Sika Kimia Sdn Bhd Appendix 1

CERTIFICATE OF WARRANTY – APPLICATION FORM

IMPORTANT: to avoid delay in processing, all information to be given in full and typed or written clearly

A. THE CUSTOMER (PURCHASER):

Address:

B. THE MAIN CONTRACTOR:

Address:

C. THE PROJECT

Full Project Title (including Owner’s name):

D. Application:

E. THE MATERIAL(s) AND AREA(s) OF INSTALLATION

Actual Consumption Specific Location Material

Area / Length Rate (units as given in Applied (also specify Room /
Material Used Qty D/O # (in metric units) product data sheets) Block / Level / etc.)

F. DESCRIBE SYSTEM (where applicable): _____________________________________________________

G. JOB DATES: Commencement: Ending:

H. THE WARRANTY PERIOD: years from the delivery date of the respective Sika Products

I. REMARKS:

_______________________________________________________________________________________
_______________________________________________________________________________________

Requested By (Sales) Checked: Product Manager Checked: Technical Service Checked: Customer Service
Manager

/conversion/tmp/activity_task_scratch/655377101.doc