Electrical installation form

ELECTRICAL INSTALLATION CONTRACTORS IN NIGERIA
Personal Details of the company’s Electrical Engineer

PERSONAL DETAILS

Enter your phone number in the format 080xxxxxxxx. For international numbers, include country's dialling code.

COMPANY'S DETAILS

N. B. ATTACH A PHOTOCOPY OF CAC REGISTRATION/INCORPORATION CERTIFICATE

CONTACT ADDRESS

OFFICE ADDRESS

If different from contact address

OCCUPATION

Licensing

Academics

Technical Training Completed

Experience

Details of field experience in last Five (5) years

Give details of your plant, equipment (instrument, tools, test equipment) and transport facilities

Give brief accounts of challenges encountered in the execution of the above projects

Upload Scanned copy of the following documents

Passport Photograph *
Maximum upload size: 8MB
Scanned copy of Valid License *
Maximum upload size: 8MB
Credentials *
Maximum upload size: 10MB
Relevant documents on field experience. *
Maximum upload size: 15MB
e.g Safety Inspection Certificates, Relevant Training/Workshop Certificates, Letter of Employment/retirement/disengagement form relevant public utility/private firm, letter of award/certificate of satisfactory completion of contracts of electrification projects.

Proof of Payment (Processing Fee)

Please check back after approval to make payment and upload proof.
A Processing fee of One Thousand Naira (N 1,000) is Required, please make payment to our TSA Account and upload proof of payment here. How to make payment to NEMSA
A Processing fee of Two Thousand Naira (N 2,000) is Required, please make payment to our TSA Account and upload proof of payment here. How to make payment to NEMSA
Upload Proof of payment *
Maximum upload size: 2MB

Area Office Approval

Headquarters Approval