KARNATAKA POWER TRANSMISSION CORPORATION LTD.,
APPLICATION
FOR HT POWER SUPPLY (REGULATION 8 OF E.S.R. 1988)
NAME OF THE APPLICANT/
FIRM:
.
POWER SUPPLY REQUIRED AT (ADDRESS)
FOR
OFFICE USE ONLY
SERIAL
NO:
ISSUED TO SRI /
M/s
..
ISSUED
ON
.
REGN FEE PAID
Rs
.. Rt.
No
...... DATED.
..
Office stamp.
Assistant Engineer, Elecl.,
Technical section.
R. R. NUMBER
ASSIGNED:
.
DATE OF
SERVICE:
..
THIS APPLICATION IS NOT TRANSFERABLE
KARNATAKA
POWER TRANSMISSION CORPORATION LTD.,
FORM OF
REQUISITION FOR POWER SUPPLY TO HIGH TENSION INSTALLATIONS UNDER REGULATION 8 OF E.S.R.
1988.
TO:
- The Executive Engineer,
Elecl.,
-
O
& M Division,
- The Asst. Executive
Engineer, Elecl.,
-
O
& M Sub Division,
- Karnataka Power
Transmission Corporation Limited,
-
..
Dear Sir,
I/ We hereby request
you in accordance with the clause VI of the schedule of the Indian Electricity Act 1910,
within one month or within such longer period as the Electrical Inspector may allow from
the date of this requisition to supply energy to the premises owned / occupied by me / us
and situated within the area of supply.
I / We
further request you to supply me/ us the meter necessary in terms of section 26 of the
Indian Electricity Act 1910. I/ We agree to give you such security as may be required for
the meter/ meters whenever called upon to do so. I/ We have also gone through the
instructions obtained in this form and I /We have attended all the necessary
documents along with this application.
- Name of the applicant /
company
.
- Name of the authorized
signatory
- Fathers name
:
(In case of ownership
company.)
- Age of the
applicant:
.years
- Occupation/Designation
- Power supply required
at
(address)
.
Type of
Ownership: The premises is Owned/ Leased/ Singly owned/ Partnership/ Private company/
Public company.(documentary proof to be produced, and if partnership MOU to be enclosed)
- If licence from
appropriate authority obtained: Y E S / NO.(LICENCE not required in industrial area of
KIADB/ KSSIDC)
- If the firm is
registered in Industries department: Y E S / N O.
- If the clearance from
the single window is enclosed : YES /NO .
- Power supply is
required for : COMMERCIAL/ INDUSTRIAL/ WATER SUPPLY/ RESIDENTIAL/ LIFT
IRRIGATION/TEMPORARY.
- Premises located in :
Private layout/ KIADB area/ KSSIDC/ Municipal/ corporation/ Village panchayat area.
- Is the connection new /
addition to existing R. R. No.
- Power
required:
..KVA.
- Sister concerns, if
any:
- Address for
correspondences
till
the power supply
.is
arranged:
Telephone No.
. STD code.
.
- Details of enclosures:
- Site plan with proposed
location of the metering cubicle.
- Latest Tax paid
Receipt.
- Route map.
- MOU, authorisation
letter.
- If lessee, regd. Lease
agreement.
- Articles of
Association.
- Partnership Deed.
Certified
that I/ We have gone through the instructions given to the applicant in this brochure and
have filled up all the columns.
Certified
that the above information furnished by Me/ Us are true and correct.
I/ We/
are also aware that I/We are solely responsible for the incorrectness if any in the above
declaration. If any of the information furnished above is false, KPTCL may disconnect
power supply without notice.
I/ We
/ are agreeable to execute the works as estimated on self execution basis.
Dated on
.
Place
Signature of the applicant/authorized signatory
(Stamp of the firm) |