EXPERIENCE AND CHARACTER CERTIFICATE

Reference No.
..

Date :..

Place :

This is to certify that Shri S/o Shri ..,

D.O.B.. is working in our organization from .. to till
date. Presently he is working as in Power Plant and
involved in O&M activities of below mention BOILERS.

Details of Boiler installed in our plant are as mentioned

below:BOILER#1

BOILER#2

BOILER#3

BOILER#4

Boiler
Registration No.
Types of Boiler &
Manufacturer
Name
Working Pr. &
Temp. (Kg/cm2)
Heating Surface
Area of Boiler
(Sq. meter)
Last Date of
Annual Inspection
Whether Boiler
are connected to
Battery
To the best of our knowledge, he bears a good moral character. This
certificate is being issued to him on his request for appearing in BOE
examination conducted by State Boiler Board.
This is to be Certified that:- (Please cut ,which is not applicable)
Counter signature
Signature of boiler owner/
agent as per IBR 1923 rule 2(D)

Name :..
Name :
Seal
Seal
Mobile No
Mobile No.

EXPERIENCE AND CHARACTER CERTIFICATE

(a) Mr. .. is working in our organization and his Provident Fund
A/C. No. is
(b)PF is not applicable for applicant in our organization. But
Shri..is working in our organization as said mention
position. We can avail all the document related to salary & attendance.
All the such documents can produced by us if any checking/ inspection
being done.

Counter signature
Signature of boiler owner/
agent as per IBR 1923 rule 2(D)

Name :..
Name :
Seal
Seal
Mobile No
Mobile No.