P.U. (A) 432.

WATER SERVICES INDUSTRY ACT 2006
WATER SERVICES INDUSTRY (LICENSING) REGULATIONS 2007

ARRANGEMENT OF REGULATIONSPART IPRELIMINARY
Regulation

1.

Citation and commencement

2.

Interpretation
PART IIINDIVIDUAL LICENCE

3.

Eligibility

4.

Application for individual licence

5.

Matters for consideration by Commission in making recommendation

6.

Grant of individual licence7.

Duration and renewal of individual licence

8.

Application to impose additional conditions, vary or revoke theconditions of an individual licence

9.

Change in particulars of individual licensee

10.

Replacement of individual licence

11.

Application to assign, sub-licence or transfer individual licence

12.

Standard conditions applicable to all individual licensees

13.

Standard conditions applicable to all water distribution licensees

14.

Standard conditions applicable to all water treatment licensees

15.

Standard conditions applicable to all sewerage services licensees

16.

Individual licensees to comply with ring-fencing measures

17.

Subcontracting of activities under an individual licence

18.

Individual licensees to prepare consumer codes19.

Use of local equipment and materials

20.

Special licence conditions

P.U. (A) 432.

PART III
CLASS LICENCE
Regulation

21.

Eligibility

22.

Grant of class licence

23.

Registration notice of class license

24.

Change in particulars of the registration notice25.

Standard conditions applicable to all class licensees
PART IV
FEES

26.

Fees

27.

Individual licence fees

28.

Class licence fees
PART V
GENERAL

29.

Certified true copy of a licence

30.

Extension of time

31.

Revocation
SCHEDULESP.U. (A) 432.

WATER SERVICES INDUSTRY ACT 2006
WATER SERVICES INDUSTRY (LICENSING) REGULATIONS 2007
IN exercise of the powers conferred by section 179 of the Water Services
Industry Act 2006 [Act 655], the Minister makes the following regulations:PART IPRELIMINARY

Citation and commencement
1. (1) These regulations may be cited as the Water Services Industry(Licensing) Regulations 2007.
(2) These Regulations come into operation on 1 January 2008.
Interpretation
2. In these Regulations, unless the context otherwise requires—“control” means any individual, company, or persons acting in concert—(a) having interests of more than fifty per centum in a privatecompany;(b) having interests of more than thirty-three per centum in a publiccompany; or(c) empowered to make and implement decisions pertaining to the businessor administration of a company;“interest” means holding voting rights, equity or any other rights in acompany or entity;“persons acting in concert” shall have the meaning assigned to it in the
Securities Commission Act 1993 [Act 498];“foreign shareholder” means—(a) an individual who is not a Malaysian citizen;(b) an individual who is a permanent resident;(c) a foreign company as defined in the Companies Act 1965 [Act 125]
or any other foreign entity; or(d) a Malaysian entity in which the individual, company or entity specifiedin paragraph (a), (b) or (c) hold more than fifty per centum of thevoting rights;

P.U. (A) 432.

“substantial shareholding”—(a) in relation to an individual licensee is where that person has aninterest in one or more voting shares in the individual licensee andthe nominal amount of that share, or the aggregate of the nominal
amounts of those shares, is not less than five per centum of theaggregate of the nominal amounts of all the voting shares in theindividual licensee; or(b) in relation to an individual licensee with share capital which is divided
into two or more classes of shares, is where that person has an interestin one or more voting shares included in one of those classes andthe nominal amount of that share, or the aggregate of the nominal
amounts of those shares, is not less than five per centum of theaggregate of the nominal amounts of all the voting shares includedin that class;“sewerage services licensee” means a service licensee who holds an individual
licence to provide sewerage services;“principal licensee” means an individual licensee who subcontracts a partof the licensed activities to another individual licensee;“water treatment licensee” means a service licensee who holds an individual
licence to undertake water treatment;“arm’s length” in relation to a transaction, means a transaction between
two parties, however closely related they may be, which is—(a) conducted as if the parties were strangers so that no conflict of interest
arises;(b) freely arrived at in the open market, unaffected by abnormal pressure
or by the absence of normal competitive negotiation; and(c) made on terms and conditions including the price and requirements
which might normally be expected to have been made by independent
persons engaged in the same or similar activities.

PART IIINDIVIDUAL LICENCE

Eligibility
3. The following persons or classes of persons shall be eligible to apply
for an individual licence:(a) a company incorporated in Malaysia; and(b) such other persons or classes of persons as may be decided by the
Minister from time to time.

P.U. (A) 432.

Application for individual licence
4. (1) Every application for an individual licence shall be made in Form A as
set out in the First Schedule and accompanied by the prescribed application
fee as set out in Table A of the Second Schedule.
(2) Any person applying for an individual licence for the provision of aparticular facility or service shall submit, wherever applicable, the following
information:(a) the particulars of the applicant;(b) a description of the facilities or services which will be operated by
the applicant and the location of the facilities;(c) the proposed area in which the services are to be provided;(d) a thirty year master business plan and the rolling business plan
stipulated under section 30 of the Act setting out the applicant’splan for expansion, maintenance, repairs, upgrading, improvement,
refurbishment or alteration of the public water supply system or
public sewerage system and for construction of a new public watersupply system or public sewerage system and the anticipated capitaland operational expenditure, proposed financing plan, including thesources of financing, whether domestic or foreign, for undertaking
such activities;(e) the proposed operating and maintenance procedures, including a wateror sewerage safety plan and disaster recovery plan;(f) the proposed standards of performance and key performance indicators
to be adopted for water supply services and sewerage services;(g) any other individual or class licence held by the applicant under theAct, its group of companies and any company which is deemed to
be associated with a director of the applicant by virtue of section
122A of the Companies Act 1965;(h) corporate information, including the particulars of any company
referred to in paragraph (g) and particulars disclosing the ultimate
beneficial shareholders of the applicant and any company referred toin paragraph (g) which holds an individual or class licence together
with information detailing the direct and indirect shareholdings of
all their shareholders;(i) the latest audited accounts, memorandum and articles of association andcertified true copies of Forms 24, 44 and 49 under the Companies
Regulations 1966 [P.U. 173/1966] of the applicant which have been
filed with the Companies Commission of Malaysia; and(j) such other information or documents as the Commission may requirein writing or pursuant to any administrative guidelines issued by theCommission.
(3) In processing the application, the Commission shall have the right torequest the applicant to make such submissions as deemed necessary so as toenable the Commission to finalise its recommendation to the Minister.

P.U. (A) 432.

(4) An application for an individual licence in relation to two or more of
the following activities, that is—(a) ownership of a public water supply system or any part of thesystem;(b) ownership of a public sewerage system or any part of the system;(c) undertaking, providing or making available any water supply services
or part of the services by means of operating a public water supply
system; or(d) undertaking, providing or making available any sewerage services
or part of the services by means of operating a public seweragesystem,shall be made in separate application forms.
Matters for consideration by Commission in making recommendation
5. The Commission shall, before making the recommendation to the Ministeras to whether or not an individual licence should be granted to the applicant,consider amongst other matters, the following:(a) whether the applicant is eligible to apply for an individual licence
under regulation 3;(b) the applicable special licence conditions, including the key performanceindicators, which would be applicable to the applicant;(c) the ability of the applicant to fulfill its licence conditions, including
the key performance indicators, and the obligations under the Act;and(d) such other matters as the Minister may deem fit and necessary.
Grant of individual licence
6. An individual licence granted shall be in Form B as set out in the Third
Schedule.
Duration and renewal of individual licence
7. (1) An individual licence granted by the Minister is subject to renewal
every three years from the date of grant or subsequent renewal.
(2) An application for the renewal of an individual licence shall be madein Form A as set out in the First Schedule not later than one year before
the end of the three years term referred to in subregulation (1) and shall beaccompanied by such information as the Commission may require.

P.U. (A) 432.

(3) If an applicant fails to make the application for renewal within thetime period stipulated in subregulation (2), the individual licence shall lapse
at the end of the said three years period unless the applicant is permitted by
the Commission to submit the application for renewal at a later date.
Application to impose additional conditions, vary or revoke the conditionsof an individual licence
8. (1) An individual licensee may apply to the Minister to—(a) impose any additional conditions on the individual licence; and(b) vary or revoke any conditions to the individual licence.
(2) An application made under subregulation (1) shall be accompanied by
the prescribed fee as set out in Table A of the Second Schedule.
(3) An application made under subregulation (1) shall be in writing andshall be submitted to the Commission stating the following matters:(a) the proposed dates on which the proposed addition, variation or
revocation shall become valid;(b) the details of the proposed addition, variation or revocation and thereasons for such addition, variation or revocation; and(c) any other information as the Commission may require.
(4) The Commission may request the individual licensee to provide withina specified time such further information or other document as the Commission
may require.
(5) If any further information or other document required undersubregulation (4) are not provided by the individual licensee within the time
specified in the request or any extension of time granted by the Commission,
the application shall be deemed to be withdrawn and shall not be further
proceeded with but it shall not affect the right of the individual licensee tomake a fresh application.
(6) The Commission shall within sixty days from receipt of the application
under subregulation (1) or the providing of the further information or otherdocuments make a recommendation in writing to the Minister stating—(a) whether the application should be approved with or without
conditions;(b) whether the application should not be approved; and(c) the reasons for its recommendation.
(7) The Minister may, after considering the application undersubregulation (1) and the further information or other document provided
under subregulation (4) and having due regard to the recommendation of theCommission under subregulation (6)—(a) approve the application; or(b) refuse to approve the application.

P.U. (A) 432.

(8) The decision of the Minister to approve or not to approve the application
shall be communicated to the individual licensee by the Commission by written
notice as soon as practicable.
(9) The written notice by the Commission under subregulation (8) shallspecify—(a) in the case where the application is approved, the fact of such approval;
and(b) in the case of a refusal to approve the application, the fact of such
refusal and the reason for such refusal.
Change in particulars of individual licensee
9. (1) An individual licensee shall notify the Minister in writing, as soon as
possible, of any change in the particulars of the individual licensee and thenotification shall be accompanied by the prescribed fee set out in Table A of
the Second Schedule.
(2) Upon receipt of the notification under subregulation (1), the Ministershall require the Commission to amend the particulars of the individual licensee
in its individual licence.
Replacement of individual licence
10. (1) Where an individual licence is lost or destroyed, an individual licensee
shall lodge a report to the Commission in respect of the loss or destruction.
(2) An application for a replacement of an individual licence shall be madein writing to the Commission and shall be accompanied by any information
as required by the Commission and the fee prescribed for its replacement as
set out in Table A of the Second Schedule.
(3) If the Commission is satisfied that the loss or destruction of anindividual licence was not the result of any fraud, the Commission may issue
a replacement licence in the same form as the original but with the word
“DUPLICATE” endorsed on the licence.
(4) The duplicate individual licence issued under subregulation (3) shallhave the same effect as the original individual licence.
Application to assign, sub-licence or transfer individual licence
11. (1) An individual licensee may apply to the Minister to assign, sub-licenseor transfer its individual licence by submitting a written application to theCommission and such application shall be accompanied by—(a) the relevant particulars of the proposed assignment, sub-licensing
or transfer, including the particulars of the proposed assignee,
sub-licensee or transferee and the experience and capability of the
proposed assignee, sub-licensee or transferee in undertaking thelicensed activities; andP.U. (A) 432.

(b) the prescribed fees as set out in Table A of the Second Schedule.
(2) The Commission may, at any time after the receipt of an application
under subregulation (1), request the individual licensee to give to theCommission within specified time further information or other document on
the application.
(3) If any further information or other document required undersubregulation (2) are not provided by the individual licensee within the time
specified in the request or any extension of time granted by the Commission,
the application shall be deemed to be withdrawn and shall not be further
proceeded with, but without affecting the right of the individual licensee tomake a fresh application.
(4) The Commission shall within sixty days from—(a) the receipt of an application under subregulation (1); or(b) where the Commission has requested for further information or otherdocument under subregulation (2), the provision of the further
information or other document,
submit a written recommendation to the Minister as to whether or not theapplication should be approved.
(5) The Minister may, after considering the application under subregulation(1) and the further information or other document provided under subregulation(2) and having due regard to the recommendation of the Commission undersubregulation (4)—(a) approve the application, with or without conditions; or(b) refuse the application.
(6) The decision of the Minister to approve or to refuse the application
shall be communicated to the individual licensee by the Commission by written
notice as soon as practicable.
(7) The written notice by the Commission under subregulation (6) shallspecify—(a) in the case where the application is approved, the fact of such approval
and, where conditions are imposed, the conditions imposed; and(b) in the case of a refusal, the fact of such refusal and the reason forsuch refusal.
Standard conditions applicable to all individual licensee
12. (1) An individual licensee shall be subject to the following standard
conditions:(a) the individual licensee shall develop and maintain a comprehensive anddetailed register of all assets pertaining to water supply or sewerage

P.U. (A) 432.

services, as applicable, including the appropriate diagrams or plansin such format or containing such information as may be requiredby the Commission from time to time;(b) the individual licensee shall contribute to the Water Industry Fund inaccordance with the Act and its subsidiary legislation;(c) the individual licensee shall provide information, in such format and atsuch intervals, as may be required by the Commission in accordancewith the Act and its subsidiary legislation;(d) the individual licensee shall at all times ensure that all its key
management and operations staff, agents and sub-contractors have andmaintain the qualifications as may be specified by the Commission
from time to time or prescribed under the Act, to work, manage or
operate the water supply system or sewerage system;(e) the individual licensee shall comply with the ring-fencing measures
stipulated in regulation 16;(f) the individual licensee shall comply with the provisions pertaining to
sub-contracting of its licensed activities as stipulated in regulation
17;(g) the individual licensee shall comply with the provisions pertaining to
the use of local materials and equipment as stipulated in regulation
19;(h) the individual licensee shall comply with the relevant environmental
laws;(i) the individual licensee shall notify the Commission of any change inthe substantial shareholding of the licensee provided that there is
no change in control of the licensee as stipulated in subregulation(2);(j) the individual licensee shall comply with all relevant laws or rules
promulgated under any legislation or guidelines issued by theGovernment or Government agencies pertaining to the restrictions on
foreign shareholding in the individual licensee provided that where
the individual licensee is listed in the Malaysian stock exchange,
the total percentage of the issued and paid capital of the individual
licence held by foreign shareholders shall not exceed twenty-five
per centum;(k) the individual licensee shall not undertake any reconstruction,
amalgamation or merger without the prior written approval of the
Minister;(l) the individual licensee shall not transfer, dispose or lease a substantial
portion of its business, assets or undertaking without the prior written
approval of the Minister unless it is a transfer, disposal or lease of
assets to Pengurusan Aset Air Berhad which is wholly owned by theGovernment;

P.U. (A) 432.

(m) the tenure of the individual licence of the subcontractor to the principal
licensee shall be dependent on—(i) the contract between that subcontractor and the principal licensee;and(ii) the individual licence of the principal licensee being inforce;(n) the individual licensee shall observe and comply with the terms of
its licence, the provisions of the Act and any subsidiary legislation
made or other instruments issued under the Act;(o) the individual licensee shall indemnify the Government, the Ministerand the Commission against any claims and proceedings brought
against the Government, the Minister or the Commission arisingfrom or as a result of any breaches or failings on the part of theindividual licensee; and(p) the individual licensee shall comply with such other conditions as
may be decided by the Minister from time to time.
(2) Where there is a change in shareholding in the licensee or its
holding companies which results in a change in control of the licensee or its
holding companies, the prior written approval of the Minister shall first be
obtained.
(3) An application for approval under subregulation (2) shall be submitted
to the Commission.
(4) Any application for approval of reconstruction, amalgamation or merger
as stipulated in paragraph (k) shall be submitted to the Commission.
(5) For the purposes of paragraph (l), a transfer, disposal or lease isregarded to be a substantial portion of an individual licensee’s business, assets
or undertaking if—(a) at the time of the arrangement or transaction of the transfer, disposal
or lease of the business, assets or undertaking or part thereof, thevalue of the business, assets or undertakings exceeds ten per centumof the individual licensee’s net asset value determined by reference
to the licensee’s audited accounts of the preceding financial year orif the audited accounts of the preceding financial year has yet to becertified, the financial year before that; or(b) in a series of arrangement or transaction entered into by the individual
licensee to transfer, disposal or lease of the business, assets orundertaking or part thereof within a period of eighteen months orsuch other period as may be decided by the Minister, the aggregatedvalue of the business, assets or undertakings exceeds ten per centumof the individual licensee’s net asset value determined by reference
to the licensee’s audited accounts of the preceding financial year orif the audited accounts of the preceding financial year has yet to becertified, the financial year before that.

P.U. (A) 432.

Standard conditions applicable to all water distribution licensees
13. (1) In addition to the standard conditions set out in regulation 12, a water
distribution licensee shall be subject to the following standard conditions:(a) the water distribution licensee shall comply with its obligation underthe Act to ensure that at the time of supply the quality of watersupplied complies with the minimum quality standards specified by
the Minister;(b) the water distribution licensee shall prepare and comply with theconsumer code prepared by the licensee in accordance with regulation
18;(c) the water distribution licensee shall develop and implement, at its
own cost, a water conservation program on the maintenance of an
efficient and economic water supply system as may be required by
the Commission from time to time; and(d) the water distribution licensee shall, where required by the Minister,bill and collect sewerage services charges for and on behalf of thesewerage services licensee, subject to a mutually agreed fee.
Standard conditions applicable to all water treatment licensees
14. (1) In addition to the standard conditions set out in regulation 12, a water
treatment licensee shall be subject to the following standard conditions:(a) the water treatment licensee shall, subject to subregulation (2), obtainand shall at all times maintain the requisite approvals from therelevant State Government to abstract water from the watercourse
throughout the duration of the licence;(b) the water treatment licensee is prohibited from carrying out its licensed
activity until such time it has obtained the requisite approvals from therelevant State Government to abstract water from the watercourse;(c) a certified true copy of the requisite approval from the State Government
shall be forwarded to the Commission as soon as possible but notlater than five working days of receipt of the requisite approvals
from the relevant State Government;(d) the water treatment licensee shall ensure that the water treated andsupplied by the water treatment licensee complies with the minimum
quality standards specified by the Minister at the time of supply;and(e) the water treatment licensee shall develop and implement, at its
own cost, a water conservation program on the maintenance of an
efficient and economic water supply system as may be required by
the Commission from time to time.
(2) Where a water treatment licensee who has been granted the requisite
approvals from the State Government to abstract water from the watercourse
subcontracts its water treatment activities in accordance with regulation 17
to another water treatment licensee, hereinafter is referred to as the “second

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licensee”, the standard condition specified in subregulation (1) to apply andmaintain the requisite approvals to abstract water from the watercourse shallnot apply to the second licensee.
Standard conditions applicable to all sewerage services licensees
15. In addition to the standard conditions set out in regulation 12, a sewerage
services licensee shall be subject to the following standard conditions:(a) the sewerage services licensee shall prepare and comply with theconsumer code prepared by the licensee in accordance with regulation
18; and(b) the sewerage services licensee shall develop and implement, at its
own cost, a water conservation program as may be required by theCommission from time to time.
Individual licensees to comply with ring-fencing measures
16. Pursuant to paragraph 12(1)(e), an individual licensee shall, as part ofthe standard conditions for an individual licence, comply with the following
restrictions and prohibitions:(a) an individual licensee shall only provide the activities permitted under its
licence except with the prior written approval of the Commission;(b) an individual licensee shall be prohibited from holding, directly or
indirectly, any shares of any kind in any company, business orundertaking except—(i) where an individual licensee holds any shares, directly or
indirectly, in any company, business or undertaking as at thedate of the coming into operation of these Regulations, theindividual licensee shall only be permitted to hold such sharesfor a period of two years from the date of initial issuance of
the individual licence or such other period as may be decided
by the Commission up to a maximum of four years; or(ii) that the Commission may exempt Pengurusan Aset Air Berhad
from such prohibition on a case-to-case basis so longas Pengurusan Aset Air Berhad is wholly-owned by theGovernment;(c) an individual licensee may only undertake any indebtedness which ison or more favourable than normal commercial terms and for the
purposes of its licensed activities;(d) an individual licensee shall not provide or grant any loans to any
person except—(i) for staff loans; or(ii) that the Commission may exempt Pengurusan Aset Air Berhad
from such prohibition on a case to case basis so longas Pengurusan Aset Air Berhad is wholly-owned by theGovernment;

P.U. (A) 432.

