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FORM1

The document describes the format for an Electrical Supervisor (General) Grade I permit issued by the Government of Karnataka. It specifies the information that must be included on the permit such as the permit holder's name, photo, registration number, details of examinations passed, and dates of issue and expiration. The permit allows the holder to supervise electrical installation work according to state rules but does not allow electrical contracting unless a contractor's license is also held. It must be renewed periodically and returned upon demand.

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Siva Sankar
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508 views2 pages

FORM1

The document describes the format for an Electrical Supervisor (General) Grade I permit issued by the Government of Karnataka. It specifies the information that must be included on the permit such as the permit holder's name, photo, registration number, details of examinations passed, and dates of issue and expiration. The permit allows the holder to supervise electrical installation work according to state rules but does not allow electrical contracting unless a contractor's license is also held. It must be renewed periodically and returned upon demand.

Uploaded by

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

72

72

FORMATS OF PERMITS AND LICENSES


------------------------------------------------------------------------
FORM – 1
(Rule – 17)

Permit in Book form


Out Side of Cover:

GOVERNMENT OF KARNATAKA

ELECTRICAL SUPERVISOR (GENERAL) GRADE I PERMIT

CHIEF ELECTRICAL INSPECTOR TO GOVT


AND EX-OFFICIO ADDL. SECRETARY
(ELECTRICAL LICENSING) DEPARTMENT
OF ENERGY BANGALORE.

Inside of Cover
Electrical Supervisor (General) Grade I permit No S GR I. . . . . . . . . .

Photo of
the
Applicant

Signature of the permit holder


First page
Electrical Supervisor (General) Grade I permit No S GR I. . . . . . . . . .

Name and address of the permit holder


..........
..........

Second page
Government of Karnataka

Electrical Supervisor (General) Permit No S GR 1. . . . . . . . .


Date of issue . . . . . . . . . .
Valid up to . . . . . . . . . .

Name. . . . . . . . . .
Date and year of Examination passed. . . . . . . . . .
73
73

Register No. . . . . . . . . .
Details of examination passed. . . . . . . . . .
No. and date of certificate of competency. . . . . . . . . .
Rs . . . . . . . . . .paid vide Challan No…. . . . . . . .Dated. . . . . . . . . .

CHIEF ELECTRICAL INSPECTOR TO GOVT.


AND EX-OFFICIO ADDL. SECRETARY
(ELECTRICAL LICENSING)
DEPARTMENT OF ENERGY
BANGALORE.

Third Page:
Remarks

This permit allows the holder to supervise and carry out electrical installation work subject to
the condition mentioned in the Karnataka (Licensing of Electrical contractors and grant of certificates
and permits to electrical supervisors and wiremen) Rules 2012 issued by the Government of
Karnataka but does not allows him to undertake electrical contracting work unless he hold a
contractors Licence. This permit is to be carried on the holder’s person and is not transferable.

This permit should be got renewed and must be returned to the licensing advisory Board upon
demand.
Fourth Page
RENEWAL OF PERMIT

Renewed from . . . . . . . . Valid up to . . . . . . . . . . . . . . . .


Fees Rs…. . . . . . . . . . . . . . . .paid vide challan No. . . . . . . . . . . . . . . . .date . . . . . . . .

CHIEF ELECTRICAL INSPECTOR TO GOVT


AND EX-OFFICIO ADDL. SECRETARY
(ELECTRICAL LICENSING) DEPARTMENT
OF ENERGY BANGALORE.

Tenth Page
ENDORSEMENTS OF PERMIT

Date of Date on Date on


Endorsement Licence Signature
Sl expiry of which which Signature of
made in favour No and of the
No the endorsement endorsement the officer
of the firm Class officer
licence made cancelled
1 2 3 4 5 6 7 8

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