STS600-15-3 Ed1.8 2019

Request for Supply Group Code

Requestor Name:

SGC Number

SGC NameNae

Country Country that the SGC will be used in

Location Municipality or area

Network Distribution network number (if known)

Allow vending to the following Subclasses:

Electricity

Water

Gas

Time

Select applicable subclasses

Elect Currency

Water Currency

Gas Currency

Time Currency

Cluster Only required for STS6 modules

Signed: Date:

SGC Number

SGC Number

SGC Number

SGC NameName

SGC NameName

SGC NameName

SGC Number

SGC NameName

Enter the required SGC Names (numbers will be allocated by the KMC)

Name:

For office use only

Verified by:

Name Designation

Signature Date

Processed by:

Name Designation

Signature Date

Return this form to the KMC