ELECTRICAL INSTALLATION CERTIFICATE

DETAILS OF THE CLIENTINSTALLATION ADDRESSDESCRIPTION AND EXTENT OF THE INSTALLATIONName:Occupier:Extent of INSTALLATION covered by this CERTIFICATE :Address:Address:Description of INSTALLATION :New installationAddition to anexisting installationexisting installationAlteration to ansee continuation sheet No:(Use continuation sheet if necessary)FOR DESIGNI/We being the person(s) responsible for the design of the ELECTRICAL INSTALLATION (as indicated by my/our signatures below), particulars of whichare described above, having exercised reasonable skill and care when carrying out the design hereby CERTIFY that the design work forwhich I/we have been responsible is to the best of my/our knowledge and belief in accordance with BS 7671:2008, amended to(date) except for the departures, if any, detailed as follows:Details of departures from BS 7671 (Regulations and ):The extent of liability of the signatory or the signatories is limited to the work described above as the subject of this the DESIGN of the INSTALLATION :Signature:Signature:Date:Da te:NameNameDesigner No.

Type (see code below) Ref. Meth-od + csa mm Wiring Details No. Circuit Description Live CPC Type Amps Overcurrent Device Breaking Capacity kA Continuity R1+R2 Ω

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  Electrical, Continuity

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