Panchayat:Repo18/Law Manual Page0838
.
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
.. .. . ico Nooo 11. 12. Declaration ..hereby declare that the details furnished above are correct, complete and true to the best of my knowledge and belief. Signature: Name: Place: Date: APPENDIXL [See Rule 140] QUALIFICATION AND FUNCTION OF ARCHITECT, ENGINEER, ETC. Category Qualifications Function (1) (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.