CAGAYAN DE ORO CITY WATER DISTRICT
Corrales Avenue, Cagayan de Oro City
COMMERCIAL DEPARTMENT
PRE-APPLICATION FORM for NEW CONNECTION
First Name
Middle Name
Family Name
Address Applied
Birth Place
Birth Date
Cel No.
Tel No.
Name of Spouse (
If Married
)
Mother's Name
Cel No.
Father's Name
Cel No.
Lot Owner
Building/House Owner
Previous Address, Registered Name & Acc No.
Reference(Water Bill of Neighbor)
Cedula No.
Issued On
Issued At
COWD Seminar Attendance Certificate
COWD Pre-Application Form Duly Accomplished
Marriage Contract(If Married)
Birth Certificate(If Single)
Valid ID(Company ID, Driver's License, Passport, Postal/Voter's ID)
Community Tax Certificate
Lot Tile and/or Latest Tax Declaration
Deed of Sale
Lease Contract
Pag-IBIG Certification
Cert. From Subdivision Developer
Cert. From Homeowners Association
Cert. From Brgy. Chairman(if informal settler)
2 Affidavit of Waiver(Notarized, if informal settler)
Cert. From E.M.D.(relocation site under LGU)
Cert. From the Bureau of Fire(Fire Victim)
Police Report (for stolen meter)
SPA/Authorization Letter
Reference (Water Bill of Neighbor w/ Water Conn.)
Others. (Pls. Specify) _________________
Proceed