Application Number: 22-905237(17/04/2022)

APPLICATION TO ATOMIC ENERGY REGULATORY BOARD (AERB) FOR UPDATE OPERATIONAL

STATUS

Application Number : 22-905237

Date of Application : 17/04/2022

Part A
Institute Details:
Name : KAY BOUVET ENGINEERING LIMITED
Permanent Address : N3, ADDITIONAL M.I.D.C, SATARA,
Landmark :
City : SATARA
State : MAHARASHTRA
Postal Code : 415004
Telephone Number : 02162240630
Fax Number : 02162240554
Email Id : qa.unit1@kaybouvet.com
Head of the Institute Details:
Name : NIRAJ CHANDRA
Designation : JOINT MANAGING DIRECTOR
Telephone Number(Office) : 02162240630
Mobile Number : 9067147468
Email Id : mujaffar.s@kaybouvet.com
Licensee Details:
Name : NIRAJ CHANDRA
Designation : JOINT MANAGING DIRECTOR
Telephone Number(Office) : 02162240630
Mobile Number : 9067147468
Email Id : mujaffar.s@kaybouvet.com

Part B
General Details:
Declare Operational Status of : Radiation Generating Equipment
Identification No. Serial No. Make Model
G-IRED-078865 30338 Dang Dong Radiative Instrument Dang Dong XXQ 2005
Co. Ltd.

Part C
UNDERTAKING

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 Application Number: 22-905237(17/04/2022)

I/We hereby certify that the particulars provided in this application are true and correct to the best of my knowledge
and belief. I understand that if at any stage it is found that the information provided by me/us is/are false or not
authentic, appropriate regulatory action may be initiated against me/us and my/our institution.

----------------------------------------------End of Application---------------------------------------------

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