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Electricity, Water, Municipal Rates Agreement
and Service Request
Electricity & Water Authority

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Required Meter(s) Reading
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Change of Tenancy (COT)
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Account Due Must Be Settled
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Change of Name (CON)

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Details Update or Modification Request D ..I.:!� ..l.:!JJ:i .:.L...i�
Data of New Supply
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Determine Required Modification y_,n....JI J..:[Link] JJ....a.
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Submits With New S. Application / Solar PV

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Bills Will be sent via email �[Link].l�I .i....J:ill � _»il_,.[Link] J...[Link]

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Preferred Language for Bill English � o»'-WJ�I�\ I:>:!� 1 "l
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Electricity ,Water Meter No's. & Reading
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0 Premises Classification, Usage or Activity Type of Customer

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I who signed hereby acknowledge that all the data i) _,¥ UA ..,_;.J .i..31 ul...__,Ja...11.J uu4:JI � �.;..JI ul .)i
and information herein above stated are valid and : Signature I Stamp
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that all documents and papers submitted are valid
and legal. I declare full liability if any or part of the 1....o u,<>a,i .Ji JS� !"$, ut, 1... 1:ii l,,j.l.o �.J_,.... ufii.J ,_,.;..
above mentioned information is proved to be invalid ,6,!ilo.;..JI.J F-1...ll.J F-l/..,+S,ll � i)&, 4.J.,-. _,;Ji [Link] �
with no liability whatsoever on part of the Electricity
F-l,..,+S,ll ��\ � �\ �t.,,..ll A.!I..S J\.i....,, �i t...S
and Water Authority and staff, also pledged to
pay dues of the consumption of electricity, water �.J_,-. ufil.J 6:!,il.;ill.J ��\ -,...-,, A..,iJ.l,[Link] i"_,...._;ll.J F-1....ll.J
and municipal rates according to the laws and t;.,__;Lll\ A..,ili..l.J �j i)&, 4+ijW\ i...i..__;l.=..11.J ylloll 111. 04,:l
regulations and be responsible towards this '-------------------------------------------­
J\.i...,.J yL...,J\ � yllo,, i".ali .J _;lkll U"' i}_;.l::i �i �jJ\
request till the date of evacuation the premises,
closing the account and final bill settlement. Date: ___________ :t;,ullll .�l.,l;J\o_;[Link]

For Official Use

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App. Submitted By ID No Tel No.

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Account No.'--
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C: Lease

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Inbound Contacts No.
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Ownership Doc.
(1)

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IBAN Proof ::========� Checked By
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Requirements
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1. ,GHQWL¿FDWLRQ An Identity Card copy (front & back) or reader of the customer and the submitter for personal requests; or a copy of the CR and authorized
signatory Identity Card (front & back) for commercial requests.
2. 7HQDQWVDUHUHTXLUHGWRVXEPLW copy of the lease agreement along with a lease registration receipt issued by the municipality. 1HZSURSHUW\RZQHUV
are required to submit documentation proof of ownership.
3. &XVWRPHU%DQN$FFRXQW ,%$1  it is required from all customers to register a Direct Debt Instruction when applying for a request, it is mandatory to submit an
RI¿FLDOEDQNGRFXPHQWWKDWLQFOXGHVWKHDFFRXQWKROGHU¶VQDPH identity, and IBAN number. The maximum deduction amount will be automatically
calculated according to the meter size.
4. 6HFXULW\'HSRVLW is mandatory for all customers, excluding property owners.
5. Settle all amounts dues to EWA.