TSA-7 Application for Boiler Fabrication

BWC application form for boiler fabrication

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Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office

APPLICATION FOR BOILER FABRICATION

1. Name of Manufacturer:
2. Complete Business address:
3. Manufactured for:
(Name of Establishment and Address)

4. Where Boiler is to be installed:
5. Boiler Data:
a. Type :
b. Kind :
c. Heating Surface :
d. Maximum A.W.P. :
e. Horse Power :
f.

sq m.
Kg./sq cm.

Printed Name and Signature of Person
To Supervise the Fabrication:
PME Registry No.
PTR No.
TIN.

Date:
Date:

g. Additional Data
a. Manufacturer’s Data Report (4 copies)
b. Detailed Construction Drawings (4 copies)

Printed Name and Signature of Manufacturer
Company TIN:
Company Tel. No.:

Application No.
Plan fee:
Total fee:
O.R. No.

Inspection fee:
Date: