SIX MONTHLY CERTIFICATE BY THE LICENSED AGENCY

See rule 24(5). Certified that I/ We have carried out inspetion ot th Fire Prevention and life Safety Measures installed in the following building or premises, namely*. IAVe further ceify that these installations in the above mentioned buildings are maintained, in good repair and efficient conditions during the period, as under the provisions of the Ngland Fire& Emergency Service Act. The details of the inspection of installation carried out by me/us are mentioned in the report appended herewith. Place:. Date:. Signature and address of the licensed Agency. License No. Fire Prevention & Audit Officer [Note: 1. 'detailed location and postal address are to be provided here.