Gas Connection Request | Lootah BCGas LLC

Customer or Customer Representative Details

Company Name :

First Name : *

Last Name : *

Mobile No : *

Fax No :

Landline No :

Email Address : *

Passport No : *

Passport Expiry Date: *

Visa No : *

Visa Expiry Date : *

Emirates ID No : *

Emirates ID Expiry Date: *

Trade License No :

Trade License Expiry Date :

TRN :

Residence OR Business Address

Building No : *

Apartment/Villa No : *

Building Name : *

Location : *

Emirate : *

Country : *

P.O.Box :

Billing Details

Address Line 1 : *

Address Line 2 :

Address Line 3 :

P.O.Box :

Landline No :

Mobile No : *

Fax No :

Type of Establishment *

Residential

Retail/Restaurant

Hotel

No of Bedrooms for Residential *

Landlord Details

First Name : *

Last Name : *

Mobile No : *

Fax No :

Landline No :

Email Address : *

Preferred Billing Address *

Residence/Business Address

Billing Address

P.O.Box

Upload Documents (Copy of the Following)

Please tick the appropriate box for the documents uploaded.

Residential/Commercial

Passport and Visa copy of applicant/representative

Civil Defence Final Certificate/Authority Approval(New Villa and Townhouse)

Tenancy Contract/Purchase Agreement ( Main page only)

Proof of Payment for Security Deposit and Connection Fee

Trade License (if under company accommodation)

VAT Certificate(if under company accommodation)

Emirates ID(Front and Back side)

Gas Service Agreement

Commercial

Approved As Built Drawing including Approved Drawing from Civil Defence/Authority
Third Party Inspection (TPI) Test Report (as applicable)
Civil Defence Final Certificate/Authority Approval
Pressure Test Report
Gas Detection System Test Report
Certificate of conformity of the gas meter / Calibration Certificate / Manufacturer Test Certificate

Upload Documents Supported Formats:image/*,.jpg,.png,.pdf,.docx,.doc,.docs

Send Gas Connection Request

Residential/Commercial

Commercial

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