Aa) AUTHORIZATION MERALCO ‘may liwanag ang buhay MERALCO, Thereby authorize Mr/Ms, to transact in your office regarding my application (new connection/ re-contract/ reconnection) for electric service located at also authorize hirm/her to sign in my behalf the CONTRACT FOR ELECTRIC SERVICE with your company. Being the registered Meralco customer, I am taking the full responsibility on the terms and conditions stated in the said contract. Attached is the original and photocopy of my Identification Card. ‘Authorized Representative Signature Over Printed Name Customer Signature Over Printed Name WAIVER KNOW ALL MEN BY THESE PRESENTS: Applicant ______________________, im his/ her behalf or represented with service address at hereby waive, relinquish and quitclaim whatever right or objection he/she may have against the disconnection of his/her electric service and removal, after due notice, by MERALCO of his/her electrical facilities under SIN______ by reason of ANY of the following circumstances: by. 1. The lawful owner of the land/structure demands the removal of the said electric service; 2. The electrical installation is condemned by the proper authorities; 3. When an illegal or flying connection is tapped to his/her service wires to supply electricity to other customer/s without MERALCO’s consent, In affirmation thereof, herein applicant hereby signed this__dayof_____, 200 ot eee Signed in the presence of: Name and Signature ‘Name and Signature