QAP Project Management Consultancy Services For Upgradtion to 4-laning of NH-17(NEW)/31(OLD)

from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara (excluding
Gauripur Bypass)}under Abhayapuri NH Division.

CLASSIFIED TRAFFIC VOLUME COUNT SURVEY (7 Days 24 Hours) / oxhZdr ;krk;kr vk;ru x.ku losZ{k.k (7 fnu 24 ?kUVs )
Road Name: SHEET NO / i`"B la[;k :……………
SECTION / vuqHkkx : ………………………………………………… DAY / fnu : ……….…………………………………..
DIRECTION /fn'kk : ………………………………………………
Name of the Enumerator / vuqlU?kku drZk dk uke : ………………………………………………………………………. DATE / fnukad : ……….…………………………………
LOCATION & Km / LFkku vkSj fd-eh- : ………………………………………………. WEATHER / ekSle : ……..……………………………..
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… SHIFT NO / ikyh la[;k :…………… ENUMERATOR / vuqlU?kku drZk : …..…………………………..

Car / Jeep /
Three Other Fast
Van/ Van / LCV / Wheeler/ Mini Standard
LCV - Frieght/ (d`f"k Cycle
Animal drawn
moving
TIME Car Jeep/ Trucks/ NksVh Vzd (Hkkj TRUCK @ Vzd dk;Z gsrw Cycles Ricksha Other Slow
Auto Bus Bus vehicles (i'kq xkM+ah)
Sumo dkj@osu@thi LCV - gsrw) VzsDVj) (Specify) ws Hand moving
Rickshaw
@NksVh Vzd@Vzd Passenger Cart vehicles
(Specify)
Articulated/
With Without Bullock
3-wh 4-wh 2 - Axle 3 - Axle Semi Horse
Trailer Trailer cart
Articulated

vU; xkM+ah
rhu vU; eksVj
tks vkfgLrk
ifg;k & pkj / N%
rhu ifg;k N% cM+k ifg;k nl ifg;k Vzd nl ls VzsDVj VzsDVj xkM+ah
oSu@thi nks ifg;k feuh lkbZdy cSy pyrh
le; dkj okgu @ cM+h cl ;krzh;ksa gsrw ifg;k & Vzd @ @ 3&,sDly T;knk ifg;k Vzkyh ds flQZ lkbZdy Bsyk VkaWxk
@ lweks okgu cl eky (mYys[k fjD'kk xkMh
vkVks fjD'kk 2&,sDly Vzd Vzd Vzd lkFk batu gS(mYys[k
xkMh eky xkMh djs )
djs )

:00
to
:15

:15
to
:30

:30
to
:45

:45
to
:00

HOURLY
TOTAL
(dqy ?kaVs )
Name of the Enumerator / vuqlU?kku drZk dk uke : ………………………………………………………………………. Name of the Supervisor / i;Zos{kd dk uke : ……………………………………………………
Signature with date / gLrk{kj fnukad ds lkFk :……………………………………………………………………………… Signature with date / gLrk{kj fnukad ds lkFk :……………………………………………………

Note: Coding for Exempted vehicles: P-Police,A-Ambulance,M-Military/Defence,F-Fire,G-Govt Vehicles

vol-1 TASPL-JIPL
QAP Project Management Consultancy Services For Upgradtion to 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara (excluding
Gauripur Bypass)}under Abhayapuri NH Division.

vol-1 TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction to 4-laning of
NH-17(NEW)/31(OLD) from km 816th {Baxirhat (Assam West Bengal Border)}
to Km 900 {Bilasipara (excluding Gauripur Bypass)}

TURNING MOVEMENT COUNT SURVEY (8 Hrs.) / pyokgu x.ku losZ{k.k (8 ?kUVs )

Road Name: SHEET NO / i`"B la[;k :……………
SECTION / vuqHkkx : ………………………………………………… DAY / fnu : ……….…………………………………..
DIRECTION / fn'kk : ……………………………………………… Name of the Enumerator / vuqlU?kku drZk dk uke : ………………………………………………………………………. DATE / fnukad : ……….…………………………………
LOCATION & Km / LFkku vkSj fd-eh- : ………………………………………………. WEATHER / ekSle : ……..……………………………..
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… SHIFT NO / ikyh la[;k :…………… ENUMERATOR / vuqlU?kku drZk : …..…………………………..

