Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION
Regional Office 4A
Laguna Provincial Office
Biñan City Fire Station
Brgy. Poblacion, Biñan City, Laguna
(049) 511-9111 / binanfirestation@yahoo.com

Control No. _______________ _______________________

Date

CERTIFICATION
TO WHOM IT MAY CONCERN:

This is to certify that a FIRE DRILL has been conducted at

____________________________________________________________________________
(Name of Building / Structure /Facility)

on ______________________ located at ___________________________________________

(Date) (Address)

owned by ____________________________________________________________________
(Name of Owner/Company)

pursuant to Rule 10, Chapter 2, Division 21 of the Revised Implementing Rules and Regulations
(RIRR) of RA 9514 otherwise known as the “Fire Code of the Philippine of 2008”.

Issued this __________________ day of ___________________________.

This certification is valid until ______________________________________________.

(Date depending on the Type of Occupancy which requires quarterly, semi-annual or annually)

Fire Code Fees: RECOMMEND APPROVAL:

Amount Paid: _________________
O.R. Number: _________________
Date: ________________________
___________________________________
CHIEF, FSES

APPROVED:

___________________________________
CITY/MUNICIPAL FIRE MARSHAL

NOTE: “This Certificate does not take the place of any license required by law and is not
transferable. Any change in the use of occupancy of the premises shall require a new certificate.”
PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG
MAGBENTA O MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”

“FIRE SAFETY IS OUR MAIN CONCERN”

DISTRIBUTION:
Original (Applicant/Owner’s Copy)
Duplicate (BFP’s copy)

BSP-QSF-FSED-044 REV.02 (08.24.20)