Annexure-1

SITE ACCEPTANCE TEST CERTIFICATE I CONSIGNEE RECEIPT (lP/MPLS ARMY

PROJECT) ·(T-620)
SAT Reference Number and Oat!!:- 209-
51flPMPLS(Army)/NFSITender/Z018(PL3)/ Ot.
17.04.2020 Pucchase Order: CT/P0/0212015 -20
dated 19.06.2019
Name of Suppfier. Mis HFCL, New Deli
Name of Army Station Date of receipt BSNL RR (Release Report)/ FAT
Name of SAT }Consignee location of Materials Waiver details.
Consignee Address PICG Reion Responsible DEQA-11/QA&INSP/NO/NFS T- ·

I
620/IPMP.LS ARMY /2018-19/107
Dated:37-2020

I
Officer Commanding Signals, Project NFS,
Chandimandir,Pin -134107
Officer Commanding Signals,
Project NFS, Chandimandir ,Pin
134107
.Chandimandir
Of:,}og/2- Officer Commanding
DEQA-11/QA&INSP/ND/NFS T-
620/IPMPLS ARMY/2018-19/111Dated
30-07-2020
Signals, Project
NFS, Chandimandir,Pln -134107

DEQA·ll/QA&INSP/ND/NFS T·
620/IPMPLS ARMV/2018-19/108 .
Oates:30-07-2020

Particulars of Material Received

Qu2nti
DSNl RR / D01t Deli Qua Qua RCM Quantit
ty in
Equipment S;. No. FAT Wc:iver very ons y
of Delive ntity ntity
Item Oe5cription DEQA·ll/ t r/ cig\ 1 Accept

I
1942SA2693 ,1942BA26 SOR Line Item
OEQA-11/QA&INSP/ND/NFS T-
83, 1.8
QA&INSP/ND/
- ],-- 4 4 Nil NA Nos.
\ t/ 8'j UJt
SOr< ine ,,.. ... l
N5202061849 Item 1.5 620/IPMPLS l f o'B}k/ - 1Nc Nil NA 1Nos.
DEQA-ll/ •'4000865349
SOR Line 1 lNos.
QA&INSP/ND/N !
NS202061BB6 Item 1.1 1No Nil NA Nos.
Certified ·That :•
1. The received ma-:crial m;:itches with thP. delivery ch;:ifl an accompanyinc the consignment J n terms of qui.!ntity as per
RR issued by BSNL
QA/ FAT waiver issued by SSNLCO and mo1terial has bC!en receive in coed condition as per <1bove details.
2. There is no physici!l dam<1ge I deficiency to the mater ial as per visual inspectior. carried out. However, uNo Ooimcige /
OeficicncyCerrific1:1te" ha!: been issued by M/s HFCL and cnt1:1thcd.
I
j /
3 No equipment has been poYlered '10N" during SAT. '
4 SAT has been done inaccordonce to the guidelines issud by DSNL CO vide letter No 209 51/IPMPLS(Army)/
NFS(rcndor/201B(Pt.3)/ Dt 04 2020 • i .
 5.All
after the above-ment
'uccessful ioned of
completion mate ri a l ha s been h anded ave r ta M/s HFCl
SAT. -L,,. ,_:, . I )J ·/
( ' ) ' £ . .
.:1gnature
i.. of Mls HFCL Rep.1\z . f:;-. .?.js;; ture of PICG Re.p. i\"l A!i (J r.:ii; 'i\
" 0 0,)?1:-,< l ..;. f/ ,
Name of Consignee
SAT }Cons Address
ignee
location