MAXIMUM RISK PROTECTION - Country wide Service
KEYHOLDER’S INFORMATION - RESIDENTIAL ACCOUNT
 Maximum Risk Protection Doc No: TD-002
  Compiler:   Member  J.J Swarts Rev (Amdt) No: 6
  Approving Officer:  Member  J.J Swarts Effective Date: 25/09/2014

CLIENT SURNAME :  
FULL FIRST NAMES :  
NICK NAME :  
STREET ADDRESS : 
POSTAL ADDRESS :  CODE : 
PREMISES TEL. NR :    E-MAIL :
INSURANCE COMPANY :    POLICY NUMBER :
DOGS ON PREMISES:  GATE KEYS/REMOTE:  DOMESTIC WORKER/GARDNER:

USER INFORMATION (PERSONS WITH ALARM CODES AND KEYS TO PREMISES)
KEYHOLDER 1 : PHONE NR.: /
KEYHOLDER 2 : PHONE NR.: /
KEYHOLDER 3 : PHONE NR.: /
KEYHOLDER 4 : PHONE NR.: /

USER PASSWORDS (NOTE: PASSWORDS MUST NOT BE LONGER THAN 8 CARACTERS)
USER 1 : PASSWORD :
USER 2 : PASSWORD :
USER 3 : PASSWORD :
USER 4 : PASSWORD :
MAID NAME : PASSWORD :
GARDNER NAME : PASSWORD :

PROTECTED AREA – ZONE DISCRIPTION
1. 9.
2. 10.
3. 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.

TRANSMITTER CODE : INSTALLATION DATE :
CONTROL PANEL : PROGRAM FORMAT :
TRANSMITTER TYPE : PANEL LOCATION :
SITE NUMBER :INSTALLERS NAME :
RESPONSE TAG NO. : TAG LOCATION :
TAG LOADED ON GUARDTRACK BY : SIGNATURE :
LOADED ON WATCHMANAGER BY : SIGNATURE :

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