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State of Punjab - Section
Section 53 in Punjab Boiler Attendants Rules, 1961
53. Cognizance of offences
| Number of Certificate | Class of Certificate | Where issued | Date of issue | If any time suspended or cancelled if so state by whom | Date | Cause of suspension or cancellation |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| Name in full | Nationality | Date of Birth | Place of Birth | Permanent address | Nature of Certificate | Grade of Certificate applied for | Whether appeared in any previous examination | If so, when and where |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| Number of testimonial (if any) | Date of each testimonial | Name of person signing each testimonial | Address and designation of factory or workshop where employed | Number, type and heating surface of boilers | Capaciy in which employed | SERVICE OF APPLICANT | Remarks | |||||
| Time employed in this service | Intial of verifier | |||||||||||
| Date of commencement | Date of termination | Year | Months | Days | To be filled by the Board | |||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |