GOVT.

OF ASSAM

OFFICE OF THE DIRECTOR

FIRE AND EMERGENCY

SERVICES, ASSAM

PANBAZAR, GUWAHATI

FIRE ATTENDANCE CERTIFICATE

UAIN : FASSACXIII/2023/00086

Form - H
SEE RULE - '19'

1. Address and place of occurrence of the Fire & Emergency

CLUB ROAD,
Services Station :
785001
Ward No : Holding No :
Police Station : JORHAT,
JORHAT

2. The name(s) of the Fire & emergency Service Station attended Jorhat FnESS
3. Date & Time of receipt of Fire & Emergency Services call in the
25/09/2023 8:10 PM
Fire & Energency Service Station :
The 1st floor of a G+1 storied
4. Brief description of the type of properties involved the Fire & building occupying an area about
Emergency incident : 12x14 sq. feet used for residential
purpose was involved in fire.

RAJ BAROOAH, CLUB ROAD,

5. (A) Owner's name(s) with address :
NEAR HOMEOPATHY COLLEGE,
JORHAT
Ward No : Holding No :
Police Station : JORHAT,
785001

RAJ BAROOAH, CLUB ROAD,

(B) Occupiers name(s) with address :
NEAR HOMEOPATHY COLLEGE,
JORHAT
Ward No : Holding No :
Police Station : JORHAT,
785001

Reference No: FASSACXIII/2023/00086 To View: https://eodb.assam.gov.in/t/PVqx/F672BE7E Token No: F672BE7E

 6. Duration of Fire & Emergency Services operation : 34 (thirty) four minutes.
7. Number of Fire & Emergency Tenders Pump pressed into service 01 (one) W.T.P. was engaged to
to extinguish the Fire & Emergency incident : extinguish the fire.
8. Remarks if any : Nil.

SP
Supdt. of Police cum F&ES,
Advisor/Director/Deputy Director,
Dated Guwahati the 10/06/2024 F&ES
Assam, Guwahati.
Copy To:
S. No. Enter copy to whom
1. Raj Barooah, Club Road, Jorhat, Assam.
Sr. Station Officer, Jorhat F&ESS,
2.
Assam.
SP
Supdt. of Police cum F&ES,
Advisor/Director/Deputy Director,
F&ES
Assam, Guwahati.
Office Use Only:
9. Fire Report No. & Date 7(9)52/23, Dtd. 25/09/2023
Memo No. JHT/V/70/2023/4426,
10. SP/Addl. SP/S.D.P.O's forwarding no,date and District
Dtd. 14/11/2023 of JORHAT.

Fire Prevention Officer (E) (W),

F.&E.S., Guwahati, Assam.
Note : This certificate is computer generated and does not require any Seal/Signature.

Reference No: FASSACXIII/2023/00086 To View: https://eodb.assam.gov.in/t/PVqx/F672BE7E Token No: F672BE7E