Varsity Towers Meters Sign Up Electricity Form

1

To complete this connection form you will require the following:* This field is required.

5 Minutes of Your Time

Electricity Meter Number

Identification (Drivers License/Passport or Equivalent)

Mobile Phone Number

Email Address

Leasing Agent (If Renting)

To Be In Front Of Your Meter

2

Customer Type* This field is required.

3

Are you or anyone who will be residing with you at the premises on life support equipment ?* This field is required.

4

As the nature of prepayment may not be suitable for your requirements, please first fill out the Life Support Form at:

www.varsitytowersumr.com

and call

1300 032 753

Sorry for any inconvenience caused.

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Meter Number* This field is required.

This a 11 digit Number located on your meter and or on your switchboard

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Meter Number* This field is required.

This a 11 digit Number located on your meter and or on your switchboard

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Full Legal Name* This field is required.

Prefix

First Name

Middle Name

Last Name

8

Trading Name* This field is required.

9

ABN/ACN* This field is required.

10

Connection Billing Address* This field is required.

Unit Number

Street Address

City

State

Postal Code

Country

11

Mobile Number* This field is required.

12

E-mail* This field is required.

13

Leasing Company Name* This field is required.

Varsity Towers Management

Other

14

Lease End Date* This field is required.

The day that your lease ends can be found in the lease agreement

15

Please Upload Signed Lease Agreement* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

16

Personal Identification Document Type* This field is required.

17

Document Authentication Number* This field is required.

18

Date Of Birth Day/Month/Year* This field is required.

19

Upload Identification Document* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 9.8MB

Please Take Photo Of Your ID (If screen is black press the turn camera around button top right corner)

20

Are you a holder of any of the following cards as you may be eligible for a concession?

Pensioner Concession Card Issued by the DHS/DVA

DHS Health Care Card

DVA Gold Card

21

Concession Card Authentication Number* This field is required.

22

Concession Card Upload* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 9.8MB

Please Take Photo Of Your ID (If screen is black press the turn camera around button top right corner)

23

Type a question

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Terms & Conditions

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Hardship Policy

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AER Fact Sheet

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Exempt Customer Fact Sheet

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I Agree To The Terms and Conditions* This field is required.

I Agree With The Terms & Conditions of Varsity Towers Utilities Management Rights Pty Ltd

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Comments

We value your feedback. Please tell us how we can improve the customer experience.

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Take Photo Of All Remaining Credit BalanceELECTRICITY METER

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Electricity Credit Displayed KWH* This field is required.

Please enter the number displayed with the decimal place 00.0

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Take Photo Of All Remaining Electricity Credit Balance* This field is required.Please make sure all photos are clearly legible and the correct screen

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Take Photo Of All Remaining Credit Balance HOT WATER METER

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HOT Water Credit Displayed (Press ##) KL* This field is required.

Please enter the number displayed with the decimal place 0.000

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Take Photo Of All Remaining HOT Water Credit Balance* This field is required.Please make sure all photos are clearly legible and the correct screen

37

Take Photo Of All Remaining Credit BalanceCOLD WATER METER

38

COLD Water Credit Displayed (Press ##) KL* This field is required.

Please enter the number displayed with the decimal place 0.000

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Take Photo Of All Remaining COLD Water Credit Balance* This field is required.Please make sure all photos are clearly legible and the correct screen

40

Account Rates & Connection Payment

Please review our rates page at www.varsitytowersumr.com/rates

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Account Set Up

My Bag

1

Account Set Up Move In Reading Fee inc GST (Amount: 12.54 AUD)
$12.54AUDEdit
Back

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Pay with Credit Card