Electricity

Application for Electricity

STEP1 Application for Electricity

Surname *

First Name (s) and Salutation *

Owner or Tenant of the Building *

Postal Address

Tel (H):

Tel (W):

Postal Address of Owner of Building (Only to be be completed if you are NOT the owner of the building)

Tel (H):

Tel (W):

Physical Address where Service is required

Erf No.

Street Name

Suburb

Tel

Type of Connection Required

Purpose of Supply

Type of Matering Required

Phase(s) Required

Ready-board Option (Pre-paid Only)

Date Connection Required

Supply Size required (Specify Amps OR KVA)

STEP 2 Appliance list of Customer (Residential Customers Only)

Specify the quantities of each Electric item that will be used:.

Hi-Fi

Electric Washing Machine

Tumble Dryer

Electric Iron

Electric Stove

Electric Refrigirator

Electric Deep Freeze

Hair-dryer

Toaster

Kettlle/Peculator

Microwave

Dish Washer

Electric Geyser

Light Bulbs

Welding Machine

Type the characters you see in the picture below