Three Other Fast

Van/ Car / Jeep / Cycle
Wheeler/ Mini Standard moving
TIME Car Jeep/ Van / LCV /
Auto Bus Bus
NksVh Vzd(Hkkj gsrw TRUCK @ Vzd Agri. Tractor
vehicles
Cycles Ricksha Animal drawn
Sumo Trucks/ (Specify) ws Other Slow
Rickshaw
LCV - Hand moving
Passenger Cart vehicles
(Specify)
Articula
ted/
With Without Bullock
3-wh 4-wh 2 - Axle 3 - Axle Semi Horse
Trailer Trailer cart
Articula
ted

vU; vU; xkM+ah

rhu nl ls eksVj tks vkfgLrk
ifg;k pkj / N%
rhu ifg;k N% cM+k ifg;k nl ifg;k Vzd VzsDVj VzsDVj
oSu@thi @ nks ifg;k feuh T;knk xkM+ah lkbZdy cSy pyrh
le; dkj okgu @ vkVks cM+h cl ;krzh;ksa gsrw ifg;k & Vzd @ @ 3&,sDly Vzkyh ds flQZ lkbZdy Bsyk VkaWxk
lweks okgu cl & eky ifg;k fjD'kk xkMh
fjD'kk 2&,sDly Vzd Vzd lkFk batu (mYys[k gS(mYys[k
xkMh eky xkMh Vzd
djs) djs)

:00
to
:15

:15
to
:30

:30
to
:45

:45
to
:00

HOURLY
TOTAL
(dqy ?kaVs)
Name of the Enumerator / vuqlU?kku drZk dk uke : ………………………………………………………………………. Name of the Supervisor / i;Zos{kd dk uke : ……………………………………………………
Signature with date / gLrk{kj fnukad ds lkFk :……………………………………………………………………………… Signature with date / gLrk{kj fnukad ds lkFk :……………………………………………………

Coding for Exempted vehicles: P-Police,A-Ambulance,M-Military/Defence,F-Fire,G-Govt Vehicles

TM TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

ORIGIN & DESTINATION (O-D) SURVEY (FREIGHT TRAFFIC) /

ewy LFkku vkSj eafty losZ{k.k ( Hkkj okgu )
Road Name: SHEET NO / i`"B la[;k :……………
Towards/ dh vSkj
Name of the Enumerator / vuqlU?kku drZk dk uke : ………………………………………………………………………. Direction / fn'kk :
Road No. / lM+d la[;k :……………………………………… Date / fnukad : ……….…………………………………
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… Day / fnu : ……….…………………………………..
WEATHER / ekSle : ……..…………………………….. SHIFT NO / ikyh la[;k :…………… Time / le; :………………………………….

Sl.No ./dze
la[ ;k
Particulars/fooj.k Car / Jeep / Van / LCV / Trucks/ dkj@osu@thi @NksVh Vzd@Vzd

Registration No. iathdj.k la[;k

VEHICLES PARTICULARS/
okguksa dk fooj.k Type of Vehicle &
okgu dh fdLEk vSkj
Axle Configuration
Make & Model cukoV vSkj EkkMy
RLW/ULW
Commodity Type oLrq dh fdLEk
COMMODITY/ Quantity (Tonnes/Litre) Ekkrzk (Vu@fyVj)
O-D
Origin (Name of Place & ewy LFkku(ns'k@jkT;@ftyk
PARTICULARS
District/State/Country) vkSj LFkku dk uke)
oLrq@ewy LFkku ls eafty dk
fooj.k Destination (Name of Place eafty(ns'k@jkT;@ftyk vkSj
& District/State/Country) LFkku dk uke)

Trip Length (Km) lQj dh yEckbZz(fd-Ekh-)

Travel Time (Hrs / Days)
Number of Trips
(Per month)
VEHICLE UTILIZATION/
okgu mi;ksx Average Km Driven/Day
No. of Hours per Day
Coding for Exempted
vehicles: P-Police,A-
;krzk dk le;(?kUVs@fnu)
lQj dh la[;k(izfrEkkg)
vkSlru fnuHkj Eks fdruk
fd0Ekh0 xkM+h pyrh gS
izfrfnu fdrus /kUVs xkM+h
pyrh gS
izfrEkkg dqy dk;Z fnuks dh
la[;k

