Back New Supply Application CLCIK HERE FOR A QUICK LOGIN. Please Click here for the required documents and application guidelines CUSTOMER'S DATA Individual (Non-Commercial) Business (Commercial) First Name: Identity Document Type: Middle Name: Document country: Surname: Document Number: Birth date: Gender: CUSTOMER'S CONTACTS Email: Confirm email: Contact telephone: Postal Address: Postal Code: Select your preferred username for this self-service web-portal Email Phone Supply Application SUPPLY LOCATION (WHERE THE SERVICE IS REQUIRED) County: Street: Constituency: Estate/Village: Location: Landmark: House Number: SUPPLY INFORMATION CoordinatesRight click on premise (where supply is required) to capture it's coordinates. Terms of Use LRN / Plot Number: Latitude: Longitude: SUPPLY APPLICATION DATA Connection Type: Number of Meters Required: Is your premise constructed ?: Required date of connection: Which Appliances do you Intend to use ? Click to Add Appliance Appliance Number of appliances Total ADD DEVICE BY CLICKING ON BUTTON ABOVE Attach Documents Type of DocumentUpload Select Document Select Document Select Document Send Verify that the data provided are correct. I have read and agreed with the Terms and Conditions Check to proceed ClearCancelReview Application
