ANT WRG ‘Yo sinfo WO soz GOVERNMENT OF INDIA C.L.M. 502 mm atte rahe Paver MINISTRY OF LABOUR AND REHABILITATION ar Bett AeIPaeTTT DIRECTORATE GENERAL OF MINES SAFETY areata APM, 1967 /erg wea wart APrrach 1961 a ani wars / eters / wes albrelsr 7 WER / He / Maweraee / vameoe } eee wr — wa aA ar BARD Atzeret en ger AR i are area OAPTA BT AATT— Ta | Certificate of practical experience granted by the manager to a candidate for a Manager's / Surveyor's / Foreman's / Overman's / Sirdar’s / Mate's Shotfirer's / Blasters Certificate of Competency Examination under the *Coal Mines Regulations, 1957 Metalferous Mines Regulation, 19617 4 at ary ea ‘are oor meres eT ser eT & PH AN (Rr were dar 2) 3 = Lr fa ar we wa fre & otk * ora oh ae ver By wae ae awe ar oh wat eter vert yss GO ade Rey org areas oR wre rar we a a alr wall wa qv are a) HT FT Ge BaRRT LAT GE 8, fk GG RT EN Ter sol de fre at G1 1 Sayan. Mets. gyn. being the Manager Bln tetesnch, As Cat ery ) onary cay that Si AS Paar PSHM Aan AY GON OF oe BEI ALAM ool eamort... RE (whose signature is appended), worked in the above Mine from... BOL AL IIDG 10 nn PO f.\2].2:202and is stil working. During his term of work aforesaid, he has obtained practical experience as detailed over leaf. The duties connected with Mine Belinging to “TATA. ST his work have involved his continuous attended at the mine, and have efficiently performed by him. er Reare & fe wer ored Ra ar sre afte ameter weg aA ala fare GI B Ferg where ate aa waft 81 I believe him to be of good character and a fit and proper person to be examined for Cerificate of Competency. We sur ta reer ae ear et < Signature wih dale and ofa Seal 3 son ——han - Menage’ TATA uated COLLIE® ze PO.: Whelatend Pret Distt = “TD hanbact Q = Wshie ke Roy sate JThoykhanel (ooteer & eee) (Signature of Candidate)(2) casita ape ries pew a ee aga ge seta | Pataca! | exer pgoaatrcea Total Eepeenca a 7 a vim | Fron "e nents | _Oays Below gee 4 Overma a Fy 22 men |i gsenm | 30/4/96 20/12/42 ? 7 IS Seams JA Seam aa fray 2 Save | 22 caf & hart atarer mies Preah (@):/ tte Pte Prefect (s) Pre A ag & |AVERAGE MONTHLY OUTPUT (4) [AVERAGE DAILY EMPLOYMENT (e) ‘DURING THE ABOVE PERIODS GIVEN BELOW: wa ad ahr ores arat # aa Pera in belowground ering tmopen cat woking inet Average Mon libly out pt = 2G,4FB Toor 2 26,493 Ter - Averoge Doily emPlaymat = 1230 — | shin. ky. Rey > (ahaa ERT) errr a ats ‘aay (Signature of Candidate) (Signature. of Manager’ wil td Bid a Iciahsea) oo coute® and A: Collrery re SS , Name of Mines arte Insivtlon = ¢ Gn) aml a ewer DHT aS © (2) Selly th naa of dues. ZN, teh an By ap he ae re A af we Belge Tk Wye 1B) Sine wclneron-suriace, in open cast woking of below-ground p © Sa get are errno a A lh rere oe se) woe Bo ATE TR Taf WN er onde) ar weit eft eH ee lh a wea eA yh we aL YP BAD, rear eae ae eee re Pe: era Pog frat arte fret At (oan ne pero sentby te aplzantin ferent ing opto of sunning Spent oe May be. Sate special ne et pean uch 0 vee conus aterdance ofthe appar te na {ee and how many days a wedk ewes employe at the mie, wheter underground or above ‘ground and inwhateapacty. (@) ak a org eae Gra et a we EL {@) Delete ithe mine is a Mealiferous Mine. {3 ae are ataen are 8 oh are & {@) Delete I the mine is @ Coa! Mine.