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Tanker Registration Form
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Tanker Registration Form
Terms & conditions
Please print and sign the terms and condition before filling the Tanker Service form
Application Type
Service Type
*
:
New Green Tanker
New Yellow Tanker
Replace Prime Mover
Replace Tag
Tanker registration renewal
Customer / Orgnization Details
Organization Name
*
:
CR No (Commercial Registration)
*
:
Address Details
Governate
*
:
Muscat
Dhofar
Musandam
Al Buraymi
Ad Dakhliyah
Al Batinah North
Al Batinah South
Ash Sharqiyah South
Ash Sharqiyah North
Adh Dhahirah
Al Wusta
Wilayat
*
:
Al Amrat
As Seeb
Bawshar
Muscat
Qurayyat
Mutrah
STP Location
*
:
(Mahoot) Nagdha
(Jabal Al Akdhar) Al Sheraiga
(Jabal Al Akdhar) Saih Al Qatna
(Jabal Al Akdhar) Seeq
PO Box No:
Postal Code:
Email Id
*
:
Contact details
Contact Name
*
:
Contact Number
*
:
Driver Name (Please separate driver Names with , (comma)):
Identity Card No.:
Driver Contact No
*
:
Please separate driver Contact No with , (comma) if there are multiple Contact Numbers
Tankers Details
TankerType
*
:
Truck
Trailer Prime Mover
Tanker Capacity:
Municipal Permit:
Tanker Plate No
*
:
Tanker Registration Date
*
:
Calendar
Tanker Expiry Date
*
:
Calendar
Documents
CR Documents (Commercial Registration)
*
:
Authorized signatory ID
*
:
OCCI Certificate (Oman Chamber of Commerce and Industry)
*
:
Municipal Permit:
Signed Terms & conditions
*
:
Trailer (Plate No, Registration Date & Plate No)
*
:
Security code
*
:
Enter security code:
.
*
I confirm that all the information being provided in this application are accurate in all material respects and I accept admit to meet all Haya Water and other government authorities and regulations.: