With respect to the building work of erection, re-erection or for making alteration in the building No....or to....on/in Plot No....in Colony/Street ....Mohalla/Bazar/Road ....City......, we certify,
a) that the building has been constructed by us according to the sanctioned plans, structural drawings and details issued to the site by the Engineer/Structural Engineer; and
b) that the work has been completed with high level of workmanship observing due diligence and all the materials have been used strictly in accordance with the general and detailed specifications.
Signature of
owner with date
Signature of representative of
the builder/constructor
with date
Name (in block letters): ....
Address :
Substitute by details of relevant services and the concerned constructor in case of execution of services works.