Adopted / Route followed fdl jkLrs dk vuqlj.k fd;k

ROUTE PARTICULARS/
#V ( jkLrk ) fooj.k Preference for Proposed izLrkfor cf<;k jkLrs ds fy;s
Superior Road izkFkfedrk
Toll Willingness to Pay/
If Yes, how much in Rupees ;fn gk¡ ]rks fdrus :i,
bPNk ls Vksy nsus dks rS;kj gksuk
Remarks VOC fjekZdl

Name & Name &

Signature of Enumerator/ vuqlU?kku drZk dk uke vkSj gLrk{kj _________________________________ Signature of Supervisor/ i;Zos{kd dk uke vkSj gLrk{kj : __________________________

o-d_commo TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

ORIGIN & DESTINATION (O-D) SURVEY (CAR/BUS)/ewy LFkku vkSj eafty losZ{k.k ( dkj@cl )
Road Name: SHEET NO / i`"B la[;k :……………
Towards/ dh vSkj
Name of the Enumerator / vuqlU?kku drZk dk uke : ………………………………………………………………………. Direction / fn'kk :
Road No. / lM+d la[;k :……………………………………… Date / fnukad : ……….…………………………………
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… Day / fnu : ……….…………………………………..
Weather / ekSle : ……..…………………………….. SHIFT NO / ikyh la[;k :…………… Time / le; :

Sl. No./dze la[;k

Car / Jeep / Van / LCV / Trucks/ dkj@osu@thi @NksVh Vzd@Vzd
Particulars/fooj.k

Registration No. iathdj.k la[;k

Type of Vehicle okgu dh fdLEk

Purpose of Trip * lQj dk mnns';

VEHICLES PARTICULARS/ ;kfrz;ks dh la[;k
No. of Passengers
okguksa dk fooj.k
Origin (Name of Place & ewy LFkku(ns'k@jkT;@ftyk
District/State/Country) vkSj LFkku dk uke)

Destination (Name of Place eafty(ns'k@jkT;@ftyk

& District/State/Country) vkSj LFkku dk uke)

Trip Length (Km) lQj dh yEckbZz(fd-Ekh-)

Travel Time (Hrs / Days) ;krzk dk le;(?kUVs@fnu)

VEHICLE UTILIZATION/
okgu mi;ksx
ROUTE PARTICULARS/
#V ( jkLrk ) fooj.k
Toll Willingness to Pay/
bPNk ls Vksy nsus dks rS;kj gksuk
Remarks
Number of Trips
lQj dh la[;k(izfrEkkg)
(Per month)
vkSlru fnuHkj Eks fdruk
Average Km Driven/Day fd0Ekh0 xkM+h pyrh gS
izfrfnu fdrus /kUVs xkM+h
No. of Hours per Day pyrh gS
No. of Working Days izfrEkkg dqy dk;Z fnuks dh
per Month la[;k
fdl jkLrs dk vuqlj.k
Adopted / Route followed fd;k
Coding for Exempted izLrkfor cf<;k jkLrs ds
vehicles: P-Police,A- fy;s izkFkfedrk
If Yes, how much in Rupees ;fn gk¡ ]rks fdrus :i,
VOC fjekZdl

NOTE: If 'Bus' specify the occupancy as Overloaded - O, Full - F, Half - H, Less - L

* PURPOSE : Work - 1, Business - 2, Education/Student - 3, Return Home - 4, Recreation - 5, Social - 6, Tourist - 7, Religion - 8, Others - 9
Name & Name &
Signature of Enumerator/ vuqlU?kku drZk dk uke vkSj gLrk{kj _________________________________ Signature of Supervisor/ i;Zos{kd dk uke vkSj gLrk{kj : __________________________

TASPL-JIPL
o-d_passen
QAP Consultancy Services for preparation of Detailed Project Report for “construction 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

AXLE LOAD SURVEY/ ,sDly Hkkj losZ{k.k

Road Name: SHEET NO / i`"B la[;k :……………
SECTION / vuqHkkx : ………………………………………………
Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….
Date / fnukad : ……….……………………………
LOCATION / LFkku : ……………………………………………… Day / fnu : ……….……………………………
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… SHIFT NO / ikyh la[;k :…………… Weather / ekSle : ……..…………………

Time Vehicle Type Registration No. Origin Destination Commodity Axle Load (Tonnes)/ ,sDly Hkkj (Vu) Remarks
Type
Front Axle Rear Axle Tandem Rear Axle

1 2 1 2 3
le;
1

10

11
Coding for
12
Exempted
vehicles: P-
13

14

15
Recorded by: Checked by:

Signature of Enumerator Signature of Supervisor

axle TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction to 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

