@php $logoPath = public_path('assets/images/wmalogo.png'); @endphp
@if(file_exists($logoPath))
) }})
@else
WMA
@endif
The United Republic of Tanzania
Ministry of Industry and Trade
Form D Evidence Record
Weighing Instrument Verification - Repair/Form D Metadata
This document records the Form D evidence captured for a WVI repair referral. It preserves the submitted or OSA-resolved Form D metadata used by the verification workflow.
Record Reference
| Record No. | {{ $referenceNo ?? 'N/A' }} |
| Application No. | {{ $applicationNo ?? 'N/A' }} |
| Captured Date | {{ $capturedDate ?? 'N/A' }} |
Customer
| Name | {{ $customerName ?? 'N/A' }} |
| Phone | {{ $customerPhone ?? 'N/A' }} |
| Center | {{ $collectionCenter ?? 'N/A' }} |
Instrument
| Type | {{ $instrumentType ?? 'N/A' }} | Name | {{ $instrumentName ?? 'N/A' }} |
| Manufacturer / Model | {{ $manufacturerModel ?? 'N/A' }} | Serial Number | {{ $serialNumber ?? 'N/A' }} |
| Verification Site | {{ $verificationSite ?? 'N/A' }} | ||
Form D Details
| Form D Ref | {{ $formDRef ?? 'N/A' }} | Status | {{ $formDStatus ?? 'N/A' }} |
| License No. | {{ $licenseNumber ?? 'N/A' }} | Company | {{ $companyName ?? 'N/A' }} |
| Practitioner | {{ $practitionerName ?? 'N/A' }} | Phone | {{ $practitionerPhone ?? 'N/A' }} |
Repair Basis
{{ $faultReason ?? 'N/A' }}
Notes
{{ $notes ?? 'N/A' }}
@if(isset($qrCodeImage))
@endif
Verify