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UBV Venue Request Form

This document is an application form for a third party organization to use the facilities at the Bandar Utama Buddhist Society (BUBS) in Petaling Jaya, Malaysia. The application requests information such as the name and address of the organization, details of the event, facilities and services needed, and contains agreements to adhere to BUBS rules and indemnify BUBS against any losses from use of the facilities. The applicant must be authorized by BUBS before any announcement can be made about using the Uttama Bodhi Vihara venue.

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颜淑蒽
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29 views1 page

UBV Venue Request Form

This document is an application form for a third party organization to use the facilities at the Bandar Utama Buddhist Society (BUBS) in Petaling Jaya, Malaysia. The application requests information such as the name and address of the organization, details of the event, facilities and services needed, and contains agreements to adhere to BUBS rules and indemnify BUBS against any losses from use of the facilities. The applicant must be authorized by BUBS before any announcement can be made about using the Uttama Bodhi Vihara venue.

Uploaded by

颜淑蒽
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BANDAR UTAMA BUDDHIST SOCIETY

(Reg No. PPM-011-10-28032000)


A Dhamma inspired community in the heart of Petaling Jaya
3 Jalan BU 3/1 Bandar Utama 47800 Petaling Jaya.
Tel No. : 03-77106010/6013 Fax No. : 03-77106012
Web page: http:// www.bubs.my Email: [email protected]
_______________________________________________________________________________________

APPLICATION FOR THE USE OF UTTAMA BODHI VIHARA – (3rd Party)


NAME OF ORGANISATION : _________________________________________________________________________

ADDRESS : _________________________________________________________________________

_________________________________________________________________________

EVENT NAME : _________________________________________________________________________

OBJECTIVES : _________________________________________________________________________

_________________________________________________________________________

COMMENCEMENT DATE / TIME : ____________________________________________________________________


(Please attach a copy of the relevant programme)

TOTAL NO. OF PEOPLE ATTENDING : _______________________ [MALE : ____________ FEMALE : ____________ ]

CONTACT PERSON : _____________________________________ TEL : _____________________________________

EMAIL ADDRESS : _______________________________________ H/P : ____________________________________

A – FACILITIES NEEDED (Please tick √)


1. BHAVANA HALL ⃝ 4. CLASS ROOMS ⃝
2. MEETING ROOM ⃝ 5. KITCHEN (NO COOKING ALLOWED) ⃝
3. LIBRARY ⃝ 6. OTHERS : _______________________ ⃝

B – SUPPORT SERVICES REQUIRED (Please complete UBV/VMC/AFSS1)


1. AUDIO VISUAL ⃝ 2. TRAFFIC MANAGEMENT ⃝

I hereby certify that the information given above is correct. I hereby agree that
a. BUBS at its absolute discretion reserves the right to reject my application without giving any reasons.
b. BUBS at its absolute discretion reserves the right to terminate the use or continued use of the Vihara with
immediate effect should there be any misconduct or misuse of the Facilities at the Vihara and the Offender
may be asked to leave the Vihara immediately.
c. the rules and regulations of BUBS would be adhered to during the use of the Vihara.
d. pay any fees or costs imposed for the use of the Vihara at the discretion of BUBS.
e. our activities are for non-muslims only.
f. not to prematurely make any announcement on UBV as the venue without the official approval and agree that
failure to comply will jeopardise my application and shall not hold BUBS responsible for any loss/damage arising
from this action.
g. I/we shall indemnify BUBS for any loss or damage directly or indirectly caused to any facilities arising from the
use of the Vihara.

AUTHORISED SIGNATORY : __________________________________ NRIC NO. : ____________________________

NAME : __________________________________________________ DATE : _______________________________

DESIGNATION : ____________________________________________ RUBBER STAMP : _______________________


Contributions to defray the operating costs of using the premise is appreciated.
________________________________________________________________________________________________
Please complete in duplicate UBV/VMC/AF1 28/04/2014

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