New Store Takeover Form
Store Name
*
Store Number
Format: 0000 .
Premise Type
*
Please Select
Residential
Petrol Kiosk
Mall
Hospital
RnR
Transportation Hub
Airport
University
Stand alone
Local Authority
*
Date
*
 -
Day
 -
Month
Year
2 digit day, 2 digit month, 4 digit year
1
Answer all required (*) and put (-) for non related answer.
A) EXTERNAL
Rows
Evaluation
1. TNB Meter (indicate reading if present)
2. Meter for petrol station (SUB / APPLY)
3. Water Meter (indicate reading if present)
4. Meter for petrol station (SUB / APPLY)
5. Roller Shutter
6. Sewerage checking
1. TNB Meter
TNB Meter Photo
Drag and drop files here
Choose a file
Cancel
of
2. Water Meter
Water Meter Photo
Drag and drop files here
Choose a file
Cancel
of
3. Premise Photo (Front , Side & Back)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
4. Others Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Remarks
Back
Next
B) INTERNAL
Rows
Evaluation
1. Premise condition (Bare unit or needs reinstatement)
2. Ceiling is free of pests and leaks
3. Wall has no cracks/ leaks
4. Premise manhole (if any) is not clogged
5. Wood fixtures/ roofings (if any) is termite free
6. IT - Fiber cable installation (Fiber or Copper)
7. Petrol station - Rubbish Collection (Self / LL / Council) & Frequency (Min. 2days once)
8. Petrol Stations - Pest Control (Initial & Monthly) Does LL have pest control service?
9. Petrol Stations - Security Risks
B) ii. Upload file (picture /video).
Upload Picture or File
Drag and drop files here
Choose a file
*Attach photos of site along with any photos of defects (before and after rectification), * Rectification of defects to be done within 2 weeks of original takeover date, * Include comprehensive pictures of actual site during takeover
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of
Remarks
Checked by:
Store Construction:
Name:
*
Mohamad Shazrul Arzaaq Bin Hanafi
Reihana Binti Mohamad Pazi
Afiq Eqwan Bin Azman
How Fu Yi
Other
Landlord Representative:
Name
*
First Name
Last Name
Submit
Should be Empty: