PDF《此栏不用填写》

表格八 香港特别行政区政府 电力条例(第406 章) 电力(注册)规例 新申请注册为电业工程人员/ 注册电业工程人员续期/ 更改电力工程级别申请表格 FORM

8 THE GOVERNMENT OF THE HONG KONG SPECIAL ADMINISTRATIVE REGION ELECTRICITY ORDINANCE (CAP.

406) ELECTRICITY (REGISTRATION) REGULATIONS NEW/RENEWAL/CHANGE OF GRADE OF ELECTRICAL WORK APPLICATION FOR ELECTRICAL WORKER REGISTRATION 此栏不用填写 For Official use only 收件日期: Receipt date: 收嗪: Receipt Number: (注意:填写此申请表格前请参阅「表格八备注」 .申请人应以正楷填写此申请表格各栏,并应在表格上签署.) (Note: Before you complete this form, please read carefully the notes on NOTES TO FORM

8 . The applicant should complete all sections of this application form in block letters and sign the form.) 致 机电工程署署长: To the Director of Electrical &

Mechanical Services, A 部:申请类别 (请在适当的申请项目空格内加上?号及o可选择一项申请类别) Section A: Type of Application (Please tick in the appropriate box and only one type of application is allowed) ? 申请续期 Renewal of Registration → 请到(B)及(C)部填写 Please complete section (B) &

(C) 其他之申请 Other applications: 请额外填写附加表格八(A) Please also complete appendix Form 8A 拟申请之电力工程级别(请参阅备注 3) Grade of electrical work applying (Please see note 3) ? 新申请注册为电业工程人员 New registration as an electrical worker 其他(请说明) (Please specify) ? 申请更改电力工程级别 Change of grade of electrical work ? 申请额外准许之电力工程 Additional permitted electrical work B 部:注册资料(o适用於已注册人士) Section B: Registration Particulars (for registered electrical worker only) 注册编号 Reg. No. 工程级别 Grade 届满日期 Expiry Date 日Day 月Month 年Year 准许之工程 Permitted Work C 部:个人资料(此项必须填写) Section C: Personal Particulars (This part must be completed) 先生 Mr. ? 小姐 Miss ? 女士 Ms ? 出生日期 Date of Birth 日Day 月Month 年Year 姓名(英文) (姓氏先行) Name in English (Surname first) 姓名(中文) Name in Chinese 姓名电码 C.C.C. No. 香港身份证号码 HKID No. ( ) 护照号码(如无香港身份证) Passport No.(If no HKID Card) 联络地址 Correspondence Address 电话号码(办事处/住宅) Telephone No. (Bus./Res.) 手提电话 Mobile Phone No. 传真号码 Fax No. 电邮地址 Email Address 本人声明在此申请表格填报的一切资料、陈述及附上的文件全属真确无讹.警告:如就此项申请作出虚假陈述或失实资料, 即属违法.本人亦已阅读及同意於本表格内之「个人资料私隐声明」 . I declare that all particulars, statements and documents submitted herein and with this application are true and correct. Warning: It is an offence in law to furnish any false statement or information related to this application. I also confirm that I have read and agreed with the Personal Data Privacy Statement in this Form. 申请人签署 Signature of Applicant 申请日期 Date of Application 日Day 月Month 年Year 回邮及通讯地址(此项必须填写) Return Postal and Correspondence Address (this part must be completed) 姓名 Name 姓名 Name 地址 Address 地址 Address CHK NA CG PW RA NQ NQ Insist submission COL CS9 MAIL CCC Recorded Required Passed Doc Req'

d CPD Recorded Passed PRV. APP. No. PHOTO Old record RPO Submitted on PAYMENT Apprv. Not Apprv. REMARK A? B? C? R? H+B? H+C? H? NS? WH? AC? CD? GF? Other? w? EMSD/EL/34?(04/2019)? D 部:其他资料(可选择填写) Section D: Other Particulars (Optional item) (1) 电力设计 / 安装 / 维修保养 / 定期检测 (WR2) 服务在您的工作量大概占多少? What proportion of your works in respect of electrical design / installation / repair &

maintenance / PITC (WR2) services? 设计服务 Design Services 电力安装服务 Installation Services 维修保养服务 Repair and Maintenance Services 定期检测 (WR2) 服务 PITC (WR2) Services 其他请注明:{ Other (Please specify: (2) 阁下工作的公司的类别: (请将不适用的删去) What is your company'

