astro AprlicatinnReauest Application for Amendment of Approval For Work Shop to fabric ‘Chief Controller of Explosives Sth Floor, A‘Block, CGO Complex, Seminary Hills, Nagpu Foran a vosaTaaas ‘Ontine Application petroleum Tae fr scUReesiave Mater oi ‘The signed application with necessary enclosures to be submitted within 15 days AP BLE SAUNNE Ypeepcbatow! imited. Mis. Indian Oil Corporation Limite. ‘7-4, MIDC INDUSTRIAL AREA Ambad Naak, Sato: Maharashira Phone 440008 “Email 25-32382032 agrawaldalindianoldotin cation shop premises Plot No: A-4t,A4l2, MIDC Industrial Area, ‘Ambad Nasik State Maharashtra District NASIK Taluka Nashik Town and Vilage PIN 422010 4 Details of Design Drawing Approval [SeNo[Drawing No] Woke Modal Compariment Capacity Product Toading Type 7_[1-5p-24(C) | 1SuzU_—|_SAMRAT-SSIV 2 200) 5. Botiom Loading, | hore by declare thatthe statements made above have been checked up by me and are tue and | undertake lo abide by the terms and conditions ofthe approval willbe granted to me. Remark Details of DDIECIPO Submitted (i No. 483904 Date 3110812018 worth Rs. 100! State Bank of India Date: s1oez0%8. Prace Documents to attac 11) Approval of Fabrication Shop {ot Fabrication Shop Approval Signature ofthe applicant Documents required for 1. Scrutiny ees per drawing 1000 Rs. 2. copy design drawing duly sign and stamp by the fabricator. soquired for ronowal of 1. Senutiny foe Rs. $001- 2, List of Employees (Name, Education Qualification and Experience), 3, List of Machinery 4. VAT regisvation cortficate, 6. 6 ication Shop : Certficate of DIC in favour of fmfindivdual PAN card Xerox in favour of irmfindvidual 7. Landlplat allotment document (Notarized copy), sign drawing approval 1. Senitiny fo Rs. 100! 2.4 copy design drawing duly sign and stam by th fabricator. 3. Copy of chassis spectfication / ARAI report hitpstiontine peso gov.n/PesoOntinelonineAoplicatonLeltas.aspx?0ND_SYS_ID=GvwikY OdFwVUOBXBIb2eKWikSd%I0SKKREEEKOND_SYS_Tr.. 1/1