Parang Municipality
Water Service Application Form
Please fill out all required fields completely and accurately
Draft restored from your previous session.
Personal Information
Surname
*
First Name
*
Middle Name
Extension Name
None
Jr.
Sr.
II
III
Birthdate
*
Age
Gender
*
Select
Male
Female
Civil Status
*
Select
Single
Married
Widowed
Separated
Place of Birth
*
Complete Address
*
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City/Municipality
*
Province
*
Contact No.
*
Account Details
Application No.
Your application reference number
Job No.
Internal job tracking number
Category
*
Select Category
RESIDENTIAL
GOVERNMENT
PURE COMMERCIAL
SEMI-COMMERCIAL A
SEMI-COMMERCIAL B
INDUSTRIAL
INSTITUTIONAL
Pipe Size
Select Pipe Size
1/2 inch
3/4 inch
1 inch
1.5 inch
2 inch
Date Applied
*
Business/Establishment Name
Submitted Requirements
Duly Accomplished Application Form
2 Valid IDs
2x2 ID Picture - 2pcs
Location Sketch Plan
Barangay Clearance
Cedula
Photocopy of Title/OCT/TCT/TD if owner, applicant
Consent From Lot/Bldg if owner is renting
Affidavit from the Municipal Government if Government Property
Memorandum of Agreement if requesting for string connection
Attend Orientation
Additional Requirements
Building Permit (Building Official) - Engineering Office
Vaccine Card Photocopy
Cedula Information
Community Tax No.
Date Issued
Place Issued
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