Application for

Commercial Power Supply

APPLICANTS DETAILS:

Business/
Organisation Name:

Business Telephone/: Fax:

Mobile:
Email Address: Company No:

Registered office of
company

Directors, Partners, Office Bearers or owners full names, address and Contact Number:
Directors/Partners/Owners Name Address Phone Contact

INSTALLATION ADDRESS: (Address where electricity is required)

Building Name
Unit/Flat Number: House Number:
Street Name:
Suburb:
City/Town:

Do you currently have an electricity account? If so at what address

Account number:

Have you have previously used electricity? If so, at what address:

Date Vacated:

POSTAL DETAILS: (Address to send bill if different from the installation address)

Building Name /PO Box

Unit/Flat Number: House Number:
Street Name:
Suburb:
City/Town:
ADDITIONAL INFORMATION

Business Type:
Contact Name:

Password (for use with telephone transactions, minimum of 4 characters)

State name and address of owner or agent of these premises:

TERMS AND CONDITIONS:

To: The Chief Executive Officer, Energy Fiji Limited, 2 Marlow Street, Suva,

I/We, as directors and officers of the Company ( ) (insert

proper name of Company matching the Company Registration Certificate provided) jointly and
severally as the “Applicant”/ “Customer” under this Commercial Form Agreement (“Agreement”) with
EFL, hereby agree to the following terms and conditions hereinafter appearing:-

A. Give Full Approval now to EFL, its employees and/or agents in relation to supplying electricity
to my premises and/or our premises:-

1) The supply of electricity will be provided in accordance with the Electricity Act, Chapter 180, Laws of Fiji
(the “Act”) and the Electricity Regulations (“Regulations”) and any amendments thereto as and when
they occur from time to time; and

B. I/We, jointly and severally AGREE to do the following with EFL:-

2) To pay the charges for electricity consumed by me and/or any charges payable for the hire of the
apparatus, or any other services rendered by EFL within 14 days after the date upon which the account
billing statement has been given to me/us.
3) I/We agree to the price(s) charged for the supply of electricity (“Supply”) which is in accordance with
approved tariffs that may change from time to time - approved by the Commerce Commission and/or
other regulatory institutions;
4) Pay the required security deposit (“Security Deposit”) with EFL for the premises and for hiring of the
apparatus from EFL and this include any fee(s) relating to the connection of my/ our circuits to EFL
supply. I/We fully understand the sum will be an estimate of the total amount of all charges likely to be
incurred by me/us for the Supply and hire of the apparatus for two (2) months; or alternatively, as
determined at the sole discretion of EFL, upon reassessment of my/our usage during the continuity of
this Agreement. The Security Deposit will be reviewed from time to time as stated under section (62)
(1) of the Act and I/We agree to the same;
5) Take responsibility for the proper safekeeping of all meters and equipment provided and fixed at my
/our premises by EFL; and/or bear the costs of repairing any losses and/or damages to any meter or
other equipment while it is fixed at my/our property;
6) To obtain all easements/wayleaves, or statutory consents or approvals and consent of the
lessor/landlord (where the Customer is a tenant) as maybe necessary for the supply of electricity to
me/us [the authority].The easements/wayleaves, or statutory consents or approvals and consent of the
lessor to be in writing and signed by the landlord or owner of the property and witnessed by an
independent person whose name and contact details should be printed on the same form.
7) To allow EFL to read the electricity meter regularly and/or once a month and/or once in two (2) months
or as the case may be required on a case by case basis. In the event EFL cannot read the electricity
meter for reasons beyond its control, it will estimate the reading by taking into account the average
consumption done by the Customer for the previous month.
8) Failure to grant access to EFL after consecutive months of estimation due to whatever reasons may
lead to disconnection of Supply as stated under s50 (1), and s63(3)(e) of the Regulations.

C. Customer required to provide these upon the filling of this Commercial Application Form:-

1) Provide to EFL the original proof of tenancy i.e. where a Customer is a tenant, a valid tenancy
agreement and/or letter from a landlord will be sufficient;
2) To pay Reconnection fee(s) and/or any other applicable fee(s) required by EFL as and when required to
do so;
3) Accounts will be disconnected at any time if bills are not paid by the due date;
4) To ensure that the power factor requirement at my/our premises shall be full at full load is not less than
0.85kW;
 5)
6) The Customer’s directors/owners are to provide EFL with current and valid photo identifications such as
a Driver’s Licence or Passport or Voter Identification Card or Joint FNPF& FRCA Card; and also
provide a TIN registration letter, and a Customer’s previous utility bill over the last three (3) months; and

6)
7) The Customer company must provide EFL with certified true copies of its Company Registration
Certificate and ownership details (of its directors, company secretary etc) from the Registrar of
Companies at Suvavou House, Victoria Parade, Suva confirming the registered company name and
ownership details.

D. Penalties for not complying

1) EFL advises the Customer that the Supply of electricity can be disconnected without further
notice where a Customer fails to:-

a) Pay its account by the due date; and/or

b) Fails to notify EFL upon occupation of premises and utilising power under someone else’s
name without proper approval; and/or
c) Fails to pay the requisite Security Deposit; and/or fails to notify vacation of a premises;
and/or
d) Fails to notify the change of address for service of the billed Customer accounts; and/or
e) Fails to give access to EFL to read your meter for consecutive months.

2) EFL will charge the Customer for a special meter reading;

3) In the event a Customer intends on vacating its premises, it must within seven (7) days provide written
notice to EFL advising on the change;
4) In the event the Customer ’s account has been disconnected due to non-payment and no effort has
been made by the Customer to clear the overdue debt for more than two (2) months, then the Security
Deposit held with EFL will be used to clear the outstanding debt; and
5) An additional consumer deposit equivalent to two (2) months’ consumption will be payable to EFL
should the Customer wish to reconnect the Supply.

E. Financial Institution searches

I/We as Authorised officers of the Customer company hereby irrevocably authorise any person(s) or
company or financial institution(s) to provide EFL with any credit information and/or ratings relating to the
Customer company. Furthermore, I/We authorise you to furnish to any credit agency details of this
application and any subsequent dealings that the Customer company may have with EFL as a result of this
application being actioned by you.

F. Declaration

I, on behalf of

(insert Name of Authorised Person) (insert Company Registration Name)

do solemnly state declare that the above information and statements made therein are true and correct to
the best of my knowledge and have been disclosed truthfully to EFL by the Customer company. As an
Authorised person for and on behalf of the Customer company, I acknowledge and understand that EFL can
and will exercise its full discretion to pursue the Customer company in a court of law in Fiji for any false
declarations made, any outstanding amount(s) owing to EFL and/or any further additional cost(s) it incurs for
taking that course of action.
G. Signing

Date at this day of , 20

i) Where Applicant/Customer is a Company, sign here:-

Signed as Authorised Person for and on behalf of:

(insert proper
Company name details matching the Company Signature
Registration Certificate) in the presence of:

Name & Title

…………………………………….
Witness’s Signature

…………………………………….
Witness’s Name

…………………………………….
Witness’s Title/Position

A sketch of the physical location of the premises.

OFFICIAL USE ONLY

Tariff Type Deposit Previous Consumer No.

Meter No.

Receipt No. Seq No.

Reading

Date New Consumer Account No.