Application For Renewal of Electrical Contractor's License

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FORM:ELB-6

APPLICATION FOR RENEWAL OF CONTRACTOR’S LICENCE

1. NAME OF THE APPLICANT :


2. FATHER’S NAME :
3. PRESENT ADDRESS :

4. NAME OF THE LICENSE (IN BLOCK :


LETTERS)

5. REGISTRATION NO. AND CLASS OF :


THE LICENSE

6. RELATIONSHIP OF THE APPLICANT :


WITH THE LICENSEE AND THE
CAPACITY TO FILE THE APPLICATION

7. BUSINESS ADDRESS OF THE :


LICENSEE

8. (a) DATE OF THE LAST RENEWAL :


(b) DATE OF VALIDITY

9. ANY OTHER INFORMATION :


10. ENCLOSURES
(a) FROM 4-DETAILS OF SUPERVISORS, WORKMEN APPRENTICE

(b) FROM 5-YEARLY RETURN OF


WORKS

(c) TREASURY CHALLAN DETAILS

PLACE : SIGNATURE OF THE APPLICANT


NAME :

DATE : ADDRESS :
FORM:ELB-4

DETAILS OF SUPERVISORS, WORKMEN AND APPERNTICES AS ON

1. NAME OF THE CONTRACTOR :


(IN BLOCK CAPITAL LETTERS)

2. REGISTRATION NO. OF THE LICENSE :

3. CLASS OF THE LICENSE :

4. LICENSE VALID UP-TO :

5. PERIOD OF RETURN : FROM TO

6. DETAILS OF THE SUPERVISORS, WORKMEN AND APPRENTICE DURING THE PERIOD OF


RETURN

REGISTRATIO
SL. N NO. OF PARTS DATE OF
NAME DESIGNATION SUPERVISOR WORKMEN APPRENTICE
NO PERMIT/ QUALIFIED VALIDITY
CERTIFICATE
1 2 3 4 5 6 7 8 9

PLACE : SIGNATURE OF THE CONTRACTOR & SEAL

DATE :
FORM:ELB-3

NOTICE BEFORE COMMENCEMENT OF WORK

REF: YEAR/SL. NO. DATE :

1. WORK TO BE DONE BY : M/S.

2. REGISTRATION NO. OF THE :


CONTRACTORS LICENSE

3. CLASS OF CONTRACTORS LICENSE :


4. VALID UP-TO :
5. NAME OF THE SUPERVISOR WITH :
REGISTRATION NO. OF THE
CERTIFICATES OF COMPETANCY

6. NAME(s) OF THE WORKMEN WITH :


REGISTRATION NO. OF THE PERMIT

7. FULL ADDRESS OF THE PLACE :


WHERE THE WORK IS GOING TO BE
DONE

8. DETAILS DESCRIPTION OF THE :


WORK GOING TO BE DONE
(ATTACHED ELECTRICAL DRAWING
HEREWITH)

9. EXPECTED DATE OF COMPLETION :


OF THE WORK

10. DATE OF SUBMISSION OF THIS :


NOTICE

SIGNATURE OF CONTRACTOR WITH SEAL


(IF ANY)

Note :
1. A copy of this for each work shall be submitted to the Supplier, the Concerned Electrical
Inspector and the Secretary Licensing Board.
2. A list of such notices must be submitted to the Secretary ELB with yearly return of works (Form
ELB-5)
FORM:ELB-5

RETURN OF WORKS FOR THE YEAR 20 -20

1. NAME OF THE CONTRACTOR : M/S.


(IN BLOCK CAPITAL LETTERS)

2. REGISTRATION NO. OF LICENSE :


3. CLASS OF LICENSE :
4. LICENSE VALID UP-TO :
5. PERIOD OF RETURN : FROM TO

6. DETAILS OF WORKS AND STAFF ALLOTED THEREFORE

NAME OF THE
NAME OF
SUPERVISORS
NAME & THE
ENTRUSTED NAME OF REFERENCE
REFERRENCE DESCRIPTION WORKMEN REPORT
SL. WITH REGD. NO. THE DATE OF & DATE OF
NO. OF FORM- OF THE ENTRUSTED SUBMITTED
NO. OF THE APPRENTICES COMPLETION TEST
C WORK WITH WITH REGD. TO
CERTIFICATES DEPLOYED REPORT
ADDRESS NO. OF THE
OF
PERMITS
COMPETENCY
1 2 3 4 5 6 7 8 9

PLACE : SIGNATURE OF THE CONTRACTOR & SEAL

DATE :

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