Lineman Mv License Form PDF Details

The Lineman MV License form, emanating from the Electrical Licensing Board of Odisha, symbolizes a crucial step for individuals aiming to secure a permit as an electrical workman on an exemption basis, specifically in the categories of Wireman-MV or Lineman-MV. This meticulously constructed document encapsulates various segments that seek comprehensive insights into the applicant's personal, educational, and professional frontiers. Applicants are required to provide a detailed account of their full name, parental lineage, contact details, and chronological age, alongside gender identification and mobile number, which collectively lay the foundational groundwork for identification. The form extends into the academic and technical qualifications realm, requiring submissions of the names of institutions from which such qualifications were obtained, underpinning the significance of formal education and training in the electrical field. Employment status, alongside employer details if applicable, chisel out the professional landscape of the applicant. A significant aspect, the e-challan number, dates, and treasury details, underscore the financial transaction part of the application process. Furthermore, a declaration segment entwined with a certificate about conduct and character issued by a Gazetted Officer adds layers of verification to the applicant's moral standing within the community. Alongside, a comprehensive list of documents needing enclosure with the application form, such as educational and technical qualification copies, proof of date of birth, identity and address, alongside recent passport size photographs, culminates the prerequisites to be met by applicants. Encapsulating the essence of procedural integrity and meticulous verification, the Lineman MV License form is a testament to the rigorous standards upheld by the licensing authority to ensure only qualified individuals step into the pivotal role of a lineman or wireman within Odisha.

QuestionAnswer
Form NameLineman Mv License Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameselectrical workman permit odisha, elbo odisha, elbo odisha 2020, elbo odisha electrical licence

Form Preview Example

ELECTRICAL LICENSING BOARD OF ODISHA

FORM 'A'

Regulation‐15

APPLICATION FOR ELECTRICAL WORKMAN PERMIT ON EXEMPTION BASIS

FOR THE CATEGORY WIREMAN‐MV / LINEMAN‐MV (STRIKE OUT WHICH EVER IS NOT APPLICABLE)

1. Full name of the applicant (in block letters):

Paste recent

2. Name of the father:Passport size Colour Photograph

3.Present address:

4.Permanent address:

5. Date of Birth:

Day

 

Month

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

6.Age as on date of Application (yrs):

7.Gender (M / F):

8. Mobile no:

9.Details of qualification:

(a)Educational:

(b)Technical:

(c)Name of the Institution:

10. Whether employed:

Yes

11.Name of the employer: (if employed)

12.E‐challan no / date:

13.Name of the Treasury:

No

Amount:

Contd……P/2

Declaration:

Date:

// 2 //

All the information given above by me is correct to the best of my knowledge and belief. If the information being found false or incorrect, my permit is to be cancelled.

Full Signature of the Applicant

Specimen Signature

Specimen Signature

CERTIFICATE ABOUT CONDUCT AND CHARACTER

 

(To be given by Gazetted Officer)

I certify that Shri ……………………………..……………………..…………………..…….………………......…………………… is

personally known to me the last …………………………………………. Years and to the best of my knowledge and belief bears

a good moral conduct and moral character.

Signed at ……………………………………………………… (Place)

 

 

 

Date ………………………………………………..

Signature with Seal

 

 

Name and address to be legibly written

 

 

Mobile No:

14.

The following documents to be enclosed with the application:

 

(Tick the appropriate boxes)

 

 

 

(a)

Xerox copy of Educational qualification with self attestation

 

 

 

 

 

 

(b)

Xerox copy of Technical qualification with self attestation

 

 

 

 

 

 

 

 

 

(c)

Xerox copy of proof of date of birth with self attestation

 

 

 

 

 

 

(d)

 

 

 

 

 

Xerox copy of proof identity proof such as Votor ID Card / PAN Card / Driving

 

 

 

Licenses/ Aadhar Card / Passport with self attestation

 

 

 

(e)

 

 

Xerox copy of address proof such as Telephone Bill / Electricity Bill / Bank Pass

 

 

 

Book / GAS Card (LPG) / any other proof in support of address with self

 

attestation

 

 

 

(f)

 

 

3 (Three) nos. of recent passport size colour photograph with white

 

 

 

background

 

 

 

 

 

 

(g)

Original E‐channal in support of payment of the application fees of Rs.150/‐

 

 

 

(Rupees one hundred fifty) only (non‐refundable) for the examination. The

 

said amount is to be deposited through E‐challan in the head of account no:

 

"0043‐00‐102‐0034‐01001‐000"

 

 

 

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Filling out segment 1 of electrical supervisor licence odisha

2. After filling out the previous step, head on to the subsequent part and fill in all required details in these blanks - Age as on date of Application yrs, Gender M F, Mobile no, Details of qualification, a Educational, b Technical, c Name of the Institution, Whether employed, Yes, Name of the employer, if employed, Echallan no date, Name of the Treasury, Amount, and ContdP.

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It's simple to make errors while filling out the c Name of the Institution, consequently make sure to look again prior to when you finalize the form.

3. This third segment should also be pretty straightforward, All the information given above by, Date, Full Signature of the Applicant, Specimen Signature, Specimen Signature, CERTIFICATE ABOUT CONDUCT AND, To be given by Gazetted Officer, certify, Shri is personally known to me, that, Signed at Place, Date D t, Signature with Seal l Name and, ith S, and The following documents to be - all these form fields must be filled out here.

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4. This next section requires some additional information. Ensure you complete all the necessary fields - Xerox copy of Educational, Tick the appropriate boxes, Xerox copy of Technical, Xerox copy of proof of date of, Xerox copy of proof identity proof, Xerox copy of address proof such, Three nos of recent passport size, and Original Echannal in support of - to proceed further in your process!

electrical supervisor licence odisha completion process clarified (stage 4)

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