PALAWAN ELECTRIC COOPERATIVE, INC.

Tiniguiban, Puerto Princesa City

CHECKLIST OF HOUSEWIRING CONNECTION REQUIREMENTS

SET A – PALECO SET B – City Engineering Department

1. Housewiring Installation by Accredited Electrician with Secure the following requirement from the City/Municipal
duly accomplished Building Electrician Completion Engineering Department:
Report (BECR).
2. Complete address of the building / establishment and 1. Electrical Permit.
sketch of the location. 2. Electrical Plan, signed & sealed by a Professional
3. Inspection Report of the PALECO Inspector Electrical Engineer (P.E.E)
4. Attend Pre-Membership Education Seminar (PMES) at 3. Certificate of the Final Electrical Inspection / Completion
PALECO Gymnasium scheduled every Thursday from 9:00 of Permit for Temporary Service Connection.
AM to 11:00 PM (For new applicant/members only) 4. Certificate of Fire Safety from the Bureau of Fire
5. Submit the Official Receipt of Service Drop Wire (In Protection.
excess of the free 30 meters SDW from the Co-op).
6. Payment of the required fees such as: Membership, Bill,
Deposit, Share Capital, Inspection & Connection.
7. Submit one (1) 1x1 ID picture. For more information please call Telephone Number 433-
8. Secure clearance from Billing Section 2001 or CP No. 09175532836.
9. Contact No.__________________________
 PALAWAN ELECTRIC COOPERATIVE, INC

CONSUMER NAME:
SPOUSE NAME:
ADDRESS:
HOUSE STRUCTURE Concrete Semi-Concrete Light Materials
NEAREST ACTIVE MEMBER: a.
b.
LENGTH OF SERVICE DROP: meters SIZE:
METER SERIAL NUMBER:
SERVICE X’FORMER ID:
METER LOCATION:
TAPPING POLE:
METER BRAND:
METER TYPE:
CALIB. SEAL (indicate the color):
COVER SEAL (indicate the color):
DATE TAPPING:
TEAM LEADER:

Received by:
Print Name & Signature
Date:
SKETCH OF LOCATION
 PALAWAN ELECTRIC COOPERATIVE, INC
Tiniguiban, Puerto Princesa City

Name of Member :
First Name Middle Name Last Name

Membership : Date Paid :

TIN (Tax Identification Number):

Member’s Profile

Address :
Date of Birth : Age: Gender: Civil Status:
Highest educational attainment:
Occupation : Source of Income: Annual Income:
Number of Dependents: Religion: Social Affiliation:
Email address: Contact No.:
 Palawan Electric Cooperative, Inc.
Tiniguiban, Puerto Princesa City

Building Electrician Completion Report

THIS IS TO CERTIFY that I have performed and

completed the housewiring installation on
residence/building of Mr./Mrs.

at
on and ready for inspection in
conformity with the Philippine Electrical Code (PEC) and the
National Electrification Administration (NEA) approved
standard.

Any defects found before and after the

energization shall be corrected by the undersigned within
72 hours upon findings and recommendations

Electrician
(Signature over printed name)
CONFORME:

Member/Consumer
Please sketch your building location at the back...
 PALAWAN ELECTRIC COOPERATIVE, INC
Tiniguiban, Puerto Princesa City

KWH METER INSTALLATION AGREEMENT

I, , of legal age, and a resident of

, referred to as the member/consumer, hereby agree with
PALECO, a legal entity duly created by law, engaged with public service in connection with the operation,
distribution, control and supervision of local electric system and manifest the following:

1. PALECO shall provide and install the kwh meter in the premises, the location of which shall be at the
discretion of the Co-op the basis of safety and convenience of the personnel to facilitate meter
reading, inspection and repair of the equipment.
2. As a member/consumer, it is my duty and responsibility to safeguard the installed equipment from
loss, damages, tampering and from any other similar acts which will render the equipment useless in
the proper registration of electricity consumed.
3. In case the equipment is damaged or lost, it is my duty to report immediately to the Co-op and pay
the actual value of the damaged equipment.
4. Tampering of installed kwh meter is illegal and punishable under R.A. 7832: “the Anti-electricity and
Electric Transmission Lines/Materials/Pilferage At of 1994”. In case of meter tampering, I am liable to
pay the applicable fines and penalties in relation to the offenses covering the value of the
unregistered consumption and penalties imposed in accordance with the rules and regulations of
PALECO and R.A. 7832.
5. As a regular member/consumer and owner of the premises, I will require my tenant to have a
separate connection.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

Day of , at Barangay Tiniguiban, Puerto Princesa City, Palawan.

BRAND :
MAKE :
TYPE :
AMPERES :
SERIAL NO. :
COOP. NO. :
INITIAL READING : CONFORME:

Member/Consumer
(Signature Over Printed Name)

ATTY. ROHIMA R. SARRA Res. Cert. No.

