Wy esha APPLICATION FOR ELECTRICITY SUPPLY ANo.
eqs not that only suited applation with complete and correct formation wl be processed
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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 *
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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
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Move In
Name of Applicat:
(signing forthe company)
Designation
Mykad No