Delivery Period Extension Form

  (NB:Fields marked * must be filled .)

Purchase Order Number:
 (14 Digit Numeric without /) *
Purchase Order Date:
 (e.g. 28/11/02 ) *
Vendor Code:
 (5 Digit Numeric)
Firm Name:
  *
Firm City:
  *
Original Delivery date:
 (e.g. 28/11/02 ) *
Requested Extended Delivery Date:
 (e.g. 28/11/02 ) *
Your Reference No:
  *
Your E-mail address:
 
Reasons for delay:
  *
 
 
 Designed by Sathi P.S. (SSO/P&C)
E mail : sathigurvi@hotmail.com
 Under guidance of
 Shri S.C. Agnihotri (COS)