WMA - Weighing Instrument Verification Certificate

Weighing Instrument Verification Certificate

Weights & Measures Act - Official Record of Verification

Certificate & Application Reference

Certificate No.:

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Application No.:

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Customer Information

Customer Name:

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TIN Number:

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Phone:

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Instrument & Verification Details

Instrument Type	{{ $instrumentType ?? '' }}	Verification Type	{{ $verificationType ?? '' }}
Manufacturer / Model	{{ $manufacturerModel ?? '' }}	Serial Number	{{ $serialNumber ?? '' }}
Capacity	{{ $capacity ?? '' }}	Accuracy Class	{{ $accuracyClass ?? '' }}
Verification Site	{{ $verificationSite ?? '' }}	Collection Center	{{ $collectionCenter ?? '' }}
Control Number	{{ $controlNumber ?? '' }}	Amount Paid	{{ $totalAmount ?? '' }}
Date Issued	{{ $issuedDate ?? '' }}	Valid Until	{{ $expiryDate ?? '' }}

Verifying Inspector

Signature & Stamp

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Regional Manager

Weights and Measures Agency - Official Seal

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