za-hse-f-02 appointment of facility management service
TRANSCRIPT
APPOINTMENT OF FACILITY MANAGEMENT SERVICE PROVIDER REQUEST
ZA-HSE-F-02 Issue 3, Rev 0, Dated: 07.09.2017
DOCUMENTS REQUIRED
Service Provider Name
Plot No.
Building Owner Name
Request Type (Tick Appropriate Box)
Type Of Services In Contract(Tick Appropriate Box)
1. Owner’s Declaration Letter for Appointing Representatives (If Required)2. Facility Management Service Provider’s Valid License3. Employee Declaration Form (ZA-HSE-T-09) for Security Service only4. Copy of Fee Receipt (as per Fee Matrix)
NAME
TEL
FAX
MOBILE
SIGNATURE
DATE
STAMP
We hereby appoint the above Service Provider to deliver the selected services in our building
New Appointment of Service Provider Add service(s) to the appointed Service Provider (Please specify: ) Replacement of Service Provider (Name: )
Building Number
Fire Fighting and Fire Alarm ServicesVertical Transportation SystemsSecurity ServicesCleaning & House KeepingPest Control ServicesMEP SystemsWaste Management
BUILDING OWNER/REPRESENTATIVE DETAILS
NAME
TEL
FAX
MOBILE
SIGNATURE
DATE
STAMP
SERVICE PROVIDER DETAILS