P.U.

(A) 38

FORM H

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

TEST CERTIFICATE

To: TENAGA NASIONAL BERHAD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: JABATAN PENGAIRAN DAN SALIRAN MALAYSIA

Address: PEJABAT PENGURUSAN LEMBANGAN SUNGAI MUDA,

KM4 Jalan Kota Kuala Muda,
08500 Kota Kuala Muda,
Kedah.

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the testing of the installation in
Part 1, particulars of which are described in the Schedule of Drawings in Part 3 and Schedule of Test Results in Part
4, CERTIFY that the above installation for which I have been responsible is to the best of my knowledge and belief
in accordance with the Electricity Regulations 1994, and that the above installation is ready and safe to receive
energy from or be given energy by the licensee or supply authority, as the case may be.

The extent of liability of the signatory is limited to the installation described above in Part 1 as the subject of this
Certificate.

For the Test of the installation: PINTU AIR

Name (In Block Letters): MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: TIGA FASA & ENDORSAN PENGUJIAN

For and on behalf of:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000

Address:
Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been tested by me in accordance with the
Electricity Regulation 1994:

Name: MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: TIGA FASA & ENDORSAN PENGUJIAN

Certificate of Competency No: PW-T-4-B-0143-2003

For and on Behalf of:

Address:

Signature: Date:

(a)

(b)

(c)

(d)

PART 4: SCHEDULE OF TEST RESULTS

(a)

(b)
(c)

(d)

NOTES:

1. TheTest Certificte required by regulation 13 of the Electricity Regulations 1994 shall be made out and
signed by a competent person in respect of the test of the installation.
2. This certificate will indicate the responsibility for the test of the installation, whether in relation to a new instal-
lation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the test of the
installation.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM G

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

SUPERVISION AND COMPLETION CERTIFICATE

To: TENAGA NASIONAL BERHAD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: JABATAN PENGAIRAN DAN SALIRAN MALAYSIA

Address: PEJABAT PENGURUSAN LEMBANGAN SUNGAI MUDA,

KM4 Jalan Kota Kuala Muda,
08500 Kota Kuala Muda,
Kedah.

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the supervision and completion
of the electrical work in the above installation in part 1, particulars of which are described in the Schedule of
Drawings in Part 3, CERTIFY that the said work for which I have been responsible is to the best of my knowledge
and belief in accordance with the Electricity Regulations 1994.

The extent of liability of the signatory is limited to the electrical work described above in Part 1 as the subject of
this Certificate.

For the supervision and completion of the electrical work: PINTU AIR

Name (In Block Letters): MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: Wireman with Single/Three Phase Restriction: TIGA FASA &
ENDORSAN PENGUJIAN

For and on behalf of:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000
Address:

Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been supervised by me and completed in
accordance with the Electricity Regulations 1994.

Name: MOHAMMAD ASRIN BIN ISHAK

Wireman with Single/Three Phase Restriction*: TIGA FASA & ENDORSAN PENGUJIAN

Certificate of Competency:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-4-B-0161-2002

For and on Behalf of:

Address:

Signature: Date:

(a)

(b)

(c)

(d)

(e)

NOTES:
1. The Supervision and completion Certificte required by regulation 12 of the Electricity Regulations 1994
Shall be made out and signed by a competent person in respect of the supervision and completion of the
electrical work.
2. This certificate will indicate the responsibility for supervision and completion of the electrical work, whether
in relation to a new installation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the work of
supervision and completion of the electrical work.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority, as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM G

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

SUPERVISION AND COMPLETION CERTIFICATE

To: TENAGA NASIONAL BERHAD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: JABATAN PENGAIRAN DAN SALIRAN MALAYSIA

Address: PEJABAT PENGURUSAN LEMBANGAN SUNGAI MUDA,

KM4 Jalan Kota Kuala Muda,
08500 Kota Kuala Muda,
Kedah.

