For Official UseSerial No: ____________________

Date: To:The Customer Relations OfficerBuilding Service Centre (BSC)

DEFECTS FEEDBACK FORM FOR NEW FLATS

REPORT ON DEFECTS IN FLAT AT BLOCK #

S/NoDescriptions of defect(s)LocationRecurrent Case? (Y/N)Remarks

*For more space, please use attachment in Annex A.Please tick if attached Defect Feedback Form (Annex A) is used.

Please tick one: Before renovation During / After renovation

Key(s) enclosed: Main Door

Metal Gate

Padlock

I will be sending the key (s) to the Building Service Centre on ______________

Please contact me directly Please update me when the defects are completed. Thank you.

Name of flat owner: Mr/Ms/Dr

Contact No. :

E-mail address:

Signature :

Note:Please report any defect(s) in your flat to the Building Service Centre managing your flat within 7 days upon receipt of the keys or before any renovation works in the flat.

Handed over with key(s) by

Registered Technical Officer (RTO):

Customer Relations Officer(CRO):

Signature:

Signature:

Date:

Date:

I, _________________________hereby acknowledge that the defects in my flat had been completed.________________________________________________________ Signature of flat ownerDate

SOS/AGR/DEFECT/10022013 Page 1 of 3

For Official UseSerial No: ____________________

Annex A

DEFECTS FEEDBACK FORM FOR NEW FLATS

REPORT ON DEFECTS IN FLAT AT BLOCK #

S/NoDescriptions of defect(s)LocationRecurrent Case? (Y/N)Remarks

I, _________________________hereby acknowledge that the defects in my flat had been completed.________________________________________________________ Signature of flat owner Signature of CRO________________________________________________________ DateDate

SOS/AGR/DEFECT/10022013 Page 3 of 3