PDF《香港电灯有限公司》

机密 CONFIDENTIAL 香港电灯有限公司 The Hongkong Electric Co.

, Ltd. 供电/转名申请表格 APPLICATION FORM FOR SUPPLY/TRANSFER APPLICATION NO. DATE RECEIVED D D M M Y Y 1. 请参阅背页「申请人注意事项」. 1. PLEASE READ THE NOTES TO APPLICANT AT THE BACK. 2. 请用正楷填写. 2. PLEASE COMPLETE IN BLOCK LETTERS. 3. 如只申请账户转名,只需填写

1 至5栏及在第

10 栏 签署. 3. FOR TRANSFER OF ACCOUNT, PLEASE COMPLETE ITEMS

1 TO

5 ONLY &

SIGN THE FORM IN ITEM 10. 1. 客户资料 CUSTOMER INFORMATION (请以公司名义或个人名义登记,并依矸葜/护照/商业登记证资料填写 EITHER COMPANY NAME OR PERSONAL NAME IN FULL, SAME AS THE NAME SHOWN ON YOUR ID/PASSPORT/BUSINESS REGISTRATION CERTIFICATE) 英文姓名 ENGLISH NAME 中文姓名 CHINESE NAME 客户类别 TYPE OF CUSTOMER ? 个人 PERSON ? 公司 COMPANY ? 其他 OTHERS 商业登记号码/公司注册处注册编号 BUSINESS REGISTRATION NO./ CERTIFICATE OF INCORPORATION NO. (如以公司名义登记,请填写此栏. PLEASE PROVIDE IF IT IS UNDER COMPANY NAME.) 电话号码 TELEPHONE NO. 电邮地址 E-MAIL ADDRESS 联络人 CONTACT PERSON 联络人姓名 NAME OF CONTACT PERSON 联络电话 CONTACT TEL 联络电邮 CONTACT EMAIL 如联络人非注册客户,请注明关系 IF THE CONTACT PERSON IS NOT THE REGISTERED CUSTOMER, PLEASE SPECIFY 如属香港特区政府或有关机构之账户,请注明部门或机构名称 IF THIS IS AN ACCOUNT FOR HKSAR GOVERNMENT OR ITS RELATED ORGANIZATION, PLEASE STATE THE NAME OF THE DEPARTMENT OR ORGANIZATION 2. 电费单语文及关爱服务 BILL LANGUAGE AND CARING SERVICES 电费单语文 BILL LANGUAGE ? 英文 ENGLISH ? 中文 CHINESE 关爱服务 (如有需要) CARING SERVICES (IF NEEDED) ? 点字电费单 BRAILLE BILLS ? 为视障人士设计的电子账单服务 ELECTRONIC BILLS FOR THE VISUALLY IMPAIRED 透过「网上通」服务收取电子电费单而无需邮寄账单 RECEIVING E-BILL VIA ACCOUNT-ON-LINE(AOL)SERVICE AND NOT NECESSARY TO RECEIVE HARDCOPY BILLS ? 是YES ? 否NO 电邮地址 EMAIL ADDRESS 我们会为你登记成为 「网上通」 客户,并以电邮通知你有关密码及确认电邮地址. YOU WILL BE REGISTERED AS AN ACCOUNT-ON-LINE USER. WE WILL SEND THE PASSWORD TO YOU AND VERIFY THE EMAIL ADDRESS BY EMAIL. 3. 供电地址及账户类别 SERVICE ADDRESS AND ACCOUNT TYPE 单位/房号/m号 FLAT/ROOM/SHOP 楼数 FLOOR 座数 BLOCK 大厦名称 NAME OF BUILDING 门牌/屋号/地段号数 STREET NO./HUT NO./LOT NO. 街名/名/村名 NAME OF STREET/ESTATE/VILLAGE ? 住宅 RESIDENTIAL ? 商业、工业或杂项 COMMERCIAL, INDUSTRIAL OR MISCELLANEOUS (类别 TYPE: ) 4. 通讯地址 CORRESPONDENCE ADDRESS 是否用作邮寄电费单? IS IT FOR FUTURE BILLING? ? 是YES ? 否NO 如电费单语文为中文,请以中文填写邮寄地址 IF YOU CHOOSE CHINESE AS THE BILL LANGUAGE, PLEASE FILL IN CHINESE POSTAL ADDRESS 5. 账户转名 TRANSFER OF ACCOUNT 现有注册客户姓名(如可提供) EXISTING REGISTERED CUSTOMER NAME(IF KNOWN) 日日月月年年现有账户/电表号码(如可提供) EXISTING ACCOUNT/METER NO.(IF KNOWN) 转名生效日期 TRANSFER EFFECTIVE DATE D D M M Y Y 现有电力装置是否有所改装/增设?ANY ALTERATIONS/ADDITIONS TO EXISTING ELECTRICAL INSTALLATIONS? ? 是YES ? 否NO 注意 WAIVER - 本公司有权取消此转名申请及转回原来的注册客户. THE COMPANY SHALL HAVE THE RIGHT TO CANCEL THIS TRANSFER AND RESTORE THE PRESENT REGISTERED CUSTOMER TO THIS ACCOUNT. 6. 电力用途 SUPPLY REQUIREMENT 日日月月年年?永久供电 PERMANENT 验线日期(最快可安排於两个工作天后) INSPECTION DATE (ON OR AFTER THE 2ND WORKING DAY) D D M M Y Y 楼宇面积 GROSS FLOOR AREA ? (平方米) m2 ? (平方) ft2 ? 临时供电 TEMPORARY 日日月月年年日日月月年年?建筑 CONSTRUCTION 供电期间 由DDMMYY至DDMMYY?装修 DECORATION PERIOD FROM TO ? 其他: OTHERS ? 大厦供电 BUILDING 大厦总开关额定值 BUILDING MAIN SWITCH RATING 层数 NO. OF FLOORS 7. 供电/负荷变更及细节 SUPPLY/CHANGE OF LOAD &