(e) an individual licensee shall not create any mortgage, charge, pledge,
lien or other form of security or encumbrance over the assets of theindividual licensee whatsoever without the prior written approval of
the Commission;(f) an individual licensee shall only enter into any transactions, arrangements
or agreements or undertake any obligations on an arm’s length basis
and for the purposes of its licensed activities;(g) an individual licensee shall not transfer, pay, lease, licence or lend
any sum, asset, right or benefit to any related company as definedin the Companies Act 1965 other than—(i) dividend or distribution out of distributable reserves or a
repayment of capital;(ii) payment for any goods or services provided to the individual
licensee on an arm’s length basis and for the purposes of its
licensed activities;(iii) repayment of or payment of interest on loans not prohibited
under paragraph (c);(iv) payment of group corporation tax relief calculated on a basis
not exceeding the value of the benefit received; or(v) such other circumstances which may be authorised by theCommission in writing;(h) an individual licensee shall not—(i) provide any guarantee or indemnity for the benefit of any otherperson; or(ii) enter into an agreement or arrangement, or incur any commitment
incorporating a term or condition whereby the individual’s
licensee’s obligation to pay or repay any debt or other sum
arises or is increased or accelerated by reason of a default
by any person other than the individual licensee,
without the prior written approval of the Commission; and(i) an individual licensee shall not be listed or apply to be listed in any
foreign stock exchange without the prior written approval of theCommission.

Subcontracting of activities under an individual licence
17. (1) Subject to subregulation (2), an individual licensee may subcontracta part of its licensed activities, provided that sixty days prior written notice
is given to the Commission.

P.U. (A) 432.

(2) The Commission may impose such terms and conditions on thesubcontracting arrangement as it thinks fit, including the terms of the subcontract
and the individual licensee shall ensure that the terms and conditions withrespect to the subcontracting arrangement are complied with.
(3) An individual licensee shall at all times be fully responsible forthe acts and omissions of its subcontractors and their agents, servants andemployees.

Individual licensees to prepare consumer codes
18. (1) An individual licensee, other than a water treatment licensee, shallprepare a consumer code which shall include the following:(a) model procedures for—(i) reasonably meeting consumer requirements;(ii) the handling of customer complaints and disputes including a
mediation process, and procedures for the compensation forcustomers in case of a breach of the consumer code; and(iii) the protection of consumer information;(b) provision of information to consumers regarding services, rates andperformance;(c) service levels and quality of service to be provided to consumers;(d) the provision of fault repair services; and(e) customer charging, billing, collection and credit practices.
(2) The consumer code shall be submitted by the individual licensee to theCommission for its approval within twelve months from the date of the initialissuance of the licence unless a longer period is allowed by the Commission
upon the written request of the individual licensee.
(3) The Commission may require that the consumer code be modified fromtime to time and resubmitted to the Commission for approval.
(4) The individual licensee shall comply with the consumer code approvedby the Commission.
(5) Where the Commission issues a consumer standard, the individual
licensee shall comply with the consumer standard but the individual licensee
may adopt a consumer code which is of a higher standard and requirement
than the consumer standard.

P.U. (A) 432.

Use of local equipment and materials
19. (1) An individual licensee shall, comply with all relevant laws, rules or
guidelines issued from time to time by the Government or Government agencies
and the Commission pertaining to the use of local equipment and materials.
(2) The individual licensee shall, upon written request by the Commission,
provide such information or documentation as may be required by the Commission,
to satisfy the Commission that the individual licensee has complied with its
obligations under subregulation (1).
Special licence conditions
20. The special conditions to be imposed by the Minister on an individual
licence in respect of the following matters:(a) the scope of the individual licence;(b) the water supply distribution area or sewerage services area, whereapplicable;(c) the key performance indicators applicable to the applicant; and(d) such other matters which the Minister deems necessary.
PART III
CLASS LICENSE

Eligibility
21. The following persons or classes of persons shall be eligible to apply
for a class licence:(a) a company incorporated in Malaysia;(b) individuals who are citizens or permanent residents;(c) statutory bodies established under the laws of Malaysia; and(d) such other persons or classes of persons as may be decided by the
Minister from time to time.
Grant of class licence
22. A class licence granted shall be in Form C as set out in the Fourth
Schedule.
Registration notice of class licence
23. (1) A person submitting a registration notice under section 25 of the
Act shall do so by submitting two copies of Form D as set out in the Fifth
Schedule.

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(2) The registration notice shall be accompanied by—(a) the particulars of the applicant;(b) a description of the facilities or services which will be operated by
the applicant and the location of the facilities;(c) evidence that the private water supply system or private sewerage system
to be operated complies with the specifications and requirements
stipulated in the Act or its subsidiary legislation or is approved by
the Commission;(d) evidence that the applicant possesses the necessary qualifications as
may be specified by the Commission from time to time, to operate
the private water supply system or private sewerage system;(e) evidence that the applicant has applied for or has obtained the necessary
approvals from the relevant State Government to abstract water fromthe watercourse; and(f) such other information or documents as the Commission may
require.
(3) The Commission shall endorse the registration notice if the requirements
in subregulation (2) has been fulfilled and shall deliver the registration noticeto the class licensee as soon as practicable.
(4) The endorsed registration notice shall be evidence of registration by
the Commission.
(5) The registration under this regulation shall be valid for three calendar
years.

Change in particulars of the registration notice
24. (1) Subject to subregulation (3), a class licensee shall notify the Commission
in writing, as soon as possible, of any change in the particulars of the classlicensee lodged with the registration notice and it shall be accompanied by
the prescribed fee as set out in the Second Schedule.
(2) Upon the notification referred to in subregulation (1), the Commission
may amend the particulars of the class licensee in the registration notice.
(3) Where the change in particulars relate to the location of the private
water system or private sewerage system or where there is any change to theprivate water system or private sewerage system, a new registration notice isrequired.

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Standard conditions applicable to all class licensees
25. (1) All class licensees shall be subject to the following standard
conditions:(a) the private water supply system or private sewerage system owned or
maintained by the class licensee shall be at the location stipulated
in the registration notice;(b) the class licensee shall supply water or provide sewerage services
only at the location specified in the registration notice;(c) the private water supply system or private sewerage system operated or
to be operated by the class licensee shall comply with the technicalspecifications and requirements under the Act or its subsidiarylegislation or as approved by the Commission;(d) the private water supply system or private sewerage system shall at
all times be maintained in good and proper working condition;(e) the private water supply system or private sewerage system shall at all
times be maintained and operated by persons having the necessary
qualifications as may be specified by the Commission from time totime;(f) the class licensee shall comply with the relevant environmental
laws;(g) the class licensee shall provide information, in such format and atsuch intervals, as may be required by the Commission in accordancewith the Act and its subsidiary legislation;(h) the class licensee shall observe and comply with the conditions of theclass licence, provisions of the Act and any subsidiary legislation
made or other instruments issued under the Act;(i) the class licensee shall indemnify the Government, the Minister andthe Commission against any claims and proceedings brought against
the Government, the Minister or the Commission arising from or
as a result of any breaches or failings on the part of the licensee;and(j) the class licensee shall comply with such other conditions as may be
decided by the Minister from time to time.
(2) In addition to the standard conditions set out in subregulation (1),where a class licensee is authorised under the class licence to supply waterfor private use and consumption, the class licensee shall also comply withthe following conditions:(a) the class licensee shall ensure that the water supplied complies withthe minimum quality standards specified by the Minister;(b) the class licensee shall obtain and shall at all times maintain therequisite approvals from the relevant State Government to abstract
water from the watercourse throughout the duration of the classlicence;P.U. (A) 432.

