Format of EXPERIENCE CERTIFICATE to be obatained from the Firm /Company
DATE:
1.Name of the Employee :XXXXXXXXX
2.Father’s Name Of Employee :XXXXXXXXX
3.Date of Birth of Employee :19.04.1996
4.Qualification of Employee :BE-EEE
5.Month and Year of Passing of above Qualification : APR-2010
6. Name and address of the Firm /Company :XXXXXXXXX
7. Date of Joining in the Firm / Company :19.03.2014
8.Qualification Possessed by the Employee on the Date of :BE-EEE, 9.03.2014
Joining Service
in the Firm / Company
9.Whether the said firm / Company is a reconized one?
If Yes ,
Registration Number / Particulars of firm / Company if any : GST NO OF COMPANY
(EA/ESA/GST…ETC)
10.Designation of Employee : ASST ENGINEER
11.Period of Experience of the Employee From…..to……… :19.03.2014
TO TILL DATE
12. Name OF R3 person of the Site & his /her SCC
NO….With Validty :SCC NO
C43556& NAME OF
13.Site HT Service No and Date Of Energisation : - :13.4.2000
Rating of
incoming Supply Voltage (11/22/33/110/230/400KV) : HT
11KV SERVICE
Sanctioned
Demand : MD - 1000KVA
14. Power Rating of EHV/HV Equipments : 1000 KVA
TRANSFORMER OIL
(Transformers,Generator,Motor..Etc..)
15.Nature of the Work/Duty Performed by the employee
including High Voltage system
(To be
mentioned in Brief )( if Required attach separately) :
SEPARATELY ATTACHED
16.Whether Attendance Register / attendance Rolls /Pay
Register
And other
Records Avaliable for this Employee? : 89%
17. Whether Electrical Inspector Certificate for the
applicant Presence during
Rule 30/
R-43 inspection is Enclosed? :
Yes (SEPARATELY ATTACHED)
Certified that the above particulars are true and as per
the records Avaliable and to the best of my knowledge
Date : Signature
Place Name & Designation of the
issuing Authority
Office Seal
Note :- Firms / Companies which issues the certificate is
cautioned that issung of any certificate containing false details will lead to
legal / panel action on them
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