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Requirements

. َّ .1
. : ، :ً .2
:(IBAN .3
.
. :( ) .4
. .5
1. Identification: An Identity Card copy (front & back) or reader of the customer and the submitter for personal requests; or a copy of the CR and authorized
signatory Identity Card (front & back) for commercial requests.
2. Tenants are required to submit copy of the lease agreement along with a lease registration receipt issued by the municipality. New property owners
are required to submit documentation proof of ownership.
3. Customer Bank Account (IBAN): it is required from all customers to register a Direct Debt Instruction when applying for a request, it is mandatory to submit an
official bank document that includes the account holder’s name, identity, and IBAN number. The maximum deduction amount will be automatically
calculated according to the meter size.
4. Security Deposit is mandatory for all customers, excluding property owners.
5. Settle all amounts dues to EWA.

www.ewa.bh
‫ﻃﻠـــــــﺐ اﻟﺘﺰوﻳــــــــﺪ ﺑﺎﻟﻜـــﻬﺮﺑـــــﺎء‬ ‫إدارة ﺧﺪﻣــــــﺎت اﻟﻤﺸﺘﺮﻛـــــﻴﻦ‬
Electricity Supply Request Customer Services Directorate

Identify / CR No. ‫ اﻟﺳﺟل اﻟﺗﺟﺎري‬/ ‫رﻗم اﻟﮭوﯾﺔ‬ Applicant Name ‫اﺳم ﺻﺎﺣب اﻟطﻠب‬

Premises Address ‫ﻋﻧوان اﻟﻣﺑﻧﻰ‬


E-mail Address ‫ﻋﻧوان اﻟﺑرﯾد اﻹﻟﻛﺗروﻧﻲ‬ Contact Numbers ‫أرﻗﺎم اﻻﺗﺻﺎل‬

Installation Table ‫ ﺟدول اﻟﺗرﻛﯾﺑﺎت‬Application & Building Details ‫ﺑﯾﺎﻧﺎت اﻟطﻠب واﻟﻣﺑﻧﻰ‬
(‫ أﻣﺑﯾر‬/ ‫ﻣﺧﺎرج اﻟﺗﯾﺎر )واط‬ Existing Inst. ‫اﻟﺗرﻛﯾﺑﺎت اﻟﺣﺎﻟﯾﺔ‬ New / Additional ‫ اﻹﺿﺎﻓﻲ‬/ ‫اﻟﺟدﯾد‬ ‫ﻧوع اﻟطﻠب‬ ‫ اﻟﺷﻘﻖ‬/ ‫ﻋدد اﻟﺑﯾوت‬
Outlets ( Watt / AMP ) No. Watt Total KW No. Watt Total KW Type of Application No. of Flats / Houses

Lighting ‫اﻟﻣﺻﺎﺑﯾﺢ‬ New ‫ﺟدﯾد‬


Socket AMP 13 ‫ﻣﺟوﻓﺎت أﻣﺑﯾر‬ Additional ‫أﺿﺎﻓﺔ‬
Socket AMP 15 ‫ﻣﺟوﻓﺎت أﻣﺑﯾر‬ Temporary ‫ﻣؤﻗت‬ ‫ﻋدد اﻟﻣﻛﺎﺗب‬
Socket AMP ‫ﻣﺟوﻓﺎت أﻣﺑﯾر‬ Split ‫ﻋزل‬ No. of Offices

A/C Unit ‫ﻣﻛﯾﻔﺎت ھواء‬ Re-Wiring ‫إﻋﺎدة ﺗﺳﻠﯾك‬


A/C Central ‫ﻣﻛﯾﻔﺎت ھواء ﻣرﻛزﯾﺔ‬

Chiller ‫ﻣﺑرد‬ ‫ﻧوع اﻟﻣﺑﻧﻰ‬ ‫ﻋدد اﻟدﻛﺎﻛﯾن‬


Fans ‫ﻣراوح‬ Type of Premises No. of Shops

Ex. Fan ‫ﻣراوح ﺷﻔط‬ Domestic ‫ﻣﻧزﻟﻲ‬


Water Heaters ‫ﺳﺧﺎﻧﺎت ﻣﯾﺎه‬ Commercial ‫ﺗﺟﺎري‬
Cookers ‫ ﻓرن‬/ ‫طﺑﺎﺧﺎت‬ Industrial ‫ﺻﻧﺎﻋﻲ‬ ‫أﻋداد أﺧرى‬
Flood Lights ‫ﻛﺷﺎﻓﺎت‬ No. of Others
Other Building ‫ﺑﻧـــﺎء آﺧــر‬
Lift ‫ﻣﺻﻌد‬