(c) the class licensee is prohibited from carrying out its licensed activity
under its class licence until such time it has obtained the requisite
approvals from the relevant State Government to abstract water fromthe watercourse; and(d) certified true copy of the requisite approvals from the State Government
shall be forwarded to the Commission as soon as possible but notlater than five working days of receipt of the requisite approvals
from the relevant State Government.
PART IV
FEES

Fees
26. (1) The fees to be paid in respect of an individual licence shall be asprescribed in Tables A and B of the Second Schedule.
(2) The fees to be paid in respect of a class licence shall be as prescribedin Table C of the Second Schedule.
(3) The fees referred to in subregulations (1) and (2) shall be paid to
the Commission by such means and in such manner as the Commission may
decide from time to time.
Individual licence fees
27. (1) A person who wishes to operate under an individual licence is subject
to the following fees:(a) application fees;(b) annual individual licence fees; and(c) processing fees for renewal.
(2) The annual individual licence fee for each individual licence held shallbe paid in the following manner:(a) on the first anniversary of the licence and annually thereafter, theannual individual licence fee shall be based on the audited accountsof the individual licence; or(b) if the audited accounts have not been finalized on or before thefirst anniversary or subsequent anniversaries, the annual individual
licence fees shall first be based on the unaudited accounts of theindividual licensee provided that within six months after the firstanniversary or subsequent anniversary, an adjustment shall be madeto the annual individual licence fees based on the audited accountsof the individual licensee.

P.U. (A) 432.

(3) A renewal fee shall be payable upon approval of the application forrenewal of each individual licence.
Class licence fees
28. (1) A person who wishes to operate under a class licence is subject tothe following fees:(a) registration fee; and(b) such other fees as may be relevant and as set out in the Second
Schedule.
(2) The registration fee shall be payable by the person to the Commission
upon the registration of that person as a class licensee.
PART V
GENERAL

Certified true copy of a licence
29. (1) A licensee may apply to the Commission in writing to obtain acertified true copy of his individual licence or registration notice of his classlicence.
(2) An authorisation holder may apply to the Commission in writing toobtain a certified true copy of his authorisation.
(3) Upon payment of the prescribed fee as set out in Table A of the Second
Schedule, the Commission shall provide a certified true copy of the relevant
individual licence to the individual licensee.
(4) Upon payment of a prescribed fee as set out in Table C of the Second
Schedule, the Commission shall provide a certified true copy of a registration
notice to a class licensee.
Extension of time
30. Notwithstanding anything contained in these Regulations or in any request
by the Commission, where a time period is specified under these Regulations
or in any request by the Commission for an act to be done or a condition to
be fulfilled, the person affected may request for an extension of such time inwriting and the Minister or the Commission, as the case may be, may grantsuch extension of time as he or it deems fit.
Revocation
31. The Sewerage Services (Licensing) Regulations 1994 [P.U. (A) 114/1994]
are revoked.

P.U. (A) 432.

FIRST SCHEDULE(Subperaturan 4(1), 7(2)/Subregulation 4(1), 7(2))
BORANG A/FORM A
AKTA INDUSTRI PERKHIDMATAN AIR 2006
WATER SERVICES INDUSTRY ACT 2006
PERATURAN-PERATURAN INDUSTRI PERKHIDMATAN AIR (PELESENAN) 2007
WATER SERVICES INDUSTRY (LICENSING) REGULATIONS 2007
PERMOHONAN LESEN INDIVIDU/PERMOHONAN PEMBAHARUAN LESEN INDIVIDUAPPLICATION FOR INDIVIDUAL LICENCE/APPLICATION FOR RENEWAL OF INDIVIDUAL
LICENCE
Tandakan (ȼ) di mana sesuai
7LFN ȼ  ZKHUH DSSOLFDEOH
1.

Permohonan untuk*
Application for*(a)lesen kemudahan
facilities licence
(i)
(ii)

(b)

lesen perkhidmatanservice licence
(i)

(ii)

2.


sistem bekalan air awam
SXEOLF ZDWHU VXSSO\ V\VWHP
sistem pembetungan awam
SXEOLF VHZHUDJH V\VWHP

pengagihan air dan rawatan air
ZDWHUGLVWULEXWLRQDQGZDWHUWUHDWPHQW
pengagihan air; atauZDWHUGLVWULEXWLRQRU
rawatan air
ZDWHUWUHDWPHQW
perkhidmatan pembetungan
VHZHUDJHVHUYLFHVJenis permohonan
7\SH RI DSSOLFDWLRQ(a)(b)

Permohonan baru
1HZDSSOLFDWLRQ
Pembaharuan
5HQHZDO* Nota: sesuatu permohonan untuk dua kategori lesen atau lebih perlu dibuat dalam borang
permohonan yang berasingan, setiapnya disokong dengan maklumat yang berkaitan.
 1RWH DQDSSOLFDWLRQIRUWZRRUPRUHFDWHJRULHVRIOLFHQFHVKDOOEHPDGHLQVHSDUDWHDSSOLFDWLRQIRUPV HDFK VXSSRUWHG E\ WKH UHOHYDQW LQIRUPDWLRQP.U. (A) 432.

3.
Adakah pemohon pada masa ini memegang kelulusan daripada Kerajaan Negeri untuk
mengambil air dari saluran air?
'RHVWKHDSSOLFDQWFXUUHQWO\KROGDQDSSURYDOIURPWKH6WDWH*RYHUQPHQWWRDEVWUDFWZDWHUIURP WKH ZDWHUFRXUVH"[]

Ya/Yes[]Tidak/No

Jika Ya, sila nyatakan butir-butir dan sesalinan kelulusan daripada Kerajaan Negeri.
,I \HV SOHDVH SURYLGH SDUWLFXODUV DQG D FRS\ RI WKH DSSURYDO IURP WKH 6WDWH *RYHUQPHQW

Jika Tidak, adakah pemohon telah membuat permohonan sedemikian?
,I QR KDV WKH DSSOLFDQW PDGH VXFK DQ DSSOLFDWLRQ"[]

Ya/Yes[]Tidak/NoJika Ya, sila nyatakan butir-butir.
,I \HV SOHDVH SURYLGH SDUWLFXODUV.

A.

BUTIR-BUTIR PEMOHONPARTICULARS OF APPLICANT

1.
Nama Pemohon dan No. Syarikat
1DPH RI $SSOLFDQW DQG &RPSDQ\ 1R

2.

Alamat Berdaftar
Registered Address
No. Telefon
Telephone No.
No. Faks
Fax No.
Alamat E-mel
E-mail address

3.

Tempat Perniagaan Utama
Principal Place of Business
No. Telefon
Telephone No.
No. Faks
Fax No.
Alamat E-mel
E-mail address

4.

