STRUCTURAL STABILITY CERTIFICATE REQUEST
Applicant/owner: __________, __________, capacity __________..
- 1. PURPOSE
- 2. STRUCTURE
- 3. CONDITION
- 4. PROPOSED CHANGE / LOAD
- 5. ASSESSMENT
- 6. PROFESSIONALS
Please inspect and independently determine whether stability can be certified, stating assumptions, limitations, tests performed and any remedial work required before certification.
PERSONAL DATA NOTICE
This notice is given under the Digital Personal Data Protection Act, 2023.
Personal data in this document is collected only to commission and retain an independent structural-stability assessment and certificate, communicate about that purpose, verify expressly supplied property and approval information, and retain an evidentiary application record.
If the application is withdrawn, refused or does not proceed, personal data will be retained for 90 days and then erased. If it proceeds, the record will be retained for the approval/project plus 12 months, except where a statute or authority record-retention rule requires a longer named period.
Data minimisation: this document does not collect a full Aadhaar number, an Aadhaar-card copy, a password or unrelated financial credentials, and none should be written into it. Collect identity and professional-registration details only where the receiving authority actually requires them.
SIGNATURE
______________________________
Signature
Applicant: __________
Place: ____________________
Date: ____________________