STS600-15-3 Ed1.8 2019 Request for Supply Group Code Requestor Name: SGC Number SGC Name 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 Name SGC Name SGC Name SGC Number SGC Name 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