Motor ‫ﻣﺣرﻛﺎت‬

Water Pump ‫ﻣﺿﺧﺔ ﻣﯾﺎه‬

Bell ‫ﺟرس‬ ‫ﻣﺟﻣوع اﻟﺣﻣل اﻟﻣطﻠوب‬


Others ‫أﺟﮭزة أﺧرى‬
(Specify) (‫)ﺣــدد‬ Total Load Required
Total Load ‫ﻣﺟﻣوع اﻻﺣﻣﺎل‬ KW KW KW

Electrical Contractor / Engineering Office: ‫ اﻟﻣﻛﺗب اﻟﮭﻧدﺳﻲ‬/ (‫اﻟﻣﺗﻌﮭد اﻟﻛﮭرﺑﺎﺋﻲ )اﻟﻣﻘﺎول‬

Contractors / Engineering Office ‫ﺗوﻗﯾﻊ و ﺧﺗم‬ Contact Numbers ‫أرﻗﺎم اﻻﺗﺻﺎل‬


Stamp & Signature ‫ اﻟﻣﻛﺗب اﻟﮭﻧدﺳﻲ‬/ ‫اﻟﻣﻘﺎول‬ Valid
License
Seal License No. ‫رﻗم اﻟﺗرﺧﯾص‬ Fax No. ‫رﻗم اﻟﻔﺎﻛس‬

