PART-III

LIST OF TESTIMONIALS AND STATEMENTS OF SERVICE

(The testimonials to be numbered serially corresponding to the numbers given in column I below)

Serial Date of Name of Address and Number, Capacity Service of Applicant Period for which Not to be filled
Number testimonia person designation Type and in which employed in by the
of ls signing the of factory or heating employed applicant
testimoni testimonials workshop surface of
als where boilers
employed worked
on
Date of Date of Year Months Days Initial Remar
Commencement termination of ks
Verifier
1 2 3 4 5 6 7 8 9 10 11 12 13

Total Service
Time Served for which certificates are produced
Time Served for which no certificates are produced