Free Basic Electricity Application Form

Richmond Local Municipality – Electricity Connection Data Capture Form
Name
Name
First Name
Last Name
Enter the South African National ID Number (13 digits) without spaces or special characters. Example: 8001015009087
Enter the physical address of the stand or location where the installation is situated. Include stand number, street name, suburb, and town.
Example: 313356.780S
Example: 270432.646E
Must be in the format CCYYMMDD. This will be the date that the information is gathered in the field (Pre – Marketing Information eg : 20040605 ). 0 of 8 max characters.
Enter the date in the format CCYYMMDD (8 digits). and must be a date after the application date. (eg : Date meter was Complianced eg : 20040930 ). 0 of 8 max characters
Enter the Meter Number exactly as it appears on the meter. It must be 11 digits. Include leading zeroes if necessary. Example: 04198973430
Enter the Transformer Zone as provided by Eskom. Use a 3–4 letter CAPITAL prefix followed by the zone number, with no spaces, special characters, or leading zeroes. Example: PMLA88
Enter the Seal Number exactly as it appears on the meter. If the number has fewer digits (e.g. 189526), capture it as shown without adding extra digits unless specified. Example: 189526
Enter the Installation Certificate Number using 3 CAPITAL letters followed by 5 digits. If your certificate has only 4 digits, add a zero (0) after the letters to make 5 digits. Do not use the letter “O”. Example: ABC01234