Temporary Disconnection
(1) On non-payment of the licensee's dues: The licensee may issue a disconnection notice in writing, as per Section 56 of the Act, to any consumer who defaults on his payment of dues, after giving him a notice period of 15 working days to pay the dues. Such notice can be embedded in the energy bill also. Thereafter, the licensee may disconnect the consumer's installation on expiry of the said notice period by removing the service line/meter as the licensee may deem fit;
(2) If the conduct/continuance of any business/industry/activity being carried out in any premises becomes unlawful due to lack of necessary permission or withdrawal of permission from the competent authority on written intimation by such competent authority to licensee;
(3) If the wiring, apparatus, equipment or installation at the consumer's premises is found to be defective or there is leakage of electricity or if the consumer is found to have altered the position of the meter and related apparatus or if the consumer uses any apparatus or appliance or uses the energy in such manner as to endanger the service lines, equipment, electric supply mains and other works of the licensee, or is found to be using it in any manner which unduly or improperly interferes with the efficient supply of energy to any other consumer.
(4) If at any time the consumer is found to be using energy for a purpose other than for which it was intended / provided or tampers with the meter and/or other apparatus of the licensee on his premises or extends/allows supply of energy to any other premises from his connection.
(5) If a consumer, willfully denies or creates condition of inaccessibility of meter, shall be served notice to give facilities for reading of meter by Distribution Licensee's authorized representative at a final time and date. If the consumer fails to comply with the notice as aforesaid, the supply of the consumer's premises shall be disconnected.
Permanent Disconnection
(1) On the termination of the Agreement.
(2) If the cause for which the supply was temporarily disconnected is not removed within the notice period.
Disconnection on Consumer's Request
Reconnection
Failure and Interruption of Supply
Provisions for Load Shedding
Prejudicial Use of Supply
Demand Side Management
Standards of Performance and Procedure for Redressal of Consumer Grievances
Exemption
Service of Notice
(1) Affixing the notice at a conspicuous place on the consumer's premises in the presence of two witness and photographing the notice; or
(2) Publication of the notice in daily newspaper(s) commonly read in the concerned locality to be kept on record by the Licensee.
Multiple Violations
Repeal and Savings
(1) Anything done or action taken or purported to have been taken, or proceedings initiated under such repealed Regulations, shall be deemed to have been taken under this Code to the extent that same were not inconsistent with the Act.
(2) The Commission may, at any time and on such terms as it may think fit, amend, alter or modify any provision of this Code or remove any error or defect in this Code.
Interpretation
Power of Relaxation and Power to Remove Difficulties
Savings of Inherent Power of the Commission
Annexure I
Annexure I
Application Form - New Connection/ Load enhancement/ Load reduction/ Reconnection (Agriculture)/ Change of Name/ Shifting/ Temporary Supply/ Conversion of Service/ Change of consumer category (Low Voltage Services) (Form A-1)
Application Form - New Connection/ Load enhancement/ Load reduction/ Reconnection (Agriculture)/ Change of Name/ Shifting/ Temporary Supply/ Conversion of Service/ Change of consumer category (Low Voltage Services) (Form A-1)
Date of Application
Note. - (1) Applicant is requested to fill his/her name with all details clearly and to sign.
Note.
(2) For applicability of tariff, please refer guidelines attached in Annexure-I.
To,
Deputy Engineer
Name of the
Distribution Licensee
Sub Division Office
For Office Use Only
For Office Use Only
Applicant’s recent Passport size
Photograph
SR No
M.R.No & Date
Application No.
Consumer No.
Contract Load
Applicable Tariff
1: Application for;
1: Application for;
1
New Connection
6
Shifting
2
Load enhancement
7
Temporary Supply
3
Load reduction
8
Conversion of Service
4
Reconnection (AG)
9
Change of consumer category
5
Change of Name
Name of Consumer
Consumer Number
2: Purpose of usage of Power Supply
2: Purpose of usage of Power Supply
1
Residential
5
Agriculture
2
Commercial
6
Water works
3
Industrial
7
Street Light
4
Institutional
8
Other
3: Type of Industry/Commercial Unit/ Institution
3: Type of Industry/Commercial Unit/ Institution
4: Legal Status of the applicant
4: Legal Status of the applicant
Owner
Tenant
Nearest Connection No.
