INFORMATION ON FIRE CERTIFICATE (FC)

TOTAL GROSS FLOOR AREA (m2):

OCCUPANT LOAD (no. of person):
BUILDING HEIGHT (m):

1. BUILDING DETAILS
*. Building Name:
*. Address:
*. MCST Plan No:
*. UEN or ACRA No:

*. Tel:

2. BUILDING OWNER or CHAIRMAN of MCST DETAILS

*. Name:
*. NRIC:
*. Address:
*. Tel:
*. Hp:
*. Email:
3. PERSON IN-CHARGE of THE PREMISES
*. Name:
*. Firm Name:
*. Address:
*. Profession:
*. Tel:
*. Hp:
*. Fax No.
*. Email:
4. FSM DETAILS
*. Name:
*. NRIC:
*. Address:
*. Tel:
*. Fax No.
*. Email:

*. Hp:

5. DESCRIPTION OF BUILDING
The building information should contain:
Building usage, No. of block, No. of storey, No. of basement,
Mezzanine floor and the Roof-top (state whether it is accessible by
staircase or cat-ladder), etc

6. TEMPORARY FIRE PERMIT (TFP) ISSUED TO THE BUILDING

SEE ATTACHED COPY
7. FIRE SAFETY CERTIFICATE (FSC) ISSUED TO THE BUILDING
* a. Yes ---- see attached copy
8.

* b. No
CERTIFICATE OF STATURTORY COMPLETION OF
WORK (CSC) ISSUED BY BUILDING AUTHORITY
* a. Yes ---- see attached copy
* b.

No

NOTE:

Kindly submit the completed forms to the following mailing address:

Attn: CED Certification Branch (Fire Certificate Section)
HQ Singapore Civil Defence Force
91 Ubi Avenue 4
Singapore 408827

NAME OF INFORMANT

*DELETE ACCORDINGLY

DATE