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Para No. 3.8.4(a)                                                                                           Annexure: 3-A12

                                Competency Certificate cum Training History Book

                                               .................................Railway

                                    SIGNAL AND TELECOMMUNICATION DEPARTMENT


                                                                                         Photograph

                                                                                         (Attested by
                                                                                           Gazetted
                  Certificate number..................                                      Officer)

                  This is to certify that
                     Shri

                     S/o Shri
                     Designation

                     Staff No.
                     Station
                     Division


                  who has undergone training in....................................has been examined in the relevant
                  rules and instructions pertaining to his duties stipulated in the Signal Engineering Manual
                  &  General  and  subsidiary  rules  and  he  is  competent  to  undertake  independently  such
                  work which may necessitate disconnection of signalling and interlocking gear in service
                  under open line conditions.

                  This certificate is valid upto............................................

                  He  is  also  qualified  to  work  on  the  following  block  instruments  and  is  competent  to
                  disconnect and restore working (Tick the appropriate)

                       1     Double line block instrument
                       2     Single line token block instrument
                       3     Single line push button block instrument
                       4     Single line handle type block instrument
                       5     UFSBI
                       6     SSBPAC (D)

                  Date:................                                                                                                Place: ........................



                                                                                                     Principal
                                                                                       S& T Training centre

                                                                                        ..................Railway


                                       Chapter 3: Duties Of Signal Supervisors And Technical Staff   Page 52 of 535
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