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Form-Move in Application

This document is an application form from the Badan Pengurusan Bersama Pangsapuri Suria IXora Management Office for residents to notify the office of plans to move in, move out, or have deliveries made to their apartment unit. It requests information such as the resident's name, unit details, contact information, planned date and time, moving company details if applicable, a list of goods, and a refundable deposit according to building rules. It also outlines security procedures and confirms the resident understands and will comply with building rules regarding moving.

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201 views2 pages

Form-Move in Application

This document is an application form from the Badan Pengurusan Bersama Pangsapuri Suria IXora Management Office for residents to notify the office of plans to move in, move out, or have deliveries made to their apartment unit. It requests information such as the resident's name, unit details, contact information, planned date and time, moving company details if applicable, a list of goods, and a refundable deposit according to building rules. It also outlines security procedures and confirms the resident understands and will comply with building rules regarding moving.

Uploaded by

wan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BADAN PENGURUSAN BERSAMA PANGSAPURI SURIA IXORA

MANAGEMENT OFFICE BLOCK A LEVEL 1, APARTMENT SURIA IXORA,


PERSIARAN SETIA PERDANA U13/28 SETIA ALAM,
40170 SHAH ALAM, SELANGOR.
Tel: 018 871 6867; Email : suriaixorajmb@gmail.com

APPLICATION TO MOVE IN / OUT / DELIVERY FORM

NAME : _________________________________________ NRIC : _____________________________

PARCEL NO : _________________________________________ BLOCK : _____________________________


TEL NO : _________________________________________
Status : OWNER / TENANT

I wish to give you my notice to move in / out / delivery of the above unit at the following date:
1. Date of Moving-in / Moving-out / Delivery

Date: __________________________________________________ Time: _______________________________________

Details of The Mover


Company :

Address :

Contact Person :
Tel No : Hp No:
Vehicle Reg No :

Details of The Good

a) ……………………………………………………………………………………………………………………………………
b) ……………………………………………………………………………………………………………………………………
c) ……………………………………………………………………………………………………………………………………
d) ……………………………………………………………………………………………………………………………………
e) ……………………………………………………………………………………………………………………………………

2. Moving Deposit
In accordance with the House Rule’s Moving in / moving out / delivery manual, I/We hereby
agree and undertake to a refundable Moving Deposit of RM_________________________ via Cash /
Cheque no.______________________ made payable to BADAN PENGURUSAN BERSAMA PANGSAPURI
SURIA IXORA
BADAN PENGURUSAN BERSAMA PANGSAPURI SURIA IXORA
MANAGEMENT OFFICE BLOCK A LEVEL 1, APARTMENT SURIA IXORA,
PERSIARAN SETIA PERDANA U13/28 SETIA ALAM,
40170 SHAH ALAM, SELANGOR.
Tel: 018 871 6867; Email : suriaixorajmb@gmail.com

3. Security Clearance
All good to be moved in / out to / delivery form or to the Building must obtain security clearance by
showing a duplicate copy of this form to the security guard on duty.

4. Undertaking by the Owner / Tenant


I/We confirm that I/We have read the Moving in/ moving out / delivery manual, and that I/We fully
understand that I/We shall be liable for the breach of any rules and regulations contained in the
moving in / moving out / delivery Manual, the Management shall reserve the right to revoke this
approval and I/We shall reinstate the above mentioned unit to its condition.

Signature : …………………………………………
Name : …………………………………………
NRIC : ………………………………………….

Date : …………………………………………

For office use only

ACKNOWLEDGEMENT BY THE MANAGEMENT


I/We hereby acknowledge receipt of sum _________________________ via Cash/ Cheque No.
____________________________________ being Moving Deposit (Temporary Receipt No.
______________________) for the above unit.

Signature : …………………………………………

Name : …………………………………………
NRIC : ………………………………………….
Date : …………………………………………

NOTE: Owners/’Tenants are kindly reminded to retain the Moving Deposit’s Temporary
Receipt for future refund.

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