Application form for Fire Safety Certificate

Personal Information

Salutation *

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Full Name *

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Upload Image

Office Address *

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E-Mail *

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Designation *

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Landline No.

Name of the Company/Enterprise/Business *

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Mobile Number *

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Service Specific Information

Type of Application *

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Letter No. of the existing NOC / Application Reference No. of the existing NOC *

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Date of Issue of the existing NOC *

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Applicant Details

Mention full address of the site as mentioned in the Land Allotment/Land Possession certificate/ Land lease agreement :

House No./Building Name/Landmark *

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Village/Town/City *

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PO/PS *

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Country *

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State *

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District

Postal / Zip Code *

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Present Address of the Applicant :

House No./Building Name/Landmark *

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Village/Town/City *

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PO/PS *

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Country *

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State *

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District

Postal / Zip Code *

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Permanent Address of the Applicant :

Same as the present address? *

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Yes

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House No./Building Name/Landmark *

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Village/Town/City *

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PO/PS *

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Country *

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State *

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District

Postal / Zip Code *

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Declaration

I Agree *

All the above Information are true to the best of my knowledge and belief.