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the supervision and completion
of the electrical work in the above installation in part 1, particulars of which are described in the Schedule of
Drawings in Part 3, CERTIFY that the said work for which I have been responsible is to the best of my knowledge
and belief in accordance with the Electricity Regulations 1994.

The extent of liability of the signatory is limited to the electrical work described above in Part 1 as the subject of
this Certificate.

For the supervision and completion of the electrical work: PINTU AIR R2

Name (In Block Letters): MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: Wireman with Single/Three Phase Restriction: TIGA FASA &
ENDORSAN PENGUJIAN

For and on behalf of:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000
Address:

Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been supervised by me and completed in
accordance with the Electricity Regulations 1994.

Name: MOHAMMAD ASRIN BIN ISHAK

Wireman with Single/Three Phase Restriction*: SATU FASA & ENDORSAN PENGUJIAN

Certificate of Competency:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-3-B-4983-1996

For and on Behalf of:

Address:

Signature: Date:

(a)

(b)

(c)

(d)

(e)

NOTES:

1. The Supervision and completion Certificte required by regulation 12 of the Electricity Regulations 1994
 Shall be made out and signed by a competent person in respect of the supervision and completion of the
electrical work.
2. This certificate will indicate the responsibility for supervision and completion of the electrical work, whether
in relation to a new installation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the work of
supervision and completion of the electrical work.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority, as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM H

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

TEST CERTIFICATE

To: TENAGA NASIONAL BERHAD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: CIK CHAH ENTERPRISE

Address: Lot No. LG058, Lower Ground Floor Sungei Wang Plaza,
Jalan Bukit Bintang, 55100 Kuala Lumpur

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the testing of the installation in
Part 1, particulars of which are described in the Schedule of Drawings in Part 3 and Schedule of Test Results in Part
4, CERTIFY that the above installation for which I have been responsible is to the best of my knowledge and belief
in accordance with the Electricity Regulations 1994, and that the above installation is ready and safe to receive
energy from or be given energy by the licensee or supply authority, as the case may be.

The extent of liability of the signatory is limited to the installation described above in Part 1 as the subject of this
Certificate.

For the Test of the installation: PENDAWAIAN PAIP TERBUKA

Name (In Block Letters): MOHD ASRIN BIN ISHAK

Certificate of Competency: SATU FASA & ENDORSAN PENGUJIAN

For and on behalf of:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000

Address:
Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been tested by me in accordance with the
Electricity Regulation 1994:

Name: MOHD ASRIN BIN ISHAK

Certificate of Competency: SATU FASA & ENDORSAN PENGUJIAN

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000

For and on Behalf of:

Address:

Signature: Date:

(a)

(b)

(c)

(d)

PART 4: SCHEDULE OF TEST RESULTS

(a)

(b)

(c)
(d)

NOTES:

1. TheTest Certificte required by regulation 13 of the Electricity Regulations 1994 shall be made out and
signed by a competent person in respect of the test of the installation.
2. This certificate will indicate the responsibility for the test of the installation, whether in relation to a new instal-
lation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the test of the
installation.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM G

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

SUPERVISION AND COMPLETION CERTIFICATE

To: TENAGA NASIONAL BERHAD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: SADELI BIN ISHAK

Address: Lot 1854B Jalan Manggis, Kampung Medan,

42500 Telok Panglima Garang, Selangor Darul Ehsan

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the supervision and completion
of the electrical work in the above installation in part 1, particulars of which are described in the Schedule of
Drawings in Part 3, CERTIFY that the said work for which I have been responsible is to the best of my knowledge
and belief in accordance with the Electricity Regulations 1994.

The extent of liability of the signatory is limited to the electrical work described above in Part 1 as the subject of
this Certificate.

For the supervision and completion of the electrical work: RUMAH KEDIAMAN

Name (In Block Letters): MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: Wireman with Single/Three Phase Restriction: TIGA FASA &
ENDORSAN PENGUJIAN

For and on behalf of:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000
Address:

Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been supervised by me and completed in
accordance with the Electricity Regulations 1994.

