Citiq Prepaid Meter Registration Form

OWNER DETAILS

Full Name*

First NameLast Name

Contact Number*

E-mail address: *

example@example.com

Natural Person/Owner ID: *

OR Pty/CC/Trust Reg no:

OWNER BANKING DETAILS

Bank Name: *

Branch Code: *

Account Name: *

Account Number: *

ADDRESS DETAILS

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

METER DETAILS

Where did you buy your meter? (Hardware store name)*

Under which municipality does your property fall*

Installer Name and Surname?*

Installer Contact Number?*

Is the Installer a CIC member? *

Installer DOL number:

Meter Information for Registration:*

	METER TYPE (Hexing, Clou, GemLite, etc.)	METER NUMBER (11 DIGITS)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

UPLOADING DOCUMENTATION:
Please ensure that you attach all of the required documents to the online form or when you send them to us. Failure to provide the correct documentation promptly may delay the registration process.

Here's a list of the required documents. Documentation to include:

- Owner's ID

- Proof of address

- Proof of banking details

- Copy of the council bill

Upload supporting documents*

Need to register additional meters? No worries! If you need to register more than the maximum number allowed here, please feel free to contact us directly.

Call us: 087 55 111 55
Email us: help@citiqprepaid.co.za
WhatsApp us: 087 55 111 17

CLIENT TERMS:
Please review our client terms before agreeing to any terms and conditions. It's important to note that by signing any meter registration documents, you automatically accept our terms and conditions. You can access our Client Terms and Conditions Meter Registration page by clicking the link below.
CLIENT TERMS: Meter Registration

After reading the Client Terms and Conditions, I can warrant that all of the above given details are correct, and that I agree to be bound by Citiq Prepaid's Terms and Conditions.

I have read and agree to Citiq Prepaid's Client Terms and Conditions for Meter Registration.*

By completing the registration form and adding your full name and surname below, Citiq Prepaid will accept this as an acceptance of the registration agreement.

Full Name*

First NameLast Name

Date*

MonthDayYear