naval dockyard, mumbai - Irfc-nausena.nic.in

In the presence of
1. _____________________________
Name __________________________
Designation
2. ___________________________
Name _______________________
Designation ___________________
In the presence of
1. ___________________________
Name _______________________
Designation ___________________
2. ____________________________
Name ________________________
Designation_____________________
ii. Distribution :
Payment Authority (One Ink Signed Copy)
FA to CFA (One Ink Signed Copy)
FA to COA (One Ink Signed Copy)
CFA (One Ink Signed Copy)
PCDA(Navy), Mumbai (One Copy)
IHQ,MoD(N)/DFM (One Copy)
ANNEX­ 1 to Encl – III to RFP
FORMAT OF CERTIFICATE OF ACCEPTANCE
CERTIFICATE OF ACCEPTANCE
1. CERTIFIED THAT M/S_______________________, HAVE COMPLETED THE
(________________) OF (NAME OF THE VESSEL/ASSET) AS PER THE SCOPE OF WORK ASSIGNED TO THEM
AND HANDED OVER THE SAME TO (NAME OF CUSTOMER) AT ____________ HOURS, ON THIS ________DAY OF
THE MONTH _________________ IN THE YEAR TWO THOUSAND AND _________.
2. THE LIST OF LIABILITIES AS ON DATE IS PLACED AT ANNEXURE TO THIS CERTIFICATE.
_______________________ COA/REP FOR AND ON BEHALF OF THE PRESIDENT OF INDIA
____________________________ REP OF M/S___________
DYT/INCOD/12­13/106(a)/PL­YCM/MADHUR­REFIT/420 120/127