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UNIFORM BUILDING BY-LAWS 1984 FORM G 1 STAGE CERTIFICATION : EARTHWORKS [by-law 25 or 27] Project Title: ... *1.

We certify that we have supervised and/or carried out the construction and completion of the earthworks and that to the best of our knowledge and belief such works are in accordance with the Approved Earthwork Plans Ref. No.: .. and that we accept full responsibility for the same. Name (Individual) (a) Contractor ________________ #Registration No. _____________
(Construction Industry Development Board)

Signature ___________
(Date: )

(b) Submitting person ________________

_____________
(Board of Engineers Malaysia)

____________
(Date: )

OR *2. I certify that this form is not applicable.

_________________________________ (Principal submitting person)


# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 2 STAGE CERTIFICATION : SETTING OUT [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the setting out of the building and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Contractor ________________

#Registration No. _____________


(Construction Industry Development Board)

Signature __________
(Date: )

(b) Licensed ________________ Land Surveyor


(c) Principal ________________ submitting person

_____________
(Land Surveyors Board) Malaysia)

___________
(Date: )

_____________
(*Board of Architects Malaysia /Board of Engineers Malaysia)

__________
(Date: )

OR *2. I certify that this form is not applicable.

_________________________________ (Principal submitting person)


# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 3 STAGE CERTIFICATION : FOUNDATIONS [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the foundation works and that to the best of our knowledge and belief such works are in accordance with the Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Contractor ________________

#Registration No. _____________


(Construction Industry Development Board)

Signature ___________
(Date: )

(b) Submitting Person OR

________________

_____________
(Board of Engineers Malaysia)

___________
(Date: )

*2. I certify that this form is not applicable.

_________________________________ ( Principal submitting person)


# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 4 STAGE CERTIFICATION : STRUCTURAL [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the structural works and that to the best of our knowledge and belief such works are in accordance with the Deposited Structural Plans Ref. No.: .. and that we accept full responsibility for the same.

Name (Individual) (a) Contractor ________________

#Registration No. _____________


(Construction Industry Development Board)

Signature ___________
(Date: )

(b) Submitting ________________ Person

_____________
(Board of Engineers Malaysia)

____________
(Date: )

OR *2. I certify that this form is not applicable.

_________________________________ (Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 5 STAGE CERTIFICATION : INTERNAL WATER PLUMBING [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the internal water plumbing works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Trade contractor ________________

#Registration No. _____________


+( )

Signature ___________
(Date: )

(Licensed plumber)

(b) Submitting person

________________

_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)

___________
(Date: )

OR *2. I certify that this form is not applicable.

_________________________________ (Principal submitting person)


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable. ____________________________________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 6 STAGE CERTIFICATION : INTERNAL SANITARY PLUMBING [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the internal sanitary plumbing works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Trade ________________ contractor


(Licensed plumber)

#Registration No. _____________


+( )

Signature ____________
(Date: )

(b) Submitting ________________ person

_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)

____________
(Date: )

OR *2. I certify that this form is not applicable.

________________________________ ( Principal submitting person )

+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 7 STAGE CERTIFICATION : INTERNAL ELECTRICAL [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the internal electrical works and that to the best of our knowledge and belief such works are in accordance with the submitting persons Endorsed Plans and that we accept full responsibility for the same.

Name (Individual) (a) Trade ________________ Contractor


(Competent person)

#Registration No. _____________


(Energy Commission)

Signature _____________
(Date: )

(b) Submitting ________________ person

_____________
(Board of Engineers Malaysia)

_____________
(Date: )

OR *2. I certify that this form is not applicable.

_________________________________ ( Principal submitting person )


# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 8 STAGE CERTIFICATION : FIRE-FIGHTING (PASSIVE) [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the fire-fighting (passive) works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Contractor ________________

#Registration No. _____________


(Construction Industry Development Board)

Signature ____________
(Date: )

(b) **Principal submitting person OR

________________

_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)

_____________
(Date: )

*2. I certify that this form is not applicable.

________________________________ ( Principal submitting person)

# I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the Fire Department Malaysia (except for residential buildings not exceeding 18 metres height) shall be attached * Delete whichever is not applicable.

__________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 9 STAGE CERTIFICATION : FIRE-FIGHTING (ACTIVE) [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the fire-fighting (active) works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor ________________ #Registration No. _____________
+( )

Signature _____________
(Date: )

(b)** Submitting ________________ person OR *2. I certify that this form is not applicable.

_______________
(Board of Engineers Malaysia)

_____________
(Date: )

_____________________________ (Principal submitting person)


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the Fire Department Malaysia (except for residential buildings not exceeding 18 metres height) shall be attached * Delete whichever is not applicable.

__________________________________________________________________

UNIFORM BUILDING BY-LAWS 1984 FORM G 10 STAGE CERTIFICATION : MECHANICAL VENTILATION [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the mechanical ventilation works and that to the best of our knowledge and belief such works are in accordance with the submitting persons Endorsed Plans and that we accept full responsibility for the same.

Name (Individual) (a) Trade contractor ________________

#Registration No. _____________


+( )

Signature ____________
(Date: )

(b) Submitting person

________________

_____________
(Board of Engineers Malaysia)

___________
(Date: )

OR *2. I certify that this form is not applicable.

_________________________________ (Principal submitting person)


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

10

UNIFORM BUILDING BY-LAWS 1984 FORM G 11 STAGE CERTIFICATION : LIFT/ESCALATOR INSTALLATION [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the lift/escalator installation works and that to the best of our knowledge and belief such works are in accordance with the submitting persons Endorsed Plans and that we accept full responsibility for the same.

Name (Individual) (a) Trade ________________ contractor

#Registration No. _____________


+( )

Signature ____________
(Date: )

(b) **Submitting ________________ Person OR *2. I certify that this form is not applicable.

_____________
(Board of Engineers Malaysia)

____________
(Date: )

_____________________________ ( Principal submitting person)


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Certificate of Fitness from the Department of Occupational Safety and Health shall be attached * Delete whichever is not applicable.

_____________________________________________________________________

11

UNIFORM BUILDING BY-LAWS 1984 FORM G 12 STAGE CERTIFICATION : BUILDING [by-law 25 or 27] Project Title: ...

*1. We certify that we have supervised and/or carried out the erection and completion of the building works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Contractor ________________

#Registration No. ____________


(Construction Industry Development Board)

Signature _________
(Date: )

(b) Principal ________________ submitting person

_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)

___________
(Date: )

OR *2. I certify that this form is not applicable.

_____________________________ (Principal submitting person)


# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

__________________________________________________________________

12

UNIFORM BUILDING BY-LAWS 1984 FORM G 13 STAGE CERTIFICATION : EXTERNAL WATER SUPPLY SYSTEM [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the external water supply system and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor ________________ #Registration No. _____________
+( )

Signature _________
(Date: )

(b) **Submitting ________________ person OR *2. I certify that this form is not applicable.

_____________
(Board of Engineers Malaysia)

__________
(Date: )

_____________________________ (Principal submitting person)


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Confirmation from the Water Authority that the water supply is ready for connection shall be attached * Delete whichever is not applicable.

__________________________________________________________________

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UNIFORM BUILDING BY-LAWS 1984 FORM G 14 STAGE CERTIFICATION : SEWERAGE RETICULATION [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the sewerage reticulation works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor (b) **Submitting person OR *2. I certify that this form is not applicable. ________________
+(

#Registration No. _____________


)

Signature __________
(Date: )

________________

_____________
(Board of Engineers Malaysia)

_________
(Date: )

_____________________________ ( Principal submitting person)


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the* Department of Sewerage Services / Indah Water Consortium shall be attached * Delete whichever is not applicable.

________________________________________________________________

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UNIFORM BUILDING BY-LAWS 1984 FORM G 15 STAGE CERTIFICATION : SEWERAGE TREATMENT PLANT [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the sewerage treatment plant works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Trade ________________ contractor (b)**Submitting ________________ person OR *2. I certify that this form is not applicable.

#Registration No. _____________


+( )

Signature ________
(Date: )

_____________
(Board of Engineers Malaysia)

_________
(Date: )

_____________________________ ( Principal submitting person )


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the *Department of Sewerage Services /Indah Water Consortium shall be attached * Delete whichever is not applicable.

____________________________________________________________________

15

UNIFORM BUILDING BY-LAWS 1984 FORM G 16 STAGE CERTIFICATION : EXTERNAL ELECTRICAL SUPPLY SYSTEM [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the external electrical supply system and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) ^Trade contractor


(Competent person)

#Registration No. _____________


(Energy Commission)

Signature ___________
(Date: )

________________

(b) **Submitting ________________ person OR *2. I certify that this form is not applicable.

_____________
(Board of Engineers Malaysia)

____________
(Date: )

_____________________________ ( Principal submitting person )


# I.C. No., if there is no relevant body in respect of registration ^ Not applicable if works are carried out by Tenaga Nasional Berhad ** Letter of Confirmation from Tenaga Nasional Berhad that the electrical power supply is ready for connection shall be attached * Delete whichever is not applicable.

_____________________________________________________________________

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UNIFORM BUILDING BY-LAWS 1984 FORM G 17 STAGE CERTIFICATION : ROAD AND DRAIN [by-law 25 or 27] Project Title: ...

*1. We certify that we have supervised and/or carried out the erection and completion of the road and drain works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Contractor ________________ #Registration No. _____________
(Construction Industry Development Board)

Signature __________
(Date: )

(b) +Submitting person OR

________________

_____________
(Board of Engineers Malaysia)

__________
(Date: )

*2. I certify that this form is not applicable.

_____________________________ (Principal submitting person)


I.C. No., if there is no relevant body in respect of registration Letter of Confirmation from the *relevant local authority/ Public Works Department shall be attached. If the submitting person does not receive the Letter of Confirmation within 14 days from the date of application, the Letter of Confirmation shall be deemed to have been given. * Delete whichever is not applicable. # +

____________________________________________________________________

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UNIFORM BUILDING BY-LAWS 1984 FORM G 18 STAGE CERTIFICATION : STREET LIGHTING [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the street lighting works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.

Name (Individual) (a) Trade contractor


(Competent person)

#Registration No. _____________


(Energy Commission)

Signature _______
(Date: )

________________

(b) *Submitting person

________________

_____________
(Board of Engineers Malaysia)

________
(Date: )

OR *2. I certify that this form is not applicable.

___________________________ (Principal submitting person)


# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

18

UNIFORM BUILDING BY-LAWS 1984 FORM G 19 STAGE CERTIFICATION : EXTERNAL MAIN DRAIN [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the external main drain works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Contractor ________________ #Registration No. _____________
(Construction Industry Development Board)

Signature _________
(Date: )

(b) *Submitting ________________ person

_____________
(Board of Engineers Malaysia)

__________
(Date: )

OR *2. I certify that this form is not applicable.

_____________________________ (Principal submitting person)


# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

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UNIFORM BUILDING BY-LAWS 1984 FORM G 20 STAGE CERTIFICATION : TELECOMMUNICATIONS [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the telecommunication works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor ________________ #Registration No. _____________
+( )

Signature __________
(Date: )

(b)*Submitting ________________ person OR *2.

________________
(Board of Engineers Malaysia)

__________
(Date: )

I certify that this form is not applicable.

_____________________________ ( Principal submitting person)


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

_____________________________________________________________________

20

UNIFORM BUILDING BY-LAWS 1984 FORM G 21 STAGE CERTIFICATION : LANDSCAPE [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the construction and completion of the landscape works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor (b) *Architect/ Landscape Architect OR *2. I certify that this form is not applicable. ________________ #Registration No. _____________
+( )

Signature _________
(Date: )

________________
+(

_____________
)

_________
(Date: )

_____________________________ (Principal submitting person )


+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.

___________________________________________________________________.

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