You are on page 1of 2

भार त सर क ार रे ल मं ालय

GOVERNMENT OF INDIA MINISTRY OF RAILWAYS

Signature Not Signature Not


Verified Verified
अ नुसं ध ान अ िभक प और मानक सं ग ठन , लखनऊ - 226011
Digitally signed by Digitally signed by
SANJAYKUMAR RESEARCH DESIGNS AND STANDARDS ORGANISATION, LUCKNOW - 226011 JANARDAN BALKUWAR
WAMANRAO SINGH
SOMKUWAR Date: 2021.07.07
Date: 2021.07.02
13:54:46 IST िनर ी ण माण प 12:33:38 IST
Reason: Counter Signed
Reason: Sign IC
Location:
INSPECTION CERTIFICATE IC
Location:

माण प सं . िक त : िदनांक :
Certificate No.: RDSO/IC/QAST/MUMBAI/D/2021/000521 Installment: 01 Dated. 02/07/2021
ेषण ापन सं . िदनांक :
Despatch Memo No: RDSO/DM/QAST/MUMBAI/D/2021/000521 Dated. 02/07/2021
क ओर से िनरी ण :
Inspection on behalf of: The President of India
य आदेश / िनिवदा सं . : िदनांक :
P.O./Contract No.: IE215041100111 Dated. 31/03/2021
मूल ा कता :
Consignee: SSE/S/P/ADA (CC:006816)
ारा िदया गया :
Placed by: SR.DMM/ADA, OFFICE OF THE Sr.DMM, SOUTH EASTERN RAILWAY, ADRA-723121
फम का नाम :
Firm's Name: ULTRACAB INDIA LTD-RAJKOT
कायालय का पता :
Office Address: SR NO 262 B/H GALAXY BEARINGS LTD SHAPAR VERAVAL, RAJKOT - 360024
काय थल का पता जहां िनरी ण िकया :
Work address where inspection carried out: ULTRACAB, SHAPAR,RAJKOT
िनरी ण करने क ित थ :
िनरी ण हे त ु साम ी तुत िकये जाने क ित थ :
Date of Inspection: 18/06/2021 to
Stores offered for inspection on : 09/06/2021
20/06/2021
य आदेश / ठेके के अनुस ार साम ी देने क अंितम ित थ :
Last date of delivery as per P.O. / Contract: 03/07/2021

साम ी का िववरण PO Sr: 0 0 1 PL No: 56XXN001 Flexible cable single core multistrand copper conductors, 1X10 sq mm
Description of conforming to RDSO Specification IRS:S: 76/89 with latest amendments. FIRM'S OFFER MAKE - ULTRACAB
Stores

आदेिशत मा ा तुत क गई साम ी क मा ा अब पास क गई मा ा अ वीकृत साम ी क मा ा यु


Quantity on order Quantity tendered for inspection Quantity now passed* Quantity rejected Consumed

8000 Mtr 8000 Mtr 7944 Mtr 0 Mtr 56 Mtr


* Quantity now passed does not include quantity consumed in testing.
Remarks: RED COLIS SR NO. 01 TO 40 AND BLACK COILS SR NO. 01 TO 40

Remarks for Destructive Testing: 46 MTR CONSUMED IN TESTING


Test Check done on 01/07/2021 by ARVIND KUMAR AIE
िनरीि त साम ी पर सील का ित प :
Serial numbers of hologram: SAAS096921 TO SAAS097080 (TC modification- Hologram Removed: SAAS096954, SAAS096974,
SAAS097038,SAAS097044 Hologram Added: SAAS097081, SAAS097082, SAAS097083, SAAS097084)
मािणत िकया जाता है िक / Certified that :

1. ऊपर विणत मद को अंितम प से िनरी ण करके पास िकया गया।


Items mentioned above were finally inspected and passed.

2. ये मद िनधा रत समय के भीतर अथवा स म ा धकारी ारा बढ़ाई गई अव ध म दे िदये गये थे।
These items were tendered within the time stipulated ( or as extended by the competent authority)

3. मद िनरी ण एवं पास करने वाले अ धकारी/कमचारी के नाम, पद एवं ह ता र मोहर सिहत।
Name, Designation & signature of Inspecting official(s) with stamp.

Page 1/2
Created and Digitally Signed by: Digitally Countersigned by:
Designation and Name of countersigning officer
SANJAY KUMAR SOMKUWAR may be seen from the signature stamp on top
SSE-V/QA/SNT/BB right corner of this document.

ित लिप अ सा रत / Copy forwarded to:

1. Bill paying officer


2. Office copy
3. ULTRACAB INDIA LTD-RAJKOT SR NO 262 B/H GALAXY BEARINGS LTD SHAPAR VERAVAL, RAJKOT - 360024
4. SSE/S/P/ADA (CC:006816)
5. Spare copy

िट पणी / Note:

1. भुग तान तभी िकया जाए जब िक माण प ा धकृत राजपि त अ धकारी ारा ित ह ता रत हो
Payment should only be made when the inspection certificate digitally counter signed by an authorized Gazetted Officer.

2. यह माण प साम ी वीकार करने हे त ू जारी होने क ित थ एक माह हे त ु वैध है।


This certificate shall be valid for one month from the date of issue for receipt of material.

Page 2/2

You might also like