /Project Head

1. Do not authorize modification until safety assessment is carried out and


necessary approvals obtained, as per Annexure 2.
2. Ensure full compliance to change management protocol.

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