Form for Supervision
I hereby certify that the development, erection, re-erection or material alteration in/of building No. ............ or the ............ on/in Plot No. ............ in Colony/Street ............ Mohalla/Bazar/Road ............ City ............ shall be carried out under my supervision and I certify that all the materials (type and grade) and the workmanship of the work shall be generally in accordance with the general and detailed specifications submitted along with, and that the work shall be carried out according to the sanctioned plans.
Signature of Registered Architect/Engineer/Structural Engineer/Supervisor/Town Planner/Landscape Architect/Urban Designer ....
Name of Registered Architect/Engineer/Structural Engineer/Supervisor/Town Planner/Landscape Architect/Urban Designer .... (in block letters)
Registration No. of Architect/Engineer/Structural Engineer/Supervisor/Town Planner/Landscape Architect/Urban Designer ....
Address of Registered Architect/Engineer/Structural Engineer/Supervisor/Town Planner/Landscape Architect/Urban Designer
Date ....
Strike out whichever is not applicable. The entries shall be in respect of the professional who would supervise the work.