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Air Kelantan Sdn. Bhd.

Permohonan Semakan Kelayakan Sambungan Baru

Sila Isi Maklumat Dibawah

A. MAKLUMAT PEMOHON / APPLICANT'S INFORMATION

Kategori Permohonan / Application Category(Required)

No Pendaftaran Syarikat(Required)

Nama Pemaju(Required)

Nama Projek(Required)

Address

ALAMAT PROJEK BANDAR NEGERI POSKOD

Senarai Tukang Paip / Plumber(Required)

Sila pilih tukang paip berdaftar SPAN di pautan ini - Senarai Tukang Paip

Nama Perunding(Required)

Jumlah Permintaan Air (Liter)(Required)

Anggaran Nilaian Jualan Rumah (RM)(Required)

Pelan Tapak

Sila muat naik pelan tapak

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 15 MB.

Surat Pelantikan Perunding

Sila muat naik surat pelantikan perunding

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 15 MB.

Nama Pemohon / Applicant Name(Required)

NAMA PEMOHON

Alamat Bekalan Air / Water Supply Address(Required)

ALAMAT PERMOHONAN SAMBUNGAN BARU ALAMAT PERMOHONAN SAMBUNGAN BARU BANDAR NEGERI POSKOD

Jajahan / District(Required)

Tukang Paip / Plumber(Required)

Sila pilih tukang paip berdaftar SPAN di pautan ini - Senarai Tukang Paip

No. Telefon Tukang Paip / Plumber Phone No(Required)

No. Tiang TNB Berdekatan / Nearest TNB Pole Number

Longitud & Latitud(Required)

Pemohon / Applicant(Required)

Pemohon Individu / Individual Applicant

Pemohon Selain Individu / Non-individual Applicant

No. Kad Pengenalan / NRIC No / Passport(Required)

No. Tentera / Polis / No. Army / Police

No. Telefon (Bimbit) / No. Telephone (Mobile)(Required)

No. Telefon (Rumah) / No. Telephone (Home)

E-Mel / Email(Required)

No. Faks / No. Fax

No. Pendaftaran Perniagaan / No. Business Registration(Required)

No. Kad Pengenalan / NRIC No / Passport(Required)

Nama Syarikat / Company Name(Required)

MASUKKAN NAMA SYARIKAT

Nama Kakitangan Atau Wakil Pemohon (yang diberi kuasa) / Name of Staff or Applicant Representative

NAMA KAKITANGAN / WAKIL PEMOHON

Jawatan / Designation

JAWATAN

No. Telefon (Bimbit) / No. Telephone (Mobile)(Required)

No. Telefon (Pejabat) / No. Telephone (Office)

E-Mel / Email(Required)

No.Faks/ No. Fax

Muatnaik Surat Wakil / Upload Letter of Representative

Max. file size: 15 MB.

Muatnaik Kad Pengenalan Pemohon / Upload Applicant Identity Card(Required)

Max. file size: 15 MB.

Muatnaik Salinan Geran Tanah Pemohon / Upload Copy of Applicant's Land Grant(Required)

Max. file size: 15 MB.

Muatnaik Sijil Pendaftaran SSM / Upload SSM Registration Certificate(Required)

Max. file size: 15 MB.

Muatnaik Salinan Bil Air Premis Berdekatan / Upload a Copy of the Water Bill of the Nearby Premises (optional)

Max. file size: 15 MB.

Hidden

Muatnaik Gambar Premis atau Kediaman / Upload Location Plans & Pictures of Premises or Residences

Contoh gambar rujukan kediaman atau premis

Accepted file types: jpeg, jpg, png, , Max. file size: 3 MB.

Muatnaik Gambar Premis atau Kediaman / Upload Location Plans & Pictures of Premises or Residences(Required)

Contoh gambar rujukan kediaman / premis
(Pemohon WAJIB memuat naik 2 keping gambar — sisi hadapan)

Drop files here or

Accepted file types: jpeg, jpg, png, Max. file size: 3 MB.

Muatnaik Sijil Kelayakan Menduduki atau Surat Sokongan PBT / Upload Certificate of Eligibility to Occupy or PBT Support Letter (optional)

Max. file size: 15 MB.

Surat Penilai / Appraisal Letter

Max. file size: 15 MB.

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Laman Web Rasmi
Air Kelantan Sdn. Bhd.

Permohonan Semakan Kelayakan Sambungan Baru