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    Company Name:

    Existing Customer:

    Full Company contact details (For billing and 6th Scheduled Requirements):


    Office Number:

    Office Number:

    Mobile Number:

    Email Address:

    Full Name (as per I.C No):

    Current Position:

    Is your company registered on Department of Environment's ESWIS?

    Collection Site (if differs from company address):

    List of scheduled waste codes for recycling and Estimated Quantity Per Year. E.g. Waste Code | Process | Waste Criteria | Estimated Quantity

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