I who signed hereby acknowledge that all the data and information herein
above stated are valid and that all documents and i n s t r u m e n t s ‫أﻗر أﻧﺎ اﻟﻣوﻗﻊ ﺑﺻﺣﺔ اﻟﺑﯾﺎﻧﺎت واﻟﻣﻌﻠوﻣﺎت اﻟﻣدوﻧﺔ ﻣﻧﻲ ﻓﻲ ھذه اﻻﺳﺗﻣﺎرة وﺑﺻﺣﺔ‬
submitted are valid and legal. I declare full liability if any or part of the Applicant Sign. / Stamp ‫ اﻟﺧﺗم‬/ ‫ﺗوﻗﯾﻊ ﺻﺎﺣب اﻟطﻠب‬ ‫ وأﻛون ﻣﺳﺋوﻻ ﻣدﻧﯾﺎ إذا ﻣﺎ ﺛﺑت ﻋدم‬، ‫وﻗﺎﻧوﻧﯾﺔ اﻟﻣﺳﺗﻧدات واﻟوﺛﺎﺋﻖ اﻟﻣﻘدﻣﺔ ﻣﻧﻲ‬
above mentioned information is proved to be invalid with no liability ‫ﺻﺣﺔ ﻛل أو ﺑﻌض ﻣﻣﺎ ﺳﺑﻖ دون أدﻧﻰ ﻣﺳﺋوﻟﯾﺔ ﻋﻠﻰ ھﯾﺋﺔ اﻟﻛﮭرﺑﺎء واﻟﻣﺎء‬
whatsoever on part of the Electricity and Water Authority and staff.
The electricity service is a public utility reached by codified standards in
.‫واﻟﻣوظﻔﯾن‬
accordance with the laws, regulations and requirements are approved and ‫إن ﺧدﻣﺔ اﻟﻛﮭرﺑﺎء ﻣﻧﻔﻌﺔ ﻋﺎﻣﺔ ﯾﺗم اﻟﺗزود ﺑﮭﺎ وﻓﻖ ﻗواﻧﯾن وأﻧظﻣﺔ واﺷﺗراطﺎت‬
in force in the Electricity and Water Authority, if exploited unlawfully ‫ﻣﻌﺗﻣدة ﻓﻲ ھﯾﺋﺔ اﻟﻛﮭرﺑﺎء واﻟﻣﺎء وﻻ ﯾﺟوز اﺳﺗﻐﻼﻟﮭﺎ ﺑدون اﺣﺗﺳﺎب ﻗﯾﻣﺔ اﺳﺗﺧداﻣﮭﺎ‬
considered Is a crime is punishable by law in Kingdom of Bahrain and ‫ وإن ﻣﺣﺎوﻟﺔ اﺳﺗﻐﻼل اﻟﺧدﻣﺔ دون ﻣﺳوغ رﺳﻣﻲ ﯾﻌد ﺟرﯾﻣﺔ ﯾﻌﺎﻗب‬، ‫ﻣن ﺧﻼل اﻟﻌداد‬
result in fines and referral to public prosecution, ‫ﻋﻠﯾﮭﺎ اﻟﻘﺎﻧون ﺑﻣﻣﻠﻛﺔ اﻟﺑﺣرﯾن‬
i/we the service applicant(s) hereby full commitment not to connect this
service by cutting the official seals unless the installation of the meter and
‫ ﻧﺣن أﺻﺣﺎب اﻟطﻠب اﻟﺗﻘﯾد واﻻﻟﺗزام اﻟﺗﺎم ﺑﻌدم ﺗوﺻﯾل‬/ ‫ﻟذا أﺗﻌﮭد أﻧﺎ ﺻﺎﺣب اﻟطﻠب‬
calculating the consumption of which after the service is connected ‫اﻟﺧدﻣﺔ ﺑدون ﻣﺳوغ رﺳﻣﻲ ﻛﻘطﻊ اﻷﺧﺗﺎم اﻟرﺳﻣﯾﺔ ﻗﺑل ﺗرﻛﯾب اﻟﻌداد واﺣﺗﺳﺎب ﻗﯾﻣﺔ‬
officially. Also we hereby not to allow whatever cut the official seals and ‫ ﻛﻣﺎ ﻧﺗﻌﮭد ﺑﻌدم اﻟﺳﻣﺎح ﻷﯾﺎ ً ﻛﺎن ﯾﻘطﻊ اﻷﺧﺗﺎم اﻟرﺳﻣﯾﺔ وﺗﺷﻐﯾل‬، ‫اﻻﺳﺗﮭﻼك ﻣن ﺧﻼﻟﮫ‬
run the service before meter installing and notify the Electricity and water ‫اﻟﺧدﻣﺔ ﻗﺑل ﺗرﻛﯾب اﻟﻌداد وأن أﺑﻠﻎ ھﯾﺋﺔ اﻟﻛﮭرﺑﺎء واﻟﻣﺎء ﺣﺎل ﻣﺣﺎوﻟﺔ اﻟﻐﯾر اﺳﺗﻐﻼل‬
Authority if trying non-exploitation of the service including the electrical
contractor or else bear the consequences of exploiting it, including legal
Date: :‫اﻟﺗﺎرﯾﺦ‬ ‫اﻟﺧدﻣﺔ ﺑﻣﺎ ﻓﯾﮭم اﻟﻣﺗﻌﮭد اﻟﻛﮭرﺑﺎﺋﻲ )اﻟﻣﻘﺎول( وإﻻ أﺗﺣﻣل ﺗﺑﻌﺎت ذﻟك ﺑﻣﺎ ﻓﯾﮭﺎ اﻟﻣﺳﺎﺋﻠﺔ‬
accountability and the fine imposed by the Electricity and Water Authority .‫اﻟﻘﺎﻧوﻧﯾﺔ واﻟﻐراﻣﺔ اﻟﺗﻲ ﺗﻔرﺿﮭﺎ اﻟﮭﯾﺋﺔ ﻧظﯾر أي ﻣﺧﺎﻟﻔﺔ أو ﺗﺟﺎوز‬

For Official Use Building Permit No. Plot No. ‫ﻟﻼﺳﺘﺨﺪام اﻟﺮﺳﻤﻲ‬
Reference No. E Account No.

