Annexure E

Office Of The Electrical Inspector Government Of N.C.T. Of Delhi 5-Sham Nath Marg Delhi-110054

Application For The Renewal Of Certificate Of Competency Class I And Class Ii
1 Name of the applicant in full: (IN BLOCK LETTERS) ________________________________________
2 Father's name :(IN BLOCK LETTERS) ________________________________________
3 Address  
(i) Residential: ________________________________________
(ii) Occupational: ________________________________________
4. Name and address with Licence No of the Licenced Electrical Contractor/Deptt. Under whom or where he is working

________________________________________
________________________________________
________________________________________

5. Certificate of Competency Licence No: ________________________________________
6. Date of expiry of Licence: ________________________________________
7. Amount of renewal fee deposited Rs. _______________ dated ________________ vide T.C.R No. __________________ at State Bank of India, Old Sectt. Delhi.
 

 

(Original Challan Receipt Should Be Attached )
I hereby declare that the above information furnished by me is true and correct.

PLACE

:

____________________________

____________________________

DATED

:

____________________________ (SIGNATURE OF THE APPLICANT)
(TO BE FILLED BY THE OFFICE)
The renewal fee Rs._____________ at page No. _______________ in order. Licence renewed from ________________ to ________________ is submitted for
Signature please.
SECRETARY

CLERK

Last Updated Date :- 07-12-2018

  • National Portal
  • degs
  •  India
  • delhi tender
  • nvsp
  • Page last updated on: 10-05-2021