PURCHASE FORM CERTIFICATE OF COMPLETION AND COMPLIANCE I would like to purchase FormF/F1 | authorize WC No .. to purchase Form F/F1 on my behalf as below: Please ‘STATE FORM F/ | FORMF4/ | tick (according to project | Nocopies | No copies relevant | site- limited to 10 | i state ‘ copies) Johor Kelantan Kedah Melaka Negeri Sembilan Pulau Pinang Perlis | Perak I Pahang { Selangor { Terengganu I Wilayah Persekutuan { ] PE/representative’s signature PE stamp [io be retained by purchaser] Conditions for Use i) Form F/F1 is not transferable to another PSP for use ii) Purchased Forms are not refundable iii) If any unused form is discovered to be missing, it Is the duty of the PSP to inform BEM in writing as soon as reasonable upon discovery. iv) PSP to deposit Form F/F1 and Form Gs to Local Authority and Board of Engineers Malaysia within 14 days from the issuance of Form F/F1 v) Refer to www.bem.org.my on guide to fill in Form F/F1 and Form Gs