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Application Form

The document is an application form for changing the service category for a consumer's electricity connection. It includes fields for consumer details, service connection number, reason for change, and required documents for verification. The applicant requests to change their service category from Category II to Category I, indicating the premises are used for domestic purposes only.

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srikanthdip007
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104 views3 pages

Application Form

The document is an application form for changing the service category for a consumer's electricity connection. It includes fields for consumer details, service connection number, reason for change, and required documents for verification. The applicant requests to change their service category from Category II to Category I, indicating the premises are used for domestic purposes only.

Uploaded by

srikanthdip007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
NPDCL C Change Application Form Service Type":Cl Category Change be Service Connection Number*: Yo} 3 = a Circle Name*: 01 Adilabad 0 Khammam © Karimnagar G Nizamabad G Warangal ERO Code*: 33/22 Consumer Details: coaaainer Surname = DOUNAG Consumer Name®; _—_ g¢22TRIA7 Resp Father Name*: 2 Social Group Se EEE Hat iso Esta Non (he Actual Connectipa-Type +: 1 Domestic Commercial © Commercial - Hoardings 0 6A ~ Street Lights 0 6B - Public Water Works 0 6A~ General Issues (2 6A ~ Religious Places (Temples, Church, Mosque, Govt.Schools etc) yed Cont Hs mestic . Commercial 0 Commercial ~ Hoardings 0 6A - Street Lights 0 68 ~ Public Water Works G 6A- General Issues 0 6A ~ Religious Places (Temples, Church, Mosque, Govt.Schools etc) Location type: Vi 11492 Location Name*: 30 Caxa, oy Location of ea House No: 2 — U7 Locality: District *: Lede fifonaar: Biggs nae Lrwesatief Pin code*: Connected Load”: Reason for Change*: Address for Communication:- Dooro:_2=C4 7_— tocality/Land mark: Arsemageef vines PCAC Resa mend cle 4 Vilage Maras: has He, 1 Pin Code: Mobile Number*: Email ID: a ) Ration Card No: formant Details: iniomantnamet:___* V/ee=52t Peldf icant eer SEL a Delivery Type*: C1 Manual (0 Proof * :€) Aadhar Card Ration card EiDriving License CPan card Clvoter Card Cl agree to submit 1D Proof and 2 photos at the time of verification Document Li Application Form* 1 Category and Load Change Under Taking Form* Ci Latest Bill and Receipt* Asst. Engineer / Addl. Asst. Engineer. Salk abA Sir, Sub: Service No.:__¢(/o | ~006¢ 5 _cat_ $2 pistribution Change of category from Category Il to | regarding, * am the Consumer of service No. 4 Go/3—en& Category II in distribution as . Presently | am using the premises of the service for domestic purpose only. | request hence, to inspect the Premises and change the category from II to | Your's faithfully, = Signature Name :7y + aap pn (Rey Slolwio : V EeyeRedelf Service No: C/ Up] ook Telephone No A UTHERN PO} 90655 “49007243 Informant Details: it Na *: Man (D Aadhar Card Ration card 11 | agree to submit 1D Proof and 2 photos Document List: Application Form* ‘ategory and Load Chance

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