5: Full name of Applicant & Address (where power supply is demanded)
5: Full name of Applicant & Address (where power supply is demanded)
Surname
First Name
Name of Applicant
Middle Name
Name of Society/Apartment/Estate
House / Flat No.
Plot /Sub Plot/ Shed No.
Street/locality
L.S. No. with name of Village/Town/City
Ward No./Nearest Landmark
Village/Town/City
Taluka
District
Pin Code
6: Present Postal Address (For correspondence)
6: Present Postal Address (For correspondence)
Telephone No. ----------------------
Telephone No. ----------------------
Mobile No. ----------------------
Mobile No. ----------------------
E-mail: ----------------------
E-mail: ----------------------
7: Load Detail (kW/ HP)
7: Load Detail (kW/ HP)
Single Phase (up to 6 KW)
Three Phase (above 6KW to 100 KW)
Particular
Particular
New Connection
New Connection
Existing Contracted Load
Existing Contracted Load
Additional/Reduction of Load
Additional/Reduction of Load
Total Load
Total Load
Light, Fan & other Appliances
Motive Power Load
Total
8: PDC Reconnection / Shifting / (Only for AG Connection)
8: PDC Reconnection / Shifting / (Only for AG Connection)
Name of Consumer (Copy of Bill to be attached)
Consumer Number
Existing L.S. Number
New L.S. Number ( in case of Shifting)
Ls No
Village
Ls No
Village
9: Change of Name
9: Change of Name
Consumer Number
Name of Old Consumer
Name of New Consumer
10: Conversion of Service
10: Conversion of Service
1
If Request is for
conversion of service:
(Tick whichever applicable)
(a) Conversion from LT single phase to LT
3-phase
(b) Conversion from LT 3-phase to LT single
phase
(c) Conversion from HT to LT
(d) Other (Please specify)
2
If Request is for change in consumer category,
mention the tariff category to which Consumer wants to shift:
(See list of all tariff categories attached
with this form)
11: List of Documents to be attached
11: List of Documents to be attached
I. Identity Proof submitted along with this application form:
- If Applicant is a perso (Tick any one)
(i) Electoral identity card;
(ii) Passport;
(iii) Driving license;
(iv) Ration card;
(v) Photo identity card issued by Government
agency;
(vi) PAN card;
(vii) Photo Certificate from any village level
Government functionary
(viii) Aadhar Card
- If the applicant is a company, trust,
educational institution, government department etc
The application form shall be signed by a
competent authority (e.g. Branch Manager, Principal, Executive
Engineer, etc) along with a relevant resolution/ authority letter
of the institution concerned.
II. Proof of ownership of occupancy for which electricity connection is required (Tick any one)
i
Copy of registered sale deed or lease deed or in
the case of agricultural connections a copy of 7/12, 8-A and hakk
patrak (6-A)
ii
Municipal tax receipt or Demand notice or any
other related document;
iii
Letter of allotment
iv
An applicant who is not an owner but an occupier
of the premises shall, along with any one of the documents listed
at (i) to (iii) above, also furnish a No Objection Certificate
from owner of the premises.
III. Proof of current address (Tick any one)
i
Electoral identity card
ii
Passport
iii
Driving license
iv
Ration card
v
Photo identity card issued by any Government
agency
vi
Statement of running Bank Account
vii
Most recent Water / Telephone / Electricity /
Gas connection Bill
viii
Income Tax assessment order
ix
Aadhar Card
IV. Any other document as applicable (Please specify)
12: Any electricity dues outstanding in licensee's area of operation in consumer's name: Yes/ No
12: Any electricity dues outstanding in licensee's area of operation in consumer's name: Yes/ No
13: Any electricity dues outstanding for the premises for which connection applied for: Yes/ No
13: Any electricity dues outstanding for the premises for which connection applied for: Yes/ No
14: Any electricity dues outstanding with the licensee against any firm with which the consumer is associated as an Owner, Partner, Director or Managing Director: Yes/ No
14: Any electricity dues outstanding with the licensee against any firm with which the consumer is associated as an Owner, Partner, Director or Managing Director: Yes/ No
15: Declaration
15: Declaration
(a) The information provided in this application is true to my knowledge.