s nature? (Delete whichever is inapplicable) 物业管理 / 顾问工程公司 / 工程承办商 / 电器产品供应商 / 其他 (请注明: Property management / Consultant / Contractor / Electrical product supplier / Others ( please specify: (3) 过去三年,曾否提供定期检测 (WR2) 之服务?如有,平均每年提供多少次该服务? Did you provide any service on PITC (WR2) Works? If yes, how many times per annum in average had your company provided such services? 没有 NO ? 有YES ? 次time(s) 表格八备注 新申请注册为电业工程人员/注册电业工程人员续期/更改电力工程级别申请表格 1. 所有类别的申请人,每次o可提交一份申请表格,重覆的申请将不被接纳.已注册电业工程人员申请续期,o须填写此表格(表格八),新申请必须额 外填写附加表格八(A),及参阅「表格八 A 备注」 .申请费用将不会发还. 2. D 部要求之资料并非申请注册为电业工程人员 / 注册电业工程人员续期 / 更改电力工程级别必须提供之资料,填写与否将不会影响申请结果.所 得之资料只作本署参考之用. 3. 电力工程级别 A. A 级电力工程指U在低压固定电力装置之中最高电力需求量不超逾

400 安培(单相或三相)的部分进行的电力工程. B. B 级电力工程指U在低压固定电力装置之中最高电力需求量不超逾

2500 安培(单相或三相)的部分进行的电力工程.B 级电力工程包括 A 级 电力工程在内. C. C 级电力工程指U任何电流量的低压固定电力装置的电力工程.C 级电力工程包括 A 级及 B 级电力工程在内. R. R 级电力工程包括下列任何一项或多项U NS: 霓虹招牌装置的电力工程. WH: 储水量不超过

200 升的无排气管的储水式电热水炉装置的电力工程. AC: 空气调节装置的电力工程. CD: 低压电力器具连接 / 截断电源及电力器具的电力工程. GF: 发电设施装置的电力工程. 其他U 只限在某一或某类装置或某类房产进行的电力工程. H. H 级电力工程指高压电力装置的电力工程. NOTES TO FORM

8 NEW/RENEWAL/CHANGE OF GRADE OF ELECTRICAL WORK APPLICATION FOR ELECTRICAL WORKER REGISTRATION 1. For all types of applications, only one application form is allowed at each time. Duplicate application will not be accepted. For applicant applying for renewal of registration, only this form (Form 8) is required. For other types of application, please also complete appendix Form 8(A) and see NOTES TO FORM 8(A) . Application fee is not refundable. 2. The provision of information in Section D is not compulsory for new / renewal / change of grade of electrical workers application for electrical worker registration. The result of application will NOT be affected by the completeness of Section D. The information obtained in Section D is for EMSD reference only. 3. GRADE OF ELECTRICAL WORK A. Grade A electrical work is electrical work on that part of a low voltage fixed electrical installation that has a maximum demand not exceeding 400A, single or three phase. B. Grade B electrical work is electrical work on that part of a low voltage fixed electrical installation that has a maximum demand not exceeding 2500A, single or three phase. Grade B electrical work includes Grade A electrical work. C. Grade C electrical work is electrical work on a low voltage fixed electrical installation of any capacity. Grade C electrical work includes Grade A and Grade B electrical work. R. Grade R electrical work may include one or more of the following: NS: electrical work on a neon sign installation;

WH: electrical work on an unvented electric thermal storage type water heater installation (not exceeding

200 liters storage capacity);

AC: electrical work on an air-conditioning installation;

CD: electrical work for connection / disconnection of electricity supply to / from an low voltage electrical equipment and associated electrical work on the equipment;

GF: electrical work on a generating facility installation Others: electrical work restricted to any other particular installation, type of installation or type of premises. H. Grade H electrical work is electrical work on a high voltage electrical installation. EMSD/EL/34?(04/2019)? 个人资料私隐声明 收集个人资料的目的 在这份表格提供的个人资料,政府会用於下列目的: (a) 评估你的学术/训练资格及电力工作经验,并在有需要时会向有关学术机构或你的雇主/前雇主作出查证,以确定你 是否符合条件,可根缌(注册)规例有关条文的规定注册为电力工程人员r以及 (b) 方便政府与阁下通讯. 受让人的类别 你的注册获接纳后,本表格所载的所有资料会存於机电工程署,并向部门的资料使用人披露. 你的姓名、注册号码、电力工程的级别、有效注册届满日期、有关表现及纪律处分的资料,会在政府网页 www.emsd.gov.hk 及本署注册及许可证辨事处向公众披露,或在个别人士提出申请后向他们披露,但所披露的资料,只 限上述数项. 查询个人资料 根鋈俗柿(私隐)条例第

18 及第

22 条,以及附表

1 第6原则的规定,你有权查阅及改正个人资料.你的查阅权包括索 取在这份表格所提供个人资料的副本. 查询 如对这份表格所收集的个人资料有任何查询,包括要求查阅及改正资料,请以书面向机电工程署署长提出,地址为九龙湾 启成街

3 号........