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    chetamilaa
    This document contains an application form for a Supervisor Competency Certificate from the Electrical Licensing Board of Tamil Nadu. [1] It requests information such as the applicant's name, address, date of birth, education and work experience. [2] The applicant must submit documents like certificates, evidence of age and experience along with the application form. [3] Instructions are provided on submitting the application, including paying a fee of Rs. 750 via demand draft and providing passport photos and signatures.

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    This document contains an application form for a Supervisor Competency Certificate from the Electrical Licensing Board of Tamil Nadu. [1] It requests information such as the applicant's name, address, date of birth, education and work experience. [2] The applicant must submit documents like certificates, evidence of age and experience along with the application form. [3] Instructions are provided on submitting the application, including paying a fee of Rs. 750 via demand draft and providing passport photos and signatures.

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    This document contains an application form for a Supervisor Competency Certificate from the Electrical Licensing Board of Tamil Nadu. [1] It requests information such as the applicant's name, address, date of birth, education and work experience. [2] The applicant must submit documents like certificates, evidence of age and experience along with the application form. [3] Instructions are provided on submitting the application, including paying a fee of Rs. 750 via demand draft and providing passport photos and signatures.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12K views2 pages

    C License

    Uploaded by

    chetamilaa
    This document contains an application form for a Supervisor Competency Certificate from the Electrical Licensing Board of Tamil Nadu. [1] It requests information such as the applicant's name, address, date of birth, education and work experience. [2] The applicant must submit documents like certificates, evidence of age and experience along with the application form. [3] Instructions are provided on submitting the application, including paying a fee of Rs. 750 via demand draft and providing passport photos and signatures.

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    of 2

    GOVERNMENT OF TAMILNADU

    THE ELECTRICAL LICENSING BOARD.


    Thiru.Vi.Ka.Indl.Estate, Guindy, Chennai-600 032.
    FORM"S"
    Application for Supervisor Competency Certificate
    (Read the instructions overleaf before filling u the form)
    1. Name of the applicant
    (in block letters)
    2. Father's Name

    3. Address of the applicant


    (in block letters)

    4. Date of Birth and age .


    (Proof for date of Birth in original along
    with xerox copy to be enclosed)
    5. Details of Technical Qualification passed
    by the applicant.(Certificate in original
    alongwith xerox copy to be enclosed)
    6. Details of Past and Present experience
    (along with evidence.)

    7. Have you made any previousapplication?


    If so, State reference No. and date.
    8. Do you possess Wireman.C.C/Wireman
    Helper.C.C issued by this Board? If so
    furnish the Details and surrender the
    same.
    9. Demand Draft Details.

    D.D.No. Date Value.

    One photo should be affixed and


    attested by the Gazetted Officer.

    I hereby declare that the particulars stated above are correct and true to the best of my
    knowledge

    I request that I may be granted a Supervisor Competency Certificate.

    Place : Signature of the applicant.


    Date :

    Signed before me Gazetted Officer Sign, Designation and Seal.


    INSTRUCTIONS:-

    1. Issue Fees for Supervisor Competency Certificate = Rs.750/-.


    From 01.01.2011 onwards.

    (ii) The fee should be paid by means of Demand Draft obtained from any scheduled Bank or
    Co-operative Bank drawn in favour of the Secretary, Electrical Licensing Board,
    Chennai – 600 032. Payable at Chennai. Remittance by any other method will not be
    accepted.

    2. The signature of the applicant and the photo to be affixed in the application should be
    got attested by a Gazetted Officer. Out of three photos mentioned under item (4) of the
    instructions one photo should be affixed in the space provided in the application and the
    same should be attested by a Gazetted Officer.

    3. The applicant should be a Diploma holder in Electrical Engineering obtained from the
    Department of Technical Education or a Degree holder in Electrical Engineering issued
    by any University in India or A.M.I.E. Certificate in Electrical Engineering with Part A
    & B.
    (with)
    Experience :- Two years experience in erection or operation and maintenance
    in High Voltage installation.
    (or)
    The applicant should be an Electrical Supervisor Competency Certificate obtained from
    the Department of Technical Education. Chennai.

    4. Three copies of Passport size photograph of the applicant (6cm x 4 cm) (taken not
    earlier than three months from the date of application) should be sent.

    5. Applicaant's signature in triplicate on a separate sheet of paper should be sent.

    6. Evidence for age in original and zerox copy should be furnished.

    7. All the columns should be answered in words and figures and no columns should be left
    blank.

    8. Application should be only in the prescribed form .

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