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Ce: H/P: Fax: Particulars of House Mover (if any) Name of Company Address of Company Person-in-Charge Contact No III Office: Fax: H/P: Pager: Shifting Works Date of Shifting Type of shifting IV Moving In / Moving Out * Undertaking by Owner/Occupier I/ We hereby agree and undertake to ensure that the mover abides by all rules and regulations as attached and as set in the House Rules of 2rvg. Signature of Resident Date * Please delete where applic.

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