ELECTRICITY METERING INSTALLATION PERSONNEL FORM ELECTRICITY METERING INSTALLATION PERSONNEL FORM Category * Category 1Category 2 Choose National Meter Test Station or Inspectorate Field Office close to you * AbeokutaAbujaAkureBauchiBeninBornoEnuguIbadanLagos(Eko)Lagos(Oshodi)IlorinJosKadunaKanoOwerriPort-HarcourtSokotoUyoYola Choose National Meter Test Station or Inspectorate Field Office close to you Personal Details of the metering personnel/company PERSONAL DETAILS First Name * Last Name * Gender * MaleFemale Phone Number * Enter your phone number in the format 080xxxxxxxx. For international numbers, include country's dialling code. Alternate Phone Number Email Address * Are you registered with COREN? * YesNo COREN Registration Number * COREN Registration Date * CONTACT ADDRESS Line 1 * City * N. B. ATTACH A PHOTOCOPY OF CAC REGISTRATION/INCORPORATION CERTIFICATE State * Country Nigeria OFFICE ADDRESS Office Address * City State AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEboyinEdoEkitiEnuguFederal Capital TerritoryGombeImoJigawaKadunaKanoKastinaKebbiKogiKwaraLagosNassarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara Country Nigeria OCCUPATION Choose Appropriate Employment Status * Self EmployedEmployedUnemployedOther ACADEMICS Academic Qualification * Primary School Leaving CertificateJunior Secondary School Leaving CertificateSenior Secondary School Leaving CertificateOrdinary National DiplomaHigher National DiplomaBachelors DegreeMasters DegreePhdProfessor Course of Study * TECNICAL TRAINING COMPLETED Title Description Duration Date Add Remove WORK EXPERIENCE Experience Date Add Remove DETAILS OF FIELD EXPERIENCE IN THE LAST FIVE (5)YEARS Scope of Work * Name and address of client * Value of each project in N * Completion Date * Name and address of supervisor (must be COREN registered) Add Remove Give details of your plant, equipment (instrument, tools, test equipment) and transport facilities a) Electrical b) Mechanical c) Transport Add Remove Give brief accounts of challenges encountered in the execution of the above projects Challenges * Project * Add Remove Upload Scanned copy of the following documents Passport Photograph Drop a file here or click to upload Choose File Required upload size: 8MB Scanned copy of Valid License Drop a file here or click to upload Choose File Required upload size: 8MB Credentials Drop a file here or click to upload Choose File Required upload size: 10MB Relevant documents on field experience. Drop a file here or click to upload Choose File Required upload size: 15MB e.g Safety Inspection Certificates, Relevant Training/Workshop Certificates, Letter of Employment/retirement/disengagement form relevant public utility/private firm, letter of award/certificate of satisfactory completion of contracts of electrification projects. Details are shown below. TSA CBN/NIGERIAN ELECTRICITY MANAGEMENT SERVICES AGENCY via REMITA. Take payment receipt to the area office close to you. Paragraph If you are human, leave this field blank. Submit