Commissioner

Singapore Civil Defence Force REQUEST FOR CONSULTATION SERVICE

HQ Singapore Civil Defence Force
91 Ubi Avenue 4
Singapore 408827
Form FSSD-CONS

EXPLANATORY NOTES
a. A set of plan shall be submitted where applicable
b. Each consultation shall be limited to 20 minutes only For queue
c. * Delete where applicable no. sticker
d. It may take you 3 minutes to complete this form.

A. Appointment Information
Any Appointment Made? *Yes / No
Written Reply Required? *Yes / No
(Application shall not be registered if written reply is not
required by the applicant)
B. Particulars Of Proposal
#
FSSD Building Plan/M&E Plan Ref No. /
Waiver Ref No(s)/ Previous Consultation Case
Ref No(s)

Proposal & Locality

C. Particulars Of Applicant
Name of Applicant
Company Name

Company Address

E-mail address
__________________ _____
Fax No. Tel No. Signature of Applicant Date

D. For Official Use Only

Consultation Ref. No. CON/ /

Received from CSC am/pm Signature of CSC Staff

Delivered to Consultant am/pm Signature of Consultant

Consultation commenced at am/pm

Consultation ended at am/pm

Name of Consultant

Name & Signature of FSC

Consultation NSF
________________________________________ _________________

Name & Signature of FSC Consultation NSF Date

 TO BE COMPLETED BY APPLICANT FOR OFFICIAL USE ONLY

S/N Description of the requirements Aspects of requirements that need clarification Registration No. :

(State the clause in the Fire Code if any) (The consultation shall be limited to 20 minutes only)

Signature of Applicant ________________________ Date ___________________