Application For The Inspection of Registration of Boilers And Steam Pipes

Under The Boilers Act, 1923(V OF 1923)

Fields marked with “ * ” are mandatory

Boilers Related Details

Registered No. / Maker No. of boiler *

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Name of Owner (Name of Company) *

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Description of boiler *

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Date of inspection of boiler *

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Date of Application *

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Date of hydraulic test

Made By *

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Max-working Pressure in Kg/cm square (G)

Year of Make *

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Date of steam test

Is the Boiler a Small Industrial Boiler *

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Boiler Rating (Meter Square)

Date of inspection of steam pipe inclusive of fittings

Date of hydraulic test of steam pipe inclusive of fittings

Registration Cost (to be paid)

Locality

State *

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District *

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Block/Circle *

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Panchayat

Ward No./ Village / Area *

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House Number / Name *

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Post Office / Town *

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Police Station

Pincode *

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Contact Number *

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E-Mail *

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Declaration

I hereby apply to the Inspector of boilers for an inspection of, and certificate for the above noted boiler.

I Agree *

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