Professional Documents
Culture Documents
Date : .......................... :
Customer No. (if any.(: ................................................ : ) ( Application No. : ............................................. :
Contractor Name: ............................................................... : Owner Name: ...................................................................... :
Fax:
: Registration No. Qatari ID
: Zone No:
:
....................................... ...............................................
Premise Type
Shop
St. No:
: Plot No:
: PIN No:
:
..................................... ............................................. ..........................................................
Izba
Farm
Country House
Farm No.
.............................................. ..............................................
Others
Industrial
Villa
Beach House
Electricity
Mosque
Service Requested
Water
Service Upgrade
Service Relocation
Additional Meter
Meter Qty Required
Electricity ........... ,Water.............
Temporary Supply
........... .......... :
Others
Details of Other Services Needed
General Load
Other
Proposed
TCL ( KW( .
Existing
Total Load
A/C
Load Type
...............................
better living
km.qa
Please indicate the existing and
or the desired direction of supply
on the figure
Name ................................................................................................................................ :
Name ................................................................................................................................ :
License No. ............................. :
I confirm that the information provided above is true and my commitment to all the service provision conditions
Premise for Personel Use
Installation Inspector
Name ................................................................................................. :
pproved
A
) (
Not Approved
Remarks ( if any ( :
Signature
Attached Documents
Name ................................................................................................. :
Property certificate
Building Permit
Policy Plan
Form must be filled by typewriting and submitted with the required document
) (
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3.
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5.
The required cable of electricity supply and pipe for water supply
are installed after getting the approval of the concerned authorities.
6.
7.
The owner or customer shall not, after the electricity or water cur-
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