SPN. Property No.


For Electricity Distribution Use ‫ﻻﺳﺗﺧدام ادارة ﺗوزﯾﻊ اﻟﻛﮭرﺑﺎء‬

Planning and Material Section


SPN S/S No. Existing M.D. KVA

Reference No. Feeder No. New / Add. M.D. KVA

Core/Size/Type of Service O/H U/G S/P Total M.D. KVA

Bulk Jobs 3981 3990 3991 3993 3994


Cost BD.

Individual Job No. Cost BD.

Classification

Total CC Amount S/S Building will be provided by Applicant - Yes No

Done By Meter Only GSN W/L No.

Approved By Date

Special Remarks

Construction Section
Date Sent to Const. Date Completed

Job No. Used O/H U/G

Core/Size/Type of Service No. / Cut Out Size / Type

Construction Supervisor MTC Contractor

Customer Services Directorate Capital Contribution Amount Payment Date

Details of the New / Additional Window / Split Air Conditioners


Type of A/C Country of
No. of Units Brand Name Model No. / Name Tonnage
Window Split Assembly

Requirements ‫اﻟﻣﺗطﻠﺑﺎت‬
The original valid ID card of applicant and application submitter or a ‫ﺑطﺎﻗﺔ اﻟﮭوﯾﺔ اﻷﺻﻠﯾﺔ اﻟﺳﺎرﯾﺔ ﻟﺻﺎﺣب اﻟطﻠب وﻟﻣﻘدم اﻟطﻠب أو ﻧﺳﺧﺔ ﻣن اﻟﺳﺟل اﻟﺗﺟﺎري‬
copy of the C.R. for business applications. .‫ﻟﻠطﻠﺑﺎت ﺑﺎﻷﺳﻣﺎء واﻷﻧﺷـطﺔ اﻟﺗﺟﺎرﯾﺔ‬
Copy of municipality building permit ‫ﻧﺳﺧﺔ ﻣن إﺟﺎزة اﻟﺑﻠدﯾﺔ ﻟﻠﺑﻧﺎء‬
Copy of address card which issued by the CIO ‫ﻧﺳﺧﺔ ﻣن ﺑطﺎﻗﺔ اﻟﻌﻧوان اﻟﺻﺎدرة ﻣن اﻟﺟﮭﺎز اﻟﻣرﻛزي ﻟﻠﻣﻌﻠوﻣﺎت‬
Copy of survey certificate ‫ﻧﺳﺧﺔ ﻣن ﺷﮭﺎدة اﻟﻣﺳﺢ‬
Copy of location Map ‫ﻧﺳﺧﺔ ﻣن اﻟﺧرﯾطﺔ اﻟﺟوﯾﺔ ﻟﻠﻣوﻗﻊ‬
Copy of the deed property ‫ﻧﺳﺧﺔ ﻣن وﺛﯾﻘﺔ اﻟﻣﻠﻛﯾﺔ‬
Electricity Distributions Directorate Conditions form. ‫اﺳﺗﻣﺎرة اﻟﺷروط اﻟﺻﺎدرة ﻣن إدارة ﺗوزﯾﻊ اﻟﻛﮭرﺑﺎء‬
If tenants: The original lease for preview and a copy of it, And no (‫ اﺑرز ﻋﻘد اﻹﯾﺟﺎر اﻷﺻﻠﻲ وﻧﺳﺧﺔ ﻣﻧﮫ )ﯾﻌﺎد اﻻﺻل ﻟﻣﻘدم اﻟطﻠب ﺑﻌد اﻟﻣﻌﺎﯾﻧﺔ‬: ً ‫إذا ﻛﻧت ﻣﺳﺗﺄﺟرا‬
objection letter from the landlord ‫ورﺳﺎﻟﺔ ﻋدم ﻣﻣﺎﻧﻌﺔ ﻣن ﻣﺎﻟك اﻟﻌﻘﺎر‬
Requires the payment of all dues when applying. .‫ﯾﺷﺗرط ﺳداد ﻛﺎﻓﺔ اﻟﻣﺳﺗﺣﻘﺎت ﻋﻧد ﺗﻘدﯾم اﻟطﻠب‬
‫ملحـــــــــق التفاصـــــــــــــيل التكميليـــــــــــة للتركيبــــــــــــــات الكهربائيــــــــــــــة‬
‫‪..‬‬ ‫‪Extension of Supplementary Details for Electrical Installations‬‬
‫إدارة خدمــــــــات المشتركيــــــن‬
‫‪Customer Services Directorate‬‬
‫‪Identify / CR No.‬‬ ‫رقم الهوية ‪ /‬السجل التجاري‬ ‫‪Applicant Name‬‬ ‫اسم صاحب الطلب‬

