Date:

Ascendas Services Pte Ltd

c/o 2 , Science Park Drive #01-04 Ascent Building
Singapore _118222______
Fax No.: _______________

Attn:

Dear Sirs

Name of Building __ASCENT______________

Application for Security Access Card(s)
We would like to apply for the Security Access Card(s). The details are as follows:

Name of Company :

Corresponding Address :

No of Cards Required : Entitlement Additional :

-

Our/my*crossed cheque (#.___________) for $_____________ in favour of the landlord, _Ascendas Land (S)
Pte Ltd__

________________________, is enclosed being our payment for __________ access cards as follows:
Total No.
$20.00 + GST for each new card
$30.00 + GST for each replacement card

We agree to abide by the terms and conditions stated overleaf and all other rules and regulations as may be
stipulated by the landlord and Ascendas Services Pte Limited [ASPL] from time to time.

Please inform Mr/Ms/Mrs*______________________________ (tel. / fax no. _____________) when our

application is approved so that we can arrange with your Property Manager/Executive for collection of the
cards.

Yours faithfully

__________________________ _______________________________________
Name, Designation & Signature Company Stamp

For ASPLs Use Only

Application Approved / Not Approved* Acknowledgement For Cards Received By Applicant
Name: Name: Card Serial Nos.
Designation: Designation:
Signature: Signature
Date: Date:
No. of Card(s) Entitled: No. of Cards Collected:
Collection Date:
* Delete where inapplicable

TERMS AND CONDITIONS FOR USE OF SECURITY ACCESS CARDS

The following terms and conditions shall apply to all access card holders of the Security Access System in the
building:

1 Application for Access Cards

1.1 Application forms are obtainable from the Management Office or Fire Command Centre (FCC) or
Security Reception Counter. Duly completed forms may be submitted by facsimile (#
_______________) or hand delivered to the Management Office or FCC or Security Reception
Counter during office hours on Monday to Friday. Application forms received after 3 p.m. will be
processed on the next working day.

1.2 For security reason, only tenants staff working in the building will be issued with the access cards
and they must apply for the access cards through their employers. All tenants are entitled to one
access card at $20 per card + GST. All payments should be by cheque in favour of the landlord.

1.3 Non-tenants such as visitors or service providers who wish to enter any secured areas in the building
may do so by depositing their valid identification cards at the FCC or security reception counter or
Guard House where applicable in exchange for access cards labelled Visitor or Contractor. They
must return the cards before they leave the premises.

2 Misplacement of Access Card(s) or Change of Particulars

2.1 All access card holders must report to the Management Office or FCC or Guard House immediately if
they have misplaced their cards. A non-refundable fee of $20.00 per card plus surcharge of $10.00
per card plus all applicable GST are payable by the applicant for each replacement of access card.
All payments shall be in crossed cheque
s in favour of
the landlord, __________________________.

2.2 All access card holders must inform ASPL through their employers immediately if there are any
changes to their personal particulars.

3 Display of Access Cards

3.1 The access cards must be worn and displayed prominently by the holders whilst they are in the
building after office hours and on Sunday and Public Holiday for easy identification.

3.2 The landlord and ASPL reserve the right to refuse entry to any persons who do not display their
access cards or breach the house rules or misconduct themselves whilst in the building.

4 Entry at Users Risk

4.1 The landlord and ASPL accept no responsibility for any injury howsoever sustained by any persons
who have been granted access whilst in the building. All entries are permitted solely at the risk of the
card holders.

ISSUED BY:

Ascendas Services Pte Ltd

For and on behalf of _____________________
Co. Reg # _____________________________