USMS Early Bird Smart Meter Installation

Sila sertakan maklumat awda seperti yang dinyatakan di bawah ini  |  Please provide us the following information below.

Pemasang berdaftar kami akan menghubungi awda bagi temujanji pemasangan  |  Our appointed Installer will contact you to schedule for the installation.
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Email *
Nama Pemilik Rumah | Home Owner Name *
No Kad Pengenalan | Brunei Identity Card Number *
Contact No | Nombor Talian *
Alamat Pemasangan | Installation Address  *
Daerah | District *
Postcode *
Nombor Meter Air | Water Meter Number 
Nombor Meter Eletrik | Electric Meter Number
Tarikh Pemasangan | Requested Date for Installation  
MM
/
DD
/
YYYY
Masa | Time
Time
:
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