Professional Documents
Culture Documents
Boiler Form
Boiler Form
FORM “A”
[ See rules 26 and 41 of the Boiler Operation Engineers Rules, 2011]
APPLICATION FOR CERTIFICATE OF PROFICIENCY AS BOILER OPERATION ENGINEER
PART-I
Name etc of the applicant
1. Name in Full
2 Father’s Name
3 Nationality Photo
4 Date & Place of Birth
5 Permanent Address
6 Identification Marks
9 E-mail Address
12
GRN No...........................................................
Date……………………………......
Amount Rs………............
PART-II
PARTICULARS OF ALL CERTIFICATES SUBMITTED
Number of the Class of Place of Issue Date of Issue If at any time Date of Reasons of
Certificate certificate Suspended or suspension or suspension or
cancelled, and cancellation cancellation
if so state by
whom
1 2 3 4 5 6 7
Total Service
I do hereby declare that the statements made in Part I, II, and III of this Form are correct and true to the best
of my knowledge and belief; and that the papers enumerated in Part II and submitted with this form are true and
genuine documents and further that the copies of the documents submitted with this form are true and correct. I
further declare that the statements made in Part III contain a true and correct account of the whole period of my
service without exception, and I make this declaration conscientiously believing the same to be true.
……………………………………………….
Signature…………………………………… ……………………………………………….
Designation…………………………………
Note: 1. Every application must be accompanied with original challan for Rs 2000/-remitted in any treasury in
Assam only.
2. Two copies of recent passport size Photograph of the applicant must accompany the application with
applicant’s signature on the back thereof ,duly attested by a Gazetted Officer or the candidate’s employer.
3. Any person making a false statement for the purpose of the admission to the examination renders himself
liable to prosecution.
4. Incomplete application is liable to be rejected.
PART-V
(Not to be filled by the applicant)
Issue of Certificate of proficiency as Boiler Operation Engineer when certified to have passed Certificate
No………………………………….issued on… .................................................... and duplicate recorded.
Secretary
Board of Examiners
(Annexure-I)
(To be issued on the letter head of the concerned mill / factory /workshop)
(designation) from …………………to…………………. The specification of the boiler/boilers on which the candidate
2 Date of Boiler
Registration/ date of first
P.O. issued
3 Working Pressure
(Kg/cm²)
4 Heating Surface (m²)
5 Type of Boiler
Signature:
Contact No:
E-mail address:
Place :
Date :
SYLLABUS/CURRICULAM FOR THE EXAMINATION
Syllabus for the three written examination papers on which the candidates shall be assessed are as given
below:
PAPER-1:
PAPER-2:
a) Can explain the general methods employed in laying foundation for boilers and chimneys and the
suitable area and height of chimneys to promote efficient combustion.
b) Can explain the significance of principal appliances in use for the prevention of smoke and the
principal on which they work and give description of the principal mechanical stokers, pulverisers,
gas,oil and pulverized fuel systems in use;
c) Understands the need for periodical cleaning, the methods used for prevention of scale or other
deposits on heating surfaces and the necessity for maintaining a certain PH value in feed water;
d) Can detect defects in boilers and state the means and methods of rectifying them.
e) Understands the precautions to be taken for starting a boiler and economizers from cold or from
banked fire condition.
f) Understands the procedure to be adopted in putting economizers out of commission while the boiler
is on steam.
g) Can explain the methods adopted for the achievement of fuel economy and the use of various
instruments used in a Boiler House;
h) Materials used in Boiler components and piping; and
PAPER-3:
Can read and prepare a working sketch and drawing of Boilers and boiler mounting or parts therof.