Bayan Telecommunications Incorporated

Network Quality Assurance

Corporate Quality Continuous Improvement Division

RECOMMENDATION FOR
PROVISIONAL ACCEPTANCE
CERTIFICATE
CERTIFICATE No. _______________

( Project title )

(Site Identification, Location/Address )

Following the completion of the Project Acceptance Testing (PAT), the (equipment/facility) of (Site Identification,
Location/Address ) which (was/were) supplied and installed by (supplier/vendor/subcon) (has/have) already passed the
test and acceptance. This would serve as reference for issuance of Project Acceptance Certificate (PAC) in accordance
with PER# (number), PR# (number) and P.O. # (number).

Please be informed that all major and minor service affecting deficiencies found during the conducted PAT has
been corrected.

Prepared By: Witnessed By: Reviewed and Certified By:

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Name Name Name
NQA PMI representative PMI-TL/Head
Signature over Printed Name Signature over Printed Name
Name Name
Operations representative Operation TL/Head
Signature over Printed Name Signature over Printed Name
Name Name
Contractor representative TL-NQA

CQCID-FRM-107