IJM CONSTRUCTION SDN. BHD.

PROPOSED MIXED DEVELOPMENT ON LOT PT 33011 – PT 33018, PT 33029 – PT 33039 AT MUKIM TANJUNG
DUA BELAS, DAERAH KUALA LANGAT, SELANGOR DARUL EHSAN.

SAMPLE / CATALOGUE SUBMISSION FORM

Project Title / Contract : BANDAR RIMBAYU – PHASE

To : …………………………………………… Date : ……………………………………

Attention : ……………………………….…………….
Re : We submit herewith the following for your approval S.C.F Ref : ……………………………….

SAMPLE / CATALOGUE SUBMISSSION

Subject /Usage:

Description :

Manufacturer :

Brand :

Supplier / Sub-Con :

Sample : - As per attached product catalogue/sample

STATUS REMARK
Test Certificate: YES NO
Tech Data / Catalogue: YES NO
Reference Drawing:

SUBMISSION BY IJMC REPRESENTATIVE:

Signature : ………………………………………………. Date ……………………………………………………..

Name : ………………………………………………

APPROVAL BY CONSULTANT:

Status: ACCEPT REJECT

REMARKS:………………………………………………………………………………………………………..

……………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………

Signature : ……………………………………………. Date : ………………………………………

Name : ………………………………………………..

FORM NO : QF-A-09 REV 1 : 01.06.2014