Government of Tamil Nadu Electrical Inspectorate Department FORM 'H' APPLICATION FOR LICENCE FOR THE LIFTS ERECTED BEFORE NOVEMBER 1997 [See Rule (6) of the Tamil Nadu Lifts Rules, 1997] To The Inspector of Lifts, 1. Full Name and Address of the Applicant 2. Name and Address of the Local agent, if any 3. Address of the place where the Lift has been erected together with the name of the Owner thereof 4. Date of Erection 5. Type of Lift erected 6. (i) Maker's Name (ii) Maker's local agents, address 7. The contract speed of the Lift 8. The contract load of the Lift (in Kilogram) 9. The Maximum number of persons including the Lift Attendant which the Lift can carry 10. The total weight of the Lift Car including the contract load 11. The weight of the counter weight 12. The number, description, weight and size of the suspension ropes 13. The pit depth 14. Travel and the number of floors served 15. The total head room 16. Details of construction of the overhead arrangement with the weight and size of the beams 17. Whether a fee of Rs.500 (Rupees Five Hundred only) for each lift has been paid into the Government Treasury and Chalan enclosed. Date: Signature of the Owner of the Lift Encl: (1) Copy of Insurance Policy taken by the Owner of the Lift covering Insurance for the persons using the Lift. (2) Chalan of Government Treasury.
