AGREEMENT/ APPLICATION FOR NEW WATER SERVICEWater and Sewerage Authority • May 19th, 2021
Contract Type FiledMay 19th, 2021Applicant (1) Name (BLOCK LETTERS) ID Card No. (MANDATORY) Driver's Permit/Passport No. Date: Applicant Signature Day/ Month/ Year RIGHT THUMB PRINT Applicant (2) Name (BLOCK LETTERS) ID Card No. (MANDATORY) Driver's Permit/Passport No. Date: Applicant Signature Day/ Month/ Year RIGHT THUMB PRINT Checked by: Authorized by: Date: Date: Employee No.: Employee No.: New Account ID: Case ID: