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	APPENDIX K		<center>APPENDIX K</center>

	[See Rule 141 (1)]		<center>[See Rule 141 (1)]</center>

	Application for Registration as Architect/Engineer/Town Planner/Supervisor etc. under the Kerala Panchayat Building Rules, 2011		Application for Registration as Architect/Engineer/Town Planner/Supervisor etc. under the Kerala Panchayat Building Rules, 2011

Jaisen at 09:49, 12 February 2018

2018-02-12T09:49:48Z

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Jaisen: 'APPENDIX K [See Rule 141 (1)] Application for Registration as Architect/Engineer/Town Planner/Supervisor etc. under the...' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

2018-02-12T09:34:11Z

'APPENDIX K [See Rule 141 (1)] Application for Registration as Architect/Engineer/Town Planner/Supervisor etc. under the...' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

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APPENDIX K

[See Rule 141 (1)]

Application for Registration as Architect/Engineer/Town Planner/Supervisor etc. under the Kerala Panchayat Building Rules, 2011

{| class="wikitable"
|-
!
|-
| Affix Passport size photo
|}

(One extra copy of the photo should be separately enclosed

for issuing identity card)

Name of Applicant in capital letters :

Permanent Address :

Address to which communications

are to be sent :

Educational Qualifications

(Attested copies should be enclosed) :

Age and Date of Birth (with proof) :

Sex :

Experience (Attested copies should

be enclosed) :

References of previous licences, if any :

Details of show cause notices received/

cancellation of licences, if any :

Whether employed or not

(If employed Give particulars) :

Whether retired from service or not

(If Retired, give details proof to be attached):

Specimen Signature :

(i)

(ii)

(iii)

Declaration.

I, …………… hereby declare that the details furnished above are correct, complete and true to the best of my knowledge and belief.

Signature:

Name:

Place:

Date:

{{Create}}

Panchayat:Repo18/vol1-page0840 - Revision history

Joshywiki at 08:22, 30 May 2019

Joshywiki at 08:21, 30 May 2019

Jaisen at 09:49, 12 February 2018

Jaisen: 'APPENDIX K [See Rule 141 (1)] Application for Registration as Architect/Engineer/Town Planner/Supervisor etc. under the...' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു