Scribd Logo
Upload

Welcome to Scribd!

  • Appendix-A Customer Service Registration Form A-Rev 3 PDF

    Uploaded by

    Qusai Shamlakh
    13 views1 page
    This document appears to be a customer registration form for Marafeq Qatar. It requests information such as land details, type of utility requested, expected connection date, owner and authorized person details, and consultant details if applicable. The form notes that copies of IDs and proof of ownership must be attached for individuals and companies. It also states that Marafeq Qatar should be notified if the consultant is changed or terminated before project completion.

    Original Description:

    Original Title

    Appendix-A Customer Service Registration form A-Rev 3.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document appears to be a customer registration form for Marafeq Qatar. It requests information such as land details, type of utility requested, expected connection date, owner and authorized person details, and consultant details if applicable. The form notes that copies of IDs and proof of ownership must be attached for individuals and companies. It also states that Marafeq Qatar should be notified if the consultant is changed or terminated before project completion.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views1 page

    Appendix-A Customer Service Registration Form A-Rev 3 PDF

    Uploaded by

    Qusai Shamlakh
    This document appears to be a customer registration form for Marafeq Qatar. It requests information such as land details, type of utility requested, expected connection date, owner and authorized person details, and consultant details if applicable. The form notes that copies of IDs and proof of ownership must be attached for individuals and companies. It also states that Marafeq Qatar should be notified if the consultant is changed or terminated before project completion.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    P-----9 19--9IJ-------0

    Marafeq Qatar a MQID: _____

    APPENDIX A
    Customer Registration Form
    I Land Details Jlla.li ..:.l.4_,la.a
    Application Date -:,Jbll C:-'...;u
    Municipality Application Number 6.!la.ali �� � �J
    PlotNumber �l�J
    Plot Type and Use 1'1�¥1..9 4J.blli t;i
    Requested Utility
    □ DC □ PWC ■ GAS �_jlh..i.ll l.a.u.li

    Expected Connection Date DC: PWC: GAS: l.a.u.li �_;J ��I C:,1),:i.ll
    Type of Customer: :J,;.wl t;i
    Company D Individual D □ � □ Ls..,._.!,
    □ Information Update � ..:.l.4_,Ja..a �.l:i.:l □
    Owner Name cl!Wi /"""I
    C.RNO. OR Owner IDNo. �l�)I Ji�J\+ill�l�J
    C.R Expiry Date OR Owner ID �lb:iJIJi �J\+ill �I i:,�I C:-'..Ju
    Expiry Date cl!Wl�I
    Authorized PersonName �_J:i.l4Jµl l"""'I
    Mobile JI..J+ll ...a:i4,JI
    Land Line PhoneNumber �}JI ...a:i4,JI �J
    P.O. Box .1..1_.>.JI J_,9..1..i...::i
    Email �J�I .1..1_.>.JI

    Owner OR Authorized Signature �_J:i.l4 J.jM.11 Ji cl!Wi ��

    -
    Company Stamp �y!..11�

    CONSULTANT ($)..,:;;.,...'i\
    CompanyName �y!..11 /"""I
    C.RNo. �J\+ill�I �J
    C.R Expiry Date �J\+ill �I i:,�I C:-'..Ju
    Name Authorized Person �_J:i.l4JµI /"""I
    Contact Person J�l l"""'I
    Mobile JI..J+ll ...a:i4,JI
    Land Line PhoneNumber �}JI ...a:i4,JI �J
    P.O. Box .1..1_.>.JI J_,9..1..i...::i
    Email I �J�I .1..1_.>.JI

    Authorized Person Signature ----- /JI �.;.l4 J.jM.11 ��

    ;) •

    Company Stamp ;; __,J.l-�.,.WI .* �y!..11�

    Attachment: A. Individual: 1. ID Copy both sides 2. Proof of ownership B. Companies: 1. C.R Copy 2. Computer ID Copy 3. ID of Authorized Signatory

    Note: If the consultant was changed or terminated prior to the completion of the project, the owner shall update Marafeq Qatar immediately.

    Marafeq Qatar L.L.C P.O. Box 5651, Doha, State of Qatar Doc. /Form No.: MQ-LD-CS-INSP-M-02 Rev.2
    ► T: +974 4012 0140 F: +974 4012 0121 DL: +974 4012 0162 Mobile: +974 33569449
    Email: customer.service@marafeg.com.qa Website: www.marafeq.com.qa

    You might also like