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These appendices reproduce the fields of the Code’s official forms, referenced from Chapter 3 (Sec 3.2.1, Sec 3.2.3.9, Sec 3.2.10.1, and Sec 3.3.4). Each form in the source document is addressed to the Building Official at the position and address applicable to the local jurisdiction. The original scanned page follows each form below — right-click (or long-press) the image to save it for printing or filling in.

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Appendix A: Form for First Application to Develop, Erect, Demolish or to Make Alteration in any Part of the Building

Type of intended work (check one): Develop / Erect / Demolish / Alter
  • Name of the owner
  • Contact address
  • Post code
  • Telephone no.
Name, address and qualification of the engineer, architect or planner involved in the proposed work:
  • For planning
  • For architectural design
  • For structural design
  • For civil works design
  • For other services design
Address of the site:
  • Plot number
  • Holding number
  • Dag/Khatian number
  • Mouza/Block/Sector
  • Street name
  • Municipal ward number
Documents enclosed along with this form (name of document, number of sheets, number of copies):
  1. Key plan
  2. Site plan
  3. Subdivision/layout plan
  4. Building plan
  5. Services plan
  6. Specifications
  7. Ownership title
Date; Signature of the owner. For use of the Building Official. Do not write anything below this line. Reference number (to be referred to in all subsequent correspondences); Date; Received by.

Appendix A: Form for First Application to Develop, Erect, Demolish or to Make Alteration in any Part of the Building

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Appendix B: Form for Certificate of Supervision

  • Reference number
  • Address of the site (plot number, holding number, street name, municipal ward number)
Type of intended work (check one): Develop / Erect / Demolish / Alter
  • Name of the owner
  • Contact address
  • Post code
  • Telephone no.
“I hereby certify that the building for which the location, the type of work, and the name and address of owner appear above will be supervised by me as per the provisions of the Bangladesh National Building Code.” Signature of the engineer, architect, planner or supervisor; Name; Address; Qualification; Date.

Appendix B: Form for Certificate of Supervision

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Appendix C: Form for Sanction or Refusal of Development/Building Permit

Reference number. “In response to your application whose reference number appears above, I hereby inform that the documents submitted along with your application have been (check as appropriate)”
  • Approved for implementation by the Authority
  • Refused by the Authority for violation of the following provisions of the Bangladesh National Building Code: (list of the sections violated)
Signature of the Officer; Name of the Officer; Designation; Permit number; Official stamp; Date.

Appendix C: Form for Sanction or Refusal of Development/Building Permit

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Appendix D: Form for Completion Certificate

  • Reference number
  • Permit number
  • Address of the site (plot number, holding number, dag/khatian number, mouza/block/sector, street name, municipal ward number)
  • Documents enclosed along with this form
Type of work (check one): Develop / Erect / Demolish / Alter
  • Name of the owner
  • Contact address
  • Post code
  • Telephone no.
“I hereby certify that the work having the above mentioned detailed particulars has been supervised by me and completed in accordance with the plan and design approved by the permit number cited and the provisions of the Bangladesh National Building Code.” Signature of the engineer, architect, planner or supervisor; Name; Address; Qualification; Date. Signature of the owner; Date. This part to be completed by the Building Official. “The work identified by the reference number and permit number at the top of the form is hereby accepted as complete in accordance with the approved plan and design.” Signature of the Officer; Name of the Officer; Designation; Official stamp; Date.

Appendix D: Form for Completion Certificate

Last modified on August 29, 2026