Form QT 11

P.U. (A) 36
Page 1 of 2

TENTH SCHEDULE
[Subrule29(2)]

WATER SERVICES INDUSTRY ACT 2006

WATER SERVICES INDUSTRY (WATER RETICULATION AND PLUMBING)

RULES 2014

ACCEPTANCE OF HANDING OVER OF EXTERNAL WATER RETICULATION

SYSTEM / SUPPLY MAIN* FROM A DEVELOPER IN ACCORDANCE WITH
SECTION 47 OF THE ACT
(For Demand <50,000 liter per day / >50,000 liter per day*)

Development
:
Title
Developers
:
Name
Address :
File No. :
Your :
Reference
Our Reference :

Date :

Sir,

We refer to the above named Development Title and to your application for the
handing over of the external water reticulation system/supply main* dated
.

2. The accompanying documents submitted together with your application

have been reviewed and found to be complete and are in compliance with the
handing over rules and guidelines specified in the Water Services Industry (Water
Reticulation and Plumbing) Rules 2014 and Uniform Technical Guidelines
respectively. In addition, a joint inspection of the external water reticulation
system/supply main* was successfully conducted in the presence of the qualified
person and representatives of the developer and water distribution licensee.

3. The list of defects to be rectified during the Defects Liability Period is

approved and we acknowledge the receipt of a guarantee to carry out
rectifications of such defects (Bank Guarantee) valid for a period of twenty-seven
months from the date of handing over. Your obligations during the Defects
Liability Period are specified in rule 30 of the Water Services Industry (Water
Reticulation and Plumbing) Rules 2014.

Form QT 11
Our : P.U. (A) 36
Reference
Page 2 of 2

4. We therefore confirm that pursuant to section 47 of the Water Services

Industry Act 2006, the external water reticulation system/supply main* for the
above named development has been handed over to the water distribution
licensee on .

5. The Defects Liability Period shall come into operation from

. to .

Thank you.

Yours sincerely,

SYARIKAT BEKALAN AIR SELANGOR SDN

BHD
(Subsidiary of Pengurusan Air Selangor
SdnBhd)

Chief Executive officer of Water Distribution

Licensee
Name :
Date :

(*Delete whichever is not applicable)