Personal Information
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Name :
*
Phone No:
*
Fax No:
E-mail :
*
A/C No :
(only applicable for complaint related to billings)
District :
*
Select Value
Batu Pahat
Johor Bahru
Kluang
Kota Tinggi
Mersing
Muar
Pasir Gudang
Pontian
Segamat
Details Of Report
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Report/Complaint :
*
Report Type :
Select Value
Damaged Road
Over Flow
Water Leakage
Water Theft
No Water
Poor Pressure
Water Quality
Meter Problem
Bill
Inade. Notification
How Serious :
Select Value
Minor
Major
Where? :
Select Value
Road
Meter
Verge
Additional Information :
Location Of Problem
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Location Of Problem :
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Postcode :
City :
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Comments :
