FORM D

[See Rule 12 (3) (b)]
GOVERNMENT OF KERALA CERTIFICATE OF SUITABILITY OF THE ENCLOSURE, CINEMATOGRAPH APPARATUS AND PLANT AND ELECTRICALINSTALLATION, FIRE FIGHTING APPLIANCES AND FIRE PRECAUTIONARY MEASURES AND ENTILLATION/AIR CONDITIONING SYSTEM


Certificate No.............                                                                                                   Date .


Under Rule 12 (3) (b) of Kerala Cinema (Regulation) Rules 19....1 certify that the enclosure, the cinematograph apparatus and plant and the electrical installation including the ventillation/air conditioning system of the Cinema known as and more particularly described below of which Sri .......... is the Managing Director/ Proprietor and Shri.........is the Managing Director/Proprietor and Shri.........is the Manager or person in-charge and Shri.....is/are licensed cinema operators in charge at..............................................................on............ are in order for both silent and talkies films.

 

  1. I also certify that the rules regarding the fire fighting appliances and fire precautionary measures in the licensed premises have been complied with.
  2. I also certify that the arrangements made for ventillation /air-conditioning systems are satisfactory.
  3. 4. This certificate is valid for a period of..........from............to but is liable to revocation within that period.

 

Details of equipments

Equipment        Maker's name        Number        Capacity        Remarks

  1. Projector
  2. Motor
  3. Rectifier
  4. Amplifier
  5. Fire Extinguishers
  6. Generator
  7. Transformer
  8. Slide Projector
  9. Ceiling Fans
  10. Exhaust Fans
  11. Air conditioning system (deteails overleaf)
  12. Operator's name.....Licence No..........dated.........Validity period.......

Electrical Inspector.