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Electrical Licensing Board,: Odisha

This document contains an application form for an electrical contractor's license in Odisha, India. The form requests information such as the name of the applicant, business address, category of work, details of previous licenses, names and qualifications of supervisors and electricians to be employed, testing equipment available, proof of payments and tax clearances, and confirmation that all other licensing requirements have been met. The applicant must sign and date the form, providing their designation. In 3 sentences, the summary provides an overview of the document's purpose as an application for an electrical contractor's license and the key details it requests from the applicant.

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2K views2 pages

Electrical Licensing Board,: Odisha

This document contains an application form for an electrical contractor's license in Odisha, India. The form requests information such as the name of the applicant, business address, category of work, details of previous licenses, names and qualifications of supervisors and electricians to be employed, testing equipment available, proof of payments and tax clearances, and confirmation that all other licensing requirements have been met. The applicant must sign and date the form, providing their designation. In 3 sentences, the summary provides an overview of the document's purpose as an application for an electrical contractor's license and the key details it requests from the applicant.

Uploaded by

ranjish_007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ELECTRICAL LICENSING BOARD,

O D I S H A
* * * * * * *

Name of the Person/Firm :

Amount deposited :
Challan No. & Date :
Sl.No.
Signature of Issuing Authority

FORM B
(REGULATION-27)

APPLICATION FOR ELECTRICAL CONTRACTORS LICENCE


1. Name (In block letters) in which :
The License is required


2. Business Address :



3. Full Name & Address of Proprietor/ :
Managing Partner/Director
Authorized representative.


4. Category of work for which :
Permanent License is required

Contd.P/2.



-:2:-


5. Details of work project for which :
License/Extension is required.

6. Period for which temporary :
License/Extension is required

7. If a contractors license (permanent :
or temporary) was previously issued in the
Same name details to be furnished.


8. Names of Supervisors & Electrical : 1.
Workman to be engaged to be mentioned
2.
(The Ref.No.of S.C.C. and Workmans
Permits to be furnished), 3.

4.

5.

9. Particulars of Testing Equipments :
available.


10. Details of :


(i) Treasury Challan enclosed :

(ii) Income Tax Clearance Certificate :
and VAT Clearance Certificate.


11. Compliance of other requirement specified :
by the Government.

We hereby declare that the particulars stated above are correct to the best of
my/our knowledge and belief.


Place : SIGNATURE

Date :

DESIGNATION

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