shell malaysia trading sdn. bhd. shell ......borang kemaskini kad shell bersubsidi step 1 – fill...
Post on 08-Dec-2020
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(Tarikh)
* TYPE OF REQUEST (√) * Jenis Permohonanan (√)
*CARDHOLDER'S NAME (SKDSxxxxxxxxxx) / CARD NO(Max 22 characters)
*Nama Tertera Pada Kad (SKDSxxxxxxxxxx) / Nombor Kad Shell(Maksimum 22 huruf)
*VEHICLE REGISTRATIONNUMBER
*Nombor PendaftaranKenderaan
PURCHASE RESTRICTION (LITRES) Had Nilai Kad (Liter)
UPD
ATE
CA
RD L
IMIT
Pe
rtuk
aran
Had
Kad
DAILY LIMIT (LITRES)Had Nilai
Seharian (Liter)
MONTHLY LIMIT (LITRES)Had Nilai
Bulanan (Liter)
1)
2)
3)
*SKDS / DS NO :
STEP 1 – FILL IN YOUR COMPANY / INDIVIDUAL DETAILS (MARKED * IS COMPULSORYLangkah 1 - Sila Isi Butiran Syarikat / Individu (Bertanda * Wajib Diisi)
STEP 2 – CHOOSE TYPE OF REQUEST (WRITE CLEARLY IN BLOCK LETTERS) Langkah 2 - Pilih Jenis Permohonan (Sila Tulis Menggunakan Huruf Besar)
STEP 3 - AUTHORIZATION (COMPULSORY) Langkah 3 - Pengesahan (Wajib Diisi)
Cop Rasmi Syarikat (Jika Perlu)
STEP 4 – SEND TO USLangkah 4 - Hantar
* I/C NO (No Kad Pengenalan) : _____________________________
SHELL SUBSIDIZED CASH CARD REQUEST FORMBORANG PERMOHONAN KAD SHELL BERSUBSIDI
SHELL MALAYSIA TRADING SDN. BHD. 196501000279 (6087-M)Customer Service Tel No: 1300-22-8181
*CONTACT NO (No Telefon) :
IMPORTANT NOTES / Nota-Nota Penting
* FULL NAME (Nama Penuh) : _____________________________
* SIGNATURE (Tandatangan) : _____________________________
* NAME/COMPANY NAME :(Nama Atau Nama Syarikat)
* PERSON IN CHARGE NAME(Pegawai Bertanggungjawab)
CAN
CEL
& R
EPLA
CE
Peng
gant
ian
Kad
RE-S
END
PIN
Isu
Pin
ADD
NEW
CAR
D Ka
d Ba
ru
CAN
CEL
ON
LY
Pem
bata
lan
Kad
EMAIL / E-mel: generalcardrequests-my@shell.com
FAX / Faks: 1300-82-8283OFFICIAL COMPANY STAMP (If Applicable)
1. Incomplete form will not be processed / Borang yang tidak lengkap tidak akan diproses2. For any changes of mailing address, please fill up the Shell Subsidized Cash Card Update Form (Refer page 2) / Untuk sebarang pertukaran alamat surat-menyurat, sila isi Borang Kemaskini
Kad Shell Bersubsidi (Rujuk muka surat 2)3. For data privacy, please visit / Untuk privasi data, sila layari http://www.shell.com.my/pdpa
_____________________________________
_____________________________________
CHANGE OF MAILING ADDRESS Pertukaran Alamat Surat - Menyurat
* NAME/COMPANY NAME :(Nama Atau Nama Syarikat)
* PERSON IN CHARGE NAME :(Pegawai Bertanggungjawab)
*SKDS / DS NO :
*CONTACT NO (No Telefon) :
DATE:
SHELL SUBSIDIZED CASH CARD UPDATE DETAILS FORM BORANG KEMASKINI KAD SHELL BERSUBSIDI
STEP 1 – F ILL IN YOUR COMPANY / INDIVIDUAL DETAILS (MARKED * IS COMPULSORY)Langkah 1- Si la Is i But iran Syarikat / Individu (Bertanda * Wajib Diis i )
STEP 2 – UPDATE INDIVIDUAL DETAIL (WRITE CLEARLY IN BLOCK LETTERS)Langkah 2 - Kemaskini Maklumat Individu (Si la Tul is Menggunakan Huruf Besar )
Address (Alamat) : _____________________________________________
_____________________________________________
: _____________________________________________
: _____________________________________________
: _____________________________________________
City (Bandar)
State (Negeri)
Postal Code (Poskod)
CHANGE OF CONTACT DETAILS Pertukaran Maklumat Untuk Dihubungi
House/Office Phone (Tel Rumah/Pejabat)
Mobile Phone(Tel Bimbit)
Fax Number(No Faks)
: +60________________________
: +60________________________
: +60________________________
: _______________________________________________
STEP 3 - AUTHORIZATION (COMPULSORY) Langkah 3 - Pengesahan (Wajib Diisi)
STEP 4 – SEND TO USLangkah 4 - Hantar
* I/C NO (No Kad Pengenalan) : _____________________________
* SIGNATURE (Tandatangan)
* FULL NAME (Nama Penuh)
: _____________________________
: _____________________________
IMPORTANT NOTES / Nota-Nota Penting
1. Incomplete form will not be processed / Borang yang tidak lengkap tidak akan diproses2. For data privacy, please visit / Untuk privasi data, sila layari http://www.shell.com.my/pdpa
EMAIL / E-mel: generalcardrequests-my@shell.com
FAX / Faks: 1300-82-8283
Email Address(Alamat E-mel)
Cop Rasmi Syarikat (Jika Perlu)OFFICIAL COMPANY STAMP (If Applicable)
SHELL MALAYSIA TRADING SDN. BHD. 196501000279 (6087-M)Customer Service Tel No: 1300-22-8181
(Tarikh)
_____________________________________
_____________________________________
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