From C-5

SPECIAL APPLICATION FOR NIGHT WORK

Tenant Name: _______________________________________________

Unit No.

: _______________________________________________

Description of works to be carried out: __________________________________

_________________________________________________________________
_________________________________________________________________
Person-In-Charge/ :
Site Supervisor
Company
:

__________________________________________

Contact No.

________________ (Tel) __________________ (Hp)

Emergency contact :

________________ (Tel) __________________ (Hp)

__________________________________________

Date of overtime work:

__________________________________________

Duration

______________________ to ________________

No. of workers

__________________________________________

Authorised Signatory:
and Company Seal
Name:

__________________________________________

Emergency contact No.:

__________________________________________

Date

__________________________________________

Endorsed by Tenant:

Authorised Signatory: ________________________

and Company Seal

__________________________________________

Name: _____________________________________
Date: ______________________________________