APPLICANT DETAILS

Account Type

Select Electricity Account Water Account Both

Type

Select Company Individual Government

Customer Type

Select Owner Tenant

Name

I.D. Card

Mobile

Email ID

 

Telephone

Waste waste service

Select Yes No

Nationality

Select Omani Non-Omani

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Wilayat

Select Salalah Mirbat Taqah Sadah Thumrait

Area

Way No

Building No

Flat No

PO Box

PC

Premises Type

DomesticIndustrialCommercialAgriculturalGovernmentTourism/Hotel

Remarks

Meter Reading photo

I certify that all the above information is correct, and please note that by proceeding with this request, you agree that any current outstanding amount on the existing account will be transferred to the new account and the new customer will bear the financial responsibility for that.

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