Water Application Form

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TATU CITY WATER AND SANITATION COMPANY SEZ LIMITED
APPLICATION FOR WATER & SEWERAGE SERVICES

"*" indicates required fields

APPLICANT DETAILS

Landowner Name (as registered)*

PIN Number*

National ID/Passport Number*

Other , Please specify and attach copy

Telephone Number (Office )

Tel No (Mobile )*

Email Address*

Postal Address

Postal Code

Alternate Email Address

SUPPLY DETAILS

Plot number/Precinct Number*

Development Type*

Demand (In M3 Per Month)

Required Service

Required Service*

Water

Sewerage

Type of Supply

Type of Supply*

Residential/Domestic

Industrial

Commercial

Schools

Institution

Other

Other (please specify)

Type of Connection*

New service

Upgrade of supply

Temporary

Permanent

Meter relocation

Downgrade of supply

Demand (m³)

Applicant details

Applicant Authorised Signatory Name*

Signature Date*

Customer Authorised Signatory Signature*

Requested Connection Date

APPLICANT CHECKLIST

Copy of ID/Passport/Certification of Registration*

Drop files here or

Max. file size: 256 MB.

Copy of KRA PIN Certificate*

Drop files here or

Max. file size: 256 MB.

Consent*

I accept the Terms and Conditions

Tatu City Water and Sanitation Company SEZ Limited
Tatu House, Off Ruiru-Kiambu Road, P.O. Box 2739-00621, Nairobi, +25420513100, +254777888999,

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