Meter Application Form "*" indicates required fields Step 1 of 7 14% Personal DetailsName & Surname* Email* Contact Number*Alternative Contact Number Property OwnershipName on title* Property type*ChooseHouseFlatOfficeFarmWarehouseFactoryOtherRental property*YesNoNature of business (if applicable) Trading name (if applicable) Registration/ID number* Business typePersonalPty LtdCCOtherStreet Address* City* Province* Meter InformationQuantity of new meters*Please enter a number less than or equal to 5.Meter type (1)*ChooseElectrical (Single phase)Electrical (Three phase)Water meterGasSolarOtherMeter type (2)*ChooseElectrical (Single phase)Electrical (Three phase)Water meterGasSolarOtherMeter type (3)*ChooseElectrical (Single phase)Electrical (Three phase)Water meterGasSolarOtherMeter type (4)*ChooseElectrical (Single phase)Electrical (Three phase)Water meterGasSolarOther Property Ownership Place where meter(s) has/have been installed.Installation address different to previous step?* Yes No If No, continue to next step, if Yes, please complete below.Street Address - Meter 1 City - Meter 1 Province - Meter 1 Street Address - Meter 2 City - Meter 2 Province - Meter 2 Street Address - Meter 3 City - Meter 3 Province - Meter 3 Street Address - Meter 4 City - Meter 4 Province - Meter 4 Prepaid Services (All Charges are exclusive of Taxes where applicable)Rates*Please use standard rates as published by NERSAI want to use my own rates (complete below rates)Own Rate Per Unit ZAR (kwh/m3/kl) Revenue Management Provide us with your Nominated Bank Account where funds for Prepaid Purchases are to be released into.Bank name* Account type*ChequeSavingsTrustAccount number* Branch code* Almost DoneCopy of ID (Property Owner)*Max. file size: 32 MB.Municipal Account (Not older than 3 months)*Max. file size: 32 MB.Consent* I herewith understand and agree with the terms and Conditions of this Contract between parties.Click here for the Terms & Conditions.Signed at* SignatureDate* DD slash MM slash YYYY Δ
