PCC Reg. No.:……………………………...

FORM - J

COMPLETION CERTIFICATE
from Site Engineer/Contractor.
I hereby certify that the development/ erection/ re-erection or material alteration in/of building on plot
No…………………...., belonging to /Mr/Mrs/Ms…………………………………………………………………….,
in Lam ( street ) ………………………………………, in Phuentsholing has been supervised by me and has
been completed on.............................................................................., according to the plans sanctioned,
vide No………………………………………………………………………………………….., dated.......................
The work has been completed to my best satisfaction, the workmanship and all the materials (type & grade)
have been used strictly in accordance with general and detailed specifications.
All conditions stipulated in the agreement Form H dated ……………………………. have been fulfilled.
The building is fit for use for which it has been erected, re-erected or altered, constructed and enlarged.

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Signature of Site Engineer/ Contractor
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Name of Site Engineer/ Contractor

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Address of Site Engineer/ Contractor

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Signature & Name of the Owner/
Signature, Name & Designation of the Authorized Official
with Official seal (in case of Govt./Semi-Govt. Project).
Date:…………………