The Umeme Application Form is a comprehensive document intended for prospective electricity service applicants in Uganda, detailing the process for requesting an electricity supply. It separates into several sections, including personal information, supply location data, wayleaves approval, customer checklist, and an agreement outlining the general conditions of supply. Applicants begin by specifying the type of application—ranging from domestic to large industrial uses—and supplying personal and contact details alongside the specific location for service installation. The form emphasizes the importance of wayleaves approval, a key step where landowners consent to the installation and maintenance of electrical lines across their property. Additionally, the customer checklist enumerates required documents such as identification, wiring certificates, and for companies, a seal and certificate of incorporation. The general conditions outlined at the document's end cover dispute resolution, metering equipment, service charges, and other pertinent details that govern the relationship between Umeme and the customer, including the handling of arrears and the termination of the contract. This binding agreement between Umeme and the customer ensures both parties adhere to Uganda's legal and regulatory framework, particularly referencing the Electricity Act 1999 and related regulations. Lastly, it touches on provisions for temporary supply interruptions, tampering penalties, and alternative payment methods, encapsulating all critical aspects customers need to understand before committing to the service.
| Question | Answer |
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| Form Name | Umeme Application Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | umeme supply form online, umeme wiring certificate booklet, umeme ug application online, umeme online application |
SUPPLY APPLICATION/AGREEMENT FORM
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Application No: |
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APPLICANT’S |
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Type of Application/ Customer Type
Domestic
Commercial
Medium Industrial
Large Industrial
ToU
Street Light
APPLICANT’S DATA
Surname/ Company Name
First Name |
Middle Name |
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ID/Passport No. |
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TIN No. (Company) |
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Identification Document |
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Customer Contact |
Mobile Tel No.(s) |
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Office Tel No. |
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Customer’s email address: |
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Customer Contact Person: |
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Other |
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Name: …………………………………….. |
Tel/Mobile: ……………… |
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SUPPLY LOCATION DATA |
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Village/ Estate |
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House/ Plot No |
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WAYLEAVES APPROVAL/ CONSENT
I/ We ……………………………………………… being the proprietor of parcel of land comprised in Title No ……………………………..hereby
consent to UMEME Limited laying or erecting an electric supply line on my side of land and from time to time entering upon and having access to my said piece of land for the purposes of constructing, laying, maintaining, using, removing and replacing the electric supply line.
I undertake not to interfere or permit any interference with the electric supply line nor to construct buildings, plant trees or dump waste materials beneath the electric supply line. I also undertake that this consent shall be irrevocable.
Signed by Prop rietor (1) ………………………………………….. Mobile No. …………………………………. Date ……………………………..
Signed by Proprietor (2) ………………………………………….. Mobile No. …………………………………. Date ……………………………..
Signed by Proprietor (3) ………………………………………….. Mobile No. …………………………………. Date ……………………………..
Endorsement by LC1 official
I confirm that the above land owners have consented to have the electric service pass through their respective properties and have given consent to the service being constructed.
Signed by LC 1 ……………………………………………….…….. Mobile No. …………………………………. Date ……………………………..
CUSTOMER CHECKLIST: Please attach the following documents when submitting this form
Copy of Valid Identification or national ID
Wiring Certificate
Passport Size Photograph (or photocopy of national ID)
Company seal and certificate of incorporation (for companies)
Applicant’s Signature:
Date:
FOR OFFICIAL USE ONLY
Tariff: ….……. ……………… |
Maximum Load/Power Required (KW): ………….… |
Phase: ………………..…………. . |
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Meter Details |
Meter Number………….………………….... |
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Name[s] of Landlord: ………………………………………………… |
Contact Address: …………………………………………………………..……. |
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Signature of The Landlord: …………………………………………… |
Date: ………………………………………………………………..……………. |
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District Manager: ……………………………………………………… Signature ……………………..…… Date: ……………………..…………..
The above declaration given by the applicant shall be construed to be an Agreement between UMEME and the customer
P. O. Box 23841 Kampala, Uganda. Website: www.umeme.co.ug
GENERAL CONDITIONS OF SUPPLY
1. Determination of Disputes
Disputes arising over the provision, installation or associated charges and terms for electricity supply shall be determined in accordance with the Electricity Act 1999, and the Electricity Regulations as issued by the Electricity Regulatory Authority and as may be amended from time to time.
2. Metering Equipment
The register of a meter shall be conclusive evidence, in the absence of fraud, of the value of supply. Where a dispute arises as to the integrity of the meter, the dispute shall be determined in accordance with the Disputes resolution mechanism provided in the Electricity (Primary Grid Code) regulations 24/2003 and as may be amended from time to time.
3. Three Phase Supply
Phases should be balanced as evenly as possible. Where three phase equipment is installed, the customer is obliged to install protection which will disconnect all phases in th e event of low voltage or loss of supply to one or more phase.
4. Service Lines/Connection charges
The customer shall contribute towards the cost of providing supply. The lines and installations will remain the property of UMEME and may be used for supplying other customers. The customer shall provide access to lines and installations whenever required by UMEME. The customer shall at all times keep the internal installations/wiring neat and safe.
5. Access To The Customer’s Property
Authorized Officers of UMEME are entitled at all reasonable times to enter the customer’s property for purposes connected with supply of electricity. If permission to enter is refused, UMEME may seek recourse under the relevant laws.
6. Interference With Supply To Other Customers
The customer may not use the supply so as to interfere with the efficient supply to any other customer, and UMEME may disconnect the supply if it is so used.
7. Tampering With Equipment
The customer shall not interfere or allow interference with UMEME equipment and installations on the property. Any such interference may attract criminal prosecution and / or fines. For the avoidance of doubt in the event that there is tampering with the meter it shall be presumed that the customer has tampered with it.
8. Temporary Interruption
UMEME may temporarily disconnect supply for various purposes including: load shedding, planned or unplanned network maintenance, connection of customers to the network, emergency work or any other purposes whatsoever connected with the proper working of the electricity network.
9. Alternative Payment Methods
To top up energy outside UMEME offices, the customer will be required to meet the cost of using alternative payment methods to the respective service provider.
10. Preloaded Units
The prepayment meters will be installed with energy preloaded on the meter, which will be paid for by the customer.
11. Arrears
The customer is required to clear any outstanding charges and / or bills prior to conversion/ or connection to Prepayment or enter into an agreed arrangement to clear any outstanding bills.
12. Security Deposit
For customers converting to Prepayment, their existing security deposit will
13. Termination of Contract
The customer will advise UMEME if he / she intends to permanently leave the supply address or plans to demolish the premise which contains the metering equipment. The customer should advise UMEME by calling our Contact Centre on 0800185185 or by calling to any UMEME office.
I hereby state that all the information I have given in support of the application above is true to the best of my knowledge and I undertake to indemnify UMEME for any costs or liability it incurs as a result of any falsehood or omission on my part. I undertake to be bound by UMEME’s General Conditions of Supply and I will pay for all the electricity consumed in accordance with the applicable tariff in force at the time of usage.
Customer’s Signature |
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UMEME Authorised Officer’s Signature |
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The above declaration given by the applicant shall be construed to be an Agreement between UMEME and the customer
P. O. Box 23841 Kampala, Uganda. Website: www.umeme.co.ug