Installation Form

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EKO ELECTRICITY DISTRIBUTION COMPANY

MAP METER ASSET PROVIDER PROJECT


PREPAYMENT METER INSTALLATION FORM
AJAH
…………………………..……………………… BUSINESS DISTRICT Ajah
…………………………..………………………………… UNDERTAKING

Name of Feeder …………………………..…..…………… DT Name of Upriser


…………………………………….… ..……………………
… …
CO-ORDINATE: Latitude …………………………..………………………
6.48244,3.61490167 Longitude …………………………..…………………………………….…
MAP APPLICATION NUMBER: …………………………..……………………
MAPHOL019124

A. CUSTOMER DATA
1. Name: …………………………………………………………………………………………………………….…………………………………………
Mr ONOME ISREAL OWAMA
2. Home Address: …………………………………………………………………………………………………………………………………………
8, IMMACULATE COURT SAMUEL UKPONG STREET HAPPY LAND ESTATE OKO ADO,
SANGOTEDO BUS STOP, CLOSE TO ibeju.
…………………………………………………………………………………………………………………………………………
3. Office Address:
4. Name of Landlord/Landlady: …………………………………………………………………………………………………………………….
5. Telephone Number (GSM): …………………………………………………………………………………………………………….………..
08034434578,
6. E-mail Address: ……………………………………………………………………………………………………………………………….……….
[email protected]
7. Name on Bill: ……………………………………………………………………………………………………………………………….…………
8. Old Account No: ……………………………………………………………………………………………………………………………….…….
1037230613-01
9. Old Meter No: ………………………………………………………………………………………………………………………………………….
10. Last Meter Reading: ………………………………………………………………………………………………………………………………..
11. Tariff on Bill: …………………………………………………………………………………………………………………….…………….……….
R2T
12.
Outstanding Debt as at: …………………………………………………………………………………………………………………….……

B. PREPAYMENT METER INFORMATION


1. PPM Serial No: ……………………………………………………………………………………………………………………………………….…
0137226052082
2. PPM Seal No: …………………………………………………………………………………………………………………………………….………
0120694

3. ESN No: 892342003811476190
…………………………………………………………………………………………………………………………………………..……….
4. Initial PPM energy on Installation(kWh): 80
………………………………..…………………………………………………….………….
5. Change of Tariff (If Needed): ………………………………..……………………………………………………………………..…………..
R2T
6. Date of Installation: September 07 2024
………………………………………………………………………………………………………………….…………..…
7. Nature of Installation: Pole
…………… Mounted
………………………………………………………………………………………………………………….………..…
a. New Installation: YES
……………………………………………………………………………………………..………………..….……
………………
b. …
Replacement: …………………
NO Meter retrieved?.................... Meter No: .........................................
Reason for non-retrieval: ……………………………………………………………..……………….…..…………….………...
8. Name of Installer: ANNJEM Dele
……………………………………………………………………………………………..…………...………
9. Phone No of Installer (GSM): 00134388093
……………………………………………………………………………………………..…………...………
10. Name of Contractor: HOLLEY
…………………………………………………………………………………………………………………………………
11. Type of Map: ……………………………………………………………………………………………………………………………………………
UPFRONT PAYMENT
12.

Customer’s Signature & Date Installer’s Signature & Date

SPECIAL NOTICE
1. TAMPERING WITH OUR INSTALLATIONS WILL ATTRACT A MINIMUM PENALTY OF ₦50,000 AND
PROSECUTION IN A LAW COURT.
2. THIS METER SERVES AS A PREPAID AND CREDIT METER.

For enquiries and further clarifications. Please contact Customer Care on:
07080655555, 014537850 [email protected]

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