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