Form: 4 (WORKMAN-HT) EXPERIENCE CERTIFICATE FROM EMPLOYER (In case of working under Electrical Contractor ) Date: 3!-12 22/5 This is to certify that the applicant (name) MARAGHAN BiswaL. isiwas working inthis. organizationFay Maa Hingule Elects coll having Electrical Lineman-MV (Wireman-A or Lineman-C) Permit No. fs )ng)- 210 valid up to N-04- 201% issued by S.E-cum-E.l fagul office, HelShe is/was working under the supervision of our Electrical Supervisor, Name‘Rebin kishowe Gehers and SCG No2295 (47 and the details of works for which he/she is/was engaged is as mentioned below. Posting nature of work clearly indicating voltage level 'SI_| Period of employment Designation Piace oF Brief description and No. From Te jase Angel up te ihe, 1 po0z.gon tall ckede |Pjeopeictan t Signature of Supervisor(HT/EHTiwith date Signature ag the Contractor with date Fat Nama alsin ate hel a ea Rewty 0. ay ense No, Valcty: ¢6 seas? Hingula ity: © Mable No. <}424 ete AB Maa Een aurea as Hingula EI OFFICIALSEAL = Rehra Keen te (oer OFFICIAL SEAL qe Pa Syesmes StllsEoln each organization °Prietor Linge No. 2363(H1.T) N.B: Submit individual forms for éxpe1