Please enter the customer's segment
Is the head of household/business owner or a suitable representative available?
Did they provide their consent to participate in the data collection exercise?
Please enter the year of birth (yyyy)
Please select the customer's identity document type
Does the customer have a passport?
Please enter the customer's phone number
Does the customer have a secondary phone number?
Please enter a secondary phone number
Please select the customer's ownership status
Please enter the customer's phone number
Please enter the business sector
Please select the customer's (business owner) ownership status
Please enter the number of occupants
Please select the type of property
Please select the type of property
Is the customer connected to a neighbourhood generator ?
