Date
*
Name
*
Address
*
Contact No.
*
Email
*
Complaint Type
*
---------- Please Select ----------
BE - BILLING ENQUIRY
DE - DAMAGE ENQUIRY
HP - HIGH PRESSURE
LK - LEAKAGE
MP - METER PROBLEM
NW - NO WATER
OP - POOR PRESSURE
QW - WATER QUALITY
WT - WATER THEFT
Account No.
*
District
*
---------- Please Select ----------
Batu Pahat
Johor Bahru
Kluang
Kota Tinggi
Kulai
Mersing
Muar
Pontian
Segamat
Description
*
Attachment 1
Attachment 2
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