Panchayat:Repo18/Law Manual Page0838

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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

Affix Passport

size photo

(One extra copy of the photo

should be separately enclosed

for issuing identity card)

1. Name of Applicant in capital letters

 :

2. Permanent Address

 :

3. Address to which communications are to be sent

 :

4. Educational Qualifications (Attested copies should be enclosed)

 :

5. Age and Date of Birth (with proof)

 :

6. Sex

 :

7. Experience (Attested copies should be enclosed)

 :

8. References of previous licences, if any

 :

9. Details of show cause notices received/

cancellation of licences, if any

 :

10. Whether employed or not

 :

    (If employed Give particulars)

11. Whether retired from service or not

 :

   (If Retired, give details proof to be attached) 

12. 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  :

APPENDIX L

C[See Rule 140]

QUALIFICATION AND FUNCTION OF ARCHITECT, ENGINEER, ETC.

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Category

Qualifications

Function

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(1)

(2)

(3)

(3) Architect Registration with the Council of To sign plans, drawings and Architecture, India as prescribed specifications in connection with under Architect's Act 1972 development permit for areas upto (Central Act 20 of 1972) the extent of one hectare (ii) To issue certificates of supervision in connection with development permit for areas upto the extent of one hectare pertaining to road work, water supply, drainage, sewerage and light installation.