1. This is an electronic form, which should be completed using a desktop or laptop computer using any modern browser in order to allow the information to be printed.

2. Ensure that the name provided when completing the form completely matches that appearing on the form of identification submitted.

3. The application will not be considered complete until a certified copy of a form of identification is submitted with the application. The forms of identification are a passport, driver’s licence or voter’s registration number.

4. Submit proof of address along with the Application Form. Also note that the mailing address supplied must be accurate as it will be used to provide you with documents or correspond with you in a manner that requires your response.

5. Carefully check the phone number and email address provided on the Application Form as these may be the means by which you are provided with documents or correspond with you in a manner that requires your response.

6. Applicants must submit evidence of their qualifications along with the relevant Application Form.

This section is a suggested format (Not Editable), USE FILLABLE TEXT AREA BELOW.

Name of Institution Date Attended (From)          Date Attended (To)   Name of Degree, Diploma,
                                                                                                                            Certificate or Course

_______________          ___________________              ___________________       _________________________

_______________          ___________________              ___________________       _________________________

This section is a suggested format (Not Editable), USE FILLABLE TEXT AREA BELOW.

Title of Course Name of Institution Date of Participation    Course Duration Credits Awarded

_______________   ___________________   ___________________       ________________    ________________

_______________   ___________________   ___________________       ________________    ________________

Provide details of your project / work experience using the format outlined in the Guidelines for Completing Applications. This is section is to show all project / work experience completed to support your application.

This section is a suggested format (Not Editable), USE FILLABLE TEXT AREA BELOW.

Name of Project         Duration            Details of Work Done                            Name of Referee
                                                         (include voltage levels where applicable)

__________________      ______________     _______________________________     _______________________________

__________________      ______________     _______________________________     _______________________________

The declaration below requires a signature once this form is printed. Once printed and signed, please submit your completed form to the

Government Electrical Regulator
PCJ Resource Centre
36 Trafalgar Road
Kingston 10

or you can call us at 876-934-6496 | 876-934-4987 | 876-276-7530 for more information.

ALL PAYMENTS ARE TO BE MADE ONLINE:

Pay all fees via direct transfer to the Ministry of Science, Energy and technology's current/chequing National Commercial Bank (NCB) Account Number: 351-078-995 (1-7 Knutsford Boulevard Branch)

Read the declaration below before you click the submit button, please use the "Send me a copy of my responses" option then print and sign the final version emailed to you or use the print option in your browser.

Where applicable, all Voluntary Declaration should come in the form of a recommendation verified by a competent third party attesting to your work stated in your application.

YOU CAN ALSO USE THE PRINT OPTION AVAILABLE IN YOUR BROWSER.

I certify that I have read and will comply with all applicable provisions of The Electricity Act, (Electricity Work, Registration and Licensing) Regulations, 2020.  I understand that providing false information on this application may result in refusal to grant a licence and/or revocation or suspension of the licence or registration and/or imposition of a fine.




_____________________________             ___________________________________________________
              Date Signed                                               Signature of Applicant