Date: 14-March 2024

Azbil India Private Limited

Service Request cum Approval Form
1. GENERAL DETAILS

Project Name TORAY Chilled water pump control panel modification

Project Code (To be filled by Accounts Dept.)

Nature of services (with HSN code) Panel hardware & wirings modification at site

Location of service Sri City, Andhra Pradesh

Service period 1 day

2. Vendor Details
Name ABOT ENGINEERING
Address Gala No.2, Sonarpanda, MIDC ph2, Dombivali, MH 421203
GST Registration Details if applicable
Contact Person Name, Mail Id & Phone No: Tanmay Choudhari, +91-9869021584
Finance & Accounts Matter
Project Matter

3. Cost of services

Service Chargeable to AIN

Free service but accommodation & other expenses to be paid
Free services - No cost at all to AIN
Cost of service ( As per quote ) 15,500
Budgeted Accommodation cost NA

Budgeted Other cost (Please provide detailed Annexure) 16,500 for materials

4 Project in charge Approval

Applicant Name: Eiji Noda

Applicant Signature

Project in charge Signature

5 F &A Comment &Approval

Is vendor already a registered vendor

Is all documents are in order

System PO No. & Date

Signature of Person approved

6 Management Approval

Signature of MD