APPLICANT DETAILS

Account Type

Select Electricity Account Water Account Both This Field is Required

Type

Select Company Individual Government Type cannot be blank.

Customer Type

Select Owner Tenant Customer Type cannot be blank.

Name

Name cannot be blank.

I.D. Card

Id Card cannot be blank.

Mobile

Mobile cannot be blank. Minimum 8 characters required

Email ID

Please enter a valid E-mail ID.

Telephone

Waste waste service

Select Yes No Waste waste service cannot be blank

Nationality

Select Omani Non-Omani Nationality

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Wilayat

Select Salalah Mirbat Taqah Sadah Thumrait

Area

Way No

Building No

Flat No

PO Box

PC

Premises Type

Domestic

Industrial

Commercial

Agricultural

Government

Tourism/Hotel

Remarks

Meter Reading photo

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