Details of the Licences held by the Applicant and /or the Partner(s):
Name of the Licence Holder
Licence No.
Class I/II
Date of Expiry of Licence
Details of the certificate of the competency on the basis of which the Electrical Contractor Licence is applied for: - (Consent letters to be attached)
Name of the Licence Holder .
Licence no
Class I/II
Date of Expiry of Licence
Particulars of Testing and other
:
___________________________________________
Instruments in possession
:
___________________________________________
Approximate value of the electrical Goods in possession (List of goods should be attached).
:
___________________________________________
Licence Fee Paid into the Government Treasury
:
Rs: _______________________________________
As per treasury challans Receipt No. ___________________________ Dated ________________ Paid at the State Bank of India, Old Secretariat, Delhi.
Certified that I _______________________________holder of Foreman Licence No. __________ ________________ valid upto _________________ working with M/s ______________________ ___________________________ Since ___________________________________
Signature of the Foreman
:
____________________________________________
Name of the Foreman
:
____________________________________________
(IN BLOCK LETTERS)
:
____________________________________________
I, We declare that the particulars stated above are correct and true to the best of my/our knowledge, information and I/we fully understand the terms and conditions under which render the licence liable to be suspend / revoke.
Local Services 