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NRF 003 - Form section 5

The equipment listed above is certified fit for the specific purpose in accordance with the details advertised in SAFE Notice

SAFE Notice

No.

Date

DD MM YYYY

Signals

Name

Depot/Contact No.

Date

DD MM YYYY

Time

HH MM

Civil

Name

Depot/Contact No.

Date

DD MM YYYY

Time

HH MM

Electrical

Name

Depot/Contact No.

Date

DD MM YYYY

Time

HH MM

Signaller

Name

Location/Panel

Date

DD MM YYYY

Time

HH MM