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TNB e Application

This document is an application for commercial electricity supply. It contains details of the applicant such as name, NRIC number, address and contact information. It also provides information about the type of application, supply date and declarations by the applicant agreeing to terms and conditions. Technical details are included such as the nearest customer account number, proposed electrical load and contractor information. Sections are provided for office use such as approval, tariff details, connection charges and deposits.

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danialsdtsc
Copyright
© Attribution Non-Commercial (BY-NC)
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923 views1 page

TNB e Application

This document is an application for commercial electricity supply. It contains details of the applicant such as name, NRIC number, address and contact information. It also provides information about the type of application, supply date and declarations by the applicant agreeing to terms and conditions. Technical details are included such as the nearest customer account number, proposed electrical load and contractor information. Sections are provided for office use such as approval, tariff details, connection charges and deposits.

Uploaded by

danialsdtsc
Copyright
© Attribution Non-Commercial (BY-NC)
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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COMMERCIAL / DOMESTIC ELECTRICITY SUPPLY APPLICATION

FOR OFFICE USE eApplicationID: 0123-I52DT-2012 Station Code: Business Code:

200866-W

Extension No.: Account No.: Contract No.:

SECTION 1: A) APPLICANT'S DETAILS


Name : PE Hassan Bin Senawi NRIC No.: 540327-07-5141 Non-NRIC ID No. / Passport No. : N/A
B) ADDRESS Premise Address : BLOK Pusat Operasi, Bas Hab Pudu Lebuh Pudu, , 50050 Pudu, Kuala Lumpur Home Phone No. : 0133407446 Office Phone No. : 0341424704 Handphone No. : Fax No. : 0341427066 Email : [email protected] EMERGENCY CONTACT PERSON DETAILS Name : En Mohd Fazrin Bin Mohd Fauzi Nationality : Malaysian Email : C) TYPE OF APPLICATION: D) SUPPLY DATE: E) APPLICANT'S DECLARATION
Whereby: 1. I hereby attest that the contractor appointed by me/houseing developer as named herein is a contractor registered with Energy Commission. I also give permission to the contractor to do all necessary works related to my application. 2. I hereby agree to be bound by all terms and conditions relating to electricity supply of TNB as in Syarat-syarat Bekalan Bagi Pengguna Domestik. 3. I hereby agree to pay/settle all connection charge (if any) and deposits prior to the electricity supply. 4. I hereby agree to assist TNB to obtain the landlord's permission to connect the supply to the said premise. 5. I have no objections for TNB to utilise the five-foot mains in my premise. 6. I hereby acknowledge that all information given are true and TNB shall have the right to take any action if the information given are false.

Company Registration No. : N/A

Premise Status : Others Type of Residence : Commercial

Mailing Address : , , , , Phone No.: IC No. : 870607565593 Telephone No. : / / Relationship : Others

New Electricity Supply

Signature Applicant's Name

Date

RM10.00 Stamp Duty

PART 2: ELECTRICITY SUPPLY


Nearest Customer Acc. No. Nearest Electrical Pole No. Proposed Tariff Meter Type Load Detail Existing Load New Load Total Load Total Load Connected (kW) Maximum Demand (kW)

Contractor Information Company Name : Company No. : Address : , ,


No. Telefon :

0.00 0.00 0.00

0.00 0.00 0.00

Company Stamp

PART 3: FOR OFFICE USE


Existing Tariff New Existing New Connection Charge (RM) LKKK/BKKM No. Project No. Deposit (RM)

APPROVED BY: Signature : Officer Name : Staff No. : Date :

Meter Size

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