Date:____/____/______

Dear Sir/Madam,

RE: HOME RELOCATION FORM

Full Names:______

Cell Phone Number:______

Moving From: ______to______

Floors ______to ______(e.g. 2nd to 3rd etc)

Moving Date:______

Main Items (Important). / How Many and any further required clarifications? i.e dimension etc / Main Items (Important). / How Many and any further required clarifications? i.e dimension etc
Couches/Sofas(5,7,12 sitter etc) / Fridge(clarify height pleases & quantity)
TV Cabinet(clarify if detachable) / Freezer
Coffee Table(specify if glass or wooden) / Cooker
Dining table (glass/wooden and if detachable?) / Microwave
Dining Chairs / Cupboards(clarify height, length and width)
Stools/Chairs / Any Kitchen cabinets
Main Items (Important). / How Many and any further required clarifications? / Main Items (Important). / How Many and any further required clarifications?
Book Shelf / Washing machine
Radio / Hi-Fi System / Dryer Machine
TV Set (include size in inches) / Kitchen Table(if any)
Aquarium (Clarify dimensions) / Kitchen items e.g, glasses, plates etc (specify quantiy in general e.g small, medium or many in quantity
Computer desk / Shoe Rack
DSTV Installation / ZUKU Installation
StarTimes Installation / AZAM Installation
Beds(clarify if detachable) / mattresses(specify number & size)
Wardrobes (kabati la nguo) / Drawers
Study desk/desk / Dressing Table
Main Items (Important). / How Many and any further required clarifications? i.e dimension etc / Main Items (Important). / How Many and any further required clarifications? i.e dimension etc
Chest Drawers / Handbag hanger
African Stove / African Nyama Choma Grill
Garden Table / Garden Chairs/Couches
Outdoor bar table/Counter / Outdoor Bar Stools
Pots with flowers / Water tanks
20 Ltr Jerry can / Buckets / Bicycles
Carpets / Photos
Gym Machine / Wall paintings
Chandelier

Below include also a list of items that may be in the Servant Quarter(SQ), Store, front yard, back yard and balcony that will also be part of the move.

i.

ii.

iii.

FOR OFFICIAL USE:

NOTIFICATION: