Form No.
(C-1E)
Connection Application h
I l'-1...-..o
Water D I l'-l-....i�
Electricity D I 0J�..,..J1 t..w1
Services Available I l'-L-..:>Jf---S,
Electricity D I L-...w1e...,..__;
I I I D I
..,,ll �.) Type of Service
:yl j:.\_.
: Account Number Water
Type of Connection �.JL-Jlt-.,._j
�-.it..)
Rewiring D I us:,...-.
Temporary D I �.l
Combination D �
Split D l ..,-------JL...;,J
Additional D I .J.:.D
.lJ
New
Owner's Name: .................................................................................................................................................................. :ii!lWI �! ) 'i ,_J\ t�
Nationality: .......................................................... �I Plot No.: ........................................................................... :�I �J Premise Type
Premises Location: ........................................ Jw.11 ul..,S- Sector No.: ....................................................................... :LJ"'_.,:[Link] �J Villa, Local Residential/ J,1.,. .,& :i,; D
Villa, Non Local Residential/ J,1.,. -»' .,& :i,; D
Area: ................................................................ �I Emirate: ................................................................................. :•JL...�I
Villa,Local Commercial/ J,1.,. ,,<Ji., :i,; D
Telephone: ....................................................... u.4-II �J P.O. Box: ..................................................................... :.i......>.JI JJ.i,;...,,
Villa, Non LocaVCommercial / .:,1,1.,.-»' .,µ ::l,i D
Mobile No.: ................................................... �� [Link] E-mail: ..................................................................... :(,f"J�I .i....._>.JI
Building Local/ ),IA\;, D
Emirates ID No.: ...................................................................................................................................................... :4.;-'f-11 4..ilb.i �J ....................................................-""D
l / We the under Signed, hereby apply for Electricity/Water connection o\;�l�J;....._,;yll,; -,.,1!,l,t.;.,\.:,;.,.,_,.JI� ti_...lit.;I Building, Non Local/ J,1.,. Jf-.;:. D
service for the purpose stated herein. Further, I/We undertake to notify r_,ii � ._,;4 '*11 _;U.;.4 .,...:U .,._.;I J,fa jJ;All _,;._;.ll ,WI
FEWA of any variation in the properly or representations given by me/us .................................................... "-'D
rfo rJill J u,,; �.:,-.:.....,w1.:,t.;4!11 � JI _)[Link] .)<-;r_,i,
and accept any penalties upon failure to do so. Furthermore, I/We agree ,1.,_.�._;;1_,; ._;;1} J ..!llii.>;i,ll ,-x. �-,,._;;..:.,1,1fe¥i Residential Complex, Local/ .:,1,1.,. JJi t"" D
to pay all relevant connection fees and consumption charges as per
FEWA rates. Finally, I/We acknowledge having read all relevant terms and .'*1' J;l.:,-.�1 ;,....':JJwJ-!l�'>''r>-'J JJ.-..yllr>-'J .................................................... ll<-0
conditions provided in this application and subseqently sign the same WJ / ..:.,.jJJ yl.\JI 1:,.. _,.i .,;_,.[Link] .l.J_>!ll � \.Wl.1 wall.! _,;;J
as an undertaking to comply with them and with any further amendments Residential Complex, Non Local/ J,1.,. -»' JJi t"" D
...:,;J .,;I.) �I ���I.; J \+-1 .>;i,!IJ rlJilYl> 4.;lc-
to be madeby FEWA at any time. ...................................................."'D
Na me: ...................................................................................................................................................................... :----"i1 (J,1_,.) ,t. fa. 1 <>1)-1 / «;j, D
Grade/Rest house/Rig. Local
Signature: ...............................................................................................................................................................: �.,_;....Ji (J,1.,. Jf-),[Link]/<>1;.J/«;j, D
Graden/Rest house/Rig. Non Local
Date: ....................................................................................................................., ..................................................:t:---,�1 «;j,J;.1,J,1.,. .:,,.. D
Resident Local house inside Garden
Documents Required '-:i-.,[Link] �l�I
Factoiy 'Local'/ .:,1,1.,.!:'""' D
(1) Site Plan + Property Agreement + Property Licence D ol.;11 --...;.J + '--[Link].. + U"'J';i.J.k... ( ')
Factoiy 'Non Local' / .:,1,1.,.-»' I:'""' D
(2) No Objection Certificate from Municipality. D <.;->l,JI ,;,-. jt.,..,1 / .._,1.... ,-x. ,,� (T)
Shed 'Local' 1.:,1,1.,. ,y..: D
(3) Electricity service request load card. D oL,__,.s!I Wi.. yll.l J....,.';1 ...,u._ er) Shed 'Non Local' I J,1.,. -»';;,-: 0
(4) For Locals, copies of "Khalasat Al Qaid & Passport / ID Card. D '4.*ll,jU.,/.JJ,11.,,.,i.1.,.i _µ, j\ fe-J .,,.i, .....�,;,-. 'J.Y4' (!) Labour Camp 'Local' / .:,1,1_,.,J.,< .:,L D
(5) For Expatriates, copy of Passport I ID Card issued in U.A.E. D wl Jt..)'l ..!Ja ,;,-. -�1...a ...,u._ / <J!il,1_,.JI _,,..I _µ1 jlfe-,;,_. 'J.Y4' (•) Labour Camp 'Non Local' I J,1.,.-»' J..< J5-, D
(6) Copy of Tenancy Contract {Attested). D JJ,...a..c, }-::·-//I Jic. [Link] o J-F (1) SchooVUniversiy 'Govt' I (<;,fi,) <u4i'-->" D
(7) For Companies, Copy of Trade License. D w\S_,.:Jl "-;J�I--...;.)1 ,;,_. •J .Y4' (Y) SchooVUniversity 'Private'/ (....,1.i.) a....t,.(...._,,.. D
(8) No Objection Certificate from Civil Defence if required. D y';I yl.b:; \j\ _,.[Link] tl>.>11 ,;,-. Wt... r"'- (A) Mosque,.,._.. D
(9) Submit Approved Drawing. D o.i..:a..J! u\..hh:....JI r:_li,j (I) Mosque Se!Vices Quarters I ..i.;,i. , .,._.. D
Government Garden / <;,,fi, <i;l, D
For official use only Private Garden / ....l.i. <i;l, D
Water .L____.. Electricity •C-../� '.' I h Ii ,,.....__.._;.J Government Building / ,rfi,.;,,. D
Application Number
Street Lighting / t);.,fa! D
Temporary Construction Site /ul:,.J,, �.,. D
. [Link]&Societies /<;,fi,�,'<;,J. D
20 I I e------,[Link]...:i.........l
Date Private Clubs&Societies / ....l.i. �, '<;,J. D
Shop /clSJ D
� .j......91.J--" � �I
Application Not Approved D �&-ilJ--A�\
Application Approved D Mobile Tower tJ...Ju D
Others / .s_,;i D
D
Contact Center: 800 33 92
CS@[Link] [Link]