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PowerSupplyApplication
Form A-l (lndustrial)
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NevvConneclion
!
:lR Additional Load
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ConsumerNo.
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iubjectto theprovisions
of MERCElectricity
SupplyCode
& otherConditions
of Supply& SOPRegulation,
2005.
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l/V\|eherebysubmitthisapplicdion
for Neriv
connection/
Additional
loadfor supplyof electrical
energyatthepremises
mentioned
below.
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Details of Applicant and Premisesl*- elrqsqfiwriMandatoryFields}
:lltl First name
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proof.;
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at whichsupplyis required
complete
details- MinimumaspertheAddress
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Survev No.:
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PlotNo.:
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Taluka:
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I/we make
t I/we shall
Abide by the provisions of the Electricity Act 2003 and Maharashtra
Electricity Regulatory Commission (Electricity Supply Code and other
conditions of Supply) Regulation 2005.
Pay all electricity arrears (ifany) ofthe premises for which I am / we are
availing the electric supply.
Pay for the consumed electricity based on the prevailing tariff rates of
MSEDCL.
Pay for all other charges as they become due in accordmce with above
regulation md approved schedule of charges of MSEDCL.
Deposit such security as MSEDCL may be entitled to recover from me/us
under the above Act and Resulations.
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Undertake to avail supply within one month from the date the MSEDCL
intimates tlat it is ready to supply to our premises failing which I/we
undertake to pay the MSEDCL the fixed charges as may be applicable.
Have obtained all required statutory permissions for availing an electrical
supply. I promise to fuIfilI all the statutory requirements frorn time to
time. I also undertake that MSEDCL will not be responsible for any
issues arising due to non complimce (if any)l of adhering to these
statutory permissions.
In t}re event of death of individual I/We hereby nominate to receive or
my I our name to
adjust the deposit outstandingin
Shri/Smt/
?he above information is true and if any false information is observed, I
/we will be fully responsible for the same.
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All submitted
documents
areverifiedby me.
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( Name, Designation& Sign of Representativeof MSEDCL)
Signatureof Applicant& Date
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Under Rule 45 of the IndianElectricityRules,1956, No
except such replacementof lamps, fans, fuses, switches, low \/oltagedomestic appliancesand fittings in no way aller its capacity or character shall be carried out
upon the premises of or on behalf of any consumer owner or occupier except by an eleclrical contractorlicensed in this behalf by the State Government and under
(Please
Attached
Tick)
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Tax/ Receipt
dcftffi o'qn Purchase
/ SaleAgreement
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Orvner/Occupier/Govt. Agency
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Llst of Directors/Partnersalongwiththeir
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requir€db€torereleaseof ElectrlcalConnection
t. q<fswfeioR?r (ForLTconsumers)
. {-q qisuftqrquftif,dEnd(cq-d3t-l) lnstaltailonTest
Report(D-1Form)
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TestCertltlcate
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Sheet.
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Report (Dl Form)
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Inspector
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ll any ol the abovedocumenlis not
avallablethen affadavlton Rs.200/-stamp
papershould be submltted.( format-2
enclosed)
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submitted along with all the requlred documents ln trlplicate (one original & two copies) lor LT connections and in q sets (1 original & 4 copies tor HT)
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