Tick (√) the box which is applicable
11.
(B) Details of requisition :-
(i) A new service connection for............kW/HP (ii) Enhancement of connected load from kW/HP
to............kW/HP (iii) Reduction of load from............kW/HP
to............kW/HP (iv) Change of Name of service connection from
Sri............to Sri............ (v) Change of Category from............category
to............category (vi) Shifting of service connection from existing
location............to location
(i) A new service connection for............kW/HP
(ii) Enhancement of connected load from kW/HP
to............kW/HP
(iii) Reduction of load from............kW/HP
to............kW/HP
(iv) Change of Name of service connection from
Sri............to Sri............
(v) Change of Category from............category
to............category
(vi) Shifting of service connection from existing
location............to location
12.
Meter to be provided by
Licensee Applicant
Licensee
Applicant
13.
Undertaking
(i) I/We............... am/are the statutorily bonafide owner for the premises for which new service connection is applied for
or
I/We................am/are the person(s) authorized by the statutorily bonafide owner to avail service connection on my name for the said premises for which service connection is applied.
(ii) All the required documents such as Ownership deed (ex. Tax receipt, copy of registered document etc.) wiring certificate and necessary approvals are enclosed hereunder to release the supply.
(iii) I/We undertake and agree to avail supply of energy for the above mentioned purpose for a period not less than one year from the date of commencement of supply and to pay the Tariff and Miscellaneous charges approved by the Commission from time to time. In the event of non-payment of the said charges it shall be recoverable from me/us as public demand under the Bihar and Orissa Public Demand Recovery Act, 1944, amended from time to time. I/we shall abide by the terms and conditions of Bihar Electricity Supply Code (ESC) notified by the Commission from time to time, which shall govern the supply of electricity to me/us in all respects.
(iv) I/We shall undertake to execute an Agreement in the prescribed form *when (sic ?) called upon by the licensee whether such an agreement is executed or not, this application itself shall oblige me/us conform to and abide by the terms and conditions of supply *notified (sic ?) by the licensee and approved by the Commission from time to time.
Place
Signature of the Applicant
Date
Name
Acknowledgement
Acknowledgement
Sub Division
Date of Registration
Registration No.
Signature of Receiving Officer With Stamp
Prop. date of Inspection
Annexure-2
Annexure-2
(See Clause 4.11)
Application for Supply of Electricity at High Tension (to be submitted in 5 sets)
Application for Supply of Electricity at High Tension (to be submitted in 5 sets)
Registration No. :
Date :
Amount Paid Rs.
DD No./Date :
1.a.
Name of the Customer in whose name connection is required :
1.b.
Status of the Customer:
2.
Location of Premises where supply is required :
Street: Block: Village: District: Plot No.: Pin Code:
Street:
Block:
Village:
District:
Plot No.:
Pin Code:
3.
Addresses and Telephone Number for Communication .
Address : Telephone No. Permanent Present
Address :
Address :
Telephone No.
Telephone No.
Permanent
Present
4.
Type of Service Required (Please tick the service applied
for):
*
New Service
*
Additional Load (Alteration/Extension to existing
installation)
*
Reduction of load
*
Title Transfer
*
Change of Category
*
Existing Category:..................Proposed
Category:...............
5.
Category of Supply Requested (Please tick the category
required):
Category Purpose HT S I 11 kV High Tension Service HT S II 33 kV High Tension Service EHT 132kV Extra High Tension Service HTSS 11 KV High Tension Specified Service RTS 25 kV/132 kV Railway Traction Service
Category
Purpose
HT S I 11 kV
High Tension Service
HT S II 33 kV
High Tension Service
EHT 132kV
Extra High Tension Service
HTSS 11 KV
High Tension Specified Service
RTS 25 kV/132 kV
Railway Traction Service
6.
Are any other services existing in the same Premises :
Yes No
Yes
No
If yes, details thereof are as
follows.............................................
