registration

METER REGISTRATION FORM

Full Name*

ID / Passport Number*

Email Address

Mobile Number*

Alternative Mobile Number

Address*

Suburb

City / Town*

Province*

Postal Code*

Municipal Area

Rate Per KWH*

Bank Name*

Account Holder Name*

Account Number*

Branch Name*

Branch Code*

Account Type*

Cheque

Savings

Current

Meter Number*

Upload ID / Passport* Max 2MB

Upload Bank Confirmation Letter* Max 2MB

Upload Proof of Address Max 2MB

I confirm that the information provided is correct.

I agree to the Terms & Conditions.