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Wy esha APPLICATION FOR ELECTRICITY SUPPLY ANo. eqs not that only suited applation with complete and correct formation wl be processed Gurmoronac kines For Application Other Than individual (eg Company / Govt. Dept. / Society Enterprise / etc): Name of Applicant {KR CAWANGAN ELEKTRIK NEGERI KELANTAN, eg no Authorised person [MOHD RUDZUAN BIN ARIFFIN Position: HEAD OF PERSONNEL Home/Office No. 097652040 Fax Wo. 037652639, Mobile No. 097652639 Email ckekelantan@gmailcom ‘Communication Options: letters email Both Biling Delivery Options: Byard Post Email Details of Premises a. Address of Premises: FEEDER PILLAR ARING 8, FT744, JALAN FELDA ARING 8, FELDA ARING 18300 GUA MUSANG KELANTAN ». Premises Ownership owned ented iy «Premises Type Residential Use Residence description Non-Residential Use Commercial Manufacturing [| agrcuture Mining Stretlght Main activity at premise: Publi Lighting: Streetlight 4. Correspondence Address CCAW KEJURUTERAAN ELEKTRIK KELANTAN, CKE, JALAN PANILKAMPUNG PAUH 16100 KOTA BARU KELANTAN Supply required date 11-Dec-2022 ‘TYPE OF APPLICATION * ease select (/) New Electricity Supply (Permanent) Temporary Electricity Supply ‘Additional Electricity Supoly Estimated Supply End Oate ‘change of Tart (Oo not fil ection 2) others» Supply Application -G APPLICANT'S DECLARATION 11) We erby ast ported by me/us th howng developers sad hte conrcr rtrd ith Entry Common |/ We aio gh pemiion the corsa if Weber atest ha the elec wing tins pod coon. 5.1] we hry aenufede at at trata pen fe ue and arate nd TNS hal have he iC Uke ary necessary acon fhe fos geal ot acre E1/we amet ne Terms a Conditions ef Soa attached nr The Tem nd Conair of Susp for Consume arses bese a nie 5.17 we ete sntay Slow do hry concerto sages ano ertteg ste or cole, esr, hlirgrsarrg yx pro xs n acorns to Personal Oats ir We acknolege the elepore namie / ang aes / ed adres proved tn a curate aN wil ented there ay change their. My ou neta ‘steve taeshone rumen arsenal ares il ein TMB tb abl fray alr acta the noes nda ts Cane Move In Name of Applicat: (signing forthe company) Designation Mykad No

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