FORM D
[ See Regulation 14(3) ]
GOVERNMENT OF NAGALAND
NAGALAND ELECTRICAL LICENSING BOARD
ELECTRICAL CONTRACTOR'S LICENSE
Mr./ Ms. ABC Electrical Contractors Ltd. having their premises at #101, Building Name, Colony Name, City Name, State Name, Pin Code-797001
is/are hereby authorised to carry out electrical installation work in the state of Nagaland subject to the conditions mentioned in the Nagaland Electrical Licensing Regulations, 2024.
| Class of License | : I (a) |
| Authorised working voltage class | : Exceeding 33,000 Volts |
| Registration No. | : ECL123456 |
| Date of Issue | : 18 June 2025 |
| Name of Proprietor | : John Doe |
Secretary
Seal
of the
Board
Chairman
| Year | Date of Renewal | Date of Expiry |
|---|---|---|
| 2024 | 14/03/2024 | 13/03/2025 |
| Sl. | Name of Supervisor | Certificate No./ Date of Issue | Signature of Supervisor |
|---|---|---|---|
| 1 | John Smith | ECS001/15/01/2023 | |
| 2 | Michael Brown | ECS002/20/02/2023 | |
| 3 | David Wilson | ECS003/10/03/2023 |