SI. No. Particulars Details i. Existing Service Connection Number ii. Existing Contracted Maximum Demand (kVA) iii. Existing Contracted Load (HP/kW) iv. Existing Connected Load (HP/kW) v. Date of conclusion of present HT Agreement vi. Date of release of supply vii. A.M.G. of the service, if any viii. Security Deposit
SI. No.
Particulars
Details
i.
Existing Service Connection Number
ii.
Existing Contracted Maximum Demand (kVA)
iii.
Existing Contracted Load (HP/kW)
iv.
Existing Connected Load (HP/kW)
v.
Date of conclusion of present HT Agreement
vi.
Date of release of supply
vii.
A.M.G. of the service, if any
viii.
Security Deposit
7.
Are any other service existing elsewhere in the same name or
in the names of sister concerns.
Yes No
Yes
No
If yes, the details thereof are as follows :
Service Connection Number Category
Service Connection Number
Category
8.a.
Requirement of New/Additional Load:
i. Contracted Maximum Demand (kVA) (With Phasing if any) ii. Contracted Load (HP/kW)
i. Contracted Maximum Demand (kVA) (With Phasing if any)
ii. Contracted Load (HP/kW)
8.b.
Details of connected at the time of commencement of supply:
9.
Total Load Requirement (Existing + New / Additional Load):
i. Contracted Maximum Demand (kVA) (With Phasing if any) ii. Contracted Load (HP/kW)
i. Contracted Maximum Demand (kVA) (With Phasing if any)
ii. Contracted Load (HP/kW)
10.
Nature of industry and product manufactured :
11.
Number of running days in a month
12.
Number of running shifts of the factory
13.
Period of season if load is seasonal
14.
Date by which service is required
15.
Power of Attorney
16.
Whether the industry is availing/proposes to avail power from
other sources. If so. please provide details:
17.
(a) Whether the industry has back up, captive generating
plant. If so, please provide details
17.
(b) Any other information
18.
Supporting documents enclosed (Please tick where applicable):
Documents to be furnished
*
Details of Land, Survey Plot No., Mauza, Revenue Village No.,
etc.............
*
Contracted Load Details (Where available)
*
Memorandum of Understanding
*
Articles of Association, Partnership Deed
*
Site plan indicating the Proposed Receiving Points of Power
Supply from the Company
*
General Power of Attorney
*
NOC from Local Body (eg. Gram Panchayat of MCH)
*
Consent from Pollution *Control Board (sic ?) (If
Applicable)
*
SSI Certificate (if applicable)
*
*Industrial licence (sic ?)
*
Employment *Power (sic ?)
*
Financial Assistance (sic ?)
*
Line of Manufacture
*
Letter for Under *taking (sic ?) Capital Works on
*Turnkey Basis (sic ?) (Optional)
Signature of Applicant
Signature of Original Owner (in case of title
transfer)
Place
Date
Witness 1
Witness 2
Signature:
Name and Address:
Date:
Signature:
Name and Address:
Date:
Acknowledge of Application
Acknowledge of Application
Registration No. :
Date of Registration :
Signature of Receiving Officer With Stamp :
Total Amount Received :
Designated :
Annexure-3
Annexure-3
(See Clause 6.1)
Test Report
Test Report
To be filled up by licensed Electrical Contractor
Book No. .............
Form No. ..................
To be filled up by the licensee
To be filled up by the licensee
To be filled up by the licensed electrical contractor
To be filled up by the licensed electrical contractor
(a) I have......................class licence valid till...............
The licence number is..............................
(b) I have completed this work for Mr./Mrs./Ms......................................for his............................
Details of Job
Details of Job
SI No.
Item
220/230 Volts
440/400 Volts
Red Phase
Green Phase
Blue Phase
No.
Total Watts
No.
Total Watts
No.
Total Watts
No.
Total Watts
1
2
3
4
5
6
7
(c)
(i) The particulars of the employees who executed the job are tabulated below.