(b) I/We desire and agree with the distribution licensee to avail power supply for the above mentioned purpose and of the load shown in this application form for the period not less than two years from the first day of the month next to date of commencement of power supply by the licensee.
(c) I/ We have read the GERC (Gujarat Electricity Supply Code) and agree to abide by the conditions mentioned therein.
(d) I/ We will deposit electricity dues regularly as per the applicable electricity tariff and other charges.
(e) I/ We will own the responsibility of security and safety of the meter, cut-out and the installation thereafter.
Date:
Signature of the consumer/ Authorised Signatory
Place:
Name:
Note. - Apart from documents for identity proof, proof of ownership/occupancy of premises and proof of current address, the following documents shall be attached with the application form
Note.
(1) Industrial consumers: Valid Industrial License, if applicable; alongwith approval of use of land for Non- Agriculture purpose or copy of an application for N. A. with a condition to submit N. A. before commencement of supply.
(2) Agricultural consumers: No Objection Certificate from competent government authority for tube wells, if required;
(3) Non-Domestic Khokhas and Temporary Structure: No Objection Certificate for khokha or temporary structure from the nagar nigam / nagar palika / nagar panchayat / gram sabha /gram panchayat / land development authority / land owning agency.
(4) BPL Category Consumers: BPL Card issued by the appropriate State Government Authority.
Attached: Annexure III
Annexure II
Annexure II
Application form- New connection/ Load enhancement/ Load reduction/ Change of name
(High Tension/ Extra High Tension Service) (Form A-2)
HT Connection No. Date of Application.
HT Connection No.
Date of Application.
Note. - (1) Applicant is requested to fill his/her name with all details clearly and to sign.
Note.
To,
Deputy Engineer
Name of the
Distribution Licensee
Sub Division Office
For Office Use Only
For Office Use Only
Applicant’s recent Passport size
Photograph
SR No
M.R.No & Date
Application No.
Consumer No.
Contract Load
Applicable Tariff
1
Name of the Applicant/Organisation:
2
Name of\ father/ husband/
Director/Partner/Trustee:
3
Connection Type
New Transfer Addition/Reduction in Load Name of
the original Consumer:
4
Address for communication
5
Address where the new connection is applied for/
existing connection is required to be shifted
(Indicate landmarks to identify the location)
6
Voltage at which supply is required (kV) (Please
tick the category applicable)
11 kV
33 kV
66 kV
110 kV
132 kV
220 kV
400 kV
7
Type of supply (Permanent/ Temporary)
7(a)
If Temporary supply, specify period of
requirement
From (date):
To (date):
8
Details of Contract Demand applied for (in kW/
kVA):
9
Power requirement in kW
New Connection
Change in Contract Demand
Existing C. D.
Additional/ Reduction
Revise C. D
-------------
-------------
-------------
10
Tentative date from which power supply is
required
11
Purpose of Installation
Manufacturing of goods/ Service
12
Category of tariff opted for
13
Basis for projection of Contract
Demand-Diversity Factor assumed
14
Production capacity
15
Number of shifts working
16
Legal Status of the applicant (viz. Ownership/
partnership/ Private Ltd./ Public Ltd./ Society/ Govt Dept./
Govt. Undertaking)
16 (a)
Registration No. and Date
17
Name of Institution developing Industrial
Premises
18
Possession Letter or No-Objection Certificate
Number:
Date:
19
Issued by the Institution (attach a copy)
20
Whether the above unit ever operated at some
other place or applied for connection? (If yes, please provide
details)
(a) Sanctioned Load:
(b) Connection No.:
(c) Arrears of payment (if any):
21
If electricity connection for the premises was
requested in the past? (If yes, please provide details)
(a) Sanctioned Load:
(b) Connection No.:
(c) Arrears of payment (if any):
22
Status of land acquisition
23
Whether the requisite consent/ NOC (if
applicable as per the list of Pollution Control Board) has been
obtained from …………… as per
statutory requirements (If yes, attach a copy)
24
Any electricity dues outstanding in licensee’s
area of operation in consumer’s name: Yes/ No
25
Any electricity dues outstanding for the
premises for which connection applied for : Yes/ No
26
Any electricity dues outstanding with the
licensee against any firm with which the consumer is associated
as an Owner, partner, Director or Managing Director: Yes/ No
(For questions 24,25 and 26 if the answer is
‘Yes’ in any case, please provide details on a
separate sheet)
(a) The information provided in this application is true to my knowledge.
