Wireman Licence In Karnataka Form – Fill Out and Use This PDF

15Name, Permit No and date of expiry of the permit of Supervisor permit holders employed on the strength of whose permits the License is applied

16 Name, Permit No and date of expiry of the permit of Wireman permit holders employed on the strength of whose permits the License is applied

17 Particulars of instruments maintained.

(List of instruments maintained by the applicant as listed in Annexure-4. duly verified by the officer of the Electrical Inspectorate not below the rank of Deputy Electrical Inspector to be furnished.)

18Whether the copies of (a)Estimates and agreement in form-‘Z’ duly signed by the consumer and the

contractor, (b) ‘A1’ Forms, for all the work undertaken by the Licensed Electrical contractor, (c) “B1” Form regarding work completion and test report of d Electrical Contractor. (In the case of lapsed License or change of class of License or lapsed License) are maintained.

19Whether any evidence to substantiate the financial stability is enclosed. (Original Solvency certificate and an undertaking affidavit)

20Details of registration with EPF and ESI. (in the case of Super grade or Class 1 class of License) if applicable

21The details of License with validity already granted if any, either as a proprietor or as a Partner of firm or as a Director of company. Whether the Licensee / Partner / Director has been penalized as per the provisions of rule 37 of these Rules 2012.

I/We…………………………………………………………………………………………………………………………………………………… hereby declare that the

particular’s stated above are correct to the best of my/our knowledge and that I/ we have read the Karnataka (Licensing of Electrical contractors and grant of certificates and permits to electrical supervisors and wiremen) Rules, 2012 and fully understand the terms and conditions under which an Electrical Contractor’s License is granted a breach of which will render the License liable for suspension or cancellation.

I/We certify that I/We will not be in possession of more than one License of any class at any given instant in my/our/ our company or firm name.

Signature of the applicant

Date	and partners if any or Authorized signatory

ANNEXURE - 4

SUPER GRADE LICENSE

MAKE

SERIAL NUMBER

1	Insulation Tester (a) 5000V

(b)1000V

(c)500 V

2Portable Voltmeter - range 0 to 600 volts.

3 Portable Ammeter – range 0 to 60 A.

4 Multi meter

5 Tong Tester

6 Earth Tester with testing accessories.

7Phase sequence meter

8Portable Frequency meter range 45 to55 HZ

9 Portable PF meter 5Amps, 240V, A/C.

10	a) Rubber hand gloves 15 kV (Electrical grade)

Equipments:	b) Wire gauge or micrometer
	c) Safety Belt
	d) Full harness belt
	e) Hand and hydraulic operated crimping tool.
	f) Welding generator set.
other	g) Portable grinder
	h) Portable drill
and	i) Rollers for cable laying
	j) Cable drum lifting jacks
Tools	k) Blow lamp for cable jointing
	l) Hole saw cutter
Safety	m) Torque wrinch spanner
	n) Come along clamp
	o) Chain pulley
	p) Manela rope

11 Library for relevant Acts, Rules and BIS Publications

CLASS I LICENSE

1. Insulation	(a) 1000V
Testers	(b) 500 V

2.Portable Voltmeter - range 0 to 600 volts.

3.Portable Ammeter – range 0 to 60 A.

4.Multi meter

5.Tong Tester

6.Earth Tester with testing accessories.

7.Phase sequence meter

8.	Safety	Tools	a)	Rubber hand gloves 15 kV
	and	other	b)	Wire gauge or micrometer
	Equipments:		c)	Safety Belt

9.Wiring Instruments and Equipments

10.Library for relevant Acts, Rules and BIS Publications

CLASS 2 OR CLASS 3 LICENSE

1Insulation Tester 500 V class each

2Portable Voltmeter - range 0 to 600 volts.

3 Portable Ammeter – range 0 to 60 A.

4 Multi meter

5 Tong Tester

6	Safety Tools and	a)Rubber hand gloves tested to 15 kV
	other Equipments:	b)Wire gauge or micrometer

7Wiring Instruments and Equipments.

Application shall be accompanied by the following:

a)Original Treasury challan for having remitted the requisite fee as detailed in Annexure-5.

b)Specimen signature and three recent passport size photograph clearly showing the complete face and two ears of the applicant. The Specimen signature and photograph shall be got attested by the designated jurisdictional officer of the Electrical Inspectorate not below the rank of Deputy Electrical Inspector or by the Notary.

c)Self-addressed envelope duly affixed with the requisite postage stamp.

d)An affidavit sworn before the Notary as per Affidavit-5 to establish that he/she is not an employee of a State or Central Govt., or Public sector undertaking etc as detailed in 12 (1)

(i).

e)Any of the Photo Identity proof of the applicant such as Ration card, Passport, Voters identity card, Driving License, Aadhar card etc,

f)Proof of address of business premises i.e., copy of rental agreement along with khata certificate and latest tax paid receipt or an affidavit sworn before the Notary.

g)If the License is sought for a partnership firm a copy of the registered partnership deed and the Registration certificate issued by Registrar of Firms, and if the License is sought for a registered company copy of Memorandum and Articles of Association approved by the Registrar of Companies. Authorization letter in original on Rs 100/ - stamp paper issued to the authorized signatory by the company or partnership firm as the case may be.

h)Where an application is made for;

(1)change of class of License, or

(2)regrant of License in lieu of lapsed License, original License already granted, Professional tax clearance certificate or an affidavit sworn before the notary in the form as per Affidavit-1, and an affidavit sworn before the Notary as per Affidavit-7.

i)Original Solvency certificate granted not later than three months from the date of application and an undertaking affidavit sworn before the notary in the form as per Affidavit-2.

j)Certificate granted not later than three months from the date of application from designated officer of the department of Electrical Inspectorate not below the rank of Deputy Electrical Inspector for having possessed and maintained the testing instruments, safety tools and equipments as listed in Annexure-4. Testing instruments of Super grade s shall be got tested not later than three months from the date of application by NABL accredited authorized testing laboratory for the condition of testing instrument.

k)Copies of Educational qualification along with proof of age.

l)Details of work done along with copies of certificate of EHT/HT/LT installation work as stipulated under rule 12.

m)Copies of the appointment letter of Supervisors, Wiremen’s, and Draughtsman.

n)Consent letters obtained from Supervisor, Wiremen and Draughtsman along with copies of their Educational Certificate and Permit.

o)In case of Super Grade and Class 1 License, copies of the registration certificate in EPF and ESI if applicable.