Kenya Police Investment Co-operative (KPIC)

WATER CONNECTION APPLICATION FORM

Kenya Police Sacco Plaza, Ngara Road, off Muranga Road, A / P.O.Box 51042-00200, Nairobi P/ 0709825000 E / kpics@policesacco.com W / www.policeinvestment.com

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First Name

Last Name

KRA Pin No

ID Type

Passport

Other

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ID No

Passport No

Phone/Mobile

Postal Address

SUPPLY DETAILS

Project Name (Estate)

Title/Plot No

Meter No.

GPS Location

TYPE OF SUPPLY (Select appropriate)

Residential/Domestic

Commercial

Institutional

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Reach out to us via email at kpics@policesacco.com

WATER CONNECTION APPLICATION FORM

SUPPLY DETAILS

TYPE OF SUPPLY (Select appropriate)

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