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Summary as per format in Whether M P Test Measuring instruments are available as per STR Any changes from last capacity assessment to be indicated RDSO/Quality Assurance/S T Printed on 2010/08/31 Page 1 of 4 Are there any complaints from the Railways during last financial year current year regarding the performance of the material If so furnish details of their disposal with supporting documents. ISO9001 2008 Document No QS-F-7. 1-2 Version No 1. 0 Date Effective 01/09/2010 Document Title Format of application form for up-gradation from Part-II to Part-I S*No* Details Name of Firm Address Office Works Telephone No* Fax No* Name/Description of Item Specification No* with Amendment Drawing No* If any Date of validity of type approval Details of pending orders if any with Original Extended Delivery Period Summary as per format in Annexure A-I Details of orders executed along with quantities Copies of ICs to be enclosed Summary as per format Details of Rejections of last financial year current year Copies of RAs to be enclosed. Summary as per format in Annexure A-IV Are there any failure of the material during warranty as applicable and if so has the material been replaced* Furnish supporting documents Place Date Signature Name Designation Stamp of the firm Annexure- A to QS-F-7. 1-2 Ver. 1. 0 FORMATS I Railway PO No* Qty. Original DP IC No* Extended DP 1. n II Details of Supplies made DP III PO No* Date RA No* Qty. Rejected Reasons of Rejection IV Details of Complaints from Railways their disposal during last 3 years Date of complaint Nature of Action taken for disposal ----------------------------xxxxx---------------------------- ACKNOWLEDGEMENT GOVERNMENT OF INDIA MINISTY OF RAILWAYS R*D. S*O. LUCKNOW-226011 Received QS-F-7. 1-2 form in duplicate on date--------------- -----------------------------from M/s -------------------------------------------------------------------------------------------------for up-gradation for the item -----------------------------------------------------------------against specification no. -------------------------------------------------------------. Name Signature of the Receiving official. Summary as per format in Annexure A-IV Are there any failure of the material during warranty as applicable and if so has the material been replaced* Furnish supporting documents Place Date Signature Name Designation Stamp of the firm Annexure- A to QS-F-7. 1-2 Ver. 1. 0 FORMATS I Railway PO No* Qty. Original DP IC No* Extended DP 1. n II Details of Supplies made DP III PO No* Date RA No* Qty. 1-2 Ver. 1. 0 FORMATS I Railway PO No* Qty. Original DP IC No* Extended DP 1. n II Details of Supplies made DP III PO No* Date RA No* Qty. Rejected Reasons of Rejection IV Details of Complaints from Railways their disposal during last 3 years Date of complaint Nature of Action taken for disposal ----------------------------xxxxx---------------------------- ACKNOWLEDGEMENT GOVERNMENT OF INDIA MINISTY OF RAILWAYS R*D. Rejected Reasons of Rejection IV Details of Complaints from Railways their disposal during last 3 years Date of complaint Nature of Action taken for disposal ----------------------------xxxxx---------------------------- ACKNOWLEDGEMENT GOVERNMENT OF INDIA MINISTY OF RAILWAYS R*D. S*O. LUCKNOW-226011 Received QS-F-7. 1-2 form in duplicate on date--------------- -----------------------------from M/s -------------------------------------------------------------------------------------------------for up-gradation for the item -----------------------------------------------------------------against specification no.