APPLICATION FOR CHANGE OF OCCUPIER/OWNER

Name of Applicant	Property Address
Contact Telephone No.	Email Address
Bills to be sent via Email: Yes No	Date of change
Previous Owner/Tenant
Electricity Meter Reading	Water Meter Reading
Applicants Previous Address
Electricity Meter Reading	Water Meter Reading

I/We apply for a supply of electricity and water for use at the above premises at the rate in force from time to time.

I/We have received a copy of the conditions of supply for water and conditions of supply for electricity and agree to be bound by these conditions and any amendments made in accordance with condition 12. (Conditions of supply are also available on our website. www.connect.co.sh

Current Tariff and Conditions of Supply are also available on our website www.connect.co.sh

Signature………………………………………………………..….	Date…………………………………………………………

NOTE: Where the applicant is not a private individual this form must be signed by an authorised official of the organisation making the application.

FOR OFFICE USE ONLY	Date Received
Approved	Customer Reference
Application Number