(b) I/ We have read the GERC (Gujarat Electricity Supply Code) and agree to abide by the conditions mentioned therein.
(c) I/ We will deposit electricity dues, every month, as per the applicable electricity tariff and other charges.
(d) I/ We will own the responsibility of security and safety of the meter and metering equipments and the installation thereafter.
Date:
Signature of the consumer/ Authorised Signatory
Place:
Name:
Note. - The following documents shall be attached with the application form:
Note.
Section 8 • Gujarat Electricity Regulatory Commission (Electricity Supply Code and Related Matters) Regulations, 2015
8. Disconnection And Reconnection.
gujarat-electricity-regulatory-commission-electricity-supply-code-and-related-matters-regulations-2015-sec-8.json
•
Section 8
{
"act_title": "Gujarat Electricity Regulatory Commission (Electricity Supply Code and Related Matters) Regulations, 2015",
"act_slug": "gujarat-electricity-regulatory-commission-electricity-supply-code-and-related-matters-regulations-2015",
"section_label": "Section",
"section": {
"number": "8",
"title": "8. Disconnection And Reconnection.",
"chapter": null,
"content": "Temporary Disconnection\n(1) On non-payment of the licensee's dues: The licensee may issue a disconnection notice in writing, as per Section 56 of the Act, to any consumer who defaults on his payment of dues, after giving him a notice period of 15 working days to pay the dues. Such notice can be embedded in the energy bill also. Thereafter, the licensee may disconnect the consumer's installation on expiry of the said notice period by removing the service line/meter as the licensee may deem fit;\n(2) If the conduct/continuance of any business/industry/activity being carried out in any premises becomes unlawful due to lack of necessary permission or withdrawal of permission from the competent authority on written intimation by such competent authority to licensee;\n(3) If the wiring, apparatus, equipment or installation at the consumer's premises is found to be defective or there is leakage of electricity or if the consumer is found to have altered the position of the meter and related apparatus or if the consumer uses any apparatus or appliance or uses the energy in such manner as to endanger the service lines, equipment, electric supply mains and other works of the licensee, or is found to be using it in any manner which unduly or improperly interferes with the efficient supply of energy to any other consumer.\n(4) If at any time the consumer is found to be using energy for a purpose other than for which it was intended / provided or tampers with the meter and/or other apparatus of the licensee on his premises or extends/allows supply of energy to any other premises from his connection.\n(5) If a consumer, willfully denies or creates condition of inaccessibility of meter, shall be served notice to give facilities for reading of meter by Distribution Licensee's authorized representative at a final time and date. If the consumer fails to comply with the notice as aforesaid, the supply of the consumer's premises shall be disconnected.\nPermanent Disconnection\n(1) On the termination of the Agreement.\n(2) If the cause for which the supply was temporarily disconnected is not removed within the notice period.\nDisconnection on Consumer's Request\nReconnection\nFailure and Interruption of Supply\nProvisions for Load Shedding\nPrejudicial Use of Supply\nDemand Side Management\nStandards of Performance and Procedure for Redressal of Consumer Grievances\nExemption\nService of Notice\n(1) Affixing the notice at a conspicuous place on the consumer's premises in the presence of two witness and photographing the notice; or\n(2) Publication of the notice in daily newspaper(s) commonly read in the concerned locality to be kept on record by the Licensee.\nMultiple Violations\nRepeal and Savings\n(1) Anything done or action taken or purported to have been taken, or proceedings initiated under such repealed Regulations, shall be deemed to have been taken under this Code to the extent that same were not inconsistent with the Act.