| FORM B | Reg. 13 |
| SURVEYOR'S CERTIFICATE ACCEPTING RESPONSIBILITY FOR SURVEY |
| This is to certify that I .................................................................................. am the Surveyor responsible for all the work performed by ............................................. ........................................, an unqualified assistant. |
| Since this work has been done under my direct personal control, I further certify that I have carried out sufficient checks to ensure that the work done by him or her is correct. |
| ................................................. |
| Ex-officio/Licensed Surveyor. |