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                                                     FORM.4
                                             [see Regulation 3]

                                    ARCHITECT'S CERTIFICATE
                     (To be issued on completion of each of the BuildingAMing)

                                                                                  Date:
To
       me GhEn n p              (Name & Address of Promoter),

           B1old,e>S.
           Subject : Certifrcate of Completion of Construction Work of flA***uilding/

                      Registration Numberl situated on the PIot bearing C.N. No/CTS No./
                      Survey No./ Final PIot No. l3 , , n demarcated by its boundaries
                      ( latitude and longitude of the end points)              to the
                      North-to           the South        to the East        to the West
                        of Division-                   Village Rnha\frt\ Taluka NnA.
                      District-l$t--PlN             admeasurind: 6 22oGq.mts. area
                      being developed by [Promoter's Name]
Sir,
                                                 -
     V W" Sn\iSh ]. S\aUave undertaken assignment as Architect /Licensed Surveyor of
certifring Completion of Cofrstruction Work of t$nrvrrrrr Building/ -       Wing of tJre Building
situated on the plot bearing C.N. No. /CTS No. /Survey No. /Final Plot No. \9 ,1 I     of Division

              admeasuring 6.V'.oll sq.mts. area being developed by [Promoter's Name]


       2. Following Technical Professionals are appointed by Owner / Promoter :-
           (r) lWs /Shri/Smt                                L.S. / Architect ;
           (ii) IWs /Shri/Smt                                       Structural Consultant
           (iii) Ws /Shri/Smt                                    as MEP Consultant
           (iu) IWs /Shri/Smt                                       Site Supervisor.
     3. Based on Completion Certificate reeeived from Structtrral Engineer and Site Supervisor;
and to the best of my/our knowledge VWe hereby certify that AlhaxrryBuildine/-----Wing
of the Building has been completed in all aspects and is fit for occupancy for which it has been
erected / re-erected / constructed and enlarged. The       Building/-Wing of the Building is
granted Occupancy Certifrcate/Completion Certificate bearing number             dated         by
        (Local Planning Authority).


                                                                          Yours
                         Signature and Name (IN BLOCK LETTERS) of L.S / Architect with

                                                                        (Licence No.............)

                                                                    A p4lrsH SHEJAV
                                                                 @i;;'eanrffi;