SI No.
Name of the Wireman/Trainee
Designation
Period
From
To
(ii) The work was carried out under the supervision of.................... (Supervisor Wireman) whose certificate number is........................... He is responsible for work carried out during the period...................................
(d) This installation specifications adhere to all the provisions of Indian Electricity Rules, 1956.
(a)
The installed switches are of correct ratings :
Yes/No
(b)
All the switches and wiring are permanent and of correct
specifications
Yes/No
(c)
All plugs are of three pin type and controlled by separate
switches
Yes/No
(d)
All the Single Pole switches connected to the phase
Yes/No
(e)
Required permanent mark is provided on the main switch board
for Neutral point
Yes/No
(f)
Arrangement for earthing is according to Rule 61 of Indian
Electricity Rules, 1956
Yes/No
(g)
In case of three phase installation
(i)
Danger board, fire extinguisher with buckets, shock chart and
first aid kit have been provided for
Yes/No
(ii)
The installation specifications of the switch board is as per
Rule 15 of Indian Electricity Rules, 1956
Yes/No
Date of testing.....................
Insulation to Earth
Insulation between conductors
Phase 1
Phase 2
Phase 3
Earth Resistance
Date of testing
Electrode No.1
Electrode No. 2
Signature of the Licensed Electrical Contractor
Certificate from Supervisor wireman
Certificate from Supervisor wireman
Signature of Supervisor, wireman
Receipt
Receipt
Signature of Officer in-charge Name Designation Date
Annexure-4
Annexure-4
(See Clause 6.37)
Determination of Connected Load
Determination of Connected Load
Domestic Connection
Item
Load per item (Watts)
No.
Total load (Watts)
1
2
3
4 = 2x3
Bulb
As per actual rating
Tube light
40
Fan
60
Tape-recorder/Music system
25
Television -Colour
100
- Black &
White
60
Mixie
60
Freeze
200 or actual
Cooler
200 or actual
for 6 months April to Sep
Heater (for cooking and water heating
1000
Washing machine
750 or as actual
Geyser
1500/2000 or as actual
for 3 months only, Dec. to Feb.
Microwave Oven
2000
* Air Conditioner (1 ton/1.5 ton /2.0 ton)
1500/2000/2250
for 6 months only Apr. to Sep.
Split Air Conditioner 1.5 ton Computer
2250 100
for 6 months
Printer
150
Water lifting Pump set
375 or actual
Inverter to be used in case of power failure for own use
NIL
Total
Note: - (a) Spare socket points holders shall not be counted towards connected load.
Note:
(b) Defective appliances like cooler, freeze, T.V. Iron, Oven, etc. which are not connected and hot working shall not be taken into account.
(c) In some domestic connections Geyser, Room Heater and Air-conditioner (without heater) are installed. The load of Geyser(s) and Room Heater(s) shall be accounted for billing for the month of December, January & February and the load of Air-conditioner(s) (without heater shall be taken into account for the month of April to September. The load of Air-conditioners(s) with heater (s) shall be accounted as connected load for full year.
(d) Any other item of load not included above shall be taken as per manufacturers rating.
(e) Fraction of load in kW shall be taken as next higher whole number for the purpose of billing or as otherwise provided in the tariff order.
Signature of the Consumer
Signature of the licensee's representative
Date:...................
Date:......................
Place:..................
Place:.....................
Annexure-4A
Annexure-4A
(See Clause 6.38)
Self Declaration of Connected Load
Self Declaration of Connected Load
SI. No.
Name of Appliances
Unit
No.
Total kW/HP
(i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x)
Total Aggregate Load ....................
Note : In case of HT/EHT/Railways the details of transformer installed and the Connected Load to be furnished
Note :
Signature of the Consumer
Annexure-5
Annexure-5
(See Clause 7.5 [a])
Format for Intimation to Consumer after Temporary Disconnection of Supply
Format for Intimation to Consumer after Temporary Disconnection of Supply
Dated :............................
