Actuel Page 1 Page 2 Aperçu 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 the administration of the Mechanical Contractor’s Licensing Program. If you have any questions about this collection of personal information, you may contact the Chief Boiler Inspector, Department of Agriculture and Land, 31 Gordon Drive, Charlottetown, PE, Canada C1A 7N8 Tel: 902-368-5280. Identification Nom de l’entreprise/organisation Prénom de la personne-ressource Nom de la personne-ressource Adresse 1 Adresse 2 Ville, municipalité, communauté Province Code postal Exemple : C1B 0X1 ou 12345 Pays Téléphone 1 Exemple : 902-555-5555 Téléphone 2 Exemple : 902-555-5555 Télécopieur Exemple : 902-555-5555 Adresse courriel Mechanical Contractor's License Number