CERTIFICATE OF EXPERIENCE
Name of the firm :
(Company /Corporation/Government Department /Co-operative institution etc.)
Registration Number:
(SSI Registration or any other Registration Number) and Date of Registration.
Authority issued Registration:
Issued to (here enter Name and Address).................................................................................
….........................................................................................................................................................
This is to certify that the above mentioned person has worked/has been working in this
institution as Mechanic(Tractor/Motor Vehicle/Diesel) or Fitter on Rs................ per day/per
mensum for a period of............years …..............months............days............from
…............to.................
Place:
Date : (Office Seal)
Signature
Name and Designation of the Issuing
Authority with Name of the Institution
CERTIFICATE
Certified that Sri/Smt.............................mentioned in the above Experience Certificate
has actually worked/is working as.........................(specify the nature of employment) in the
above Institution during the period mentioned therein as per the entry in the register
(mention the name of Register) maintained by the employer as per the provision of Act
(Name of the Act/Rules to be specified)I am the authorized person to inspect the Register kept by
the employer as per the provision of the Act/Rules of the State/Central Act.
Signature with date, Name of
Attesting Officer with
Designation and Name of Office
Place: who is the notified Enforcement Officer
Date: as per Act/Rules.
(Office Seal)
Note:-
(1) Please specify the post held or nature of assignment, casual Labourer, Paid/
Unpaid Apprentice/Regular worker or Temporary worker.
(2) All Experience certificate shall be duly certified by the concerned Controlling
Officer/Head of Office of the Government. The genuineness of the certificate shall be
subjected to verification and legal action will be taken against those who issue and
produce bogus certificate.
Name of the firm :
(Company /Corporation/Government Department /Co-operative institution etc.)
Registration Number:
(SSI Registration or any other Registration Number) and Date of Registration.
Authority issued Registration:
Issued to (here enter Name and Address).................................................................................
….........................................................................................................................................................
This is to certify that the above mentioned person has worked/has been working in this
institution as Mechanic(Tractor/Motor Vehicle/Diesel) or Fitter on Rs................ per day/per
mensum for a period of............years …..............months............days............from
…............to.................
Place:
Date : (Office Seal)
Signature
Name and Designation of the Issuing
Authority with Name of the Institution
CERTIFICATE
Certified that Sri/Smt.............................mentioned in the above Experience Certificate
has actually worked/is working as.........................(specify the nature of employment) in the
above Institution during the period mentioned therein as per the entry in the register
(mention the name of Register) maintained by the employer as per the provision of Act
(Name of the Act/Rules to be specified)I am the authorized person to inspect the Register kept by
the employer as per the provision of the Act/Rules of the State/Central Act.
Signature with date, Name of
Attesting Officer with
Designation and Name of Office
Place: who is the notified Enforcement Officer
Date: as per Act/Rules.
(Office Seal)
Note:-
(1) Please specify the post held or nature of assignment, casual Labourer, Paid/
Unpaid Apprentice/Regular worker or Temporary worker.
(2) All Experience certificate shall be duly certified by the concerned Controlling
Officer/Head of Office of the Government. The genuineness of the certificate shall be
subjected to verification and legal action will be taken against those who issue and
produce bogus certificate.
