New Store Takeover Form
Store Name
*
Store Number
Premise Type
*
Please Select
Residential
Petrol Kiosk
Mall
Hospital
RnR
Transportation Hub
Airport
University
Stand alone
Local Authority
*
Date
*
-
Day
-
Month
Year
1
Answer all required (*) and put (-) for non related answer.
A) EXTERNAL
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
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Choose a file
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of
2. Water Meter
Water Meter Photo
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of
3. Premise Photo (Front , Side & Back)
Browse Files
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of
4. Others Photo
Browse Files
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Remarks
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B) INTERNAL
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
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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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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
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