SEYCHELLES BUREAU OF STANDARDS

I QUALITY RECORDS
DOCUMENT NO: QR.to I ISSUE: I REVISION: 4
I DATE: 10/08/2007
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TITLE: SERVICE REQUEST FORM ' AUTHORISED BY: CEO (S13S) .. � .
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Reference of the Request

Reference No Date receiYed

D D D D IKJ
□
Mode of request : Telephone Fax Letter Works order Person

Customer supplied product lKJ Yes No

Particulars of the Customer Name:

Organisation: TURNKEY SOLUTIONS (SEY) LTD

Organisation Type: D Government D Parastatal [RJ Private D Overseas

Address: VICTORIA,POBOX:393.

Telephone No 2820813 Fax No:

Description of Request PROPOSED 4 BEDROOM HOUSE&RETAINING

WALL AT CAP BONM JEAN,PARCEL C7546.

CASTING DATE :- / / 2020 NUMBER OF CUBES :-

Accepted by SBS : Sinnature

C, ·• Date:

Customer's Sig11ature Date:

Request Amendment

Authorised by Signature: Date:

Customer's
. Sign::iture:
� Date:

Division/ Section Concen1ed □ BTS □

□ □ □
SIS

Serviced by Sen·ice Cost : SRs.

Cash Credit No Charge

Certified by: Signature: Date:

Account Section Invoice/Receipt No: Signature & Date:

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