Please enable JavaScript in your browser to complete this form. - Step 1 of 5PERMIT FOR FIT-OUT WORKSType of Fit-OutRenovationRefurbishmentMinorReinstatementOtherOtherUnit No (if any)FloorLGGF1F2F3F4F5F6FTenant/ Trade NameTenant’s RepresentativeContact NumberNextCONTRACTOR’S DETAILSCompanyPerson in ChargeContact NumberWORKS DETAILS Duration (Start)DateTimeDuration (End)DateTimeAny application submitted less than 72 hours from the actual work date may not be acceptedScope of WorksName & NRIC / Passport No. of Contractor’s Worker List:-Please register & collect your pass from our Security based at Ground Floor (East Court) Main Entrance.Special HazardConfined SpacesHigh VoltageHot WorkOverhead WorkExcavationsDemolitionAsbestosFire Sprinkler AdjustmentNoYesAdjustment of 123456789MoreSprinkler HeadBackNextInsurance Cover : Insurance Policy - Contractor All RiskSum Insured : As per contract value (to include Principle Existing Property of not less than RM500,000.00) Insurance Policy - Workmen CompensationSum Insured : As per Malaysia Law Insurance Policy - Public LiabilitySum Insured : RM1,000,000.00 per incident, unlimited for the whole period BackNextFit-Out Deposit & Fit-Out CostFit-Out Deposit – RM5,000.00Fit-Out CostNot Applicable<600sq.ft – RM500.00601-1,200sq.ft- RM800.001,201-2,000sq.ft – RM1,000.002,001-3,000sq.ft – RM1,500.003,001 and 4,000 – RM2,000.004,001sq.ft above – RM3,000.00 The payment for the Sprinkler Head, Fit-Out Deposit & Attendance Cost to:- - Name: Miri Housing Properties Sdn Bhd Bank : OCBC Bank Berhad Account No: 1611014287Proof of PaymentBackNextDrawing Plan ApprovalHoarding within Visual LineAdditional Documents (if yes) By signing and submitting this Work Permit Form:- *I/We confirm that our appointed contractor(s) will carry out the Fit-Out Works in accordance with the Terms and Conditions stated in Appendix II of Bintang Megamall failing which the Management shall undertake the actions outlined in Appendix I. By signing and submitting this Work Permit Form:- (copy) *I/We consent to Miri Housing Properties Sdn Bhd and its subsidiaries collecting and processing our personal data for purposes including communication, internal administrative activities, billing, management, maintenance, and emergency response related to this application.Agreed and accepted *Clear SignatureBackPhoneSubmit