Reference:
Annexure-6
Annexure-6
(See Clause 11.1 (a) (iv)
Inspection Report
Inspection Report
(Under Section 126 of the Act)
I.
Inspection notes of Sri .................
Dated..............200
Time of Inspection :
Total time of inspection :
II.
(a) Name and address of the occupant of the place/premises
(b) Person present at the time of inspection:
Name
Signature
(i) ............................................
............................................
(ii) ..........................................
............................................
(iii) .........................................
............................................
(iv) ..........................................
............................................
III.
(a) Any other person available at the time of inspection and
his/her relationship with the occupant of the place/premises:
(b) Any other departmental staff present:
IV.
Section 6 • Bihar Electricity Supply Code, 2007
6. Shifting of service connection
bihar-electricity-supply-code-2007-sec-6.json
•
Section 6
{
"act_title": "Bihar Electricity Supply Code, 2007",
"act_slug": "bihar-electricity-supply-code-2007",
"section_label": "Section",
"section": {
"number": "6",
"title": "6. Shifting of service connection",
"chapter": null,
"content": "Tick (√) the box which is applicable\n11.\n(B) Details of requisition :-\n(i) A new service connection for............kW/HP (ii) Enhancement of connected load from kW/HP\n\t\t\t\tto............kW/HP (iii) Reduction of load from............kW/HP\n\t\t\t\tto............kW/HP (iv) Change of Name of service connection from\n\t\t\t\tSri............to Sri............ (v) Change of Category from............category\n\t\t\t\tto............category (vi) Shifting of service connection from existing\n\t\t\t\tlocation............to location\n(i) A new service connection for............kW/HP\n(ii) Enhancement of connected load from kW/HP\n\t\t\t\tto............kW/HP\n(iii) Reduction of load from............kW/HP\n\t\t\t\tto............kW/HP\n(iv) Change of Name of service connection from\n\t\t\t\tSri............to Sri............\n(v) Change of Category from............category\n\t\t\t\tto............category\n(vi) Shifting of service connection from existing\n\t\t\t\tlocation............to location\n12.\nMeter to be provided by\nLicensee Applicant\nLicensee\nApplicant\n13.\nUndertaking\n(i) I/We............... am/are the statutorily bonafide owner for the premises for which new service connection is applied for\nor\nI/We................am/are the person(s) authorized by the statutorily bonafide owner to avail service connection on my name for the said premises for which service connection is applied.\n(ii) All the required documents such as Ownership deed (ex. Tax receipt, copy of registered document etc.) wiring certificate and necessary approvals are enclosed hereunder to release the supply.\n(iii) I/We undertake and agree to avail supply of energy for the above mentioned purpose for a period not less than one year from the date of commencement of supply and to pay the Tariff and Miscellaneous charges approved by the Commission from time to time. In the event of non-payment of the said charges it shall be recoverable from me/us as public demand under the Bihar and Orissa Public Demand Recovery Act, 1944, amended from time to time. I/we shall abide by the terms and conditions of Bihar Electricity Supply Code (ESC) notified by the Commission from time to time, which shall govern the supply of electricity to me/us in all respects.\n(iv) I/We shall undertake to execute an Agreement in the prescribed form *when (sic ?) called upon by the licensee whether such an agreement is executed or not, this application itself shall oblige me/us conform to and abide by the terms and conditions of supply *notified (sic ?) by the licensee and approved by the Commission from time to time.