Name: MOHAMMAD ASRIN BIN ISHAK

Wireman with Single/Three Phase Restriction*: TIGA FASA & ENDORSAN PENGUJIAN

Certificate of Competency:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-4-B-0161-2002

For and on Behalf of:

Address:

Signature: Date:

(a)

(b)

(c)

(d)

(e)

NOTES:
1. The Supervision and completion Certificte required by regulation 12 of the Electricity Regulations 1994
Shall be made out and signed by a competent person in respect of the supervision and completion of the
electrical work.
2. This certificate will indicate the responsibility for supervision and completion of the electrical work, whether
in relation to a new installation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the work of
supervision and completion of the electrical work.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority, as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM H

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

TEST CERTIFICATE

To: TENAGA NASIONAL BERHAD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: SADELI BIN ISHAK

Address: Lot 1854B Jalan Manggis, Kampung Medan,

42500 Telok Panglima Garang, Selangor Darul Ehsan

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the testing of the installation in
Part 1, particulars of which are described in the Schedule of Drawings in Part 3 and Schedule of Test Results in Part
4, CERTIFY that the above installation for which I have been responsible is to the best of my knowledge and belief
in accordance with the Electricity Regulations 1994, and that the above installation is ready and safe to receive
energy from or be given energy by the licensee or supply authority, as the case may be.

The extent of liability of the signatory is limited to the installation described above in Part 1 as the subject of this
Certificate.

For the Test of the installation: PENDAWAIAN PAIP TERBENAM TERBUKA

Name (In Block Letters): MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: TIGA FASA & ENDORSAN PENGUJIAN

For and on behalf of:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000

Address:
Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been tested by me in accordance with the
Electricity Regulation 1994:

Name: MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: TIGA FASA & ENDORSAN PENGUJIAN

Certificate of Competency No: PW-T-4-B-0143-2003

For and on Behalf of:

Address:

Signature: Date:

(a)

(b)

(c)

(d)

PART 4: SCHEDULE OF TEST RESULTS

(a)

(b)
(c)

(d)

NOTES:

1. TheTest Certificte required by regulation 13 of the Electricity Regulations 1994 shall be made out and
signed by a competent person in respect of the test of the installation.
2. This certificate will indicate the responsibility for the test of the installation, whether in relation to a new instal-
lation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the test of the
installation.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM G

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

SUPERVISION AND COMPLETION CERTIFICATE

To: SMHB SDN. BHD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: KEMENTERIAN PERTANIAN DAN INDUSTRI ASAS TANI

Address: MEMBINA DAN MENYIAPKAN KOLAM TAKUNGAN SERTA KERJA - KERJA BERKAITAN
DI SKIM TANJONG KARANG, IADA BARAT LAUT SELANGOR,
KUALA SELANGOR

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the supervision and completion
of the electrical work in the above installation in part 1, particulars of which are described in the Schedule of
Drawings in Part 3, CERTIFY that the said work for which I have been responsible is to the best of my knowledge
and belief in accordance with the Electricity Regulations 1994.

The extent of liability of the signatory is limited to the electrical work described above in Part 1 as the subject of
this Certificate.

For the supervision and completion of the electrical work: THREE PHASE

Name (In Block Letters): MOHD ASRI BIN ISHAK

Certificate of Competency: Wireman with Single/Three Phase Restriction:

For and on behalf of: MOHD ASRIN BIN ISHAK

Certificate of Competency No: PW-T-4-B-0143-2003

Address: LOT 1891,LORONG BAHAGIA BT 8,

KAMPUNG SIJANGKANG,
 42500 KUALA LANGAT
SELANGOR DARUL EHSAN

Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been supervised by me and completed in
accordance with the Electricity Regulations 1994.

