FORM NO. 2 (a) CERTIFICATE OF UNDERTAKING OF REGISTERED ARCHITECT/ENGINEER TO REF : Proposed work of ____________________________________________________ (Title of the project) C.S.No/R.S.No./F.P. No. in ward No. _____________ at Village ______________ Taluka ______________ T.P.S.No________________ of _________________________Village/Town/City For (Name of Owner/Organiser/Developer/Builder) Address ___________________________________________________________ Tele.No.___________________________________________________________ I am a member of Council of Architects/I am possessing current registration to act as registered Engineer. I hereby certify that I am appointed as the Registered Architect/Engineer/Surveyor to prepare the plans, sections and details as required under the provisions of the Act. Development Control Regulation for the above mentioned project and that I have prepared and signed the same and that the execution of the project shall be carried out under my direction and supervision as per the approved drawings. I am fully conversant with the provisions of the Regulations/ which are in force and about my duties and responsibilities under the same and I undertake to fulfil them in all respect. I also undertake to provide adequate measure for installation of plumbing, drainage, sanitation and water supply. The appointment of site supervisor, clerk of works, building contractor, plumbing contractor and electrical contractor shall be made at the appropriate stage before the relevant work commences. Signature : Reg. No. _____________ Date _____________ Name : _________________________ Address : _______________________________________________________________ Tele. No.: _________________________ FORM NO. 2 (b) CERTIFICATE OF UNDERTAKING OF REGISTERED STRUCTURAL DESIGNER TO Ref : Proposed work of ____________________________________________________ (Title of the work) C.S.No./R.S.No./F.P.No .__________________________in ward ______________ at village _____________________________Taluka ________________________ in T.P.S.No. _____________________________ of ________________________ Owner _____________________________________________________________ Address : ___________________________________________________________ _____________________________________________________________ Tele. No.___________________________________________________________ I am possessing current Registration to act as a structural Designer. This is to certify that I am appointed as the registered structural designer to prepare the structural report, structural details and structural drawings for the above mentioned project. I am fully conversant of my duties and responsibilities under the Regulations and assure that I shall fulfil them in all respect. I have prepared and signed the structural design and drawing of the proposed building and further certify its structural safety and stability. I undertake to supply the owner and the supervisor the detailed drawings. If my services are terminated, I undertake to intimate the Authority in writing. Signature : Registration No. _____________ Date ________ Name _____________________________ Address_________________________________________________________________ Tele. No.________________________________________________________________ --* To be struck off if not applicable. FORM NO. 2(C) CERTIFICATE OF UNDERTAKING OF REGISTERED CLERKS OF WORKS/SITE SUPERVISER/DEVELOPER/OWNER To............................................... ................................................... .................................................. Ref : Proposed work of ....................................................................................................... (Title of the work ) C.S..NO. /R.S.NO. /F.P.NO.................................................in word................ at village............................................. Taluka................................................. in T.P.S NO........................................at......................................................... Owner : Address : Tele. No........................................ I possess a current Registration to act as Registered ..................................................... I hereby certify that I am appointed as a registered .................................................on the above mentioned project and that all the works under my charge shall be executed in accordance with the stipulations of the National Building Code and relevant standards of the I.S.I. I am fully conversant with the provisions of the Regulations which are in force and about the Duties and Responsibilities under the same and I undertake to fulfil them in all respect. * I undertake not to supervise more than ten works at a given time as provided in Development Control Regulations. * I undertake not to supervise work simultaneously at one point of time on any other sites during my supervision of the execution of this work. Signature: Registration No...................Date.............. Name.................................................................................. Address............................................................................... .................................................................................. Tele.No................................................................................ ....................................................................................................................... * To be struck off if not applicable