\nPlace\nSignature of the Applicant\nDate\nName\nAcknowledgement\nAcknowledgement\nSub Division\nDate of Registration\nRegistration No.\nSignature of Receiving Officer With Stamp\nProp. date of Inspection\nAnnexure-2\nAnnexure-2\n(See Clause 4.11)\nApplication for Supply of Electricity at High Tension (to be submitted in 5 sets)\nApplication for Supply of Electricity at High Tension (to be submitted in 5 sets)\nRegistration No. :\nDate :\nAmount Paid Rs.\nDD No./Date :\n1.a.\nName of the Customer in whose name connection is required :\n1.b.\nStatus of the Customer:\n2.\nLocation of Premises where supply is required :\nStreet: Block: Village: District: Plot No.: Pin Code:\nStreet:\nBlock:\nVillage:\nDistrict:\nPlot No.:\nPin Code:\n3.\nAddresses and Telephone Number for Communication .\nAddress : Telephone No. Permanent Present\nAddress :\nAddress :\nTelephone No.\nTelephone No.\nPermanent\nPresent\n4.\nType of Service Required (Please tick the service applied\n\t\t\t\tfor):\n*\nNew Service\n*\nAdditional Load (Alteration/Extension to existing\n\t\t\t\tinstallation)\n*\nReduction of load\n*\nTitle Transfer\n*\nChange of Category\n*\nExisting Category:..................Proposed\n\t\t\t\tCategory:...............\n5.\nCategory of Supply Requested (Please tick the category\n\t\t\t\trequired):\nCategory Purpose HT S I 11 kV High Tension Service HT S II 33 kV High Tension Service EHT 132kV Extra High Tension Service HTSS 11 KV High Tension Specified Service RTS 25 kV/132 kV Railway Traction Service\nCategory\nPurpose\nHT S I 11 kV\nHigh Tension Service\nHT S II 33 kV\nHigh Tension Service\nEHT 132kV\nExtra High Tension Service\nHTSS 11 KV\nHigh Tension Specified Service\nRTS 25 kV/132 kV\nRailway Traction Service\n6.\nAre any other services existing in the same Premises :\nYes No\nYes\nNo\nIf yes, details thereof are as\n\t\t\t\tfollows.............................................\nSI. No. Particulars Details i. Existing Service Connection Number ii. Existing Contracted Maximum Demand (kVA) iii. Existing Contracted Load (HP/kW) iv. Existing Connected Load (HP/kW) v. Date of conclusion of present HT Agreement vi. Date of release of supply vii. A.M.G. of the service, if any viii. Security Deposit\nSI. No.\nParticulars\nDetails\ni.\nExisting Service Connection Number\nii.\nExisting Contracted Maximum Demand (kVA)\niii.\nExisting Contracted Load (HP/kW)\niv.\nExisting Connected Load (HP/kW)\nv.\nDate of conclusion of present HT Agreement\nvi.\nDate of release of supply\nvii.\nA.M.G. of the service, if any\nviii.\nSecurity Deposit\n7.\nAre any other service existing elsewhere in the same name or\n\t\t\t\tin the names of sister concerns.\nYes No\nYes\nNo\nIf yes, the details thereof are as follows :\nService Connection Number Category\nService Connection Number\nCategory\n8.a.\nRequirement of New/Additional Load:\ni. Contracted Maximum Demand (kVA) (With Phasing if any) ii. Contracted Load (HP/kW)\ni. Contracted Maximum Demand (kVA) (With Phasing if any)\nii. Contracted Load (HP/kW)\n8.b.\nDetails of connected at the time of commencement of supply:\n9.\nTotal Load Requirement (Existing + New / Additional Load):\ni. Contracted Maximum Demand (kVA) (With Phasing if any) ii. Contracted Load (HP/kW)\ni. Contracted Maximum Demand (kVA) (With Phasing if any)\nii. Contracted Load (HP/kW)\n10.\nNature of industry and product manufactured :\n11.\nNumber of running days in a month\n12.\nNumber of running shifts of the factory\n13.\nPeriod of season if load is seasonal\n14.\nDate by which service is required\n15.\nPower of Attorney\n16.\nWhether the industry is availing/proposes to avail power from\n\t\t\t\tother sources. If so. please provide details:\n17.