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Electrical Supervisor Permit Endorsement Form

This document is a requisition form for endorsement of an electrical supervisor or wireman permit. It contains information about the applicant such as their name and permit number. It also contains a declaration by the applicant stating their current or proposed employment status and a request to endorse their permit for their employer. The employer then certifies the applicant's employment and requests endorsement of the permit in favor of their firm.

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Karthik
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13K views2 pages

Electrical Supervisor Permit Endorsement Form

This document is a requisition form for endorsement of an electrical supervisor or wireman permit. It contains information about the applicant such as their name and permit number. It also contains a declaration by the applicant stating their current or proposed employment status and a request to endorse their permit for their employer. The employer then certifies the applicant's employment and requests endorsement of the permit in favor of their firm.

Uploaded by

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

FORM - X

(REQUISITION FOR ENDORSEMENT OF ELECTRICAL SUPERVISOR (GENERAL) AND


WIREMAN PERMIT)
(Rule 35 )
TO:
The Member Secretary,
Licensing Advisory and
Examination Board,
O/O Chief Electrical Inspector Govt.,
Bangalore.
Dear Sir,

Sub: Endorsement of Electrical Supervisor permit No. ________________

I, _______________ hereby declare that I propose to be / an already employed as


part time / Supervisor / Wireman under __________________
M/s__________________________. Hence my permit No___________________. Valid up to
___________________ may kindly be endorsed in favor of my above employer.

In case there is any change in the above position, I shall be notifying the same
to you as early possible but not later than 24 hours of the change coming into effect.

SIGNATURE OF THE APPLICANT

Certified that Sri _________________ is employed as a part time Supervisor /


Wireman in my / our concern / firm from the date mentioned below. Hence his
Supervisor / wireman permit may kindly be endorsed in favor of my / our firm with
effect from ___________________.

Signature of the employers

With date of Employment,

Seal, full address and

Licence /Special wiring permit No. and Validity


FORM - X

(REQUISITION FOR ENDORSEMENT OF ELECTRICAL SUPERVISOR (GENERAL) AND


WIREMAN PERMIT)
(Rule 35 )
TO:
The Member Secretary,
Licensing Advisory and
Examination Board,
O/O Chief Electrical Inspector Govt.,
Bangalore.
Dear Sir,

Sub: Endorsement of Electrical Wireman permit No. ________________

I, _______________ hereby declare that I propose to be / an already employed as


part time / Supervisor / Wireman under __________________
M/s__________________________. Hence my permit No___________________. Valid up to
___________________ may kindly be endorsed in favor of my above employer.

In case there is any change in the above position, I shall be notifying the same
to you as early possible but not later than 24 hours of the change coming into effect.

SIGNATURE OF THE APPLICANT

Certified that Sri _________________ is employed as a part time Supervisor /


Wireman in my / our concern / firm from the date mentioned below. Hence his
Supervisor / wireman permit may kindly be endorsed in favor of my / our firm with
effect from ___________________.

Signature of the employers

With date of Employment,

Seal, full address and

Licence /Special wiring permit No. and Validity

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