Borang Permohonan Pembatalan Lesen/Permit Nota: 1. Borang ini terpakai untuk pemegang lesen/permit di bawah Akta Racun 1952, memohon untuk membatalkan...
sanitary / plumbing permit date of application date issued ... grease trap bar sink ... deep well & pump set septic vault/imhoff tank street canal
FEDERAL REPUBLIC OF NIGERIA No. APPLICATION FORM FOR VISA/ENTRY PERMIT This form must be completed in full. Your application may be rejected for wrong and misleading information
DUMB WAITER PUMPS COMPRESSED AIR, VACUUM, PNEUMATIC TUBES, CONVEYORS AND/OR MONORAILS FUNICULAR Box 2 (To be accomplished by the Design Professional) (Signed and Sealed over Printed Name) Date Issued SUPERVISOR / IN-CHARGE OF MECHANICAL WORKS Validit
We will process your application only when we receive all the information and documents we need. If you do not send all the required information, we will return your application. You can use this form to apply for a visa/permit for a single applicant
secured. 3. This Permit must be kept in the premises of the establishment wherein the sign is installed for inspection purposes. It may be cancelled or revoked pursuant to Sections 305 and 306 of the National Building Code (PD 1096), The City Ordinan
Republic of the Philippines ... PLUMBING ELECTRONICS INTERIORS OTHERS (Specify) ... CITY/MUNICIPALITY ZIP CODE TELEPHONE NO
ARCHITECTURAL PERMIT. ... 1.That under Article 1723 of the Civil Code of the Philippines, the architect (and engineer) ... PLUMBING 1OF2.cdr
building permit date of application ... use or type of occupancy industrial residential
2. That the proposed civil/structural works shall be in accordance with the civil/structural plans filed with this office and in conformity with the latest National Structural Code of the Philippines, the National Building Code and its IRR. 3
Borang ini terpakai untuk pemegang lesen/permit di bawah Akta Racun 1952, memohon untuk membatalkan lesen/permit.
2.
Lesen/permit asal perlu disertakan bersama dengan borang permohonan ini.
(A)
Maklumat Pemohon
1. 2. 3. 4. 5.
Nama : ………………………………………………………………………………… No. Kad Pengenalan : ………………………………………………………………. No. Lesen/Permit : …………………………………………………………………… No. Daftar Lesen/Permit : …………………………………………………………… Tujuan pembatalan: ………………………………………………………………………………………….. .……………………………………………………………………………………….... ………………………………………………………………………………………….. Pengganti:
6.
Ada Nama : ………………………………………………………………………………. No Kad Pengenalan : ……………………………………………………………… Tiada
…………………………… Tanda tangan pemohon: Nama pemohon: Tarikh: Cop: (B) 1. 2. 3. 4.
Dokumen sokongan Surat pertukaran/peletakan jawatan (daripada pelesen) Surat pengesahan pertukaran/peletakan jawatan (daripada majikan) Surat pengesahan bagi premis yang berhenti beroperasi Surat makluman pertukaran nama atau alamat syarikat/premis
Untuk Kegunaan Cawangan Penguatkuasa Farmasi (A)
Ulasan Ketua Cawangan Penguatkuasa Farmasi ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
…………………………… Tanda tangan: Nama: Tarikh: Cop: (B)
Ulasan Timbalan Pengarah Kesihatan Negeri (Farmasi) ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
…………………………… Tanda tangan: Nama: Tarikh: Cop: (C)
Keputusan Pegawai Pelesenan Bersetuju Tidak Bersetuju ………………………………………………………………………………………… ………………………………………………………………………………………… …………………………………………………………………………………………
