MIOAF/02
KITA IMPIAN
On behalf: Seloka Sinaran Sdn Bhd - 200201015568 (583231-D)
Pejabat Pengurusan Kita Impian, P-08-01, Pangsapuri Kita Impian,
Persiaran Cybersouth Perdana, Cybersouth, 43800, Dengkil Selangor D.E
Contact No: 010-912 2192 Email: [email protected]
MOVING IN/ OUT APPLICATION FORM
This form must be filled up and to be submitted to the Management Office for approval at least forty eight (48) hours
in advance before moving in/ out.
APPLICANT’S PARTICULARS
Unit No. A-01-09
: ……………………….. Status ______
: Owner / Tenant
Name Amin Bakri
: …………………………………………………………………………………..
Tel No. (H) 0183534731
: ……………………….. Tel No. (HP) 0183534731
: ………………………………..
Date 5-1-2022
: ………………………..
TERMS AND CONDITIONS
1. Tenant is required to seek written consent from Owner to move out. A copy of the written consent must be
submitted to the Management Office for reference.
2. Owner/Tenant is required to complete a permit application form and pay a minimum deposit (amount which
will be determined by the Management) before such permit can be issued.
3. Owner/Tenant shall be held responsible for the making good of any damages to the building arising from
moving of goods into or out of the building.
4. Moving in/ out of household contents from the respective
Text unit is strictly restricted to the following hours:-
• Monday- Friday : 9.00 am to 5.00 pm
• Saturday : 9.00 am to 1.00 pm
• Sunday /Public holiday: Not Works Allowed
5. The owner or tenant shall ensure that the transit of contents carried out will not in any way cause any nuisance
to any other residents.
6. Owner/Tenant is advised to use only designated lifts for transporting of goods under the supervision of the
building security. Owner/Tenant shall be held responsible for any damage to the lifts caused by the movers
and shall bear the costs incurred for such repair.
7. Mover’s vehicles, containers and/ or contents must not obstruct other vehicles and residents.
8. Residents who are moving out shall return all Vehicle proximity Access card to the Management office in
good condition. If they ate damaged, lost, stolen, or missing, a replacement cost will be charge accordingly.
9. All the other rules and regulations stated in the House Rules shall comply.
MOVING IN/ OUT DETAILS
Description : Moving In/ Moving Out (Household goods, furniture, kitchen appliances, etc)
Date of Moving In/ Out 5-1-2023
: ……………………………………………………………………..
Time of Moving In/ Out 5-1-2023
: ……………………………………………………………………..
Vehicle No : VBL1788
………………………………………………………………………
MIOAF/02
KITA IMPIAN
On behalf: Seloka Sinaran Sdn Bhd - 200201015568 (583231-D)
Pejabat Pengurusan Kita Impian, P-08-01, Pangsapuri Kita Impian,
Persiaran Cybersouth Perdana, Cybersouth, 43800, Dengkil Selangor D.E
Contact No: 010-912 2192 Email: [email protected]
WORKER’S PARTICULARS
No Name of Worker (s) I/C or Passport No Remarks
1 JOE 920415-14-2743
2
3
4
5
DECLARATION
I/ We hereby agree to abide by all the above stipulated terms and conditions and also agree that the deposit
is subject to retention, to the extent of which will be decided by the Management Office, should I fail to
adhere or comply with the terms and conditions.
Owner’s Signature:
…………………………
Name : Amin Bakri (A-01-09)
Date : 5-1-2023
FOR OFFICE USE ONLY
Acknowledgement of Moving in/out And Receipt of Payment
Deposit/ Administration Fees : ………………………
Cash/ Cheque No. : ………………………
Receipt No. : ………………………
Received By/ Date : ………………………
Approved By: Common Area Inspected by: (after completion of moving in/out)
……………………………… ………………………………
Name : Name :
Date : Date :
Refund of Deposit ( Cash/ Cheque No.__________________)
Refund Amount :
Date :
Receive By :
Signature :
Remark :