SPEED AND DELAY STUDY - FORM NO. 1

Format for Recording the Time at Various Control Points
Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….
Road Name: SHEET No.:
jkT; vkSj ftyk : …..…………………………………
Name of Road / lMd dk uke From ___________ To ____________ No. of Trip:/lQj dh la[;k
From Km. : DATE / fnukad : ……….…………………………………
:
To Km. : Car / Jeep / Van / LCV / Trucks/ dkj@osu@thi @NksVh Vzd@Vzd Time :

Link First Stop Watch Second Stop Watch Cause of Delay

Sl. No. Start Chainage Ending Chainage Control Points Journey Time Delay Time Fixed Operational
From To
Min. Sec. Min. Sec.

Coding for
Exempted
vehicles: P-

Name & Name &

Signature of Enumerator Signature of Supervisor

speed_1 TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction to4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

SPEED AND DELAY STUDY - FORM NO. 2

Form for No. of Opposite Vehicles
Road Name:
Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….
Name of Road / lMd dk uke From : To _________ DAY / fnu : ……….…………………………………..
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… DATE / fnukad : ……….…………………………………
From Km. : To Km.: No. of Trip:

Fast Moving Vehicles

Passenger Vehicles Goods Vehicles

Link Car/Jeep/Auto Two-Wheeler Three Wheeler Mini Bus Bus Tempo/LCV Trucks Agricultural Tractors

Without
From To 2-Axle Multi-Axle With Trailer
Trailer

for
Exempted

Name & Name &

Signature of Enumerator Signature of Supervisor

speed_2 TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction to 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

SPEED AND DELAY STUDY - FORM NO. 3

Form for No. of Vehicles Overtaking the Test Vehicle
Road Name:
Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….
Name of Road / lMd dk uke From : To _________ DAY / fnu : ……….…………………………………..
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… DATE / fnukad : ……….…………………………………
From Km. : To Km.: No. of Trip:

Fast Moving Vehicles

Passenger Vehicles Goods Vehicles

Link Car/Jeep/Auto Trucks Agricultural Tractors

Two-Wheeler Three Wheeler Mini Bus Bus Tempo/LCV
Without
From To New Old 2-Axle Multi-Axle With Trailer
Trailer

Exempted
vehicles: P-

Name & Name &

Signature of Enumerator / Signature of Supervisor ___________

speed_3 TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction to 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

Road Name:
SPEED AND DELAY STUDY - FORM NO. 4
Form for No. of Vehicles Overtaken by the Test Vehicle
Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….

STATE & DISTRICT / jkT; vkSj ftyk : …..…………………………………

From : To _________ DAY / fnu : ……….…………………………………..
DATE / fnukad : ……….…………………………………
From Km. : To Km.: No. of Trip:
Car / Jeep / Van / LCV / Trucks/

Fast Moving Vehicles

Passenger Vehicles
Goods Vehicles
Link Car/Jeep/Auto Two-Wheeler Three Wheeler Mini Bus Bus Tempo/LCV Trucks Agricultural Tractors

Without
From To New Old 2-Axle Multi-Axle With Trailer
Trailer

Name & Coding for Exempted vehicles: P-Police,A-Ambulance,M-Military/Defence,F-Fire,G-Govt Vehicles Name &
Signature of Enumerator Signature of Supervisor

speed_4 TASPL-JIPL
 QAP Consultancy Services for preparation of Detailed Project Report for “construction to 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

PARKING SURVEY
Road Name:
SECTION /: ………………………………………………… Day / : ……….…………………………………..
SHEET NO /:……………
DIRECTION / : ………………………………………………
Name of the Enumerator / : ………………………………………………………………………. Date / : ……….…………………………………
LOCATION / : ………………………………………………. WEATHER / : ……..……………………………..
STATE & DISTRICT / : …..………………………………… SHIFT NO / :…………… ENUMERATOR /: …..…………………………..

