w esha APPLICATION FOR ELECTRICITY SUPPLY AND, Plese note that ony submited application with complete and correct information wil be processed [PART 1: TO BE COMPLETED BY APPLICANT For Application Other Than individual (e.g Company / Govt. Dept. / Society Enterprise / et): Name of Applicant JABATAN KEJURUTERAAN ELEKTRIK NEGERI KEL Reg. no ‘Authorised person KETUA JURUTERA ELEKTRIK NEGERI KELANTAN Position: MEAD OF PERSONNEL Home/Office No. 097652040 Fax No, 097652639 Mobile No 097652639 Email chokelantan@gmallcom Communication Options: Letters emai Both Billing Delivery Options: Byhand Post Email ‘Details of Premises 2, Addross of Premises: FEEDER PILLAR ARING 8, FTI744, JALAN FELDA ARING 8, FELDA ARING. 118300 GUA MUSANG KELANTAN, b. Premises Ownership Z| owned Rented Premises Type Residential Use Residence description Non-Residential use Commercial Manufacturing Aericuture Mining Streetight [Main activity at premise: Public Lighting: Streetight 4. Correspondence Address ‘CAW KEJURUTERAAN ELEKTRIK KELANTAN, CKE, JALAN PANILKAMPUNG PAUH 116100 KOTA BHARUKELANTAN, Supply requires date: pec 2022 ‘TYPE OF APPLICATION * Please select /) Now Electricity Supply (Permanent) Temporary Elecvety Supply Additional Electricity Supply Estimated Supply End Date Pine eect es ‘Change of Tariff (Do not fil section 2) 11/ Wehr ats ht the coco pplted by re /u ths dealoer sate ern ia cra rgd wah Eon Connsin./ We sho ve pein othe otaior toon neces wot rate tomy fr eppcton. 2 we tna sett seen ong one god conto {unt an ye a te epee consi otc the sad rei wl bab for any acy conse igh rany andor ote pri nding ayo {Clap tsee hencr THs alten snr eon tthe ire ot toured ey te argh tenner any ald es th ten apr Fon 5:17 etre acinoaee tat otoroatin gen at tan sce TO sal nave Pon ay nectar scarf he norman en ae tse acute fw age tone Terman Conoton tapas sachs her Te Yers and araons ppl Consma- br shal err ates ore 1L1/ were naar Slow do rey consent (oH sages ado Hsperited seer cle, record Plone ang myo prolate maczorence wo Peel Dla {ie ocwede bt he ouphoe rumba / ain sts eral ates rnd ton ate an 7 wl oti ar ary change the efraion My our alee ‘essnthe tegen urn etng eater ise eet Tbe raf my kts arte ces nd i Cr Name of Applicant: (sianing for the company) Applicant Designation Mykad No