GOVERNMENT OF TAMILNADU THE ELECTRICAL LICENSING BOARD. Thiru.Vi.Ka.Indl.Estate, Guindy, Chennai-600 032. FORM"P" Application for Supervisor Competency Certificate (Read the instructions overleaf before filling u the form) 1. Name of the applicant (in block letters) 2. Father's Name 3. Address of the applicant (in block letters) 4. Date of Birth and age . (Proof for date of Birth in original along with xerox copy to be enclosed) 5.i. Details of Technical Qualification passed by the applicant.(Certificate in original alongwith xerox copy to be enclosed) ii Institute in which the applicant undergone the training and the period (Certificate in original with xerox copy to be enclosed) iii Power Station to which he is aattached at present. iv Name of the employer. 6. Have you made any previousapplication? If so, State reference No. and date. 7. Demand Draft Details. One photo should be affixed and attested by the employer. I hereby declare that the particulars stated above are correct and true to the best of my knowledge I request that I may be granted a Power Generating Station Operation and maintenance Competency Certificate. Place : Signature of the applicant. Date : Office Seal. Signature and Designation of the Employer. (Forwarding authority) INSTRUCTIONS: 1.Fees Issue for Power Generating Station Operation and maintenance Competency Certificate = Rs.500/-. (ii) The fee should be paid by means of Demand Draft obtained from any scheduled Bank or Co-operative Bank drawn in favour of the Secretary, Electrical Licensing Board, Chennai - 600 032. Payable at Chennai. Remittance by any other method will not be accepted. 2. The application and the photo affixed therein should be got attested by the employer. and the same should be sent through proper channel. 3. The applicant should be a Diploma / Degree holder in Electrical or Mechanical Engineering. An attested copy of the relevant certificate to be enclosed. 4. Certificates issued by the training Institutes recognized by the Central Electricity Authority for this purpose should be sent. (Original Certificate along with attested xerox copy should be enclosed. Xerox copy without attestation by a Gazetted Officer or by the employer will not be accepted.) 5. Two copies of Passport size photograph of the applicant (6cm x 4 cm) (taken not earlier than three months from the date of application) should be sent. 6. Applicant's signature in triplicate on a separate sheet of paper should be sent. 7. All the columns should be answered in words and figures and no columns should be left blank. 8. Application should be only in the prescribed form .