Purpose of Electrical Installation / Electrical Technician Declaration

Applicant Information
Name
ID/Passport no.
Business Registration no.
Contact Information Mobile Office

Fax Email

Electrical Installation Information

Installation address Street Door no.

Building Block Floor Room

Subscribed demand (kVA)

Business / Activity Type
Purpose of electrical installation
Site with explosive risk
Green open area Communal area of building1 Social, community or public facility2 Parking lot
Commerce Industrial sector Hotel and similar venue Office3
Residence Others (Please specify:__________________________________)

Responsible Electrical Technician (For application that requires Electrical Installation License)
Registered name & no.
Registered company name
ID card no.
Contact information Mobile Office

Fax Email

I hereby declare that I shall take the full responsibility for the electrical installation of the above premise in case it affects
the safety and accuracy of the metering system and the stability of the operation of the power supply system.

Electrical Technician's Signature: ________________________________ Date: _______________

(With company chop)

Declaration
I/We hereby declare that the above declaration is truth and accurate and understand and agree that CEM reserves
the final rights on power supply should any disputes arises.

Applicant's Signature*: _________________________________________ Date: _______________

(With company chop, if applicable)
*Declaration has to be signed by the applicant or the legal representative(s) of the company/association with
company/association chop.
Info Line 2833 9911
www.cem-macau.com
Remarks:

1. “Communal area of building” refers to the passage or open area of building, regardless whether the
building is under the Horizontal Property Regime or not, particularly the terrace, elevators, entrance,
lobby, stairs, corridors, and other parts that are under common use or allocated use.

2. “Social, community or public facility” refers to building, part of building, or independent unit in
building that is zoned as public gathering, particularly school, hospital, senior’s home, gymnasium,
recreational premises, church, temple, conference centre, exhibition hall or theater.

3. “Office” refers to building, part of building, or independent unit in building that is zoned for
administrative purpose, public reception, or service, particularly public institution, court, registry,
notary office, office of freelancer and non-educational research institution.