General Manager Issued at
Issued on
 PALAWAN ELECTRIC COOPERATIVE, INC
Tiniguiban, Puerto Princesa City

KWH METER INSTALLATION AGREEMENT

I, , of legal age, and a resident of

, referred to as the member/consumer, hereby agree with
PALECO, a legal entity duly created by law, engaged with public service in connection with the operation,
distribution, control and supervision of local electric system and manifest the following:

6. PALECO shall provide and install the kwh meter in the premises, the location of which shall be at the
discretion of the Co-op the basis of safety and convenience of the personnel to facilitate meter
reading, inspection and repair of the equipment.
7. As a member/consumer, it is my duty and responsibility to safeguard the installed equipment from
loss, damages, tampering and from any other similar acts which will render the equipment useless in
the proper registration of electricity consumed.
8. In case the equipment is damaged or lost, it is my duty to report immediately to the Co-op and pay
the actual value of the damaged equipment.
9. Tampering of installed kwh meter is illegal and punishable under R.A. 7832: “the Anti-electricity and
Electric Transmission Lines/Materials/Pilferage At of 1994”. In case of meter tampering, I am liable to
pay the applicable fines and penalties in relation to the offenses covering the value of the
unregistered consumption and penalties imposed in accordance with the rules and regulations of
PALECO and R.A. 7832.
10. As a regular member/consumer and owner of the premises, I will require my tenant to have a
separate connection.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

Day of , at Barangay Tiniguiban, Puerto Princesa City, Palawan.

BRAND :
MAKE :
TYPE :
AMPERES :
SERIAL NO. :
COOP. NO. :
INITIAL READING : CONFORME:

Member/Consumer
(Signature Over Printed Name)

ATTY. ROHIMA R. SARRA Res. Cert. No.

General Manager Issued at
Issued on
 PALAWAN ELECTRIC COOPERATIVE, INC.
Tiniguiban, Puerto Princesa City

APPLICATION FOR MEMBERSHIP AND FOR ELECTRIC SERVICE

The undersigned, hereinafter called the “Applicant,” hereby applies for membership and agrees to purchase electric power from
PALAWAN ELECTRIC COOPERATIVE, INC., with principal office address at Barangay Tiniguiban, Puerto Princesa City, hereinafter
called the “Cooperative” under the following terms and conditions:
1. The Applicant shall pay the Cooperative the sum of one hundred pesos (P100.00) which, if this application is accepted by
Cooperative, shall constitute the applicant’s Membership Fee.
2. The Applicant shall subscribe a minimum of twelve (12) shares at one hundred pesos (P100.00) per share equivalent to one
thousand two hundred pesos (P1,200.00) which will serve as share capital payment to the Cooperative. Thus, can initially pay
at least three (3) shares and the remaining balance shall be paid in instalment basis to be incorporated in the Applicant’s
monthly electric bills. The Certificate of Capital Shares shall be issued by Cooperative only after the full payment of twelve (12)
shares.
3. The Applicant shall purchase from the Cooperative all electric power needs to be used on the premises described in
accordance with the By-Laws of the Cooperative.
4. The Applicant shall cause his premises to be wired in accordance with the wiring specifications of the Cooperative as
mandated by the Philippine Electric Code.
5. The Applicant by becoming a member assumes no personal liability or responsibility from any debts or liabilities of the
Cooperative beyond his subscribed share capital thereto, and it is expressly understood that his private property is exempted
from execution for any debts or liabilities of the Cooperative.
6. The Applicant hereby grants to the Cooperative the necessary rights and easements to construct, operate, replace repair and
perpetually maintain its lines for the transmission and/or distribution of electric energy on the property owned by the
undersigned, thus, hereby executes and delivers to the Cooperative, the conveyance, grant or instrument necessary for the
above stated purposes, including clearing or obstructions to ensure the safe and regular flow of electricity. All lines, switches,
meters, appliances and equipment constructed or installed by the Cooperative on the property of the Applicants shall at all
times be the sole property of the Cooperative; and the Cooperative shall have the right to operate, maintain or relocate the
said facilities. In relation thereto, the Applicant hereby waived the provisions of the Revised Penal code on Violation of
Domicile (Article 128), Qualified Trespass to Dwelling (Article 230), and other form of trespass against the officers, and
employees of the Cooperative and of their authorized agents or representatives in connection with the performance of their
functions in order to safeguard the interest and properties of the Cooperative (Article 280).
7. The Cooperative has the right to disconnect electric service of the applicant even without prior notice if the member; a) fails
to pay his bills within the prescribed period. B) is found violating any policies relating to the Cooperative-Member
relationship, and c) found with tampered kwh meter or illegal connection punishable under Republic Act No, 7832, otherwise
known as the “Anti-Electricity and Electric Transmission Lines/Materials Pilferage Act of 1994”.
8. This also serve as an undertaking from the Applicant that he/she shall be jointly and severally liable to the Cooperative for any
unpaid regular monthly bills of the said premises under the Applicant’s name incurred by the Applicant or his occupant after
leaving the premises in the absence or insufficiency of the bill deposit.
9. The Cooperative shall not be liable to the Member/Applicant for failure to supply electricity and/or damages to said premises
under any conditions.
10. The acceptance of this application by the Cooperative shall constitute an agreement between the Applicant and the
Cooperative, and contract of electric energy shall continue in force for one (1) year from the date service is made available by
the Cooperative to the Applicant, and thereafter as long as the Applicant has need for any electric service on the subject
premises.

