MIDDLE East LLC

Company me
LMOOSK CAMTAINIYADDVAL TÜV SÜD
LoAndiaakucAAsOIZATandad antiOnedcouE
IAndaCLED
n -21-WK-10D02
SMEET READY MIX
SANJAY KUMAR DASS
Certified A
SAFE CONCRETE UMP OPERATION OPERATOR
CERTIFICATION 13-03 2021
Issue Date:
12 03 2022
Expiry Oate:
10436
ID Iqama No
1DayDuration (Ri-ASSESSMEMT
P.O Box No.: 24240. Barwa Commerclal Avenue,
SAPECONCRETE PUMpOPERNTIOs&oPERATOR
CERICAFION
Block 36, 1st Floor, Doha, Qatar
Tel.: +974 4005 2000 | Fax; +974 4005 2020

Ths iHcne mu be prodted en demand to aey State of Qatar

pollce ofhcer tn uniform or on produetion of Ministry of Interior
dS Aa a Jl
waTR card by police onmce not in unitorm
ly Traffic Department
Authorized Vehicles iLTal Sai Notest DRIVING LICENSE
MOTOR CYCLE
28835643925
EXCAVATOR
Leen
CRANE
CAR SANJAY KUMAR C. DASS
AutemaE NAME
LOADER Ja LBUs
Herdicaps NAT. INDIA
MED. TRUCK
FORKLIPT
Hesing Dabiy DATE OF BIRTH 1988-06-1
TRAILER
OTHER JOreen Dei
BLOOD GR AB
Jad i at
Likcensng Aurhority FIRST ISSUE 2014-12-23s
2024-12-09
2 8 3643 925 VALIDITY

Passport Number s3956328

State Of Qatar
Passpot Expiry 30/06/2028
Serial No
Residency Permit
30328835643925
Residency Type:
Empioyer D.No: 28835643926
General Director of the General
D.O.B 10/05/19888
Directarale of Passports
Holder's signeture
Explry: 2711/2021

y Nationellty: INDIA
Occupation:

Name: SANJAY KUMAR CHARAN DASS

 State of Qatar
Ministry of interior
Traftic Dept.
Vehicle Reg.
A
77
UaS
ual J
gVehicle No. 243729
Owner SMEET all
Owner ID

Nationality 13-1439-00D
Exp. Date
2022-04-12 s21|Renew Dt 2021-04-13
Reg. Date uaá A
2012-02-22 Ja d

* U

PUMP-006

Vehicle Information
MERCEDES-BENZll g
2012 l T
06s
1599+ i |
6000 002
Chassis No.
|Engine No. WDAKHCAA4BL510043 sül

2022-04-20ils4i
0/11/21/1219673
V SÜD
e No.:
MIDDLE EAST LLC
a SY36-C101,
Commercial 1st Floor Block
Avenue 36,
ox:
Building Type-Sayer
24240, Doha Qatar TUV
+974 40052 000 Fax: SUD
| +974 40052 020
I: info.q@tuvsud.com +1VEt0r S +1V££ .Or. i e
site: www.tuvsud.com Middle East

e Capital:QAR 300,00o.00 Certificate No.:

Revision No.s1
Up Capital:QAR 300,000.00
sheet No.: 1103376
Choose cortainty.
Add value. QD-WK-21-46183/58431/3-MM

Of CERTIFICATE
Thorough Examination of Concrete Pump Truck

Name and Address of Owner Date of Inspection:11.03.2021

SMEET READY MIX WLL
Name and Address
of the Manufacturer: P.O.BOX 23944- DOHA, QATAR
LOcation
PUTZMEISTER
ype: INDUSTRIAL AREA
TRUCK MOUNTED CONCRETE Relevant Standard. Survey Requested By:
PUMP WITH PLACING
BOOM OSHA
ID No. SMEET READY MIX
Truck Chassis No.
P-06
Model No. WDAKHCAA4BL510043
Year of Manufacture:
BSF 36-4.16H
2011
Boom SN.
Licence Plate No.
210106932
243729 QATAR
Working Pressure..
Maximum working range (V&H).:
85 bar
alidity of this certificate:
Date of Next Thorough Examination:
12 Months
10.03.2022
Comments:
Fit for use at the time of inspection.
Authorized trained and certified operator only..
THIS IS TO CERTIFY THAT the undersigned, a competent inspector, did, attend the site for testing to examine
and ascertain that this CONCRETE PUMP, its machinery, gears, appliances, structural supports/fixtures and
associate apparatus have withstood the testing, without injury or permanent deformation to the cONCRETE
PUP and no adverse defects that wouid impair the safe use of this CONCRETE PUMP was observed. This
CONCRETE PUMP is saíe for its intended use within the limits specified providing there is continuous
maintenance and qualified operators employed.
Authorized Name: MUHANNAD DEEB Surveyor's Name: WASSIM KUIBY

Authorized Signature: sUD

TUV
SUDegor's Signature:

The certificate is issued subject to the condition that it is understookánd pgrped that nothing in this repot shall be deemed to relieve any designer,
ufacturer, seller, supplier, repairer or operator of any warranty, expressodie ImpHed, and TUV sUD Middle East, LLCshall be limited to the acts or
ssions of its employees, agents and subcontractors. Under no circumstances whats oever shall TUV SUD Middle East, LLC be liable for any injury or
age to any person, or occurring by reason of negligent operation or any defect in materials, machinery, equipment or other items other than such defects
ertainable by normally accepted testing standards and only those items inspected by TUV SUD Middle East, LLC and which are covered by this certificate.

