Application for Any Other Boiler Fees Excluding Registration And Renewal

Under The Boilers Act, 1923

Fields marked with “ * ” are mandatory

Applicant Details

Name of Depositor *

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Mobile Number *

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Address of Depositor *

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E-Mail *

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State *

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District *

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Factory / Agency Details

Boiler Component *

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Address of Factory / Agency *

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State *

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District *

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Fees Deposited for *

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Total Fees to be Paid *

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Remarks (If Any)

Declaration

I hereby declare that to the best of my knowledge and belief the particulars given above are true.

I Agree *

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