Meter Request Form

You can now make meter request with ease from the comfort of your home/office

Customer's region

Region

Please Select Region :

Customer's data

Demographic Information

First name *

Middle name *

Surname *

Date of birth *

Gender *

Nationality *

Personal id type *

Issue date *

Expiry date *

Personal id number *

Upload Document *

Customer Service Point *

Customer's contact

Contact Information

Address *

Email *

Mobile number *

Phone 2

Landlord's data

Are you a Landlord? *

Yes

No

Submit

Landlord Information

First name *

Middle name *

Surname *

Date of birth *

Mobile number *

Email *

Name of Business / Employer *

Address of Business / Employer *

Account Number *

Personal id type *

Personal id number *