PCC Reg. N o.:.................................... FORM - .

COMPLETION CERTIFICATE
from Site Engineer/Contractor.

I hereby certify that the developmenU 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 generaland detailed specifications.

All conditions stipulated in the agreement Form H dated .................................. have

been fulfilled. The bulding is fit for use for which iihas been erected,re-erected or

altered,constructed and enlarged.