CENTRAL WATER AUTHORITY

Application For Transfer of Name

Please Fill in the Details

Fill Account Number and Name as printed on Water bill. PROXY

Account Number Please Fill in if application not in
applicant's name
Name:
Applicant'sTitle

New Details Applicant's

Title Surname:

Surname: Applicant's
Forename :
Forename :
ID No:
ID No:

Supply Address :

Postal Address :
Please Fill in the Details
(If Applicable)
Home Tel No: Mobile No:
VAT Reg Number:
Office No: Fax No:

Email Id: VAT Reg Address:

Category of Supply : Domestic

Title Deed Volume Title Deed Number:

Remarks (If Any) :

Applicable if submitting by post only

Signature :

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