Type of Registration
S.No 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30
Vehicle Number

Car / Jeep / Van / LCV / Trucks/

ce,M-Military/Defence,F-Fire,G-Govt Vehicles

Name of the Enumerator / : ………………………………………………………………………. Name of the Supervisor / : ……………………………………………………

Signature with date :……………………………………………………………………………… Signature with date / :……………………………………………………

park TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction to4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

PEDESTRIANS COUNT SURVEY/ iSny;krzh x.ku losZ{k.k

Road Name:
SECTION / vuqH kkx : …………………………………………………
Name of the Enumerator / vuqlU?kkuDay
drZ/k fnu
dk uke
: ……….…………………………………..
DIRECTION / fn'kk : ……………………………………………… Date / fnukad : ……….…………………………………
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… WEATHER / ekSle : ……..……………………………..
STATE & DISTRICT / jkT; vkSj ftyk : …..………………………………… ENUMERATOR / vuqlU?kku drZk : …..…………………………..
SHIFT NO / ikyh la[;k :……………
Car / Jeep / Van / LCV / Trucks/ dkj@osu@thi @NksVh Vzd@Vzd

NUMBER OF PEDESTRIANS / ANIMALS / SLOW VEHICLES

TIME DIRECTION : TIME DIRECTION :

Pedestrians Animals Slow vehicles Pedestrians Animals Slow vehicles

vkfgLrk pyus okyh vkfgLrk pyus

le; iSny tkuoj le; iSny tkuoj
xkfM+;k¡ okyh xkfM+;k¡

:00 :00
to to
:15 :15

:15 :15
to to
:30 :30

Coding for Exempted vehicles: P-Police,A-Ambulance,M-Military/Defence,F-Fire,G-Govt Vehicles

:30 :30
to to
:45 :45

:45 :45
to to
:00 :00

HOURLY HOURLY
TOTAL TOTAL
(dqy ?kaVs) (dqy ?kaVs)
:00 :00
to to
:15 :15

:15 :15
to to
:30 :30

:30 :30
to to
:45 :45

:45 :45
to to
:00 :00

HOURLY HOURLY
TOTAL TOTAL
(dqy ?kaVs) (dqy ?kaVs)
Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….
Name of the Supervisor / i;Zos{kd dk uke : ……………………………………………………
Signature with date / gLrk{kj fnukad ds lkFk :………………………………………………………………………………
Signature with date / gLrk{kj fnukad ds lkFk :……………………………………………………

Ped TASPL-JIPL
QAP Consultancy Services for preparation of Detailed Project Report for “construction to 4-laning of NH-17(NEW)/31(OLD)
from km 816th {Baxirhat (Assam West Bengal Border)}to Km 900 {Bilasipara}under Abhayapuri NH Division.

TOLL RATE SURVEY/ Vksy jsV losZ{k.k

Road Name:

LOCATION & Km / LFkku vkSj fd-eh- : ……………………………………………….

Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….

DIRECTION / fn'kk : ………………………………………………

DATE / fnukad : ……….…………………………………

STATE & DISTRICT / jkT; vkSj ftyk : …..…………………………………

DAY / fnu : ……….…………………………………..

1 Vehicle Type / okgu dh fdLEk Car / Jeep / Van / LCV / Trucks/ dkj@osu@thi @NksVh Vzd@Vzd

2 Origin of Trip / ewy LFkku

3 Destination of Trip / eafty:

4 Purpose of Trip / lQj dk mnns'; : (if Passenger vehicle)

5
Type of Commodity & Qty (tonnes)/ oLrq dh fdLEk & Ekkrzk (Vu) (if Goods vehicle)

6 Total Trip Length (km) / lQj dh yEckbZz(fd0Ekh0)

7 Total travel time (Days/Hrs/Min.) / ;krzk dk le;
8 Frequency of trips (monthly) / lQj dh la[;k(izfrEkkg)
9 Please indicate your opinion about the Toll Structure referred below :

Coding for Exempted vehicles: P-Police,A-Ambulance,M-Military/Defence,F-Fire,G-Govt Vehicles

Totally Non
Toll tax Highly Acceptable Neutral Acceptable
(Rs.) (1) Acceptable (2) (3) Not Acceptable (4) (5)
15
20
25
50
75
100
120
150
200

10 Travel Time Savings

Travel time
Amount of Toll tax ready to pay
reduction Remarks
(Rs.)
(min)
0-15 min.
upto 30 min
upto 45 min
upto 1 hr.
more than 1
hr.

Name of the Enumerator / vuqlU?kku drZk dk uke : ……………………………………………………………………….

Name of the Supervisor / i;Zos{kd dk uke : ……………………………………………………
Signature with date / gLrk{kj fnukad ds lkFk :………………………………………………………………………………
Signature with date / gLrk{kj fnukad ds lkFk :…………………………………………………

TASPL-JIPL