Page 1 of 2 OC.NO:QF/DC-CPC-02 (Rev1)

Ctificate No.: QD-WK-21-46183/58431/3-MM

Annex to
Certificate Of Thorough
Examination of Concrete Pump Truck
NO DESCRIPTION
01
CONDITION IREMARKS Date of Inspection:
Tyres 11.03.2021
REANSPECTION
Outriggers SATISFACTORY
U3
Booms SATISFACTORY
04
Remote controls SATISFACTORY
Steering SATISFACTORY
Gauges in Cab SATISFACTORY
Hydraulic Cylinders SATISFACTORY
08
Horn and Lights SATISFACTORY
09
Hydraulic System SATISFACTORY
10
ElectricS SATISFACTORY
11
Engine Compartment SATISFACTORY
12
Exhaust System SATISFACTORY
13
Spark Arrester SATISFACTORY
14 NOT AVAILABLE
Rubber hose and
safety rope
15
Hopper SATISFACTORY
16
Cooling System SATISFACTORY
17 SATISFACTORY
Operational Controls
18 Fire Extinguisher SATISFACTORY
19 General Condition
SATISFACTORY
20 Maintenance SATISFACTORY
SATISFACTORY
COMMENTS:
A Thorough Examination &Functional Test carried-out and
was found Satistactory at the Time of Examination.

Date of Issue: 2021-03-18

Surveyor's Name: WASSIM T U V

Signature
SUD
LEEASTA
ER L.C.0

Page 2 of2

DOC.NO:QF/DC-CPC-02 (Rev1
Pid Up Capital 150 Milion Qrs.
Tel.97444658B88 s Je u 150 tial Jl
Fax:+974 44550111
P.O.Box 22676
Doha Qatar
P-06 +97444658888 A
+974 44550111 S
Isiamic lnsurance 22676:.
- -a.
The company 10-5434 00 s
is licensed by Qatar CentralBank
accordancewith the
provisions of QCB and the (QCB)in of
Financial Institutions issued under Act No. (13) ofRegulation
the
2012, and the Company year
from QCB on the
undertakes to obtain a prior consent
insurance policy form and on
any
amendment may occur thereto.
MOTOR POLICY INSURANCE
We hereby cerify that the vehicle the
stated hereunder, is insured by us
particulars of which are
favour of third party), in against civil liability risks (in
compliance with the Ministerial i ( 6 s ) j JNis ( l a )a i jual
Decision No.6 of the year 2010,
the regarding the unification of
compulsory insurance policies on vehicles in the state of 2007 (19) å) Oila epo aly Jilal jy jid
Qatar
Policy No
Date of lssue

PD/01/110/11/21/1219673 13/04/2021 09:15:12

Isured Name:
SMEET

CR ID sLaiall 13143900 33121576

Moblle No
Address: P.OBOX 8243 DOHA

Period of Insurance From: 21/04/2021 00:00:00 To: 20/04/2022 23:59:00

Type of Cover Third Paty

Specifications of the Insured Vehicle

4
Reglstration No Chassis No Engine No Vehicle Make Manufacture Year Vehicle Value
243729 WDAKHCAA4BL5100 MERCEDESs 2012
43 CONCRETE PUMP
J Ja Road Side
No. of Cyfinders Assistance No. of Passenger Passenger Cover
Type of Plate
Body Type
06 NO 2 YES
PRIVATE CONCRETE PUMP

TRANSPORTATION| TRUCK
Deductible Excess EEL
State of Qatar
Geographical Area
1,000.00 QAR
Total Premium:
FOR/QATAR ISLAMIC INSURANCE CO.

understood and agree to be

Thave received the policy, read,
bound by the terms and conditions of this policy.
Prepared By: PREMIA

* a**h*****************************************************

Custoner Signature
FOR ROADSIDE ASSISTANCE CONTACT
800 8080

Page 1 of1
 o 36

State Of Qatar
Residency Permlt

D.No: 28835643925 ll
D.O.B: 10/05/1988
Expiry: 27/11/2022 :

Nationality INDIA
Occupation:

Name: SANJAY KUMAR CHARAN DASS

Passport Number $3958328

Passport Expiny 30/05/2028
Seriat No 30428835643925
Residency Type
Employer

General Director of the General Holder's signature

Directorate of Passports

Sy Kma
 State of Qatar
Ministry of Interior 77
Traffic Dept. Vehicle Reg. Aa
aaS a l l 5i
ali Jaiiasl Vehicle No. 243729
ISMEETI
Owner TD 13-1439-00
Nationality
Bxp. Date |2022-04-12 (sdsgan Renew De 2021-04-13 a al g
Reg Date 2012-02-22

0 9 24 3 2 9_

PUMP-06
D

Vehicle Information
MERCEDES-BENZ &
2012 i a l

002 úa
1699y d 6000i

WDAKHCAA4BL510043
Chassis No.
Engine No.

0/11/21/1219673
2 0 2 2 - 0 4 - 2 0 a l s i