DECLARATION BY OWNER/OCCUPIER

See rule 24 (5). DECLARATION. It is hereby declared that the ( name of the building or premises ) located address Comprised of basement (s) and (upper floors (have complied with The fire prevention and fire safety requirements in accordance with State building bylaws and National Building code of India, 2016and issued Fire Safety Certificate vide: /Computer ID No, for a period of. And the fire prevention and fire safety measures provided in the building/premises have been checked by rue/in my presence by Fire Safety officer on arid found them in place and in good repairs. It is further declared that no additions or alterations have been made in the building/premises affecting the lire prevention and fire safety measures including the means of escape and that all exits and passages are free from any obstruction. (Signature of owner/occupier). Name in Block Capitals. Address. Counter signed (Fire Safety Officer*). Name. 'Strike out whichever is not applicable.