Residential Sign Up
Sign Up Options*
In Person Over the Phone
Let's get a few details from you now so we can get you all signed up - it will only take a couple of minutes.
Personal Details
What are you here to do today?*
Specify the date you Moved in (or moving in)*
Day Month Year
Date
Title*
Full Name*
Identification options*
Drivers License Number
Expiry Date*
Day Month Year
Date
State of Issue
Drivers License
Passport Number
Country of Issue
Passport Number
Medicare Number
Reference Number
Medicare Card
Expiry Date
Day Month Year
Medicare Card
Date of Birth*
Day Month Year
Date
Mobile*
Contact Email*
example@example.com
Are you:
Lease Expiry Date:
Day Month Year
Date

Property Details
Tell us your address and a bit about the property.
Is power already connected at your property?*
Yes No
NMI or Meter Number*
Supply address details*
Unit Number or Street Number
Street Address
City State
Post Code
Is your postal address different to your supply address*
Yes No
Postal address
Unit Number
Street Address
City State
Post Code
Are there any hazards at the property? (Such as dogs, asbestos, electric fence, ect.)*
Yes No
Please note: if you do have a dog and it's located in the same area where the meter is located, Energex will not enter the property. If there is a dog on site, please ensure that it is placed in an area not located near the meters.
What is the hazard?*
Be specific.
Are there any access details to your property? (Such as pin number, gate lock etc)*
Yes No
What are the access details?*
Be specific

Additional Questions
Does the property have Gas?*
Yes No
Have you thought about installing solar?
The number one reason for installing solar is because it lowers the cost of your electricity bills and systems are more affordable than ever before.
Are you interested in solar for your home?
Yes - please send me more information. No thank you.

Residential Sign Up

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