You need to fill out the blanks 1 through 4, and 5 if you can.

1. Name of applicant
2. Telephone number of applicant
3. Address of home where electricity is used
4. Date of starting electricity usage (date of moving in)
5. Reading of the watt-hour meter |
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Enter information 6 , 7 and 8 if the person who will use the electricity is different from one who will pay the electricity bill.

6. Name of person who pays the electricity bill
7. Telephone number of the person who pays the electricity bill
8. Address to where the bill should be sent |