‫‪Premises Address‬‬ ‫عنوان المبنى‬

‫‪Unit No.‬‬ ‫رقم الوحدة‬ ‫‪Unit No.‬‬ ‫رقم الوحدة‬ ‫‪Unit No.‬‬ ‫رقم الوحدة‬ ‫‪Unit No.‬‬ ‫رقم الوحدة‬ ‫‪Unit No.‬‬ ‫رقم الوحدة‬
‫مخارج التيار ( واط ‪ /‬أمبير )‬ ‫‪Unit Type‬‬ ‫نوع الوحدة‬ ‫‪Unit Type‬‬ ‫نوع الوحدة‬ ‫‪Unit Type‬‬ ‫نوع الوحدة‬ ‫‪Unit Type‬‬ ‫نوع الوحدة‬ ‫‪Unit Type‬‬ ‫نوع الوحدة‬
‫)‪Outlets (Watt / AMP‬‬
‫العدد‬ ‫كيلو واط‬ ‫المجموع‬ ‫العدد‬ ‫كيلو واط‬ ‫المجموع‬ ‫العدد‬ ‫كيلو واط‬ ‫المجموع‬ ‫العدد‬ ‫كيلو واط‬ ‫المجموع‬ ‫العدد‬ ‫كيلو واط‬ ‫المجموع‬
‫‪No.‬‬ ‫‪K.W‬‬ ‫‪Total‬‬ ‫‪No.‬‬ ‫‪K.W‬‬ ‫‪Total‬‬ ‫‪No.‬‬ ‫‪K.W‬‬ ‫‪Total‬‬ ‫‪No.‬‬ ‫‪K.W‬‬ ‫‪Total‬‬ ‫‪No.‬‬ ‫‪K.W‬‬ ‫‪Total‬‬
‫‪Lighting‬‬ ‫المصابيح‬

‫مجوفات أمبير ‪Socket AMP 13‬‬

‫مجوفات أمبير ‪Socket AMP 15‬‬

‫‪Socket AMP‬‬ ‫مجوفات أمبير‬

‫‪A/C Unit‬‬ ‫مكيفات هواء‬

‫مكيفات هواء مركزية ‪A/C Central‬‬

‫‪Chiller‬‬ ‫مبرد‬

‫‪Fans‬‬ ‫مراوح‬

‫‪Ex. Fan‬‬ ‫مراوح شفط‬

‫‪Water Heaters‬‬ ‫سخانات مياه‬

‫‪Cookers‬‬ ‫طباخات ‪ /‬فرن‬

‫‪Flood Lights‬‬ ‫كشافات‬

‫‪Lift‬‬ ‫مصعد‬

‫‪Motor‬‬ ‫محركات‬

‫‪Water Pump‬‬ ‫مضخة مياه‬

‫‪Bell‬‬ ‫جرس‬

‫‪Others‬‬ ‫اجهزة اخرى‬


‫‪No. of‬‬ ‫‪No. of‬‬ ‫‪No. of‬‬ ‫‪No. of‬‬ ‫‪No. of‬‬
‫مجموع األحمال للوحدة ‪ /‬للوحدات‬ ‫‪Units‬‬
‫‪K.W‬‬
‫‪Units‬‬
‫‪K.W‬‬
‫‪Units‬‬
‫‪K.W‬‬
‫‪Units‬‬
‫‪K.W‬‬
‫‪Units‬‬
‫‪K.W‬‬

