| 1. |
Name of Company/Zone/Circle: |
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| 2. |
Name of City/District: |
|
| 3. |
Name of the Consumer: |
|
| 4. |
Father/Husband's Name: |
|
| 5. |
Complete address where connection is situated: |
|
| 6. |
Mobile No: |
|
| 7. |
Name of Distribution Division (Refer Electricity Bill): |
|
| 8. |
Total Sanctioned Load (In KW/KVA/HP) (Refer Electricity Bill): |
|
| 9. |
Supply Type (Refer Electricity Bill): |
|
| 10. |
Tariff (Refer Electricity Bill): |
|
| 11. |
Account No. (Refer Electricity Bill): |
|
| 12. |
Details of Fee (Refer FAQ): |
|