PURCHASE FORM

CERTIFICATE OF COMPLETION AND COMPLIANCE

I would like to purchase FormF/F1

I authorize ……………………………………….. I/C No ………………………

to purchase Form F/F1 on my behalf as below:

Please STATE FORM F/ FORM F1/

tick (according to project No copies No copies
relevant
state site)
Johor
Kelantan
Kedah
Melaka
Negeri Sembilan
Pulau Pinang
Perlis
Perak
Pahang
Selangor
Terengganu
Wilayah Persekutuan

………………………………… …………………………….

PE/representative’s signature PE stamp

[to be retained by purchaser]

Conditions for Use

i) Form F/F1 is not transferable to another PSP for use

ii) Purchased Forms are not refundable
iii) If any unused form is discovered to be missing, it is the duty of the
PSP to inform BEM in writing as soon as reasonable upon discovery.
iv) PSP to deposit Form F/F1 and Form Gs to Local Authority and Board
of Engineers Malaysia within 14 days from the issuance of Form F/F1
v) Refer to www.bem.org.my on guide to fill in Form F/F1 and Form Gs