PF Serial Number NOO Reference Number

PF Serial Number or NOO Reference Number should be 10 digits *

Smartcard e.g. Ez-link Card. Concession Card, SimplyGo. etc. presented for ticket inspection Please fill in your Smartcard number without spacing

Salutation
Ms. Mr. Mrs. Mdm. Dr. Prof.

Full Name As In NRIC/Passport *

Address *

E-mail Address *

Contact No *

A. My reasons for not paying the appropriate fare (non-payment/non-tapping/under-payment/misusing concession or non-transferable ticket) and why the penalty fee should not be imposed on me:
Please input up to a maximum of 100 words.
100 words left

Upload Supporting Document
You can upload total of 5 files with total max file size of 5MB
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Declaration *

I declare that the above information given is correct and true to the best of my knowledge. I understand that consideration for this appeal is based on information as declared herein. I further acknowledge that should any of the information declared is found to be untrue, inaccurate or incorrect, the appeal shall be null and void.

I hereby consent to the PTC disclosing my personal particulars or the particulars belonging to the person issued with the notice, whom I have obtained the consent from and authorised by him or her to submit this appeal on behalf, to other Government agencies and Public Transport Operators so as to facilitate investigation and for consideration of the appeal. I agree and undertake to indemnify the PTC for any claims, liabilities, expenses, cost, losses or damage of whatever nature arising from the submission of this form which is found by PTC to be erroneous or wrongful because of or any false, incomplete or inaccurate representation or arising from the disclosure/use of the personal particulars.

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