DETAILS 客户总开关额定值 CUSTOMER MAIN SWITCH RATING 安培 Amp. ? 单相 SINGLE PHASE ? 三相 THREE PHASE 港灯供应点编号(如适用) HK ELECTRIC'

S SUPPLY POINT NO. ? 负荷变更 CHANGE OF LOAD ? 豁免/政府电力装置 EXEMPTED/GOVERNMENT INSTALLATION 是YES 否NO 如申请新供电/负荷变更,是否同时递交完工证明书? WR1 ? ? FOR NEW SUPPLY/CHANGE OF LOAD, IS WORK COMPLETION CERTIFICATE ENCLOSED? BS1 ? ? 其他证明文件(如适用者)OTHER SUPPORTING DOCUMENT(IF APPLICABLE) 8. 负荷细节 LOAD DETAILS 项目 ITEM 数量 NUMBER 总马力匹数或 数TOTAL HP OR KW 马力匹数 (HP) (KW) 1. 热水器 ELECTRICAL WATER HEATER 2. 电炉/h炉 ELECTRICAL COOKER/OVEN 3. 冷气机 AIR CONDITIONER 4. 水泵/电动机 WATER PUMP/MOTOR 5. 升降机 LIFT 6. 其他 OTHERS 7. 其他 OTHERS 9. 注册电业承办商名称(如适用者)REGISTERED ELECTRICAL CONTRACTOR NAME(IF APPLICABLE) 中文名称 CHINESE NAME 电话号码/传呼机号码 英文名称 ENGLISH NAME TELEPHONE NO. / PAGER NO. 邮寄地址 POSTAL ADDRESS 注册编号 REGISTRATION NO. 备注 REMARKS 10. 直接促销 为了让你掌握最新资讯,本公司会使用你的姓名、联络号码、地址及电邮地址作直接促销之用,包括推广与电力有关的服务、电器用品、电气化生活资讯、 课程,或用作呼吁慈善捐款及公告启示.不过未经你的同意,本公司并不会使用有关资料作直接促销之用.透过递交此表格即表示你同意这种用途.如客户 不接受其个人资料用作这种用途,请在以下空格加上「?」号: ? 我/我们(注册客户)反对使用我/我们的个人资料作直接促销之用. DIRECT MARKETING TO KEEP YOU UP-TO-DATE, THE COMPANY WILL PROMOTE ELECTRICITY-RELATED SERVICES, ELECTRICAL APPLIANCES, INFORMATION ON ELECTRIC LIVING, COURSES, DONATION APPEALS AND PUBLIC NOTICES BY USING YOUR NAME, CONTACT NUMBERS, ADDRESSES AND EMAIL ADDRESSES, BUT WE MAY NOT SO USE SUCH DATA WITHOUT YOUR CONSENT. BY SUBMITTING THIS FORM YOU INDICATE YOUR AGREEMENT TO SUCH USE. SHOULD YOU FIND SUCH USE OF YOUR PERSONAL DATA NOT ACCEPTA........