Form Iv For Repair - Wpc
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SHARKS SAFETY MADRAS OLD No.74, New No: 145, EAST MADA CHURCH STREET, III FLOOR, ROYAPURAM, CHENNAI – 600013. FORM – IV [SEE RULE - 15]
Sl No
Make
Model No.
Chassis No./ EQPT. Sr No.
Name & Address of Person Whom Received
Date of Receipt
Name & Address of Person Whom delivered after Repair
Particulars of the License held by the Owner of the Set. Date of Returns After Repairs
License No
Date of Issue
Post of Issue
Remarks
Sl No
Make
Model No.
Chassis No./ EQPT. Sr No.
Name & Address of Person Whom Received
Date of Receipt
Name & Address of Person Whom delivered after Repair
Particulars of the License held by the Owner of the Set. Date of Returns After Repairs
License No
Date of Issue
Post of Issue
Remarks
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