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Gopal Rai
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Annexure - V

Application For Registration Of The Boiler
(Under Section 7 Of The Indian Boiler Act-1923)


1. Name & Address of the Boiler owner.
:
 
2. Heating Surface Area of the Boiler.
:
 
3. Details of the Treasury Challan :-
:
 
(a) Amount Deposited
:
 
(b) No. & Date for Deposition
:
 
4. Details of the From, II, III & IV :-
(enclosed in original)
:
 
(a) Name & address of manufacture
:
 
(b) Name of mfg. State
:
 
5. Layout of the Steam pipe line Blow down pipe line submitted in duplicate
:
 



(Signature of the Owner)
Dated:       
                   
Name of the Part :  
2. Maker's Name & Address :  
3. Details of Mountings/Fittings to be Inspected:- :  
(a) Name of the Component :  
(b) Size :  
(c) Quantity :  
4. Details of the Inspection Fees:- :  
(a) TR-6 No. :  
(b) Amount :  
(c) Date :  



(Signature of the Owner)
Dated:
                         

Application For Transfer Of The Ownership
(Under Regulation 388)

Boiler Regy. No. :  
2. Name & Address of the seller :  
3. Name & Address of the Purchaser :  
4. Validity of the last certificate
(Photocopy enclosed)
:

 

5. Receipt/Sale Invoice No. & Date (Copy enclosed)    
6. Consent letter from the seller for changing the ownership of the boiler (To be attached in original.)    




(Signature of the Owner)
Dated:
                         

 



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Last Updated : 23 Mar,2014
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