Name: MOHD ASRIN BIN ISHAK

Wireman with Single/Three Phase Restriction*: THREE PHASE

Certificate of Competency:

Certificate of Competency No: PW-T-4-B-0143-2003

For and on Behalf of:

Address: LOT 1891,LORONG BAHAGIA BT 8,

KAMPUNG SIJANGKANG,
42500 KUALA LANGAT
SELANGOR DARUL EHSAN

Signature: Date:

(a) LOCATION

(b) G & H FORM

(c)

(d)

(e)

NOTES:

1. The Supervision and completion Certificte required by regulation 12 of the Electricity Regulations 1994
Shall be made out and signed by a competent person in respect of the supervision and completion of the
electrical work.
2. This certificate will indicate the responsibility for supervision and completion of the electrical work, whether
in relation to a new installation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the work of
supervision and completion of the electrical work.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority, as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM H

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

TEST CERTIFICATE

To: SMHB SDN. BHD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: KEMENTERIAN PERTANIAN DAN INDUSTRI ASAS TANI

Address: MEMBINA DAN MENYIAPKAN KOLAM TAKUNGAN SERTA KERJA - KERJA BERKAITAN
DI SKIM TANJONG KARANG, IADA BARAT LAUT SELANGOR,
KUALA SELANGOR

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the testing of the installation in
Part 1, particulars of which are described in the Schedule of Drawings in Part 3 and Schedule of Test Results in Part
4, CERTIFY that the above installation for which I have been responsible is to the best of my knowledge and belief
in accordance with the Electricity Regulations 1994, and that the above installation is ready and safe to receive
energy from or be given energy by the licensee or supply authority, as the case may be.

The extent of liability of the signatory is limited to the installation described above in Part 1 as the subject of this
Certificate.

For the Test of the installation: THREE PHASE

Name (In Block Letters): MOHD ASRIN BIN ISHAK

Certificate of Competency: PW-T-4-B-0143-2003

For and on behalf of: MOHD ASRIN BIN ISHAK

Certificate of Competency No: PW-T-4-B-0143-2003

Address: LOT 1891,LORONG BAHAGIA BT 8,

KAMPUNG SIJANGKANG,
42500 KUALA LANGAT
 SELANGOR DARUL EHSAN

Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been tested by me in accordance with the
Electricity Regulation 1994:

Name: MOHD ASRI BIN ISHAK

Certificate of Competency:

Certificate of Competency No: PW-T-4-B-0143-2003

For and on Behalf of: MOHD ASRI BIN ISHAK

Address: LOT 1891,LORONG BAHAGIA BT 8,

KAMPUNG SIJANGKANG,
42500 KUALA LANGAT
SELANGOR DARUL EHSAN

Signature: Date:

(a) LOCATION

(b) SCHEMATIC DIAGRAM

(c) G & H FORM

(d)

PART 4: SCHEDULE OF TEST RESULTS

(a)

(b)

(c)
(d)

NOTES:

1. TheTest Certificte required by regulation 13 of the Electricity Regulations 1994 shall be made out and
signed by a competent person in respect of the test of the installation.
2. This certificate will indicate the responsibility for the test of the installation, whether in relation to a new instal-
lation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the test of the
installation.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM H

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

TEST CERTIFICATE

To: RONIAGA SDN. BHD.

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: RONIAGA SDN. BHD.

Address: No. 60 Jalan 3/52, Seksyen 3

43650 Bandar Baru Bangi, Selangor Darul Ehsan

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the testing of the installation in
Part 1, particulars of which are described in the Schedule of Drawings in Part 3 and Schedule of Test Results in Part
4, CERTIFY that the above installation for which I have been responsible is to the best of my knowledge and belief
in accordance with the Electricity Regulations 1994, and that the above installation is ready and safe to receive
energy from or be given energy by the licensee or supply authority, as the case may be.

