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Compliance report to be submitted by the Owners/Occupiers of the Buildings.

A. Building/Owner/Occupier Details:
1 Name of the Owner(s)/Occupier(s) *  
2 Age of the Owner(s)/Occupier(s) *  
3 Father Name of the Owner(s)/Occupier(s) *  
4 Address of the Owner(s)/Occupier(s) *  
5 Type of Occupancy *
6 Address of the premises *  
(a) Geo-tag coordinates of the premises
Latitude *  
Longitude *  
7 District *
8 Mandal *
9 Village *
10 Pincode *  
11 Address for Correspondence *  
12 Mobile Number *  
13 Email ID *  
14 Area of the site (sq mtrs) *  
15 Total Built-up area (sq mtrs) *  


B. Fire Safety Measures Taken
1 Fire Extinguisher *  
2 First Aid Hose Reel *  
3 Wet Riser/Down comer *  
4 Yard Hydrant *  
5 Automatic Sprinkler System *  
6 Manually Operated Electronic Fire Alarm System *  
7 Automatic Detection and Alarm System *  
8 Water Supply(litres) * Underground Static Water Storage Tank Combined Capacity for Wet Riser,Yard Hydrant and Sprinklers per Set of Pumps  
9 Terrace Tank over Respective Tower Terrace  
10 Pump Capacity(litres/min) * Pump at the Terrace Tank Level with Minimum Pressure of 3.5 Kg/cm2  
11 Pump Near Underground Static Water Storage Tank (Fire Pump) with Minimum Pressure of 3.5 kg/cm2 at Remotest Location  


C. Self Certification of Fire Safety Measures by the Owners/Occupiers.

I/We Owner(s)/ Occupier(s) of located at do hereby certify that i/we have installed fire prevention life safety and fire protection measures as per the self certificate submitted and undertake to maintain the same in effective working condition at all times. That I/we agree that in case of any violation detected during self-certification period by way of inspection, I/we are liable for consequences under the laws covered there under. The information furnished above is correct and if it is noticed at any time that the information provided is false, we understand that action shall be initiated against me/ us by the concerned Authority as per the provisions of Telangana Fire Service Act, 1999 and Telangana Fire & Emergency Operations and levy of Fee Rules, 2006.