MONTHLY METER READING SUBMISSION FORM
Date :  

ACCOUNT INFORMATION
Account Number :   *   
Select Type of Account: :  
PHYSICAL ADDRESS :  
COMPANY NAME (If Applicable) :  
INITIALS & SURNAME: :  
IDENTITY NUMBER: :   
CONTACT NUMBER: :  
Email Address :
  

ELECTRICITY METER READINGS
1. Electricity Meter No. :  
2. Electricity Meter No. :  
3. Electricity Meter No. :  
4. Electricity Meter No. :  
5. Electricity Meter No. :  
Reading :  
Reading :  
Reading :  
Reading :  
Reading :  
Date :  
Date :  
Date :  
Date :  
Date :  

WATER METER READINGS
1. Water Meter No :  
2. Water Meter No. :  
Reading :  
Reading :  
Date :  
Date :  
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