Application for Restricted Contractor Licence (Electrical)

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Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c. F-15.01, as it relates directly to and is necessary for Restricted Contractor's Licensing. If you have any questions about this collection of personal information, you may contact the Senior Electrical Inspector, 31 Gordon Drive, Charlottetown, PE, Canada C1A 7N8 Tel: 902-368-5280

Identification
For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555
For example 902-555-5555