Butir-butir pegangan saham pemohon*
Particulars of shareholding of the applicant*

Nama
Name

No. KPPN/
No. Pasport/
No. Syarikat
NRIC No./
Passport No./&RPSDQ\1R

AlamatAddress

Nombor dan % saham yangdipegang
Number and % of shares held
Langsung
DirectTidak
Indirect* Sila nyatakan pemegang syer benefisial utama dan juga pemegang syer asing dan
tempatan* Please indicate ultimate beneficial shareholder and also indicate foreign shareholders andlocal shareholders

P.U. (A) 432.

Sudahkah pemohon mematuhi kehendak Jawatankuasa Pelaburan Asing (FIC) berkenaan
dengan pegangan syer asing? Sila berikan butiran tersebut.
+DVWKHDSSOLFDQWFRPSOLHGZLWKWKH)RUHLJQ,QYHVWPHQW&RPPLWWHHUHTXLUHPHQWVZLWKUHJDUGVWR IRUHLJQ VKDUHKROGLQJ" 3OHDVH SURYLGH SDUWLFXODUV5.

Perihalan kemudahan atau perkhidmatan yang akan dikendalikan atau disediakan dan lokasi
kemudahan:
Description of the facilities or services to be operated or provided and location of the
facilities:

6.


Kawasan yang dicadangkan di mana perkhidmatan akan disediakan:
3URSRVHG DUHD LQ ZKLFK WKH VHUYLFH LV WR EH SURYLGHGB.

MAKLUMAT
INFORMATION

1.

Butir-butir dua orang iaitu dua pengurus atau seorang pengurus dan setiausaha syarikat
pemohon yang boleh dihubungi untuk maklumat lanjut:
3DUWLFXODUV RI WZR SHUVRQV QDPHO\ WZR GLUHFWRUV RU D GLUHFWRU DQG WKH FRPSDQ\ VHFUHWDU\RI WKH DSSOLFDQW ZKR PD\ EH FRQWDFWHG IRU IXUWKHU LQIRUPDWLRQ



Nama
Name

2.



3.


JawatanPosition

No. Telefon
Telephone No.

AlamatAddress

Kesemua maklumat lain yang dikehendaki di bawah subperaturan 4(2) Peraturan-Peraturan
Industri Perkhidmatan Air (Pelesenan) 2007 termasuk tetapi tidak terhad kepada rancangan
induk perniagaan, pelan perniagaan boleh pinda yang dinyatakan dalam seksyen 30 Akta,
cadangan tatacara pengendalian dan penyenggaraan, cadangan standard prestasi dan petunjuk
prestasi utama adalah dikepilkan sebagai lampiran kepada permohonan ini.
$OO RWKHU LQIRUPDWLRQ UHTXLUHG XQGHU VXEUHJXODWLRQ    RI WKH :DWHU 6HUYLFHV ,QGXVWU\(Licensing) Regulations 2007 including but not limited to the master business plan, rollingbusiness plan stipulated in section 30 of the Act, proposed operating and maintenance
SURFHGXUHVSURSRVHGVWDQGDUGVRISHUIRUPDQFHDQGNH\SHUIRUPDQFHLQGLFDWRUVDUHHQFORVHG
as appendixes to this application.
Apa-apa maklumat tambahan yang dianggap relevan kepada permohonan ini:
$Q\ DGGLWLRQDO LQIRUPDWLRQ FRQVLGHUHG UHOHYDQW WR WKLV DSSOLFDWLRQ

Kami,, pemohon mengaku dan mengesahkan mengikut
peruntukan-peruntukan Akta Akuan Berkanun 1960 yang berikut:We,, the applicant declare and confirm in accordance
ZLWK WKH SURYLVLRQV RI WKH 6WDWXWRU\ 'HFODUDWLRQ $FW  WKH IROORZLQJ(a) kami telah mematuhi seksyen 192 Akta Industri Perkhidmatan Air 2006;
 ZH KDYH FRPSOLHG ZLWK VHFWLRQ  RI WKH :DWHU 6HUYLFHV ,QGXVWU\ $FW 
(b) sepanjang pengetahuan kami, tiada penerima atau penerima dan pengurus telah dilantik
berkenaan dengan perniagaan, aset atau perusahaan kami;
WRWKHEHVWRIRXUNQRZOHGJHQRUHFHLYHURUUHFHLYHUDQGPDQDJHUKDVEHHQDSSRLQWHG
LQ UHVSHFW RI RXU EXVLQHVV DVVHWV RU XQGHUWDNLQJ(c) kami tidak membuat apa-apa kompromi atau perkiraan dengan pemiutang-pemiutang
dan tidak bercadang, pada masa permohonan ini dibuat, untuk membuat kompromi
atau perkiraan dengan pemiutang-pemiutang;
ZHKDYHQRWHQWHUHGLQWRDFRPSURPLVHRUDUUDQJHPHQWZLWKFUHGLWRUVDQGQRWLQWHQGLQJ
DW WKH WLPH RI WKLV DSSOLFDWLRQ WR HQWHU LQWR D FRPSURPLVH RU DUUDQJHPHQW ZLWKFUHGLWRUVP.U. (A) 432.

(d) sepanjang pengetahuan kami, tiada petisyen untuk menggulung telah dikemukakan
dalam mahkamah dan tiada petisyen untuk menggulung akan dikemukakan dalammahkamah; dan WR WKH EHVW RI RXU NQRZOHGJH WKHUH LV QR ZLQGLQJ XS SHWLWLRQ SUHVHQWHG LQ FRXUW DQGQR ZLQGLQJ XS SHWLWLRQ LV WR EH SUHVHQWHG LQ FRXUW DQG(e) kami layak untuk memohon lesen individu di bawah Akta dan semua maklumat yangdiberikan dalam permohonan ini dan dalam lampiran yang dikepilkan bersama adalah
benar dan tepat.
ZH DUH HOLJLEOH WR DSSO\ IRU DQ LQGLYLGXDO OLFHQFH XQGHU WKH $FW DQG DOO LQIRUPDWLRQ
given in this application and in the attached appendixes are true and accurate.
Tarikh:Date:
Ditandatangani oleh: ………………………………….…)
6LJQHG E\untuk dan bagi pihak ………………………...………….)
for and on behalf ofCatatan:Sekiranya ruang yang disediakan tidak mencukupi untuk menyediakan maklumat, sila kepilkan
lampiran. Sebarang lampiran perlu diparapkan oleh penandatangan permohonan ini.
Note:
,I WKH VSDFH SURYLGHG LV LQVXIILFLHQW WR SURYLGH WKH SDUWLFXODUV SOHDVH DWWDFK DSSHQGL[HV $Q\DSSHQGL[ VKRXOG EH LQLWLDOHG E\ WKH VLJQDWRU\ WR WKLV DSSOLFDWLRQSECOND SCHEDULE(regulation 2, subregulation 8(2), subregulations 9(1), 10(2),paragraph 11(1)(b), regulations 26 and 28 andsubregulation 29(3) and (4))
TABLE AINDIVIDUAL LICENCE FEES
7\SHVRIIHHV

Fees (RM)

Application fee

10,000

Processing fee for renewal of an individual licence

10,000$SSOLFDWLRQIRUFHUWLÀHGWUXHFRS\RIDQLQGLYLGXDOOLFHQFH

50

Fee for change in particulars of an individual licence

100

Application to impose additional conditions, vary or revoke the conditionsof an individual licence

1,000

Application for assignment, sub-licence or transfer of an individual licence

5,000

Fee for replacement of an individual licence

1,000

Fee for making of copy of, or taking extracts from, the register50

P.U. (A) 432.

