| To |
The.........................................................
................................................................
...............................................................
................................................................ |
|
| Sir, |
I/We request you to supply electricity at L.T./H.T. to my/our
premises situated
at..................................................
The requisite
information is furnished below: |
|
(1)
Name of the consumer:
(2)
Address for Communication: |
|
(3)
Status of consumer: consumer should state his legal status
(i.e.,) whether he is individual, partnership firm of limited
company or any other legal person. In case of partnership
firm, it
should be stated whether it is registered or unregistered,
location of its Head Office, names and addresses of all
partners and a copy of partnership deed should be filed.
In case of Company, it
should be stated whether it is private
limited or public limited, names
of present
directors and a
copy of memorandum of articles of association
should be
furnished. In case of any other type of
legal
person full details
and name and
address of person competent to
represent the
consumer should be stated).
|
|
(4)
Location of premises where supply is required.
(5)
Category of supply:
(6)
Contracted load:
(7)
Contracted Demand in HP/KVA
(8) Details of connected load
at the time of commencement of supply. |
|
2.
I/We undertake to agree to pay at the tariffs and Miscellaneous
and general charges prescribed by the Board
and abide by the terms
and conditions of supply notified by the Board from time to time, which
shall govern the
supply of electricity to me/us in all respects.
3. I/We request that the
Board should provide necessary meter/meters/metering equipment.
4.
I/We shall undertake to execute an agreement in the prescribed
form, if so called upon by the Board. Whether
such an
agreement is executed or not , this application itself shall oblige me/us to conform to and
abide by the
terms and conditions of supply notified by the Board
from time to time. |
|
| Station:
(Signature of Consumer) |
|
| Dated: |
|
| Witness: |
|