‫‪Total Load per Unit / Units‬‬

‫‪Type of Application‬‬ ‫نـــــــوع الطـلـــــب‬


‫‪Contractors Stamp & Signature‬‬ ‫توقيع و ختم المقاول‬
‫‪New‬‬ ‫جديد‬ ‫‪Additional‬‬ ‫اضافة‬ ‫‪Split‬‬ ‫عزل‬ ‫‪Temporary‬‬ ‫مؤقت‬ ‫‪Re-Wiring‬‬ ‫إعادة تسيلك‬ ‫‪SPN‬‬

‫‪Remarks‬‬ ‫المالحظات‬ ‫‪Valid‬‬ ‫‪Property No.‬‬


‫‪License‬‬
‫‪Seal‬‬
.
‫ﺷﮭﺎدة إﺗﻣﺎم وﻓﺣص اﻟﺗرﻛﯾﺑﺎت اﻟﻛﮭرﺑﺎﺋﯾﺔ‬ ‫إدارة خدمــــــــات المشتركيــــــن‬
Electricity Installations Completion & Test Certificate Customer Services Directorate

Request No. ‫رقم الطلب‬ Service No. ‫رقم الخدمة‬


E S.P.N

Type of Request New ‫جديد‬ Additional )‫إضافي (تقوية‬ Split ‫عزل‬ Re Wiring ‫إعادة تسليك‬ ‫نوع الطلب‬

Applicant Name ‫اسم صاحب الطلب‬

Service Address ‫عنـــوان الخدمـــة‬

Contact Numbers ‫أرقام االتصال‬

Descriptions ‫التفاصيل‬-
) ‫ أمبير‬/ ‫مخارج التيار ( واط‬ Outlets in each Phase ‫مخارج التيار في كل طور‬ ‫العدد‬
Outlets ( Watt / AMP ) Red  ‫األحمر‬ Yellow  ‫األصفر‬ Blue  ‫األزرق‬ Count
Lighting ‫المصابيح‬

Socket AMP 13 ‫مجوفات امبير‬

Socket AMP 15 ‫مجوفات امبير‬

Socket AMP ‫مجوفات امبير‬

A/C Unit ‫مكيفات هواء‬

A/C Central ‫مكيفات هواء مركزيه‬

Chiller ‫مبرد‬

Fans ‫مراوح‬

Ex. Fans ‫مراوح شفط‬

Cooker ‫ فرن‬/ ‫طباخات‬

Water Heater ‫سخانات مياه‬

Flood Lights ‫كشافات‬

Lift ‫مصعد‬

Motors ‫محركات‬

Water Pump ‫مضخة مياه‬

Bell ‫جرس‬

Others Apparatus ‫اجهزه اخرى‬


‫مجموع األحمال في كل طور‬
-KW
Total Loads in Each Phase

I certify that all above installations has been ‫أشهد باان جمياا الكركيباات المبيناة اقا ه اد كا فحصاها‬
inspected and tested, And I acknowledge Contractors Stamp & Signature
that the overleaf listed information details ‫واخكبارهاااا وأ اااار بااااتن المعيومااااات الكفصااااييية بااااالخي‬
report is true and meet the Tests result Valid ‫صااحيحة وككماشااي نكيجااة الفحاا مااا معااايير ولااوا ح‬
standards and regulations of Electricity & ‫هي ة الكهرباء والماء‬
Water Authority License
Seal Contact Name: _________________________
Tested By: ___________________________
Contact No: ___________________________
Qualification: _________________________
Note: Where testing only is carried by a contractor,
License No: __________________________ the Word “Test Only” must be written on the
Date: ______________________________ :‫التاريخ‬ certificate.

For Official Use ‫لالستخدام الرسمي‬


Service Order No. (S/O) Comments:

Processed by Account No.

Date Property No.