TABLE B
ANNUAL INDIVIDUAL LICENCE FEES
7\SH

NatureFacilities Licence
onlyService Licence only

Annual Individual
Licence Fee
1% of the gross
turnover of thepreceding financial
year.

Water Distribution only
Water Treatment only

1% of the gross
turnover of thepreceding financial
year.

Sewerage Services only
Water Treatment and Distribution
Water Treatment, Distribution and
Sewerage Services
Water Distribution and Sewerage
Services
Facilities Licence andService Licence heldby the same legal
entity1% of the gross
turnover of thepreceding financial
year.

TABLE C
CLASS LICENCE FEES
7\SHV RI IHHVFees (RM)

Registration fee

500

Application for certified true copy of a class licenceregistration notice50

Application for certified true copy of a class licence50

Fee for change in particulars in the registration of classlicence50

Fee for making of copy of, or taking extracts from theregister50

P.U. (A) 432.

THIRD SCHEDULE(peraturan 6/regulation 6)
BORANG B/FORM B
AKTA INDUSTRI PERKHIDMATAN AIR 2006
WATER SERVICES INDUSTRY ACT 2006
PERATURAN-PERATURAN INDUSTRI PERKHIDMATAN AIR(PELESENAN) 2007
WATER SERVICES INDUSTRY (LICENSING) REGULATIONS 2007
LESEN INDIVIDUINDIVIDUAL LICENCE
ASAL
25,*,1$/
No. Siri:
Serial No.:

No. Lesen:
Licence No.:

MENURUT SEKSYEN 9 AKTA INDUSTRI PERKHIDMATAN AIR 2006
PURSUANT TO SECTION 9 OF THE WATER SERVICES INDUSTRY ACT 2006
1.

Lesen diberikan kepada..................................………………………………………………………................................
A licence is granted tountuk………………………………………………………………………………….............................
to

memiliki sistem bekalan air awam atau mana-mana bahagian daripada sistem tersebut*
RZQ D SXEOLF ZDWHU VXSSO\ V\VWHP RU DQ\ SDUW RI WKH V\VWHP



memiliki sistem pembetungan awam atau mana-mana bahagian daripada sistem tersebut*
RZQ D SXEOLF VHZHUDJH V\VWHP RU DQ\ SDUW RI WKH V\VWHP



untuk mengusahakan, menyediakan atau mengadakan perkhidmatan bekalan air*WR XQGHUWDNH SURYLGH RU PDNH DYDLODEOH ZDWHU VXSSO\ VHUYLFHV

untuk mengusahakan rawatan air sahaja*
WR XQGHUWDNH WKH WUHDWPHQW RI ZDWHU RQO\



untuk mengusahakan pengagihan air sahaja*
WR XQGHUWDNH WKH GLVWULEXWLRQ RI ZDWHU RQO\



untuk menyediakan perkhidmatan pembetungan*
WR SURYLGH VHZHUDJH VHUYLFHVP.U. (A) 432.

2.

Lesen hendaklah berkuat kuasa dari ....................................... hingga .................................
The Licence shall be effective from ....................................... until ......................................
melainkan diperbaharui mengikut seksyen 17 Akta dan peraturan 7 Peraturan-Peraturan
Industri Perkhidmatan Air (Pelesenan) 2007.
XQOHVV UHQHZHG LQ DFFRUGDQFH ZLWK VHFWLRQ  RI WKH $FW DQG UHJXODWLRQ  RI WKH :DWHU
6HUYLFHV ,QGXVWU\ /LFHQVLQJ  5HJXODWLRQV 


3.
Lesen hendaklah tertakluk kepada syarat-syarat yang berikut:
7KH /LFHQFH VKDOO EH VXEMHFW WR WKH IROORZLQJ FRQGLWLRQVSyarat-syarat standard lesen yang berikut:
7KH IROORZLQJ VWDQGDUG OLFHQFH FRQGLWLRQVSyarat-syarat khas yang berikut:
7KH IROORZLQJ VSHFLDO FRQGLWLRQV
Bertarikh:
Dated:…………..………………………………………
Menteri Tenaga, Air dan Komunikasi
0LQLVWHU RI (QHUJ\ :DWHU DQG &RPPXQLFDWLRQV*

Potong mana-mana yang tidak terpakai
 'HOHWH ZKLFKHYHU LV QRW DSSOLFDEOH

FOURTH SCHEDULE(peraturan 22/regulation 22)
BORANG C/FORM CAKTA INDUSTRI PERKHIDMATAN AIR 2006
WATER SERVICES INDUSTRY ACT 2006
PERATURAN-PERATURAN INDUSTRI PERKHIDMATAN AIR(PELESENAN) 2007
WATER SERVICES INDUSTRY (LICENSING) REGULATIONS 2007
LESEN KELAS
CLASS LICENCE
ASAL
25,*,1$/
No. Siri:
Serial No.:

No. Lesen:
Licence No.:

MENURUT SEKSYEN 20 AKTA INDUSTRI PERKHIDMATAN AIR 2006
PURSUANT TO SECTION 20 OF THE WATER SERVICES INDUSTRY ACT 2006
Lesen diberikan berkenaan:
A licence is granted in respect of:P.U. (A) 432.

Pemilikan sistem bekalan air persendirian atau mana-mana bahagian daripada sistem tersebut*
7KH RZQHUVKLS RI D SULYDWH ZDWHU VXSSO\ V\VWHP RU DQ\ SDUW RI WKH V\VWHP
Pemilikan sistem pembetungan persendirian atau mana-mana bahagian daripada sistem
tersebut*
7KH RZQHUVKLS RI D SULYDWH VHZHUDJH V\VWHP RU DQ\ SDUW RI WKH V\VWHP
Pengusahaan, penyediaan atau pengadaan apa-apa perkhidmatan bekalan air atau sebahagian
daripada perkhidmatan itu dengan cara mengendalikan suatu sistem bekalan air persendirian*
7KH XQGHUWDNLQJ RI SURYLGLQJ RI RU PDNLQJ DYDLODEOH DQ\ ZDWHU VXSSO\ VHUYLFHV RU SDUW WKHUHRIE\ PHDQV RI D SULYDWH ZDWHU VXSSO\ V\VWHP
Pengusahaan, penyediaan atau pengadaan apa-apa perkhidmatan pembetungan atau sebahagian
daripada perkhidmatan itu dengan cara mengendalikan suatu sistem pembetungan persendirian*
7KH XQGHUWDNLQJ RI SURYLGLQJ RI RU PDNLQJ DYDLODEOH DQ\ VHZHUDJH VHUYLFHV RU SDUW WKHUHRI E\
PHDQV RI D SULYDWH VHZHUDJH V\VWHP
berkuat kuasa dari........................................................................................................................................................
ZLWK HIIHFW IURPtertakluk kepada syarat-syarat standard yang berikut dan syarat-syarat lain sebagaimana yangdikenakan oleh Menteri dari semasa ke semasa:
VXEMHFW WR WKH IROORZLQJ VWDQGDUG FRQGLWLRQV DQG VXFK RWKHU FRQGLWLRQV DV PD\ EH LPSRVHG E\
the Minister from time to time:

