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Extension of Supplementary Details for Electrical Installations Customer Services Directorate

Identify / CR No. Applicant Name

Premises Address

Unit No. Unit No. Unit No. Unit No. Unit No.
( / ) Unit Type Unit Type Unit Type Unit Type Unit Type
Outlets (Watt / AMP)

No. K.W Total No. K.W Total No. K.W Total No. K.W Total No. K.W Total
Lighting

Socket AMP 13

Socket AMP 15

Socket AMP

A/C Unit

A/C Central

Chiller

Fans

Ex. Fan

Water Heaters

Cookers /

Flood Lights

Lift

Motor

Water Pump

Bell

Others
No. of No. of No. of No. of No. of
K.W K.W K.W K.W K.W
Units Units Units Units Units
Total Load per Unit / Units

Type of Application
Contractors Stamp & Signature
New Additional Split Temporary Re-Wiring SPN

Remarks Valid Property No.

License
Seal