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3.  I/We hereby certify that on ………… 20…………. I/We have carefully inspected and tested
                   the above work and that I/We have satisfied myself/ourselves that it has been properly
                   completed and is in good working ‘order’ *and that the work can be opened for Public
                   carriage of passengers without endangering the safety of the travelling public, or of the
                   employees of the Railway, subject to the following speed restrictions:


                   @ Temporary………………..Kmph ………………… due to …………………………………….
                   ………………………………………………………………………………………………………..…
                   @Permanent………………………..Kmph ………………….. due to………………………….…
                   ………………………………………………………………………………………………………….

                4.  The work is being opened on………………………….…………………………….……….….

                   *Necessary in case of signaling and interlocking works only.
                   @To be scored out if not applicable.


                   Signature                                          #Countersigned by:
                   Name                                               Signature …………………………….

                   Assistant Engineer/                                Name …………………………………
                   Dated………………                                        Dated………………..


                   Signature                                          #Countersigned by:
                   Name                                               Signature …………………………….

                   Assistant Signal & Telecommunication Engineer      Name …….……………………………
                   Dated………………                                        Dated………………..


                   Other officers concerned                           #Countersigned by:
                   Signature                                          Signature ……………………………….

                   Name                                               Name ….…………………………………
                   Designation                                        Dated………………..


                 No…………………………………………………………………………………..Dated……..……..


                 #To  be  Countersigned  by  the  officers  who  had  applied  for  sanction  and  forwarded  to
                 Commissioner of Railway Safety for information:

                                                       Forwarded by



                                                                           Divisional Railway Manager/
                                                                           Chief Engineer (Construction)







                                    Chapter 9: Procedure for Commissioning of Signalling Installations   Page 196 of 535
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