Contact Us: 24 Hours comprehensive services  17 515555 ‫خدمات شاملة على مدار الساعة‬ :‫اتصـل بنـــــا‬
P.O.BOX: 2 Manama – Kingdom of Bahrain - customercare-ewa@ewa.bh - www.ewa.bh - ‫ المنامة – مملكة البحرين‬2 :‫ب‬. ‫ص‬
Details of the New Air Conditioners
Type of A/C Country of
No. of Units Brand Name Model No. / Name Tonnage
Window Split Assembly

Insulation Resistance Mega-omhs ‫مقاومة العزل ميغا اوم‬


‫سعة قاطع التيار‬ ‫فحص قاطع‬ ‫جميع الموصالت‬ ‫موصالت‬ ‫موصالت‬ ‫موصالت‬
‫رقم‬ ‫مقاومة الدائرة‬ ‫جميع الموصالت‬
‫تفاصيل الدائرة‬ ‫أو المفتاح‬ ‫التيار للتسريب‬ ‫و الموصل‬ ‫الطوران األحمر‬ ‫الطوران األصفر‬ ‫الطوران األزرق‬
‫الدائرة‬ ‫األرضية‬ ‫الموصل المحايد‬
‫الرئيسي‬ ‫األرضي‬ ‫األرضي‬ ‫و األصفر‬ ‫و األزرق‬ ‫و األحمر‬
All All Red &
Circuit

Yellow & Blue & Red


Circuit MCCB/MCB Earth Loop Conductors Conductors Yellow
No.

ELCB Test Blue Phase Phase


Details Rating Impendence and Earth and Earth Phase
Conductors Conductors
Conductor Neutral Conductors

10

11

12

13

14

Are the Polarities Throughout the Installation Correct? Yes No


Earth Resistance
‫ﻃﻠـــــــﺐ اﻟﺘﺰوﻳــــــــﺪ ﺑﺎﳌـــــــﺎء‬ ‫إدارة ﺧﺪﻣــــــﺎت اﻟﻤﺸﺘﺮﻛـــــﻴﻦ‬
Water Supply Request Customer Services Directorate

Identify / CR No. ‫ اﻟﺳﺟل اﻟﺗﺟﺎري‬/ ‫رﻗم اﻟﮭوﯾﺔ‬ Applicant Name ‫اﺳم ﺻﺎﺣب اﻟطﻠب‬

Premises Address ‫ﻋﻧوان اﻟﻣﺑﻧﻰ‬


E-mail Address ‫ﻋﻧوان اﻟﺑرﯾد اﻹﻟﻛﺗروﻧﻲ‬ Contact Numbers ‫أرﻗﺎم اﻻﺗﺻﺎل‬

Type of Premises ‫ﻧوع اﻟﻣﺑﻧﻰ‬ Type of Application ‫ﻧوع اﻟطﻠب‬


Commercial ‫ﺗﺟﺎري‬ Domestic ‫ﻣﻧزﻟﻲ‬ Additional ‫اﺿﺎﻓﺔ‬ ‫ﺟدﯾد‬

‫أﻋداد أﺧرى‬ ‫ﻋدد اﻟدﻛﺎﻛﯾن‬ ‫ﻋدد اﻟﻣﻛﺎﺗب‬ ‫ اﻟﺷﻘﻖ‬/ ‫ﻋدد اﻟﺑﯾوت‬


No. of Others No. of Shops No. of Offices No. of Flats / Houses

Water Plummer Details ‫ اﻟﻣﻘﺎول‬/ ‫ﺑﯾﺎﻧﺎت اﻟﺳﺑﺎك‬


Name ‫اﻻﺳم‬
Contact Numbers ‫أرﻗﺎم اﻻﺗﺻﺎل‬
Plummer Stamp & Signature ‫ﺗوﻗﯾﻊ و ﺧﺗم اﻟﺳﺑﺎك‬

Valid
License License No. ‫رﻗم اﻟﺗرﺧﯾص‬ Fax No. ‫رﻗم اﻟﻔﺎﻛس‬
Stamp

Architect / Engineer Details ‫ اﻟﻣﻌﻣﺎري‬/ ‫ﺑﯾﺎﻧﺎت اﻟﻣﮭﻧدس‬


Name ‫اﻻﺳم‬
Plummer Stamp & Signature ‫ﺗوﻗﯾﻊ و ﺧﺗم اﻟﺳﺑﺎك‬
Contact Numbers ‫أرﻗﺎم اﻻﺗﺻﺎل‬

