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Application for Broiler Installation
BWC application form for broiler installation
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. _________
APPLICATION FOR BOILER INSTALLATION
1. Name of Establishment:
2. Complete Business Address:
3. Owner/Manager and Address:
4. Where Boiler/Pressure Vessel is to be installed:
5. Plans to be submitted: submit (in quadruplicate) the foundation plan with design, installation and
location plans of the boiler. The plans shall be prepared, signed and sealed by a Professional
Mechanical Engineer. Plan shall also bear the name and signature of owner or manager of the
plant. The working drawing of the boiler shall be submitted together with the First Inspection
Report.
6. Boiler/Pressure Vessel Data:
a.
Manufacturer:
b.
Type:
c.
Serial Number:
d.
Place of Origin:
e.
Date of Make:
f.
Heating Surface:
g.
Max. A.W.P.:
h.
Horsepower:
7. Printed Name and Signature of Person to Supervise the Installation:
PME Registry No.
PTR No.
Date:
Date:
TIN:
8. Other accessories or equipment:
Printed Name and Signature of Owner/Manager
Company TIN:
Company Tel. No.
Application No.
