7/30/2019 GBI Certification Application Form V2.6

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BRIEF DESCRIPTION OF PROJECT & MAJOR DESIGN FEATURES

 APPLICATION &

REGISTRATION FORM

OWNER INFORMATION

PROJECT CONTACT

PROJECT INFORMATION

OWNER’S NAME

COMPANY 

ADDRESS

POSTCODE

PHONE

NAME

DESIGNATION/JOB TITLE

COMPANY 

ADDRESS

POSTCODE

PHONE

EMAIL

PROJECT ADDRESS

POSTCODE TOWN/CITY 

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EXPECTED CONSTRUCTION START DATE EXPECTED COMPLETION DATE

Gross Floor Area

PROJECT SIZE

DESIRED GREEN BUILDING INDEX RATINGCONSTRUCTION TYPE

STATE COUNTRY  

m2

PROJECT NAME

TOWN/CITY 

FAX

STATE

MOBILE

COUNTRY 

TOWN/CITY 

FAX

STATE

EMAIL

COUNTRY 

* The Owner of the project must be as it appears on the title deed.

* The Project Contact will be the only point of contact for this application. Generally, this is the person who puts together the submission.

* This name will appear on the Green Building Index Certificate, if certification is acheived.* Excluding car park areas

*Attach on a separate sheet if space provided is insufficient.

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Data Centre Retail Mall Healthcare Hotel

 VERSION 2.7

Platinum Gold Silver CertifiedResidential Non-Residential Industrial

7/30/2019 GBI Certification Application Form V2.6

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GREEN BUILDING INDEX REGISTRATION FEES

SUPPORTING DOCUMENTATION

 APPLICATION SUBMISSION

FOR OFFICIAL USE

* Rates shown are as of the date of the application and registration and may be revised from time to time as appropriate.* Rates shown are excluding Government Service Tax (GST)

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SIZE OF PROJECTTOTAL GROSS FLOOR AREA 

m2

REGISTRATION FEES 

RM

SINGLE RESIDENCE Below 2,000 5,000.00

SMALL Up to 4,000 8,000.00

INTERMEDIATE 4,001 to 10,000 10,000.00

MEDIUM 10,001 to 30,000 20,000.00LARGE 30,001 to 50,000 32,000.00

EXTRA LARGE 50,001 to 100,000 45,000.00

MEGA PROJECT Above 100,000Assessment fee will be determined

on a project-by-project basis

SIGNATURE OF APPLICANT COMPANY STAMP

NAME

DESIGNATION DATE

Project Brief  Project Brochure (if available)

Others

Certificate of Title

PROJECT ASSESSMENT

Fee as per prescribed includes:

1 Design Assessment (DA)•

1 Completion & Verification•

Assessment (CVA)

 APPEAL

A flat rate of RM1,000.00 per credit point

* The Application will not be processed unless this form is completely filled-in and all the required documentation is attached.* The Applicant will be informed of the Registration Fee payable upon acceptance of the Application & Registration Form.* The Invoice and GBI Agreement will be issued once the Application has been approved.

COMPANY 

BILLING ADDRESS

POSTCODE

GBI REGISTRATION NO. DATE OF SUBMISSION

TOWN/CITY STATE COUNTRY  

PLEASE SEND THE COMPLETED FORM TO

GREENBUILDINGINDEX SDN BHD

A-12-13A, Menara UOA Bangsar, 5 Jalan Bangsar Utama 1, 59000 Kuala Lumpur, Malaysia

PAGE 2 of 2GREENBUILDINGINDEX SDN BHD (845666-V)  WWW.GREENBUILDINGINDEX.ORG