I who signed hereby acknowledge that water meter arrangements are ready as per EWA Standards ‫أﻗر ﺑﺄن اﻟﺗﺟﮭﯾزات ﻓﻲ اﻟﻣوﻗﻊ ﺟﺎھزة وﻣطﺎﺑﻘﺔ ﻟﻣواﺻﻔﺎت ھﯾﺋﺔ اﻟﻛﮭرﺑﺎء واﻟﻣﺎء‬
and as per approved water conditions and drawings in the building permit ‫وﺣﺳب اﻻﺷﺗراطﺎت واﻟرﺳوﻣﺎت اﻟﺧﺎﺻﺔ ﺑﺎﻟﻣﯾﺎه واﻟﻣﻌﺗﻣدة ﻓﻲ إﺟﺎزة اﻟﺑﻧﺎء‬
I who signed hereby acknowledge that all the data and
information herein above stated are valid and that all ‫ اﻟﺧﺗم‬/ ‫ﺗوﻗﯾﻊ ﺻﺎﺣب اﻟطﻠب‬
documents and instruments submitted are valid and legal. I Applicant Signature / Stamp
declare full liability if any or part of the above mentioned
information is proved to be invalid with no liability whatso-
ever on part of the Electricity and Water Authority and staff.
Water service is a public utility reached by codified
standards in accordance with the laws, regulations and
requirements are approved and in force in the Electricity
and Water Authority, if exploited unlawfully considered Is a
crime is punishable by law in Kingdom of Bahrain and result
in fines and referral to public prosecution. We apply for
supply of water service, and I / we agree to pay all proper
charges for this service and any damages might occur to
the authority’s property as billed to me / us.
I / We agree to obey and comply with the rules and
regulations issued by the Authority from time to time
relating to water supply. Date: :‫اﻟﺗﺎرﯾﺦ‬

For Official Use ‫ﻟﻼﺗﺴﺘﺨﺪام اﻟﺮﺳﻤﻲ‬

Reference No. W Account No.

SPN. Property No.

Contact Us: 24 Hours comprehensive services 17 515555 ‫ﺧدﻣﺎت ﺷﺎﻣﻠﺔ ﻋﻠﻰ ﻣدار اﻟﺳﺎﻋﺔ‬ :‫اﺗﺻــل ﺑﻧــــــﺎ‬
P.O.BOX: 2 Manama - Kingdom of Bahrain - customercare-ewa@ewa.bh - www.ewa.bh - ‫ ﻣﻣﻠﻛﺔ اﻟﺑﺣرﯾن‬- ‫ اﻟﻣﻧﺎﻣﺔ‬۲ : ‫ب‬.‫ص‬
Requirements ‫اﻟﻣﺗطﻠﺑﺎت‬
Present the original valid ID card of applicant and application
submitter or a copy of the C.R. for business applications.
Copy of municipality building permit
Copy of address card issued by the CIO
Copy of survey certificate
Copy of location Map
Copy of the deed property
Full set copies of building architect drawing which approved &
certified by Ministry of Municipalities Affairs & Urban Planning
authorities to provide on A4 & A3 paper size for building & shops
Water Distributions Directorate conditions form
Copy of the building sketches and drawing of boundary wall for
villas
Electricity & Water Conservation Directorate approval form for
water regulation system implementation form after the project is
completed
If tenants: The original lease for preview and a copy of it, And no
objection letter from the landlord
Requires the payment of all dues when applying.

For Water Distribution Use ‫ﻷﺳﺗﺧدم ادارة ﺗوزﯾﻊ اﻟﻣﯾﺎه‬

Water Distribution Condition No. Municipality Building Permit No.

Connection Type Bulk Single Individual Meters

mm
Size of the Connection 12 mm 25 mm Other

Meter No. Meter Type

Location Cavity Wall Mounted Ground

Installation Date

Special Remarks

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