\n(a) Whether the industry has back up, captive generating\n\t\t\t\tplant. If so, please provide details\n17.\n(b) Any other information\n18.\nSupporting documents enclosed (Please tick where applicable):\nDocuments to be furnished\n*\nDetails of Land, Survey Plot No., Mauza, Revenue Village No.,\n\t\t\t\tetc.............\n*\nContracted Load Details (Where available)\n*\nMemorandum of Understanding\n*\nArticles of Association, Partnership Deed\n*\nSite plan indicating the Proposed Receiving Points of Power\n\t\t\t\tSupply from the Company\n*\nGeneral Power of Attorney\n*\nNOC from Local Body (eg. Gram Panchayat of MCH)\n*\nConsent from Pollution *Control Board (sic ?) (If\n\t\t\t\tApplicable)\n*\nSSI Certificate (if applicable)\n*\n*Industrial licence (sic ?)\n*\nEmployment *Power (sic ?)\n*\nFinancial Assistance (sic ?)\n*\nLine of Manufacture\n*\nLetter for Under *taking (sic ?) Capital Works on\n\t\t\t\t*Turnkey Basis (sic ?) (Optional)\nSignature of Applicant\nSignature of Original Owner (in case of title\n\t\t\t\ttransfer)\nPlace\nDate\nWitness 1\nWitness 2\nSignature:\nName and Address:\nDate:\nSignature:\nName and Address:\nDate:\nAcknowledge of Application\nAcknowledge of Application\nRegistration No. :\nDate of Registration :\nSignature of Receiving Officer With Stamp :\nTotal Amount Received :\nDesignated :\nAnnexure-3\nAnnexure-3\n(See Clause 6.1)\nTest Report\nTest Report\nTo be filled up by licensed Electrical Contractor\nBook No. .............\nForm No. ..................\nTo be filled up by the licensee\nTo be filled up by the licensee\nTo be filled up by the licensed electrical contractor\nTo be filled up by the licensed electrical contractor\n(a) I have......................class\tlicence\tvalid till...............\nThe licence number is..............................\n(b) I have completed this work for Mr./Mrs./Ms......................................for his............................\nDetails of Job\nDetails of Job\nSI No.\nItem\n220/230 Volts\n440/400 Volts\nRed Phase\nGreen Phase\nBlue Phase\nNo.\nTotal Watts\nNo.\nTotal Watts\nNo.\nTotal Watts\nNo.\nTotal Watts\n1\n2\n3\n4\n5\n6\n7\n(c)\n(i) The particulars of the employees who executed the job are tabulated below.\nSI No.\nName of the Wireman/Trainee\nDesignation\nPeriod\nFrom\nTo\n(ii) The work was carried out under the supervision of.................... (Supervisor Wireman) whose certificate number is........................... He is responsible for work carried out during the period...................................\n(d) This installation specifications adhere to all the provisions of Indian Electricity Rules, 1956.\n(a)\nThe installed switches are of correct ratings :\nYes/No\n(b)\nAll the switches and wiring are permanent and of correct\n\t\t\t\tspecifications\nYes/No\n(c)\nAll plugs are of three pin type and controlled by separate\n\t\t\t\tswitches\nYes/No\n(d)\nAll the Single Pole switches connected to the phase\nYes/No\n(e)\nRequired permanent mark is provided on the main switch board\n\t\t\t\tfor Neutral point\nYes/No\n(f)\nArrangement for earthing is according to Rule 61 of Indian\n\t\t\t\tElectricity Rules, 1956\nYes/No\n(g)\nIn case of three phase installation\n(i)\nDanger board, fire extinguisher with buckets, shock chart and\n\t\t\t\tfirst aid kit have been provided for\nYes/No\n(ii)\nThe installation specifications of the switch board is as per\n\t\t\t\tRule 15 of Indian Electricity Rules, 1956\nYes/No\nDate of testing.....................