FORM B
(See Rule 39)

GOVERNMENT OF MAHARASHTRA
DIRECTORATE OF STEAM BOILERS
(Certificate of proficiency as a Boiler Operation Engineer under the
Boiler Operation Rules, 2021)

Roll No.: MSBOE-032025-0355 No. 9547 of 2025

Mr./Mrs. SHINDE PRAVIN SOPAN aged about 28 Years, at present residing at Buldhana upon having satisfied the Committee of Examiners appointed under the Boiler Operation Rules, 2021 of his or her proficiency to fulfill the duties of a Boiler Operation Engineer is granted under that Rules, this Certificate of proficiency authorising him or her to be in-charge of boilers of any type or size provided that all the boilers are situated within a radius of fifty meters.

Dated at Mumbai this 10th Day of March 2025

Description Roll 1. Date and Place of Birth : 28-02-1998, Ajispur 2. Permanent Address : At Ajispur Tq Lonar post Pangra dole Dist Buldana 443302, Buldhana, Maharashtra, Pincode: 443302. 3. Nationality : Indian 4. Height (without shoes) : 171 Cm 5. Mark of Identification : Injury Mark on Left Wrist 6. Left Thumb Impression : Signature of Applicant : Endorsements :