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WORK PERMIT APPLICATION FORM

Planning On Commencing Construction Activities?

Have you already obtained the exact details regarding the pipelines in your area of work? Just complete the details below to submit a request for a work permit, to commence construction activities.

Note: The fields indicated with an asterisk (*) are required for us to respond to this request efficiently. Please also be advised, that the following form has to be completed accurately in order for it to be processed within four working days.

Contact Person*
Name of the onsite supervisor.
Designation*
Project Owner
If applying on behalf of a client, please specify the client's name.
Contractor*
Name of contracting firm.
Address*
Postcode*
State*
Sub-contractor
E-mail*
Please specify a valid e-mail address. Gas Malaysia will use this e-mail address to correspond with the contact person.
Contact Number*
Please specify a contact number and extension (if applicable).
Mobile Number
All The Time, 24 x 7
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