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  Registration Form

 
1

APPENDIX - XVIII APPLICATION FOR SUPPLY OF ELECTRICITY

1.  Name of Consumer :*
2.  Address for Communication :
Door No. Street
Locality City
PIN  Code Telephone No. -
3.  Status of Consumer :
 Individual  Registered Partnership Un-Regd. Partnership
Private Limited Company Public Limited Company Any Other Legal Personal 
4.  Social Group :* S.C    S.T       Others
5. Location of Premisis where Supply is required :
6.  Category of Supply :*
H.T I    H.T II H.T III Domestic     Industrial
Cottage Industries Agrl. Purpose N.D and Commercial
Public Lighting General Purpose Temporary Supply
7.  Purpose of Supply :
8.  Contracted Load (in Kilo Watts) :
9.  Details of Connected Load at the time of  Commencement of Supply (in Kilo Watts) :
 
 		  

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