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CONTENTS - Central Public Works Department

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SECTION 53<br />

Annexure –III<br />

Proforma For Mandatory Tests To Be Attached With Running Bills<br />

[Reference para 53.7(ix)]<br />

Name of the work: ……………………………….Name of ontractor……………….. Agreement no. and<br />

date ………………………… R/A Bill No.….………………….<br />

Sl.no. Item Quantities as Frequency No. of Upto No. of No. of Remarks<br />

per agreement as per specifi- tests date tests tests<br />

cation required quantity required actually<br />

done<br />

1 2 3 4 5 6 7 8 9<br />

Note: If the number is less than that required, then reasons shall be recorded.<br />

Signature of Junior Engineer<br />

Signature of Executive Engineer<br />

297<br />

Signature of Assistant Engineer

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