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Senoko Referral Form
Please fill in the details to ease tracking / payment. Any issue, please contact me at Shan - 92725861.
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Sign Up Date
*
Date of Sign Up with Senoko Energy. This is required to match record in referral system.
MM
/
DD
/
YYYY
Contract Start Date
*
This is the date you have chosen to start to migrate to Senoko Energy. The rebate will be transferred to you after this date.
MM
/
DD
/
YYYY
Mobile number for Payment ( Paynow / Paylah / PayAnyone)
*
Additional Rebate will be transferred to this number. Default mode is PayNow and will attempt PayLah if PayNow is not available.
Your answer
Contact Person Name (Owner of the Mobile Number for Payment)
*
This person is to be contacted for clarification and notified upon payment. He or she needs not be the person who signed up as some are helping parents to sign up.
Your answer
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