Wsia PDC1
Wsia PDC1
Wsia PDC1
Date :
Details of land
Declaration by Owner
I MAJLIS AMANAH RAKYAT (MARA) the owner of the land where the sewerage works / septic tank works * :
will be carried hereby agree for said works to be carried out on the land.
Signature of Owner
Name of Owner :
(in block letters)
I.C.No.: :
Declaration by Developer
I hereby declare that the information given are complete, true and accurate and this project/development
shall be carried out in strict compliance with the Water Services Industry Act 2006 and its subsidiary
legislations. I accept full responsibility to ensure all relevant works shall be completed accordingly.
Signature of Developer
Name of Developer
(in block letters) : MAJLIS AMANAH RAKYAT (MARA)
I.C. No. : BAHAGIAN BINAAN DAN SENGGARAAN
Address : TINGKAT 11,
IBU PEJABAT MARA,
21 JALAN RAJA LAUT,
50609 KUALA LUMPUR
Telephone No. : 03-2613 2580
Fax No. : 03-2694 9661
E-mail :
FORM WSIA/PDC/1
Declaration by Competent Person
I hereby certify that details in this form and all documents attached are complete and accurate. I further
certify that the sewerage planning has been prepared in pursuant to the Water Services Industry
(Planning, Design And Construction Of Sewerage System And Septic Tanks) Rules 2013.
Fee details:
Receipt No. : :
Reference No. : :