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    DownloadableForm Registration Form For Domestic User-2018

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    Navaf Htiag
    This document is a water use registration form from the National Water Resources Board of the Republic of the Philippines. It collects information about a water user such as their name, address, water source location, amount of water appropriated, purpose of use, and a certification that the information provided is true. The water user signs and dates the form which is then submitted to the administering officer.

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    DownloadableForm Registration Form For Domestic User-2018

    Uploaded by

    Navaf Htiag
    3 views1 page
    This document is a water use registration form from the National Water Resources Board of the Republic of the Philippines. It collects information about a water user such as their name, address, water source location, amount of water appropriated, purpose of use, and a certification that the information provided is true. The water user signs and dates the form which is then submitted to the administering officer.

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    DownloadableForm Registration Form for Domestic User-2018

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    This document is a water use registration form from the National Water Resources Board of the Republic of the Philippines. It collects information about a water user such as their name, address, water source location, amount of water appropriated, purpose of use, and a certification that the information provided is true. The water user signs and dates the form which is then submitted to the administering officer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    3 views1 page

    DownloadableForm Registration Form For Domestic User-2018

    Uploaded by

    Navaf Htiag
    This document is a water use registration form from the National Water Resources Board of the Republic of the Philippines. It collects information about a water user such as their name, address, water source location, amount of water appropriated, purpose of use, and a certification that the information provided is true. The water user signs and dates the form which is then submitted to the administering officer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
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    NWRB-WRD-17-r0

    REGISTRATION
    Republic of the Philippines WATER USE NO. __________
    NATIONAL WATER RESOURCES BOARD
    8th Floor, NIA Building, EDSA, Quezon City Filed in the Office of the
    On this date _______________

    1. Name of Water User 2. Mailing Address

    3. Citizenship 4. Starting Date of Water Use

    5. Name of Water Source 6. Method of Diversion

    Well Pump (______ hp)


    Spring Gravity
    River Others (Specify)
    Others (specify)
    7. Location of Water Source 8. Water Appropriated in

    Latitude: _________ liters/second


    _________ gallons/day
    Longitude: _________ drums/day
    _________ others (Specify)
    9. Period of Water Use 10. Purpose: ( e.g. domestic, commercial,
    industrial) If domestic – No. of persons per household.

    I hereby certify that the information given Subscribed and sworn to before me on
    above and the documents submitted are this date:
    true and correct to the best of my
    knowledge and belief.

    _______________________ _________________________
    Signature of Water User Administering Officer

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