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Form III, CEWSSR

The document is a Certificate for Execution of Work as per Structural Safety Requirement (CEWSSR) in compliance with various Jharkhand regulations. It certifies that the building will be constructed according to approved structural designs that meet safety norms, including earthquake safety requirements, under the supervision of a registered engineer. The certificate includes details about the owner, builder, local body, and project specifics.

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Yudhvir Siwach
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2 views

Form III, CEWSSR

The document is a Certificate for Execution of Work as per Structural Safety Requirement (CEWSSR) in compliance with various Jharkhand regulations. It certifies that the building will be constructed according to approved structural designs that meet safety norms, including earthquake safety requirements, under the supervision of a registered engineer. The certificate includes details about the owner, builder, local body, and project specifics.

Uploaded by

Yudhvir Siwach
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CEWSSR No.

………………………………

FORM – III Issue date of CEWSSR…………………….

Certificate for Execution of Work as per Structural Safety Requirement (CEWSSR)


(This certificate Adheres to Jharkhand Municipal Act 2011, Jharkhand Reginal Development Authority Act 2002, Mineral Area Development Authority Act, Jharkhand
Industrial Area Development Authority Act & Jharkhand Building Bye-laws 2016)

Owner/ Builder Name : Registration no. of LTP :


Name of Local body : Validity of Registration no. of LTP :
Plat no. : Village Name/ Mouza name :
Ward no. : Project/ Proposal Type :
Thana name/ No. : Occupancy type/ Purpose :
Khasara/ Khatian No. : Application/ File no. :
Village Name/ Mouza Name : Date and Time of Application/ File :
Street address : CEWSSR (No) :
Landmark/ Locality : Issue date of CEWSSR :
With respect to the building work of above said project/ proposal type with respect of above referred plot. I certify,

1. That the building will be constructed according to structural design and specification prepared by me which incorporates the provisions of structural safety norms
as specified in part 6 (Structural Design) of National Building Code, 2005 and other relevant codes and the design complies with the Earthquake safety
requirement.
2. That the construction will be done under my supervision and guidance and adheres to the structural drawings and specification prepared by me and records of
supervision have been maintained

Authorized Signatory Authorized Signatory


(Name of Structural Engineer/ Civil engineer) (Name of Builder/ owner)
Registration No.: Registration No.:
Validity No.: Validity No.:
Address: Address:

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