\n(2) The Commission may, at any time and on such terms as it may think fit, amend, alter or modify any provision of this Code or remove any error or defect in this Code.\nInterpretation\nPower of Relaxation and Power to Remove Difficulties\nSavings of Inherent Power of the Commission\nAnnexure I\nAnnexure I\nApplication Form - New Connection/ Load enhancement/ Load reduction/ Reconnection (Agriculture)/ Change of Name/ Shifting/ Temporary Supply/ Conversion of Service/ Change of consumer category (Low Voltage Services) (Form A-1)\nApplication Form - New Connection/ Load enhancement/ Load reduction/ Reconnection (Agriculture)/ Change of Name/ Shifting/ Temporary Supply/ Conversion of Service/ Change of consumer category (Low Voltage Services) (Form A-1)\nDate of Application\nNote. - (1) Applicant is requested to fill his/her name with all details clearly and to sign.\nNote.\n(2) For applicability of tariff, please refer guidelines attached in Annexure-I.\nTo,\nDeputy Engineer\nName of the\n\t\t\t\tDistribution Licensee\nSub Division Office\nFor Office Use Only\nFor Office Use Only\nApplicant’s recent Passport size\n\t\t\t\t\t\t\t\tPhotograph\nSR No\nM.R.No & Date\nApplication No.\nConsumer No.\nContract Load\nApplicable Tariff\n1: Application for;\n1: Application for;\n1\nNew Connection\n6\nShifting\n2\nLoad enhancement\n7\nTemporary Supply\n3\nLoad reduction\n8\nConversion of Service\n4\nReconnection (AG)\n9\nChange of consumer category\n5\nChange of Name\nName of Consumer\nConsumer Number\n2: Purpose of usage of Power Supply\n2: Purpose of usage of Power Supply\n1\nResidential\n5\nAgriculture\n2\nCommercial\n6\nWater works\n3\nIndustrial\n7\nStreet Light\n4\nInstitutional\n8\nOther\n3: Type of Industry/Commercial Unit/ Institution\n3: Type of Industry/Commercial Unit/ Institution\n4: Legal Status of the applicant\n4: Legal Status of the applicant\nOwner\nTenant\nNearest Connection No.\n5: Full name of Applicant & Address (where power supply is demanded)\n5: Full name of Applicant & Address (where power supply is demanded)\nSurname\nFirst Name\nName of Applicant\nMiddle Name\nName of Society/Apartment/Estate\nHouse / Flat No.\nPlot /Sub Plot/ Shed No.\nStreet/locality\nL.S. No. with name of Village/Town/City\nWard No./Nearest Landmark\nVillage/Town/City\nTaluka\nDistrict\nPin Code\n6: Present Postal Address (For correspondence)\n6: Present Postal Address (For correspondence)\nTelephone No. ----------------------\nTelephone No. ----------------------\nMobile No. ----------------------\nMobile No. ----------------------\nE-mail: ----------------------\nE-mail: ----------------------\n7: Load Detail (kW/ HP)\n7: Load Detail (kW/ HP)\nSingle Phase (up to 6 KW)\nThree Phase (above 6KW to 100 KW)\nParticular\nParticular\nNew Connection\nNew Connection\nExisting Contracted Load\nExisting Contracted Load\nAdditional/Reduction of Load\nAdditional/Reduction of Load\nTotal Load\nTotal Load\nLight, Fan & other Appliances\nMotive Power Load\nTotal\n8: PDC Reconnection / Shifting / (Only for AG Connection)\n8: PDC Reconnection / Shifting / (Only for AG Connection)\nName of Consumer (Copy of Bill to be attached)\nConsumer Number\nExisting L.S. Number\nNew L.S. Number ( in case of Shifting)\nLs No\nVillage\nLs No\nVillage\n9: Change of Name\n9: Change of Name\nConsumer Number\nName of Old Consumer\nName of New Consumer\n10: Conversion of Service\n10: Conversion of Service\n1\nIf Request is for\n\t\t\t\tconversion of service:\n(Tick whichever applicable)\n(a) Conversion from LT single phase to LT\n\t\t\t\t3-phase\n(b) Conversion from LT 3-phase to LT single\n\t\t\t\tphase\n(c) Conversion from HT to LT\n(d) Other (Please specify)\n2\nIf Request is for change in consumer category,\n\t\t\t\tmention the tariff category to which Consumer wants to shift:\n(See list of all tariff categories attached\n\t\t\t\twith this form)\n11: List of Documents to be attached\n11: List of Documents to be attached\nI. Identity Proof submitted along with this application