NSC Customer Application Form -- PHED WebSite

Customer Personal Data

Upload Passport Photograph

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Click or drag to upload passport

JPG, PNG (Max 5MB)

Title

Mrs Miss Mr Other

Surname

Other Names (in full)

House Number / Plot Number

This is required for service location

Street Name / Road

State

LGA

Land Mark / Bus Stop

Premises Type

Use of Premises

Type of Meter

Name of Employer / Business

Contact Telephone Number

Address of Employer / Business

Email ID

Valid Means of Identification

Personal Identification Number

Declaration and Payment Option

Load Profiling / Requirement for the Premises

Appliance	Wattage (W)	Qty	Total (kW)	Action

Type of Property

Does the property have a functional meter?

Meter Number

Meter Type at the Property

Estimated Maximum Load

Requested Voltage / Type of Supply

License Number

Date

Registered Electrical Contractor Details

Name of Registered Electrical Contractor

Address

Port Harcourt Electricity Distribution

Who We Are

Quick Links

Important Links

Contact Info

Port Harcourt Electricity Distribution

Application Submitted Successfully!

Who We Are

Quick Links

Important Links

Contact Info