C.F No.13
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Cost of Form Rs.10/-
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No.
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Coimbatore Corporation
Application form for issue of License as Licensed Building Surveyor.
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A passport size photo of the applicant duly signed by him to be
affixed here. (Another copy of photo to be enclosed so as to affix the
same in the License order)
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To
The Commissioner,
Coimbatore Corporation.
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Sir,
I desire to serve as Licensed building Surveyor in the city
Municipal Corporation of Coimbatore I assure that I will abide to all
the rules and regulations etc., issued by the Government Corporation or
any other Competent Authority from time to time. I remit herewith
necessary License fees and security deposit I also furnish herewith
necessary particulars as follows.
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1. Name of the applicant
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2. Name of the Father / Husband
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3. Date of Birth (with proof thereof)
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4. Present Address (to which communications are to be
send)
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5. Permanent Address (Residential
Address)
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6. Technical qualification
acquired (with proof thereof)
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