FORM A

APPLICATION FOR ELECTRICAL CONTRACTOR LICENSE

CATEGORY A
1.

2.
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Name & address of the company:_______________________________________________

__________________________________________________________________________
Description of the Registered Office: ____________________________________________
__________________________________________________________________________
Description of Sub Office in Punjab._____________________________________________
__________________________________________________________________________
Nature of business (Attach copy of Memorandum of articles & association)
__________________________________________________________________________
Name, Designation & NIC NO. of the person/Director authorized to sign documents
__________________________________________________ (Attach attested copy of NIC).
Financial Position supported by Bank Statement for the preceding year. _________________
National Tax Number (NTN). ________________________________ (Attach Attested Copy)
Registration No. under companys Ordinance. ___________________ (Attach Attested Copy)
Registration No. with General Sales Tax No. ____________________ (Attach Attested Copy)
Registration No. with Pakistan Engineering council. ______________ (Attach Attested Copy)
Detail of pervious Contractors License it held __________________ (Attach Attested Copy)
Names, Academic & Technical Qualification of the Directors/Partners. (Attach attested copy)
Name of holder of certificate of Competency on the strength of whose the contractor License
is being sought _____________________________________________________________
Particulars of Testing Instruments (Complete Annex A-1 & attach Original purchase receipts).
Detail of staff employed (complete Annex A-2 & Attach Attested copies of certificates and NIC)
Fee Rs. 5000/- paid into NBP __________________Branch /vide treasury receipt No._________
dated ____________ (Attach original copy).
I/We _______________________________________________ hereby declare that
i) Particulars stated above and filled din the Annex A-1 and A-2 are correct to the best of
my/our knowledge.
ii) I/We fully understand the terms and conditions under which license is granted (attach duly
signed copy of terms and conditions).
iii) I/We shall submit works commencement and completion reports on the prescribed Performa.
iv) I/We shall supply regular return on any change occurred in the above particulars.
v) I/We shall comply with the instruction issued by Electric Inspector for the compliance of
provision of Electricity Act, 1910 and Electricity Rules, 1937.

Dated:____________________

Signature:_________________________
(Official seal of Company)
...................................................................................................................................................................
...................................................................................................................................................................
(For Official Use Only)
Instrument Inspected by:
Name/Designation _________________________
Signature: _______________________________
Documents checked by:

Name/Designation: ________________________
Signature: _______________________________

Page 1 of 4

Annex: A-1

PARTICULARS OF TESTING INSTRUMENTS.

1.

Megger (10,000 V):

Make: ____________________________
Makers No: _______________________
Range: ___________________________

2.

Megger (1000 V):

Make: ____________________________
Makers No: _______________________
Range: ___________________________

3.

Megger (500 V):

Make: ____________________________
Makers No: _______________________
Range: ___________________________

4.

Earth Tester:

Make: ____________________________
Makers No: _______________________
Range: ___________________________

5.

Clamp on Meter:

Make: ____________________________
Makers No: _______________________
Range: ___________________________

6.

Energy Analyzer:

Make: ____________________________
Makers No: _______________________
Range: ___________________________

7.

H.T Glow stick:

Make: ____________________________

8.

Safety Gloves

Make: ____________________________

9.

Helmet

Make: ____________________________

Dated:____________________________

Signature of Authorized Person/Director

Page 2 of 4

Annex: A-2
PARTICULARS OF THE TECHNICAL STAFF EMPLOYED
ENGINEERS:
1.
a) Name:____________________________________ Fathers Name:_________________

2.

3.

b)

Qualification:_________________________________________(Attach Attested Copies)

c)

Certificate of Competency No. (A category): _____________ (Attach Attested Copies)

d)

Membership No. of Engineering Council:_______________________ (Attach Attested Copies)

a)

Name:____________________________________ Fathers Name:_________________

b)

Qualification:_________________________________________(Attach Attested Copies)

c)

Certificate of Competency No. (A category): _____________ (Attach Attested Copies)

d)

Membership No. of Engineering Council:_______________________ (Attach Attested Copies)

a)

Name:____________________________________ Fathers Name:_________________

b)

Qualification:_________________________________________(Attach Attested Copies)

c)

Certificate of Competency No. (A category): _____________ (Attach Attested Copies)

d)

Membership No. of Engineering Council:_______________________ (Attach Attested Copies)

DIPLOMA HOLDERS:
1.

2.

3.

4.

5.

6.

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification:_______________ (Attach Attested Copies of Diploma and Certificate of Competency)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification:_______________ (Attach Attested Copies of Diploma and Certificate of Competency)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification:_______________ (Attach Attested Copies of Diploma and Certificate of Competency)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification:_______________ (Attach Attested Copies of Diploma and Certificate of Competency)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification:_______________ (Attach Attested Copies of Diploma and Certificate of Competency)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification:_______________ (Attach Attested Copies of Diploma and Certificate of Competency)

ELECTRICIANS/WIREMEN:
1.

2.

3.

4.

5.

6.

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification: _______________ (Attach Attested Copies of Permit)

c)

Certificate of Employment ______________________________________ (Attach Copy)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification: _______________ (Attach Attested Copies of Permit)

c)

Certificate of Employment ______________________________________ (Attach Copy)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification: _______________ (Attach Attested Copies of Permit)

c)

Certificate of Employment ______________________________________ (Attach Copy)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification: _______________ (Attach Attested Copies of Permit)

c)

Certificate of Employment ______________________________________ (Attach Copy)

a)

Name:___________________________________ Fathers Name:__________________

b)

Qualification: _______________ (Attach Attested Copies of Permit)

c)
a)

Certificate of Employment ______________________________________ (Attach Copy)

Name:___________________________________ Fathers Name:__________________

b)

Qualification: _______________ (Attach Attested Copies of Permit)

c)

Certificate of Employment ______________________________________ (Attach Copy)

Dated:_________________________

Signature of Authorized Person/Director

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TERMS AND CONDITIONS FOR CATEGORY A LICENSE

Page 4 of 4