Certificate of Electrical Safety
Non-Prescribed Electrical Installation Work
Electricity Safety Act 1998, Electricity Safety (General) Regulations 2019
N5 0408 9878 9
CERTIFICATE OF COMPLIANCE
Responsible Person
LEW licence no. A19171 Telephone no. +61 419 007 289
Name CARLTON WINSTON D'SYLVA
Address UNIT 1 34 DOROTHY ST DOVETON VIC 3177
Licensed Electrical Worker
Licence no. A19171
Name CARLTON WINSTON D'SYLVA
Details of Electrical Installation
Address 15 BROOKS AV SHEPPARTON VIC 3630
Lot number (where
NMI -- --
applicable only)
Description of Non-Prescribed Work
Wired 1.5mm2 and 6mm2 cable for air conditioner indoor and outdoor unit Install C32Amps RCBO Install 35Amp
isolator
Installed midea vrf multi head system
OUTDOOR UNIT:
MODEL NUMBER- MDV-V235WN1(AU)-R
SERIAL NO. 541V8652901A6130100008
INDOOR UNIT: MODEL NUMBER- MIH80GHN18-A
SERIAL NO. 541V3571101A4230100480
INDOOR UNIT: MODEL NUMBER- MIH56GHN18-A
SERIAL NO. 541V6049304A5150100276
INDOOR UNIT: MODEL NUMBER- MIH56GHN18-A
SERIAL NO. 541V6049304A5150100275
INDOOR UNIT: MODEL NUMBER- MIH36GHN18-A
SERIAL NO. 541V2747501A4170100046
I, CARLTON WINSTON D'SYLVA, who carried out the electrical installation work
described above, certify that the electrical work has passed all the required tests and
complies in all respects with the Electricity Safety Act 1998 and the Electricity Safety
(General) Regulations.
Date of Completion Date of Certification
14 October 2025 01 November 2025
Please note: You may be contacted if the electrical installation work described on this certificate is selected for audit. Auditing is carried out by representatives
of Energy Safe Victoria. We use and manage your personal information in accordance with our Privacy Policy, which can be viewed on our website.
Energy Safe Victoria P 03 9203 9700 www.energysafe.vic.gov.au
Level 22, 2 Southbank Boulevard E info@energysafe.vic.gov.au
Southbank VIC 3006