\nInsulation to Earth\nInsulation between conductors\nPhase 1\nPhase 2\nPhase 3\nEarth Resistance\nDate of testing\nElectrode No.1\nElectrode No. 2\nSignature of the Licensed Electrical Contractor\nCertificate from Supervisor wireman\nCertificate from Supervisor wireman\nSignature of Supervisor, wireman\nReceipt\nReceipt\nSignature of Officer in-charge Name Designation Date\nAnnexure-4\nAnnexure-4\n(See Clause 6.37)\nDetermination of Connected Load\nDetermination of Connected Load\nDomestic Connection\nItem\nLoad per item (Watts)\nNo.\nTotal load (Watts)\n1\n2\n3\n4 = 2x3\nBulb\nAs per actual rating\nTube light\n40\nFan\n60\nTape-recorder/Music system\n25\nTelevision -Colour\n100\n- Black &\n\t\t\t\tWhite\n60\nMixie\n60\nFreeze\n200 or actual\nCooler\n200 or actual\nfor 6 months April to Sep\nHeater (for cooking and water heating\n1000\nWashing machine\n750 or as actual\nGeyser\n1500/2000 or as actual\nfor 3 months only, Dec. to Feb.\nMicrowave Oven\n2000\n* Air Conditioner (1 ton/1.5 ton /2.0 ton)\n1500/2000/2250\nfor 6 months only Apr. to Sep.\nSplit Air Conditioner 1.5 ton Computer\n2250 100\nfor 6 months\nPrinter\n150\nWater lifting Pump set\n375 or actual\nInverter to be used in case of power failure for own use\nNIL\nTotal\nNote: - (a) Spare socket points holders shall not be counted towards connected load.\nNote:\n(b) Defective appliances like cooler, freeze, T.V. Iron, Oven, etc. which are not connected and hot working shall not be taken into account.\n(c) In some domestic connections Geyser, Room Heater and Air-conditioner (without heater) are installed. The load of Geyser(s) and Room Heater(s) shall be accounted for billing for the month of December, January & February and the load of Air-conditioner(s) (without heater shall be taken into account for the month of April to September. The load of Air-conditioners(s) with heater (s) shall be accounted as connected load for full year.\n(d) Any other item of load not included above shall be taken as per manufacturers rating.\n(e) Fraction of load in kW shall be taken as next higher whole number for the purpose of billing or as otherwise provided in the tariff order.\nSignature of the Consumer\nSignature of the licensee's representative\nDate:...................\nDate:......................\nPlace:..................\nPlace:.....................\nAnnexure-4A\nAnnexure-4A\n(See Clause 6.38)\nSelf Declaration of Connected Load\nSelf Declaration of Connected Load\nSI. No.\nName of Appliances\nUnit\nNo.\nTotal kW/HP\n(i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x)\nTotal Aggregate Load ....................\nNote : In case of HT/EHT/Railways the details of transformer installed and the Connected Load to be furnished\nNote :\nSignature of the Consumer\nAnnexure-5\nAnnexure-5\n(See Clause 7.5 [a])\nFormat for Intimation to Consumer after Temporary Disconnection of Supply\nFormat for Intimation to Consumer after Temporary Disconnection of Supply\nDated :............................\nReference:\nAnnexure-6\nAnnexure-6\n(See Clause 11.1 (a) (iv)\nInspection Report\nInspection Report\n(Under Section 126 of the Act)\nI.\nInspection notes of Sri .................\n\t\t\t\tDated..............200\nTime of Inspection :\nTotal time of inspection :\nII.\n(a) Name and address of the occupant of the place/premises\n(b) Person present at the time of inspection:\nName\nSignature\n(i) ............................................\n............................................\n(ii) ..........................................\n............................................\n(iii) .........................................\n............................................\n(iv) ..........................................\n............................................\nIII.\n(a) Any other person available at the time of inspection and\n\t\t\t\this/her relationship with the occupant of the place/premises:\n(b) Any other departmental staff present:\nIV.",
"footnote": "",
"is_definition": false,
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