I hereby certify that the development, erection, re-erection or material alteration in/of building No. .... on/in Plot No.... in Colony/Street .... Mohalla/Bazar/Road .... City .... will be commenced on .... as per your permission, vide No.... dated .... under the supervision of .... Registered Architect/Engineer/Structural Engineer/Supervisor/Town Planner/Landscape Architect/Urban Designer, Registration No.... and in accordance with the plans sanctioned, vide No.... dated.... .
Date ....
Signature of owner ....
Name of owner ....(in block letters)
Address of owner ......... ................ ................ ................
Only professional who would supervise the work shall be named.
Strike out whichever is not applicable.