Update Of Customer Information Form

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To
:
Seraya Energy Pte Ltd (Customer Care)
Fax
:
6363 6600
E-mail :
.sg
Update of Customer Information Form
Customer Name:
Premises Address:
Singapore
Billing Address (if different from above):
Singapore
MSSL Account No.:
Remote Tel No.:
_______
Current Electricity Supplier: MSSL / Retailer (Please specify):
Contracted Capacity (For HT accounts only):
Contact Information
Primary Contact (Business Owner)
Name:
Designation:
Tel:
Mobile:
Fax:
Email:
Billing Issues
(Business Operator)
Name/Department to Appear on Invoice: _____________________________________________________
Name:
Designation:
Tel:
Mobile:
Fax:
Email:
Technical/Operational Issues
Name:
Designation:
Tel:
Mobile:
Fax:
Email:
I confirm on behalf of my organisation that the above information is correct.
___________________________________
_________________________________
Name & Signature of authorized person
Company Stamp & Date

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