1. Customer information
Full name
*
ID card number
*
Phone
Please enter a valid mobile number
Mobile Number
*
Please enter a valid mobile number
Email address
*
[email protected]
2. Service Address
Island
*
Please Select
K. Male
K. Hulhumale'
K. Villingili
S. Meedhoo
S. Hithadhoo
S. Maradhoo
S. Feydhoo
S. Maradhoo-Feydhoo
S. Hulhudhoo
S. Gan
Gn. Fuvahmulah
House / Building name
*
District
Road
Block
Floor
*
Please Select
Ground
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Apartment
Mobile Number
*
Please enter a valid mobile number
Requested service start date
*
-
Day
-
Month
Year
Date
4. Attachments
ID card copy applicant
*
Browse Files
Drag and drop files here
Choose a file
Please upload both sides of the ID card. The ID card should not be expired.
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