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Organization name:

Address (city):

Contact person:

Phone / Fax:

E-mail:

Dispatch station:

Destination station:

Type of repair:

Type of rolling stock:

Planned time period:

Total number of cars:

Organization name:

Address (city):

Contact person:

Phone / Fax:

E-mail:

Station of the dislocation (detachment) of the car:

Station / place of repair:

Type of repair:

Type of rolling stock:

Number of cars:

Organization name:

Address (city):

Contact person:

Phone / Fax:

E-mail:

Station of the dislocation (detachment) of the car:

Station / place of repair:

Type of repair:

Type of rolling stock:

Number of cars:

Organization name:

Address (city):

Contact person:

Phone / Fax:

E-mail:

Station of inspection (inspection) of cars:

Planned period of reception (inspection):

Type of rolling stock:

Car model:

Number of cars:

Organization name:

Address (city):

Contact person:

Phone/Fax:

E-mail:

Railway Station:

Scheduled review period:

Type of rolling stock:

Number of cars:

Model cars:

Code of the reason for the application to the GIS UZ:

Organization name:

Address (city):

Contact person:

Phone/Fax:

E-mail:

Railway carriage registry:

Planned period of change:

Type of rolling stock:

Number of cars:

Code of the reason for the application to the GIS UZ:

Organization name:

Address (city):

Contact person:

Phone / Fax:

E-mail:

Railway Station:

Scheduled review period:

Possibility to look at the access roads (yes / no):
YesNo
Type of rolling stock:

Model of wagon:

Number of cars:

Organization name:

Address (city):

Contact person:

Phone/Fax:

E-mail:

Railway Station:

Scheduled review period:

Possibility to look at the access roads (yes / no):
YesNo
Type of rolling stock:

Model cars:

Number of cars: