SERIEMAS DEVELOPMENT SDN. BERHAD Company No.

122570-H

HOUSE COMPLAINT FORM REF. NO 1 4 3

Name: MOHD DZUL FAZDLI AHMAD Township: Kota Seriemas HOVP Date:
Signature: Phase No: 14.3 DLP Period:
Lot / Unit No: 41( no 94) DLP Expiry Date:
Date: 31.12.2016 Contact No: 0125767361 No of Hse Keys:

NO FLOOR - LOCATION/AREA DESCRIPTION OF DEFECTS STATUS FLOOR LAYOUT

1 Master bedroom toilet leaking
2 Master bedroom Wood floor panel cracked
Anytime can cracked. Need to proper
3 Gate
welding back

NOTE: All complaints will be attended within 30 days.

Rectification works may be delayed should you fail to arrange access to your property (House Keys).
Rectification works shall be deemed accepted if purchaser did not sign the acceptance of work done after 7 working days of completion date.

PROPERTY MANAGEMENT PROJECT IMPLEMENTATION COMPLAINTS FEEDBACK & ACCEPTANCE

CONTRACTOR
SECTION (PMS) SECTION (PIS) OF WORK DONE
Tick: ( ) Very Good ( ) Good
Signature: Signature: Signature: ( ) Satisfactory ( ) Unsatisfactory
Signature: Date Completed:
Received By: Received By: Received By: ANUAR-0162139854
No of Keys
Position: Date Received: Date Received: I/C No:
Received:
Date
Date Start Work : Date Start Work : Date:
Received :