The extent of liability of the signatory is limited to the installation described above in Part 1 as the subject of this
Certificate.

For the Test of the installation: THREE PHASE

Name (In Block Letters): MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000

For and on behalf of: MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000

Address: LOT 1891, LORONG BAHAGIA BATU 8,

KAMPUNG SIJANGKANG,
42500 KUALA LANGAT,
 SELANGOR DARUL EHSAN.

Signature: Date:
1. TheTest Certificte required by regulation 13 of the Electricity Regulations 1994 shall be made out and
signed by a competent person in respect of the test of the installation.
2. This certificate will indicate the responsibility for the test of the installation, whether in relation to a new instal-
lation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the test of the
installation.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable

 P.U.(A) 38

FORM H

(Regulation 14)

GOVERNMENT OF MALAYSIA

ELECTRICITY SUPPLY ACT 1990

TEST CERTIFICATE

To: TENAGA NASIONAL BERHAD

(Name and address of owner/management of installation (see notes overleaf)

PART 1 : DETAILS OF THE INSTALLATION

Client: JABATAN PENGAIRAN DAN SALIRAN MALAYSIA

Address: PEJABAT PENGURUSAN LEMBANGAN SUNGAI MUDA,

KM4 Jalan Kota Kuala Muda,
08500 Kota Kuala Muda,
Kedah.

This Installation is a/an New Installation/Addition/Alteration to Existing Installation*

PART 2: SUPERVISION AND COMPLETION

I, being the competent person responsible (as indicated by my signature below) for the testing of the installation in
Part 1, particulars of which are described in the Schedule of Drawings in Part 3 and Schedule of Test Results in Part
4, CERTIFY that the above installation for which I have been responsible is to the best of my knowledge and belief
in accordance with the Electricity Regulations 1994, and that the above installation is ready and safe to receive
energy from or be given energy by the licensee or supply authority, as the case may be.

The extent of liability of the signatory is limited to the installation described above in Part 1 as the subject of this
Certificate.

For the Test of the installation: PINTU AIR

Name (In Block Letters): MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: TIGA FASA & ENDORSAN PENGUJIAN

For and on behalf of:

Certificate of Competency No: PW-T-4-B-0143-2003

PW-T-2-B-0091-2000

Address:
Signature: Date:

PART 3: SCHEDULE OF DRAWINGS

Each drawing listed below shall bear the following undertaking:

I, hereby, confirm that the electrical work listed in this drawing has been tested by me in accordance with the
Electricity Regulation 1994:

Name: MOHAMMAD ASRIN BIN ISHAK

Certificate of Competency: TIGA FASA & ENDORSAN PENGUJIAN

Certificate of Competency No: PW-T-4-B-0143-2003

For and on Behalf of:

Address:

Signature: Date:

(a)

(b)

(c)

(d)

PART 4: SCHEDULE OF TEST RESULTS

(a)

(b)
(c)

(d)

NOTES:

1. TheTest Certificte required by regulation 13 of the Electricity Regulations 1994 shall be made out and
signed by a competent person in respect of the test of the installation.
2. This certificate will indicate the responsibility for the test of the installation, whether in relation to a new instal-
lation or further work on an existing installation.
3. When making out and signing a certificate on behalf of a company or other business entity, an individual shall
state for whom he is acting.
4. Aditional certificates may be required as clarification for larger or complicated electrical work.
5. The signature appended is that of competent person authorised by the company executing the test of the
installation.
6. The page numbers of each sheet should be indicated together with the total number of the sheets involved.
7. The owner of managemnt of the installation shall submit this Supervision and Completion Certificate and
Test Certificate (Forms G and H, First Schedule) to the licensee or supply authority as the case may be, in
order to receive energy from the licensee or supply authority.
8. On receipt of the said Certificates in paragraph (7) above, the licensee or supply authority shall henceforth
supply energy as requested by the owner or management of the installation.

* Delete whichever is not applicable