INFORMASI UMUM PT CL

PT CL GENERAL INFORMATION
Data Umum : Perihal :
General Data Subject

Nama Perusahaan : …………………………… □ Sambung Baru TR / TM

Customer Name New Connection LV/MV

No. Pelanggan : …………………………… □ Tambah Daya TR / TM

Customer ID Capacity Increase LV/MV

Daya : …………………………… □ Turun Daya TR / TM

Capacity Capacity Reduction LV/MV

Lokasi : …………………………… □ Lain-Lain (……….…………….)

Location Miscellaneous

Wakil Pelanggan : ……………………………

Contact Person

No. HP : ……………………………
Mobile Phone No.

Email : ……………………………
E-mail Address

Pokok - pokok Informasi :

Points of Information

1 OVERVIEW PT CL □
PT CL's OVERVIEW

2 PENJELASAN PROSEDUR APLIKASI

□
EXPLANATION OF APPLICATION PROCEDURE

● FORMULIR APLIKASI DAN PERSYARATAN

□
APPLICATION FORM AND REQUIREMENTS

● PROSEDUR DAN ESTIMASI WAKTU SUPLAI LISTRIK

□
PROCEDURES AND ESTIMATED DELIVERY TIME OF ELECTRICITY SUPPLY

● STRUKTUR TARIF

□
TARIFF STRUCTURE

● SPESIFIKASI TEKNIS (Penjelasan Engineering Team PT CL)

TECHNICAL SPECIFICATION Date : …………………

3 SOLUSI MASALAH LISTRIK □

□
ELECTRICITY PROBLEM SOLVING

4 PASCA PENYALAAN SUPLAI LISTRIK

AFTER SALES SERVICES Berikan tanda √ apabila sudah dijelaskan kepada pelanggan
Give √ (tick) if the above items has been explained to customer

Cikarang, ……………… 20…….

Pelanggan
Customer

(……………………………………) (……………………………………)

World Trade Centre 1, 17 th floor, Jl. Jend. Sudirman Kav. 29-31, Jakarta 12920, Indonesia. Tel. (021) 522 8122, 252 2145 Fax. (021) 522 4440
Site Office: Cikarang Industrial Estate, Jl. Jababeka Raya, Blok R, Cikarang, Bekasi 17550. Tel. (021) 893 4108/09 Fax. (021) 893 4112