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HE DG Connection Initial Application Form Please complete all sections of this form and attach any supporting information then send to dg@mll.co.nzCustomer and Installation Address Name: Address:

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To fill out Form F128-HV-DG, follow these steps:

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Start by providing the personal information of the individual for whom the form is being filled out.

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Enter the date of birth, gender, and residential address of the individual.

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If the individual is married, provide the spouse's name and date of birth.

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Indicate the number of dependent children the individual has, if any.

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Form F128-HV-DG is needed by individuals who are applying for a specific program or benefit, such as a housing subsidy or financial assistance. This form is used to gather necessary information about the individual's financial and personal circumstances to determine their eligibility for the program or benefit.

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