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    1.customer Particulars

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    saadiah_atul
    This document is an agreement between PSC Pernigaan Sri Cergas and a customer for water supply services. It contains the customer's personal details such as name, IC number, address, contact information and alternative contact. It also lists the product and payment details, including the water heater model, installation and total fees. The customer declares the information provided is true and correct. For office use, it includes the approval details and checklist for documents like the agreement, customer ID copy and credit/bank details.

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    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    1.customer Particulars

    Uploaded by

    saadiah_atul
    18 views2 pages
    This document is an agreement between PSC Pernigaan Sri Cergas and a customer for water supply services. It contains the customer's personal details such as name, IC number, address, contact information and alternative contact. It also lists the product and payment details, including the water heater model, installation and total fees. The customer declares the information provided is true and correct. For office use, it includes the approval details and checklist for documents like the agreement, customer ID copy and credit/bank details.

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    This document is an agreement between PSC Pernigaan Sri Cergas and a customer for water supply services. It contains the customer's personal details such as name, IC number, address, contact information and alternative contact. It also lists the product and payment details, including the water heater model, installation and total fees. The customer declares the information provided is true and correct. For office use, it includes the approval details and checklist for documents like the agreement, customer ID copy and credit/bank details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views2 pages

    1.customer Particulars

    Uploaded by

    saadiah_atul
    This document is an agreement between PSC Pernigaan Sri Cergas and a customer for water supply services. It contains the customer's personal details such as name, IC number, address, contact information and alternative contact. It also lists the product and payment details, including the water heater model, installation and total fees. The customer declares the information provided is true and correct. For office use, it includes the approval details and checklist for documents like the agreement, customer ID copy and credit/bank details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    PSC PERNIGAAN SRI CERGAS RM1 WATER PLAN(RM 1WP)AGREEMENT

    N0.52,Tingkat 1,Jalan 1, No. P.C.S


    Taman Sri Kluang,
    86000 Kluang ,Johor.
    Tel:07-7767025 Fax :07-776705

    SCHEDULE A
    1.Customer Particulars

    Name as per I.C :

    Correspondence Address :

    Cash Cheque
    Postcode
    Fill in if Installation Address is not same with Correspondence Address (attach extra sheet if required)

    Installation Address :

    Postcode

    NRIC (New) : - -
    Tel No.(H) : -
    Tel No. (O) : -
    H/P No. :
    Gender : -
    Mal Female
    Race : e
    Malay Chinese Indian Other

    Email Address :

    Bank No. :
    Bank : ________________________________

    PSC Member ID :_________________________________

    2.Alternative Contact
    Name as per I C :

    H/P No. : -

    Relationship :

    3.Product Details Household ID (for office use only)


    Model Serial Number Installation Fee HSWP Package
    CLASSIC/DHWS/DMF 500S/DSPA

    4.Payment Details

    Payment type : West East


    M’sia M’sia
    Full Payment RM______________

    Initial fee RM______________ (Monhtly Fee RM_______)


    Installation Fee RM______________
    Transportation RM______________ (Quately Fee RM_______)
    TOTAL RM______________

    Agreement Commencement Date: - -

    Declaration
    1.I hereby declare that the alone information is to be the best of my knowledge as true and correct

    ___________________ ______________________
    *signature of the customer Date:

    5.For Office Use


    Approved by :______________________________ Approved Date :_______

    HSWP Checklist :
    Agreement Credit I.C. Latest 3
    Schedule Card Copy(Front& Months
    A&C Debit Back)
    Saving A/C Credit Card Holder I.C
    Monthly Commencement Passbook - Card - copy Date:
    Transaction : Copy Copy
    ____________________________________

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