Project

FORM Title Item *1 Item *1 (a) Item *1 (b) Item *1(c) Item *2
1) Insert name (individual) of
proprietor / partner / director of Trade
Contractor's company & attach
If this item is certified copy of Company's Form 49 If Item *1 is
Insert applicable, to authenticate this individual applicable, strike
description proceed to insert (Contractor) 2) Insert Contractor's 1) Fill in SP's name 2) Fill in out Item *2. If item
G-10 of project other details. If NRIC 3) Contractor to sign and date BEM registration no. 3) Sign *1 is not
Mechanical as per BP not applicable, 4) Attach copy of CIDB registration of and date 4) SP must be a applicable, PSP to
Ventilation approval strike out item*1 Company Mechanical Engineer sign declaration

1) Insert name (individual) of 1) Fill in SP's name 2) Fill in

If this item is Competent Person 2) Insert BEM registration no. 3) Sign If Item *1 is
Insert applicable, Competent Person's DOSH approval and date 4) SP must be a applicable, strike
description proceed to insertletter ref. no. & attach copy of DOSH's Mechanical or Electrical out Item *2. If item
G-11 of project other details. Ifletter 3) Competent Person to sign Engineer 5) Attach list of *1 is not
Lifts / as per BP not applicable, and date 4) Attach copy of CIDB PMA nos. or Certification applicable, PSP to
Escalators approval strike out item*1registration of Company from Competent Person sign declaration
1) Insert name (individual) of
proprietor / partner / director of
Contractor's Company & attach
certified copy of Company's Form 49
Insert to authenticate this individual 1) Fill in PSP's name 2) Fill
description (Contractor) 2) Insert Contractor's in BAM/BEM registration no.
of project NRIC 3) Contractor to sign and date 3) Sign and date 4) If an
G-12 as per BP Insert LA's 4) Attach copy of CIDB registration of engineer, PSP must be a
Building approval Approval Ref No. Company Civil Engineer Strike out Item *2