Loading
Form preview picture

Get Shell Card Application Form

SHELL CARD ADDITIONAL/REPLACEMENT/CANCELLATION CARD APPLICATION FORM To From SHELL MALAYSIA TRADING SENDIRIAN BERHAD 6087-M Company Name Company Address Tel No 1300-22-8181 Fax No 1300-82-8283 Date If you have changed your company address or contact person please fax in your change of address notice or letter via your company s letter head Shell Card Account No Tel No Please issue NEW / REPLACEMENT SHELL CARD s for our vehicle s details as follows Type or write clearly in BLOCK LETTERS note that all cards issued will be PIN-based cards Shell Card Your Partner On The Road Shell Select Shop Vehicle Wash Servicing Lubricants Shell Diesel Dept. Using Vehicle FuelSave 95 Vehicle Model ie Wira compulsory V-Power 97 No* Vehicle Registration No* compulsory V-Power Racing Cardholder s name Maximum 22 characters Please tick products required compulsory Odometer Reading A Purchase Restriction Kindly refer to Purchase Restriction Menu A B and indicate the Profile Name ie A1 We agree to the following charges of a RM10. 00 for each REPLACEMENT card issued for change of driver/vehicle no. /product/odometer reading and/or b RM10. 00 for each LOST card replaced* If specific usage limit is not provided a default profile of 2 two transactions a day with a limit of RM2 000 a day will be imposed on the card. B Please RETURN card s with this form for Official CANCELLATION subject to the Shell Card Cardholder Agreement Clause 2. 8. Vehicle Reg* No* / Cardholder s Name CARD NO. Replacement Required Yes / No Reason For Cancellation If REPLACEMENT is required but vehicle OR driver has changed kindly fill-up column A above Please indicate reason for card cancellation i*e* card lost/damaged/expired vehicle sold cardholder resigned etc* Authorized Signature Name Designation Company Official Stamp Compulsory and applicable for Company Account Only Ver 13-Aug-2012. Using Vehicle FuelSave 95 Vehicle Model ie Wira compulsory V-Power 97 No* Vehicle Registration No* compulsory V-Power Racing Cardholder s name Maximum 22 characters Please tick products required compulsory Odometer Reading A Purchase Restriction Kindly refer to Purchase Restriction Menu A B and indicate the Profile Name ie A1 We agree to the following charges of a RM10. 00 for each REPLACEMENT card issued for change of driver/vehicle no. /product/odometer reading and/or b RM10. 00 for each REPLACEMENT card issued for change of driver/vehicle no. /product/odometer reading and/or b RM10. 00 for each LOST card replaced* If specific usage limit is not provided a default profile of 2 two transactions a day with a limit of RM2 000 a day will be imposed on the card. 00 for each LOST card replaced* If specific usage limit is not provided a default profile of 2 two transactions a day with a limit of RM2 000 a day will be imposed on the card. B Please RETURN card s with this form for Official CANCELLATION subject to the Shell Card Cardholder Agreement Clause 2. B Please RETURN card s with this form for Official CANCELLATION subject to the Shell Card Cardholder Agreement Clause 2. 8. Vehicle Reg* No* / Cardholder s Name CARD NO. Replacement Required Yes / No Reason For Cancellation If REPLACEMENT is required but vehicle OR driver has changed kindly fill-up column A above Please indicate reason for card cancellation i*e* card lost/damaged/expired vehicle sold cardholder resigned etc* Authorized Signature Name Designation Company Official Stamp Compulsory and applicable for Company Account Only Ver 13-Aug-2012.

How It Works

RM2000 rating
4.8Satisfied
38 votes

Tips on how to fill out, edit and sign Odometer online

How to fill out and sign Applicable online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Are you seeking a fast and efficient solution to fill out Shell Card Replacement Form at a reasonable price? Our service provides you with a rich selection of templates that are available for filling in on the internet. It only takes a couple of minutes.

Keep to these simple steps to get Shell Card Replacement Form ready for sending:

  1. Choose the document you require in the library of legal templates.
  2. Open the form in our online editor.
  3. Read through the instructions to learn which details you must include.
  4. Click on the fillable fields and put the requested details.
  5. Put the relevant date and place your electronic autograph once you fill in all of the boxes.
  6. Check the form for misprints as well as other mistakes. If there?s a need to correct some information, the online editor along with its wide range of instruments are available for you.
  7. Save the filled out template to your computer by clicking Done.
  8. Send the e-document to the parties involved.

Submitting Shell Card Replacement Form does not need to be complicated anymore. From now on simply get through it from home or at your business office right from your mobile device or desktop computer.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Cardholder FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Shell Card Application Form

  • SENDIRIAN
  • a1
  • RM2000
  • Wira
  • berhad
  • FuelSave
  • cardholder
  • lubricants
  • odometer
  • designation
  • ie
  • applicable
  • DEPT
  • restriction
  • Usage
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.