APPLICANT:
FIRST NAME MIDDLE NAME LAST NAME SIGNATURE

SPOUSE:
FIRST NAME MIDDLE NAME LAST NAME SIGNATURE

ADDRESS:
Street Barangay City/Municipality

Date paid: Amount P O.R. No.:

1x1
ID
CASHIER
Picture

BOARD ACTION: Application for Membership approved / disapproved: As per Board Resolution
No. Date
 PALAWAN ELECTRIC COOPERATIVE, INC.
Tiniguiban, Puerto Princesa City

APPLICATION FOR MEMBERSHIP AND FOR ELECTRIC SERVICE

The undersigned, hereinafter called the “Applicant,” hereby applies for membership and agrees to purchase electric power from
PALAWAN ELECTRIC COOPERATIVE, INC., with principal office address at Barangay Tiniguiban, Puerto Princesa City, hereinafter
called the “Cooperative” under the following terms and conditions:
11. The Applicant shall pay the Cooperative the sum of one hundred pesos (P100.00) which, if this application is accepted by
Cooperative, shall constitute the applicant’s Membership Fee.
12. The Applicant shall subscribe a minimum of twelve (12) shares at one hundred pesos (P100.00) per share equivalent to one
thousand two hundred pesos (P1,200.00) which will serve as share capital payment to the Cooperative. Thus, can initially pay
at least three (3) shares and the remaining balance shall be paid in instalment basis to be incorporated in the Applicant’s
monthly electric bills. The Certificate of Capital Shares shall be issued by Cooperative only after the full payment of twelve (12)
shares.
13. The Applicant shall purchase from the Cooperative all electric power needs to be used on the premises described in
accordance with the By-Laws of the Cooperative.
14. The Applicant shall cause his premises to be wired in accordance with the wiring specifications of the Cooperative as
mandated by the Philippine Electric Code.
15. The Applicant by becoming a member assumes no personal liability or responsibility from any debts or liabilities of the
Cooperative beyond his subscribed share capital thereto, and it is expressly understood that his private property is exempted
from execution for any debts or liabilities of the Cooperative.
16. The Applicant hereby grants to the Cooperative the necessary rights and easements to construct, operate, replace repair and
perpetually maintain its lines for the transmission and/or distribution of electric energy on the property owned by the
undersigned, thus, hereby executes and delivers to the Cooperative, the conveyance, grant or instrument necessary for the
above stated purposes, including clearing or obstructions to ensure the safe and regular flow of electricity. All lines, switches,
meters, appliances and equipment constructed or installed by the Cooperative on the property of the Applicants shall at all
times be the sole property of the Cooperative; and the Cooperative shall have the right to operate, maintain or relocate the
said facilities. In relation thereto, the Applicant hereby waived the provisions of the Revised Penal code on Violation of
Domicile (Article 128), Qualified Trespass to Dwelling (Article 230), and other form of trespass against the officers, and
employees of the Cooperative and of their authorized agents or representatives in connection with the performance of their
functions in order to safeguard the interest and properties of the Cooperative (Article 280).
17. The Cooperative has the right to disconnect electric service of the applicant even without prior notice if the member; a) fails
to pay his bills within the prescribed period. B) is found violating any policies relating to the Cooperative-Member
relationship, and c) found with tampered kwh meter or illegal connection punishable under Republic Act No, 7832, otherwise
known as the “Anti-Electricity and Electric Transmission Lines/Materials Pilferage Act of 1994”.
18. This also serve as an undertaking from the Applicant that he/she shall be jointly and severally liable to the Cooperative for any
unpaid regular monthly bills of the said premises under the Applicant’s name incurred by the Applicant or his occupant after
leaving the premises in the absence or insufficiency of the bill deposit.
19. The Cooperative shall not be liable to the Member/Applicant for failure to supply electricity and/or damages to said premises
under any conditions.
20. The acceptance of this application by the Cooperative shall constitute an agreement between the Applicant and the
Cooperative, and contract of electric energy shall continue in force for one (1) year from the date service is made available by
the Cooperative to the Applicant, and thereafter as long as the Applicant has need for any electric service on the subject
premises.

APPLICANT:
FIRST NAME MIDDLE NAME LAST NAME SIGNATURE

SPOUSE:
FIRST NAME MIDDLE NAME LAST NAME SIGNATURE

ADDRESS:
Street Barangay City/Municipality

Date paid: Amount P O.R. No.:

1x1
ID
CASHIER
Picture

BOARD ACTION: Application for Membership approved / disapproved: As per Board Resolution
No. Date