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C.F No.14
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Cost of Form Rs.5/-
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No.
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Coimbatore Corporation
Application form for renewal of
License as Licensed Building Surveyor.
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To
The Commissioner,
Coimbatore Corporation.
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Sir,
I have obtained license as Licensed building Surveyor in the city
Municipal Corporation of Coimbatore I desire to renew the same for
another one year I remit herewith necessary renewal fees and balance
security deposit I also furnish herewith necessary particulars as
follows.
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1. Name of the applicant with
address (in block letters)
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2. Technical qualification
acquired (with proof thereof)
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| S.No |
Name of exam passed |
Month & Year of the examination held |
Certificate No. & Date |
Authority by whom
the certificate was
issued |
| 1 |
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| 2 |
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| 3 |
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3. Number and date in which the original
license was issued by the Corporation. (Xerox copy of license to be enclosed)
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4. Date up to which the license was renewed previously with order
No. and date( Xerox copy to be enclosed)
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5. Period of renewal of license now requested
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Signature of the Applicant
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| * Cost of Form : Rs.5/-
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