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PARTICIPATION

PARTICIPATION
PARTICIPATION
Service Code : L-03

 

Submit duly filled consent form to PT DIVISION through Email :


FORM-1

PT DIVISION

LANDMARK MATERIAL TESTING AND RESEARCH LABORATORY

CONSENT TO PARTICIPATE IN PT SCHEME

LRL/PT/SOIL/003/17 - MECHANICAL TESTING

Name of the Laboratory ………………………………………………………………………………………………………………………………..

Name & Designation of the contact person…………………………………………………………………………….......................

Address:………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..…PIN……………………………………………….

Telephone…………………………………………...….…..Mobile ……………………..……………………………………………………………

E-mail …………………………………………………………………………………….……………………………………………………………………..

Preferred Courier Agency ……………………………………………………………………………………………………………………………..

(Please mention the names of more than one courier agencies those have good service network at your address)

We express our consent to participate in the scheme as per the parameters mentioned below.

Grain Size Analysis

(i)                Sieve Analysis-Dry Method  (IS: 2720:P-IV – 1985, Clause 4.3.2)   

(ii)              Wet Sieve Analysis (IS: 2720:P-IV-1985, Clause 4.3.1) 

(iii)             Hydrometer Analysis (IS: 2720:P-IV-1985, Clause 5.2) 

Participation fee along with service tax is enclosed herewith as per following detail:

Cheque*/DD*/NEFT**/ECS** No:………………….. Dated…………………… Drawee bank……………………………………

Fees (@INR 20000.00):

Service Tax (@ 15%):

Total  Amount :                                                                                                                                                                                                                                              

                                                                                                                                            (Name & Signature)

                                                                                                                                            Authorized Signatory

Bank Details for NEFT payment:   Landmark Material Testing And Research Laboratory Pvt. Ltd.

 HDFC BANK Ltd., Address: ICG Campus, Gurukul Marg, SFS,                   Mansarovar, Jaipur- 302020,

                                                            Account No.50200023077029, IFSC: HDFC0000987

                                                            PAN : AABCL9797K, Service Tax No. AABCL9797KSD002

*Cheques/DD shall be drawn in favour of “Landmark Material Testing And Research Laboratory Pvt. Ltd.” payable at Jaipur.

**Payment made through NEFT/ECS shall be notified to PT coordinator with complete details


LANDMARK MATERIAL TESTING AND RESEARCH LABORATORY PVT. LTD.

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