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FORM A1 Rule 16 REPORT OF COMMENCEMENT OF WORK Sl. No. Date. To. I/We have undertaken the electrical installation work as detailed below 1. Name and Address of the consumer 2. Location and Address of installation 3. Nature of Installation 4. Permanent or Temporary 5. Details of work 6. Date of Commencement 7. Date of Completion as per agreement 8. Name and permit No* s of wireman deputed for the above job. 9. Name of apprentices s if any working with shall shown in item 8 above 10. Name and Permit No* of the supervisor Signature of Consumer. seal Signature of the Contractor with of the firm and Licence No* Explanation note for filling of the Form* For item 3 State whether Extra High High Medium or Low Voltage installation and whether domestic Light Power etc* water pump cinema factories mills overhead lines etc* For item 5 Full details as to number of lamps plugs Generators motors and any other electrical accessories with horse power or capacity to be given. Name and Address of the consumer 2. Location and Address of installation 3. Nature of Installation 4. Permanent or Temporary 5. Details of work 6. Date of Commencement 7. Date of Completion as per agreement 8. Permanent or Temporary 5. Details of work 6. Date of Commencement 7. Date of Completion as per agreement 8. Name and permit No* s of wireman deputed for the above job. 9. Name of apprentices s if any working with shall shown in item 8 above 10. Name and permit No* s of wireman deputed for the above job. 9. Name of apprentices s if any working with shall shown in item 8 above 10. Name and Permit No* of the supervisor Signature of Consumer. seal Signature of the Contractor with of the firm and Licence No* Explanation note for filling of the Form* For item 3 State whether Extra High High Medium or Low Voltage installation and whether domestic Light Power etc* water pump cinema factories mills overhead lines etc* For item 5 Full details as to number of lamps plugs Generators motors and any other electrical accessories with horse power or capacity to be given. Name and Address of the consumer 2. Location and Address of installation 3. Nature of Installation 4. Permanent or Temporary 5. Details of work 6. Date of Commencement 7. Date of Completion as per agreement 8. Name and permit No* s of wireman deputed for the above job. 9. Name of apprentices s if any working with shall shown in item 8 above 10. Permanent or Temporary 5. Details of work 6. Date of Commencement 7. Date of Completion as per agreement 8. Name and permit No* s of wireman deputed for the above job. 9. Name of apprentices s if any working with shall shown in item 8 above 10. Name and Permit No* of the supervisor Signature of Consumer. seal Signature of the Contractor with of the firm and Licence No* Explanation note for filling of the Form* For item 3 State whether Extra High High Medium or Low Voltage installation and whether domestic Light Power etc* water pump cinema factories mills overhead lines etc* For item 5 Full details as to number of lamps plugs Generators motors and any other electrical accessories with horse power or capacity to be given..

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