[See Decision No. (4) below Rule 18]
Form of report / application for permission to the prescribed authority for the building or addition to a house

From									Date …………..
………………………………
………………………………
………………………………

To
………………………………
………………………………
………………………………

Sir, 
	#This is to report to you that I propose to build a house/to make an addition to my house.
	#This is to request that permission may be granted to me for the building of a house/the addition to the house.
# Strike out the portions not applicable.
	The estimated cost of the land and materials for the construction extension is given below – 

	Land 
(1)	Location-
	Survey, number 	………	………
	Village			………	………
	District			……....	………
	State			….		….	
(2)	Area			….		….		
(3)	Cost			….		….	

	Building materials, etc. –			Rate		Quantity 	Cost(Rs)	
(1)	Bricks 			….		….	
(2)	Cement 		….		….
(3)	Iron and Steel		….		….
(4)	Timber			….		….
(5)	Sanitary Fittings	….		….
(6)	Electrical Fittings	….		….
(7)	Any other Special Fittings
(8)	Labour Charges	….		….
(9)	Other Charges, if any 	….		….

Total cost of Land and Buildings….
2. The construction will be supervised by myself. / The construction will be done by (Enter the name and place of business of the contractor.) ………………………………………………………………………………….
………………………… ………………………………………………………………………………………………………………….
#I do not have any official dealings with the contractor nor did I have any official dealings with him in the past.
#I have/had official dealings with the contractor and the nature of my dealings with him is/was as under: ……………………………………………………………………………………………………..
(#Strike out the portions not applicable.)

3.	The cost of the proposed construction will be as under - 
										Amount
										    Rs.
	(i)	Own savings	…..		…..
	(ii)	Loans / Advances with full details ….	….
	(iii)	Other sources with details	…..		….											
								Yours faithfully,
		
								…………………………

[Referred to in Decision No. (2) below Rule 18]
Form of report to the prescribed authority after completion of the building /
 extension of a house

From									Date …………..
………………………………
………………………………
………………………………

To
………………………………
………………………………
………………………………
	In my Letter No…………….., dated ………………., I had reported that I proposed to build a house. (Strike out the portions not applicable.)

	Permission was granted to me in Order No…………….., dated………….for the building of a house.
	The house has since been completed and I enclose a Valuation Report, duly certified by(A firm of Civil Engineers or Civil Engineer or repute)…………………………………….
............................................................................................................................................
2.	The cost of construction indicated in the enclosed Valuation Report was financed as under –
Amount (Rs)
(i)	Own savings 	….		….		….	
(ii)	Loans / Advances with full details ….	….
								
								Yours faithfully,
								…………………………
NOTE.- Variations, if any, between the figures given above and figures given in Form 2 may be explained suitably. 

VALUATION REPORT

I/We hereby certify that I/we have valued House…………………………….………….
……………………………………………………………………………Constructed by Shri/Smt……………………………. and I/we give below the value at which I/we estimate the cost of the house under the following headings:-
		Headings							Cost
										Rs.
(1)	Bricks 			….		….	
(2)	Cement 		….		….
(3)	Iron and Steel		….		….
(4)	Timber			….		….
(5)	Sanitary Fittings	….		….
(6)	Electrical Fittings	….		….
(7)	Any other Special Fittings ….	….
(8)	Labour Charges	….		….
(9)	Other Charges, if any 	….		….			_______________
					Total cost of the Building	_______________

Date ………………..						(Signature and Designation 
of the Valuation Authority)