form:\n- If Applicant is a perso (Tick any one)\n(i) Electoral identity card;\n(ii) Passport;\n(iii) Driving license;\n(iv) Ration card;\n(v) Photo identity card issued by Government\n\t\t\t\tagency;\n(vi) PAN card;\n(vii) Photo Certificate from any village level\n\t\t\t\tGovernment functionary\n(viii) Aadhar Card\n- If the applicant is a company, trust,\n\t\t\t\teducational institution, government department etc\nThe application form shall be signed by a\n\t\t\t\tcompetent authority (e.g. Branch Manager, Principal, Executive\n\t\t\t\tEngineer, etc) along with a relevant resolution/ authority letter\n\t\t\t\tof the institution concerned.\nII. Proof of ownership of occupancy for which electricity connection is required (Tick any one)\ni\nCopy of registered sale deed or lease deed or in\n\t\t\t\tthe case of agricultural connections a copy of 7/12, 8-A and hakk\n\t\t\t\tpatrak (6-A)\nii\nMunicipal tax receipt or Demand notice or any\n\t\t\t\tother related document;\niii\nLetter of allotment\niv\nAn applicant who is not an owner but an occupier\n\t\t\t\tof the premises shall, along with any one of the documents listed\n\t\t\t\tat (i) to (iii) above, also furnish a No Objection Certificate\n\t\t\t\tfrom owner of the premises.\nIII. Proof of current address (Tick any one)\ni\nElectoral identity card\nii\nPassport\niii\nDriving license\niv\nRation card\nv\nPhoto identity card issued by any Government\n\t\t\t\tagency\nvi\nStatement of running Bank Account\nvii\nMost recent Water / Telephone / Electricity /\n\t\t\t\tGas connection Bill\nviii\nIncome Tax assessment order\nix\nAadhar Card\nIV. Any other document as applicable (Please specify)\n12: Any electricity dues outstanding in licensee's area of operation in consumer's name: Yes/ No\n12: Any electricity dues outstanding in licensee's area of operation in consumer's name: Yes/ No\n13: Any electricity dues outstanding for the premises for which connection applied for: Yes/ No\n13: Any electricity dues outstanding for the premises for which connection applied for: Yes/ No\n14: Any electricity dues outstanding with the licensee against any firm with which the consumer is associated as an Owner, Partner, Director or Managing Director: Yes/ No\n14: Any electricity dues outstanding with the licensee against any firm with which the consumer is associated as an Owner, Partner, Director or Managing Director: Yes/ No\n15: Declaration\n15: Declaration\n(a) The information provided in this application is true to my knowledge.\n(b) I/We desire and agree with the distribution licensee to avail power supply for the above mentioned purpose and of the load shown in this application form for the period not less than two years from the first day of the month next to date of commencement of power supply by the licensee.\n(c) I/ We have read the GERC (Gujarat Electricity Supply Code) and agree to abide by the conditions mentioned therein.\n(d) I/ We will deposit electricity dues regularly as per the applicable electricity tariff and other charges.\n(e) I/ We will own the responsibility of security and safety of the meter, cut-out and the installation thereafter.\nDate:\nSignature of the consumer/ Authorised Signatory\nPlace:\nName:\nNote. - Apart from documents for identity proof, proof of ownership/occupancy of premises and proof of current address, the following documents shall be attached with the application form\nNote.\n(1) Industrial consumers: Valid Industrial License, if applicable; alongwith approval of use of land for Non- Agriculture purpose or copy of an application for N. A. with a condition to submit N. A. before commencement of supply.\n(2) Agricultural consumers: No Objection Certificate from competent government authority for tube wells, if required;\n(3) Non-Domestic Khokhas and Temporary Structure: No Objection Certificate for khokha or temporary structure from the nagar nigam / nagar palika / nagar panchayat / gram sabha /gram panchayat / land development authority / land owning agency.\n(4) BPL Category Consumers: BPL Card issued by the appropriate State Government Authority.