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INDIAN INSTITUTI! OF PACI'ACINC. MT]MBAI.

[o.ms/|or ls. Lstrr I,l{r\..1 l).trr 25-(,2,]0ll


r0nn / lunn No. : rr- 0]

elsloDs'sfl]hc ncqu$' n r

: i^<, 1ur.ln \^ po hl _

: ar$Dba.re F"+++-eJi^}€ L,.ll( a..+aj\df,

Arplk,blc shod,rd, II rtry JriDS &le


voJ! orr.Dmcnr or lc. F,o l{r al--a,l

sDcci.l lnstltrcrion (irany)

&LS[!!]l!! arlr

1.Te s lDlcs\ llbc rchitrcd ro..l0 dx)s r11.r llrcco rkdonortr'crcn.


2.Thr slmnhs trr rcncd xs lx' lrr.r.quc otN.h/cu{o'nd oilyj norfor Dy tnigxrion
INDTAN INSTITUTI! OF PACKAGING, MUMI}AI.
INDIAN
liortrrs / Formirs, tsstrc - l, Rev. 4 Dnrcd: l] 0s-08

Tn[. lnlurrn!r'otr'qtrrtuL, to. l6lng


dlDickrsc\ UnJrr lrN nrh

l. 'i -; -:'
Nrnk oIrtk.\4,tru,r',rurcrufl.,.r,,ri,rs" ,;r- . r_i,"e,"dtt Fl"q€,l6l< $.d.'$l<,ar
Addres of ttrc Mxnulncturcr ot packleings ), /2 / Je. ?,jic lL-4Jr\+ral L5lbl.
N\\y4\bluaa - vldLb4aA - Lo
Dc,,,ikof tl'! 1,.'rL.,ertrg.drIj,rn,
TaLlc (.2 ofahrnicr.l of pu(- 6 or rrre

,1, Nuhber orPlckngcs ro be mlnurlcturcd


Within thc Validfty Perod oarhc
Cortifi Mrc {5 89!!lt!&!!f!31:) tJ"tf**r&J

Namc & Address ofrhe Shippcr^


l*.)s 4.]s"od !a c.-r.ryeu fu^
Proner Shrnpins N.me oI Denecrous
B:.u**. n4e-u+ I u.$4
Gouds ro be C\no ed tAnrti.st,t.onr
Aluwri.:u- at^lo"cle 4, tJ-zrre

INlructions as qivcn in rh€


J )-6
Donsity ol lhc Produd (e^nrr)
(Applicable to Liquid producls)

Bulft Donsity oI ltrc producr(cc/s)


(Applicabte ro sotjd products)

I0. 6ross \yeighr otlhc pictlge (kg.) ,-3ar 19J N{_t


ll VrpourPressuro at 55'C in KD,
&_6d
(Applic,bl. only lor Liqu,ds)

1?. Lorl.r stalirg ihc con,rxtibililr.tdrc


Drngerous Coods nith th.
\et
INDIAN INSTITUTtr OF PACKACING. MUMBAI.
Fonns /ForD.rs,lssuc l. ttcv.3 Dnrc.ll-0:1,04
Tiilc: Iilo' rri0r.uqtrircd tuI rsrn't
olDr.kiscs UDd$ tIN codc
9^hld6.lra[ b"I G",h,;.t
t3. Description ollhc Packagcs v,(q" wtElr. ela,.M( Rb-6Lj-
' e{ ,^Yr !nR.! R;?d }r{}I. d^!,,1
I4- lvlanuiacrLang Darc.rlhe Packatcs ltzt L3dpw ld)drJ))
1s. Quanrity orPackascs per lor
oa H1-.i

16, Batch No. olPacIagcs

I7. Detaik olpreviousceaitcrlc G) fany 0\ rr 1,,,.


l+A-J,,
\9 r*r 7e ii,ie.Ji - 1"14,
,8. Mode ol Trnspo,la!ion ro be us!d
9y :.eg
I lve lErc\ l- fie-da6, o ,r" sbo\"Ildltrdr ano or
"Drfr ".d,la{rrB
rdn.relorpmor)pere,.h8.Ondopro\dot .ic r.e. I we I ri:1(! .; .rpp\ .he
requ;ed numbed of samplG drawn ar mndo6,

I / We ale &mnge ro pay r|ees tor such lcsls aDd cenjlicarion as


Cer rhe schedule ot.
iecs speclfi ed by Jndian tnnn!!e otpackasing.

'.We I ld- kf ro mrinlin.tp..ctr. otrhe pi Lag:nr d1d I J.r. We ar. ,rare rtar rhe
d -. oraFg.rralol"li.o,Uh"s te Ll rrto )roq(rl6q te,Fpro.rtg,u,."i;
.:re rhe qua (y E nornr3irrai'red

Ll!(igi1g \a.
I Bu,,o \ ro \ .t.o.".\ 0 e.e,, ri aror
rL
incsc dr qudiry N submnkd tor ce(ificarion i; ror maiotained, l" ** *, ",1r.co
occun duing tEnsporation / djstriburion under normat condirions due ;"tr";
ro djture ot
cetified packages, t/we stEtl be tiabLe ro bearatrco$s arisiIs our orthc taiture.

Sign ur.of rhc Manhnrdurer


or his authorizcd Rcpresentaiive
INDIAN INSTITUTtr OF PACKACING, MUMBAI'
I9v:1-F9lI19r.l!l!:- 1r..-\.lv:,1.. ?ll:.I ?-0-9?:9-1 ""' "" ""
I h' Ctr\lnn'(r rct'll'r(L lhrm l.or r / !'o' rrl No. : FF l0

cnsto$cr Nue & Addftss rrIE f-Lad*elL6jdga! -ae).*+r r,


), I q lt e CJii. 9*,1,8+,r-l Estdt .
-lo

NXCELLI]NT
COMN'IENTS

l,ronptness ir finnlizario ol

Prscnillion ol the Test

Addition!t Comn!enN ilanY

PhE i V,4D^&deA

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