1. This is an electronic form, which should be completed using a desktop or laptop computer using any modern browser in order to allow the information to be printed.

2. Ensure that the name provided when completing the form completely matches that appearing on the form of identification submitted.

3. The application will not be considered complete until a certified copy of a form of identification is submitted with the application. The forms of identification are a passport, driver’s licence or voter’s registration number.

4. Submit proof of address along with the Application Form. Also note that the mailing address supplied must be accurate as it will be used to provide you with documents or correspond with you in a manner that requires your response.

5. Carefully check the phone number and email address provided on the Application Form as these may be the means by which you are provided with documents or correspond with you in a manner that requires your response.

6. Applicants must submit evidence of their qualifications along with the relevant Application Form.

I certify that I have read and will comply with all applicable provisions of The Electricity Act, (Electricity Work, Registration and Licensing) Regulations, 2020.  I understand that providing false information on this application may result in refusal to grant this application for registration and/or revocation or suspension of registration and/or imposition of a fine.




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              Date Signed                                               Signature of Applicant