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Appendix L

The document is a self-declaration form affirming the accuracy of civil plan measurements and the installation of fire protection arrangements as per the National Building Code. It includes an affidavit from the applicant regarding compliance with fire resistance ratings and installation standards. The document is digitally signed and can be verified for authenticity online.

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Fathima Fida
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6 views1 page

Appendix L

The document is a self-declaration form affirming the accuracy of civil plan measurements and the installation of fire protection arrangements as per the National Building Code. It includes an affidavit from the applicant regarding compliance with fire resistance ratings and installation standards. The document is digitally signed and can be verified for authenticity online.

Uploaded by

Fathima Fida
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

167

APPENDIX - L

[See rule 5(4)]

SELF DECLARATION FORM

I do hereby declare that all the measurements mentioned in the civil plan are correct, and complete.

I also hereby declare that all the required fire protection arrangements as listed in the National building
code are installed in the building and are ready for inspection and testing.

(Signature) (Signature )

Name of Owner. Name:


Reg. No.:
Address:
(Registered Institution/ Architect/Engineer/
Town Planner/ Supervisor)

AFFIDAVIT

Name and address of the applicant :

Occupancy of the building :

Survey Number :

Village :

Panchayat/Municipality :

I/We do hereby affirm that,

1. the materials proposed to be used or installed for the construction of the building will be as per
required fire resistant rating in NBC of India – 2005, Part IV Annexure C
2. all the proposed installations and power supply fixed for the proposed building will be as per
NBC of India 2005 Part IV Annexure C
3. all the proposed Air conditioning, Smoke Management, Ventilation and staircase Pressurization
systems for the building, if installed, will be as per NBC of India Part IV Annexure C

This is a digitally signed Gazette.


Authenticity may be verified through [Link]

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