\nAttached: Annexure III\nAnnexure II\nAnnexure II\nApplication form- New connection/ Load enhancement/ Load reduction/ Change of name\n(High Tension/ Extra High Tension Service) (Form A-2)\nHT Connection No. Date of Application.\nHT Connection No.\nDate of Application.\nNote. - (1) Applicant is requested to fill his/her name with all details clearly and to sign.\nNote.\nTo,\nDeputy Engineer\nName of the\n\t\t\t\tDistribution Licensee\nSub Division Office\nFor Office Use Only\nFor Office Use Only\nApplicant’s recent Passport size\n\t\t\t\t\t\t\t\tPhotograph\nSR No\nM.R.No & Date\nApplication No.\nConsumer No.\nContract Load\nApplicable Tariff\n1\nName of the Applicant/Organisation:\n2\nName of\\ father/ husband/\n\t\t\t\tDirector/Partner/Trustee:\n3\nConnection Type\nNew Transfer Addition/Reduction in Load Name of\n\t\t\t\tthe original Consumer:\n4\nAddress for communication\n5\nAddress where the new connection is applied for/\n\t\t\t\texisting connection is required to be shifted\n(Indicate landmarks to identify the location)\n6\nVoltage at which supply is required (kV) (Please\n\t\t\t\ttick the category applicable)\n11 kV\n33 kV\n66 kV\n110 kV\n132 kV\n220 kV\n400 kV\n7\nType of supply (Permanent/ Temporary)\n7(a)\nIf Temporary supply, specify period of\n\t\t\t\trequirement\nFrom (date):\nTo (date):\n8\nDetails of Contract Demand applied for (in kW/\n\t\t\t\tkVA):\n9\nPower requirement in kW\nNew Connection\nChange in Contract Demand\nExisting C. D.\nAdditional/ Reduction\nRevise C. D\n-------------\n-------------\n-------------\n10\nTentative date from which power supply is\n\t\t\t\trequired\n11\nPurpose of Installation\nManufacturing of goods/ Service\n12\nCategory of tariff opted for\n13\nBasis for projection of Contract\n\t\t\t\tDemand-Diversity Factor assumed\n14\nProduction capacity\n15\nNumber of shifts working\n16\nLegal Status of the applicant (viz. Ownership/\n\t\t\t\tpartnership/ Private Ltd./ Public Ltd./ Society/ Govt Dept./\n\t\t\t\tGovt. Undertaking)\n16 (a)\nRegistration No. and Date\n17\nName of Institution developing Industrial\n\t\t\t\tPremises\n18\nPossession Letter or No-Objection Certificate\nNumber:\nDate:\n19\nIssued by the Institution (attach a copy)\n20\nWhether the above unit ever operated at some\n\t\t\t\tother place or applied for connection? (If yes, please provide\n\t\t\t\tdetails)\n(a) Sanctioned Load:\n(b) Connection No.:\n(c) Arrears of payment (if any):\n21\nIf electricity connection for the premises was\n\t\t\t\trequested in the past? (If yes, please provide details)\n(a) Sanctioned Load:\n(b) Connection No.:\n(c) Arrears of payment (if any):\n22\nStatus of land acquisition\n23\nWhether the requisite consent/ NOC (if\n\t\t\t\tapplicable as per the list of Pollution Control Board) has been\n\t\t\t\tobtained from …………… as per\n\t\t\t\tstatutory requirements (If yes, attach a copy)\n24\nAny electricity dues outstanding in licensee’s\n\t\t\t\tarea of operation in consumer’s name: Yes/ No\n25\nAny electricity dues outstanding for the\n\t\t\t\tpremises for which connection applied for : Yes/ No\n26\nAny electricity dues outstanding with the\n\t\t\t\tlicensee against any firm with which the consumer is associated\n\t\t\t\tas an Owner, partner, Director or Managing Director: Yes/ No\n(For questions 24,25 and 26 if the answer is\n\t\t\t\t‘Yes’ in any case, please provide details on a\n\t\t\t\tseparate sheet)\n(a) The information provided in this application is true to my knowledge.\n(b) I/ We have read the GERC (Gujarat Electricity Supply Code) and agree to abide by the conditions mentioned therein.\n(c) I/ We will deposit electricity dues, every month, as per the applicable electricity tariff and other charges.\n(d) I/ We will own the responsibility of security and safety of the meter and metering equipments and the installation thereafter.\nDate:\nSignature of the consumer/ Authorised Signatory\nPlace:\nName:\nNote. - The following documents shall be attached with the application form:\nNote.",
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