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FORM-A

(See Rule 3)
Application for Permission to erect Lifts
1. Full name and address of the
applicant
2. Name and address of Agent, if any.
3. Whether a license has been
previously granted (details to be
given)
4. Type of Lift proposed to be erected
(A sketch of the lift and errection
plans as per schedule 11 shall be
attached.
5. The rated maximum speed of the
lift
6. The makers or designers rated
capacity tin weight (Kg)
7. The maximum No. of passengers in
addition to the lift operator which
the lift can carry.
8. The total weight of the lift cage
carrying the maximum load.
9. The weight of the counter weight
(Kg.)
10. The number, description weights
(kg.), size (in sq.mm) of the
supporting cables.
11. The depth of the pit from lowest
point of the lift cage when at the
lowest floor (in mms.)
12. Details of the construction of the
overhead arrangement with weight
(Kg.) and sizes (mms.) of beams.

Date..

Signature of applicant

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