Bin Application Form

Identification Number *

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Name *

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Email *

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Phone Number *

- -

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Address *

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Notes:-

Please upload all the files in .jpg/.jpeg For damage bin replacement, please bring your old damage bin to PERBINDA office
Type Of Bin Application *

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Type Of Application *

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Capacity Bin *

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Upload IC front *

Choose any file for this field.
Upload IC back *

Choose any file for this field.

Notes:-