3 PHASE TSHWANE PREPAID METER APPLICATION FORM

APPLICANT DETAILS

Name: ______________________________________________________________________ ID No: _____________________________

Cell: ____________________________ W: ____________________________ H: ________________________ Email: _______________________________________________ Fax: ________________________ Postal Address: _______________________________________________________________________________ ________________________________________________________________ Code: _______________________ Complete as accurately as possible

SUBURB/ FARM

ERF / STAND PORTION / PLOT

STREET ADDRESS

POLE NO

Use of supply: (mark with an “X”)

MAIN RESIDENTIAL DWELLING

2ND DWELLING

COMPLEX / FLAT

BUSINESS INDUSTRIAL OTHER (Specify)

Name of Complex / Business / Industry (where applicable) ___________________________________________ Type of Application: (mark with an “X”)

NEW CONNECTION

INCREASE IN SUPPLY

REPOSITION POINT OF SUPPLY

TEMPORATY BUILDERS SUPPLY

DOWNGRADE OF EXISTING SUPPLY

OTHER (Specify)

Existing Connection Info: Existing Municipal Acc No: _________________________ Single Phase _ _ Three Phase _ _ ________Amps (circuit breaker) OR for HT connection _______KVA New / Upgrade / Downgrade Connection Info: Date when supply is required? ________ / ______ / ________

Conventional _ _ Pre-paid _ _

Single Phase _ _ Three Phase _ _ ________Amps (circuit breaker) OR for HT connection _______KVA Authority of Applicant: (mark with an “X”)

OWNER TENANT CONTRACTOR CONSULTANT OTHER

Signature of Applicant: _______________________ Date: ________ / ______ / ________

DOCUMENTS TO ACCOMPANY THIS APPLICATION:

• Latest Tshwane Account (paid in full / proof of arrangement made on outstanding amount) • Letter of approval for Prepaid Electric to act on your behalf. (Please complete attached form) • Copy of ID document

AUTHORISATION LETTER

I, _____________________________ ID No. _______________________ hereby give Prepaid Electric or any of their representatives permission to act on my behalf at City of Tshwane. Name: __________________________ Signature: _______________________ Date: _____/_____/_______

Important Information to know when Purchasing Prepaid Meters

When purchasing prepaid meters from Prepaid Electric, make sure your payment is done with the right reference number!

Reference to use: Please use the Customer Acc No on your Invoice

(Please insure that you are invoiced with every purchase – if you are not sure about the reference number, please phone the office).

Please send all proof of payments to: 086 531 2979 or admin@prepaidelectric.co.za

BANK DETAILS OF PREPAID ELECTRIC:

Account Holder: W. Dennison Bank Name: FNB Branch Name: Jacaranda Account Number: 6219 319 0247 Branch Code: (270 553) Reference: Customer Acc No on Invoice

Prices: Pretoria Area – no extra fees included. Johannesburg Area – Additional fee to be calculated p/km & added to meter price. Prepaid Sub Meter (for additional buildings) @ R1800 ea (Single Phase installed) @ R1350 ea (Single/p no installation) @ R3500 ea (3Phase installed) Waiting period for installation = 1-5 days after payment Documents Required for Sub Meter Application: Owner Application + Tenant Info Forms (completed & signed) Copy of ID document Proof of Payment

Municipal Prepaid Meters (for main dwelling of owners) @ R2196 ea (Single Phase installed) @ R5246 ea (3Phase installed) Waiting period for installation = 2-6 weeks after payment Documents Required for Municipal Application: Municipal Application Form (completed & signed) Copy of ID document Latest Account (paid up to date / proof of arrangement) Letter of Approval for Prepaid Electric to act on your behalf Proof of Payment

Other services of Prepaid Electric:

OPEN/CLOSE of Tshwane Accounts: New Acc-Deposit needed (Electricity) @ R540 New Acc-Deposit needed (Water) @ R260 Admin Fees (if Prepaid Electric acts on behalf) @ R250 Downgrades / Upgrades @ R800

Any queries, please contact the office on Tel: 087 150 7902 / 012-333 0177. After Hour Electricity Emergencies: (SMS ONLY) 082 852 7427