BCA-LU-NAPPQP01

THE BUILDING CONTROL ACT (CAP 29)

NOTIFICATION OF APPOINTMENT / AUTHORIZATION OF
QUALIFIED PERSON(S) / ACCREDITED CHECKER / BUILDER / STRUCTURAL
ENGINEER
INSTRUCTIONS:
(1) This notification shall be used for electronic
submission of application made to the
Commissioner of Building Control under the
Corenet e-Submission system and where the
Commissioner of Building Control
Applicant / Owner does not sign the
Building & Construction Authority
application form / documents digitally.
52 Jurong Gateway Road, #11-01
The Qualified Person / Structural Engineer
(2)
Singapore 608550
shall scan and attach a copy of this notification
Website: http://www.bca.gov.sg/
to the application. He shall keep this
notification as a proof of his appointment /
authorization by the Applicant / Owner.
Tick / Delete accordingly.
(3) * / *
(4) Please fill this form in BLACK INK, for clarity
during scanning.
SECTION A - PARTICULARS OF APPLICATION
Project Reference Number :
PROPOSED NEW ERECTION OF A 7-STOREY
INTEGRATED COMPLEX COMPRISING OF A
COMMUNITY CLUB, PUBLIC LIBRARY, SENIOR
CARE CENTRE, POLYCLINIC, SPORTS CENTRE,
Description of *building works / building AND SHOPS WITH A BASEMENT CARPARK ON
LOT 10987T MK 27 AT BEDOK NORTH STREET 1
(to be inspected) :
Location Description :
LOT 10987T MK 27
SECTION B - (To be completed by the Developer/Owner)
As required under the Building Control Act, *I / we hereby appoint the following person(s) :
Mr/Ms
[ BOA Reg. No.
]
as the QP for architectural works under Section 8(1) of the said Act.
Mr/Ms
[ PEB Reg. No.
]
as the QP for electrical & mechanical engineering works under Section 8(1) of the
said Act.
Mr/Ms
[ PEB Reg. No.

Gary Ng Wee Giap

3795 ]
as the QP for civil & structural engineering works under Section 8(1)(a) of the said
Act.
Er.
[ PEB Reg. No.
]
as the QP for geotechnical aspects of building works under section 8(1)(d)(i) of the
said Act.
Mr/Ms

BCA_0_NAPPQP01

as the Builder under Section 8(1)(c) of the said Act.

12/2014 at 5:50 PM

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Mr/Ms

[ PEB Reg. No.

]
as the Structural Engineer for the inspection of building under Section 28(3) of the
said Act.
Mr/Ms

[*AC/ACO Reg. No.

]
as the Accredited Checker under Section 8(1)(e) of the said Act.
Er.
[*AC Reg. No.
]
as the Specialist Accredited Checker under section 8(1)(f)(i) of the said.
* I / We also hereby authorize the *Qualified Person / Structural Engineer to submit, on *my /
our behalf, any application, notification or document related to the said works / building
bearing the above-stated Project Reference Number without *my / our digital signature,
whenever *my / our endorsement is required. This authorization shall continue to be in force
until *I / we revoke it in writing and you have received notice of such revocation.
Address of Developer/Owner

Tel No.:

Name & Signature of Developer/Owner (In

the case of a Company include the
designation of the authorized Signatory)

NRIC /Passport No. :

Date:

SECTION C - (To be completed by the Builder for D&B project)

As required under the Building Control Act, *I / we hereby appoint the following person(s) :
Mr/Ms
[ BOA Reg. No.
]
as the QP for architectural works under Section 8(1) of the said Act.
Mr/Ms
[ PEB Reg. No.
]
as the QP for electrical & mechanical engineering works under Section 8(1) of the
said Act.
Mr/Ms
[ PEB Reg. No.
]
as the QP for civil & structural engineering works under Section 11(1)(d)(i) of the
said Act.
Er.
[ PEB Reg. No.
]
as the QP for geotechnical aspects of building works under section 11(1)(d)(iii)(A)of
the said Act.
* I / We also hereby authorize the *Qualified Person / Structural Engineer to submit, on *my /
our behalf, any application, notification or document related to the said works / building
bearing the above-stated Project Reference Number without *my / our digital signature,
whenever *my / our endorsement is required. This authorization shall continue to be in force
until *I / we revoke it in writing and you have received notice of such revocation.

BCA_0_NAPPQP01

12/2014 at 5:50 PM

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Address of Builder

Tel No.:

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Name & Signature of Builder (In the case of

a Company include the designation of the
authorized Signatory)

NRIC /Passport No. :

12/2014 at 5:50 PM

Date:

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