1964_BOILERS_AND_PRESSURE_VESSELS_(FORMS)_ORDER — Page 8

B8

CAP. 56]

Boilers and Pressure Vessels (Forms) Order

[1988 Ed.

[Subsidiary]

Part I

FORM 3

BOILERS AND PRESSURE VESSELS ORDINANCE

(Chapter 56)

APPLICATION FOR REGISTRATION

TO THE AUTHORITY

Sir,

I, the undersigned

(NAME IN BLOCK LETTERS) of

(NAME of establishment) residing at

hereby apply for registration of the following items in accordance with the provisions of the above Ordinance:

*BOILER Name and Type

Identification No.

Date and place of manufacture

This boiler *is/is not one of a range of boilers.

This boiler *is/is not designed to be transportable from one place to another.

This boiler was constructed by

*STEAM CONTAINER Type.

Identification No.

Date and place of manufacture

This steam container *is/is not connected to the boiler described above.

This steam container was constructed by

*PRESSURE VESSEL,

Type {

steam receiver* air receiver*

Identification No.

Date and place of manufacture

This pressure vessel *is/is not designed to be transportable from one place to another.

This pressure vessel was constructed by