AFFIDAVIT - 8

AUTHORISATION OF OWNER OF THE INSTALLATION TO THE LICENSCED ELECTRICAL

CONTRACTOR (UNDER RULE 16)
(to be executed on stamp paper as per the Karnataka stamp act 1957)

I, Sri / M/s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .do hereby sol emnly authorize

the Licensed Electrical Contractor Sri . . . . . . . . . . . . . . . . . . . . . .
Proprietor M/s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .License Number . . . . . . . . . .
Class. . . . . . . . . .Valid Upto. . . . . . . . . . . . . . . . . . . .to carry out the Electrical Installation works at . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .on behalf of myself & my firm as per the agreement executed on. . . . . . . . . . .
. . . . . . . . .as per the agreement executed by the undersigned with the fallowing conditions as marked.

1. The said electrical contractor is ONLY authorized to execute the electrical installation work and issue work
completion report and other relevant records as required for inspection and approval by the authorities
concerned to the owner of electrical installation.

2. The said electrical contractor is authorized to execute the electrical installation work and to approach the
Electrical Inspectorate/concerned authorities for obtaining Electrical Installation Drawing and commissioning
approval of above said electrical installation.

I also state and solemnly affirm and state on oath as follows that whatever stated and furnished by me as
above are true to the best of my knowledge, the breach of which may entail cancellation of agreement executed
between the parties and termination of work order of electrical contractor and requesting the department of Electrical
Inspectorate to suspend/ cancellation of License.

Specimen sign of LEC with firm seal Specimen sign Owner of the
Installation
and Address
1. 1.

2. 2.

3. 3.

Photo with SWORN TO BEFORE ME Photo with sign of

signature of the the Owner of the
LEC to be Installation to be
ATTESTED BY NOTARY
attested by the attested by the
Notary Notary