&
SP vee OEsTRABATTION pane
|
;——
Maktumat Tambahan
bagi Permohonan Bekatan Elektrik Domestik
Adciional Information
| For Domestic Supply Application
rami / Price
| Bren
| ‘Sts Prema
| | sree Stats
TO [BT ATTY CNT
MatiumatKotsrgs tau Sauara Tord / Fly or Related Person Infermation
‘east Salton 1
[Nas Reiusrpe sa
‘Sousa Terdoest?
Famivor Relate t
Ne ETTORE ete
Kors Ta
Tn
ta
| Tptena a,
wponnito, |
es
| [espe ——| focal dar eg TEEPE ECOL]
Fesodoneiy Teabags Pare ant SJ
‘Moldumat Maja | omploerttormetion
ari sen
‘Syatat employer or
‘Sompanys Name
bata
ms
Teoptone No. .
‘ons PariagsnT Parsnation Tso ——
‘Typacrtusness
—
Peroni
mB Privat
4 Lined
Nea Pagar ys
fateh Dunn!
Const Porson
Nola Noto:
akan sas mest sl dan estan became barra pematonen ela ok spay kin
balanggen bash crest ko am ajar
{Be bons natn mvt st eet wt te sappy potion fom nr tb ect oy
Gis eetSIELEL) mee T] totoe moore ETD
« Be totwnnstoc
sone CETTE EEE
Signe mee
Clrgesn Cirersenygatr Clr matin
: Seren‘ip
ag
Jonetstnnspace [sits
recap Eh pare
an Een
1) esto ty
“Te Bae eon Sp
FOC
Fp cao SS
0 eceteeiabaernew
Get
{Shemp dag
‘Foy oan bog eet
‘id eae og ieee tn
‘ona nt goat tae
Enters pete ang
‘Sn ene a Poe ee
‘Sat ented ge
in in is cannon
«Sch ent heat
Stamnes seen ie