DIGI TELECOMMUNICATIONS SDN BHD

Lot 10, Jalan Delima 1/1,

Subang Hi-Tech Industrial Park,
40000 Shah Alam, Selangor.

PROVISIONAL ACCEPTANCE CERTIFICATE (PAC)

SITE ID : WO.Ref : ______________________

SITE NAME :

JOB TITLE : SURVEY, CONSTRUCTION AND IMPLEMENTATION OF GENSET

CONVERSION TO GRID POWER AND ALL RELATED WORKS

CONTRACTOR : XXXX SDN BHD PO NO : XXXXXX

REMARK :_______________________________________________________________

_______________________________________________________________

We hereby certify that the above mentioned work has been completed / accepted.

Signed for and on behalf of Signed for and on behalf of

DiGi Telecommunications Sdn. Bhd. XXXXXX SDN BHD

Signature : _________________________ Signature : ___________________

Name : _________________________ Name : ___________________

Date : _________________________ Date : ___________________

*To be checked and signed at site by the Site supervisors.

Sensitivity: Internal