Bertarikh:
Dated:……..…………..……………………………
Menteri Tenaga, Air dan Komunikasi
0LQLVWHU RI (QHUJ\ :DWHU DQG &RPPXQLFDWLRQV*

Potong mana-mana yang tidak terpakai
 'HOHWH ZKLFKHYHU LV QRW DSSOLFDEOH

FIFTH SCHEDULE(subperaturan 23(1)/subregulation 23(1))
BORANG D/FORM D
AKTA INDUSTRI PERKHIDMATAN AIR 2006
WATER SERVICES INDUSTRY ACT 2006
PERATURAN-PERATURAN INDUSTRI PERKHIDMATAN AIR (PELESENAN) 2007
WATER SERVICES INDUSTRY (LICENSING) REGULATIONS 2007
NOTIS PENDAFTARAN BAGI LESEN KELAS
5(*,675$7,21 127,&( )25 &/$66 /,&(1&(ASAL
25,*,1$/
No. Siri:
Serial No.:

P.U. (A) 432.

1.

Lesen Kelas No.
Class Licence No.
(a)lesen kemudahan
facilities licence(i)sistem bekalan air persendirian
SULYDWH ZDWHU VXSSO\ V\VWHP
sistem pembetungan persendirian
SULYDWH VHZHUDJH V\VWHP

(ii)

(b)

lesen perkhidmatanservice licence(i)

pengagihan air dan rawatan air
ZDWHU GLVWULEXWLRQ DQG ZDWHU WUHDWPHQW
perkhidmatan pembetungan
VHZHUDJH VHUYLFHV(ii)

7DQGD ȼ  MLND WHUSDNDL
7LFN ȼ  ZKHUH $SSOLFDEOH

2.

(a)

Nama Pemohon
Name of applicant(b)Status di sisi undang-undang:
Legal status of Applicant:





[


]


Syarikat&RPSDQ\[]

Individu
Individual[]

Badan berkanun
SWDWXWRU\ ERGLHV[]

Lain-lain*
Others** Sila nyatakan dan sediakan maklumat dalam lampiran.
 3OHDVH VSHFLI\ DQG SURYLGH SDUWLFXODUV LQ WKH DSSHQGL[(c)AlamatAddress

No. Telefon:
Telephone No.:
No. Faks:
Fax No.:Alamat E-mel:
E-mail address:

P.U. (A) 432.

3.


4.

5.







Prihalan terperinci kemudahan/perkhidmatan yang hendak dimiliki/disediakan atau dikendalikan
oleh pemohon dan lokasi kemudahan itu.
'HWDLOHG GHVFULSWLRQ RI WKH IDFLOLWLHVVHUYLFHV WR EH RZQHGSURYLGHG RU RSHUDWHG E\ WKHapplicant and location of the facilities.
Lokasi kemudahan/perkhidmatan yang hendak dimiliki/disediakan atau dikendalikan oleh
pemohon.
/RFDWLRQ RI WKH IDFLOLWLHVVHUYLFHV WR EH RZQHGSURYLGHG RU RSHUDWHG E\ WKH DSSOLFDQWBukti bahawa:
Evidence that:(a) kemudahan yang hendak dikendalikan mematuhi spesifikasi-spesifikasi dan kehendakkehendak yang dinyatakan di bawah Akta atau perundangan subsidiari Akta atau yangdiluluskan oleh Suruhanjaya;
 WKHIDFLOLWLHVWREHRSHUDWHGFRPSOLHVZLWKWKHVSHFLILFDWLRQVDQGUHTXLUHPHQWVVWLSXODWHG
LQ WKH $FW RU LWV VXEVLGLDU\ OHJLVODWLRQ RU LV DSSURYHG E\ WKH &RPPLVVLRQ(b) pemohon memiliki kelayakan yang perlu seperti yang ditentukan oleh Suruhanjaya untuk
mengendalikan kemudahan atau untuk menyediakan perkhidmatan; dan WKH DSSOLFDQW SRVVHVVHV WKH QHFHVVDU\ TXDOLILFDWLRQ DV VSHFLILHG E\ WKH &RPPLVVLRQ WR
RSHUDWH WKH IDFLOLWLHV RU WR SURYLGH WKH VHUYLFHV DQG(c) pemohon telah mendapat atau memohon bagi kelulusan yang diperlukan daripada Kerajaan
Negeri untuk mengambil air dari alur air, WKHDSSOLFDQWKDVREWDLQHGRUDSSOLHGIRUWKHUHTXLVLWHDSSURYDOVIURPWKH6WDWH*RYHUQPHQW
WR DEVWUDFW ZDWHU IURP WKH ZDWHUFRXUVH

adalah perlu dilampirkan.
is to be appended.

6.

Saya/Kami, ............................................................................ pemohon, mengaku dan
mengesahkan mengikut Akta Akuan Berkanun 1960 bahawa semua maklumat yang diberikan
dalam permohonan ini dan dalam lampiran yang dikepilkan adalah benar dan tepat.
I/We, ………………………………………….. the applicant, declare and confirm in accordance
ZLWK WKH 6WDWXWRU\ 'HFODUDWLRQV $FW  WKDW DOO WKH LQIRUPDWLRQ JLYHQ LQ WKLV DSSOLFDWLRQ
in the attached appendixes are true and accurate.

Tarikh:Date:

Ditandatangani oleh: ………………………….……..)
6LJQHG E\

untuk dan bagi pihak …………………….………….)
for and on behalf ofTarikh:'DWH

Diendorskan dengan meterai oleh:(QGRUVHG E\ ZD\ RI VHDO E\……………………………………………
Suruhanjaya Perkhidmatan Air Negara

P.U. (A) 432.

Catatan:Sekiranya ruang yang disediakan tidak mencukupi untuk menyediakan maklumat-maklumat, sila
kepilkan lampiran. Sebarang lampiran perlu diparapkan oleh penandatangan permohonan ini.
Note:
,I WKH VSDFH SURYLGHG LV LQVXIILFLHQW WR SURYLGH WKH SDUWLFXODUV SOHDVH DWWDFK DSSHQGL[HV $Q\DSSHQGL[ VKRXOG EH LQLWLDOHG E\ WKH VLJQDWRU\ WR WKLV DSSOLFDWLRQMade 19 December 2007
[KTAK: BP(S) 9/9 Klt. 3; PN(PU2)660]

DATO’ SRI DR LIM KENG YAIK
0LQLVWHU RI (QHUJ\ :DWHU DQG &RPPXQLFDWLRQV

Hakcipta Pencetak

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PERCETAKAN NASIONAL MALAYSIA BERHAD
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