KARNATAKA POWER TRANSMISSION CORPORATION LTD.,
OF REQUISITION FOR LT POWER SUPPLY UPTO 66 H.P/50KW UNDER REGULATION 7 OF E.S.R.1988.
NAME OF THE APPLICANT/
POWER SUPPLY REQUIRED AT (ADDRESS)
OFFICE USE ONLY
ISSUED TO SRI /
REGN FEE PAID
Assistant Engineer, Elecl.,
R. R. NUMBER
THIS APPLICATION IS NOT TRANSFERABLE
POWER TRANSMISSION CORPORATION LTD.
REQUISITION FOR SUPPLY OF ENERGY TO LOW TENSION POWER INSTALLATIONS UPTO 66 H.P/50KW UNDER
- The Executive Engineer,
& M Division,
- The Asst. Executive
& M Sub Division,
- Karnataka Power
Transmission Corporation Limited,
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 /
- Name of the authorized
- Fathers name
(In case of ownership
- Age of the
- Power supply required
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
- Premises located in :
industrial area of KIADB/ KSSIDC/ Private layout/ Municipal/ corporation/ Village
- Is the connection new/
additional to old
- Details of the power
required : Single Phase
KWs Three phase
. HP +
- Total electrical power
- Sister concerns, if
- Address for
the power supply
. STD code.
- Details of enclosures:
- Site plan with proposed
location of the meter Board.
- Latest Tax paid
- License/permit/NOC from
- Route map to locate the
- If lessee, registered
- Environmental clearance
certificate wherever applicable
that I/ We have gone through the instructions given to the applicant in this brochure and
have filled up all the columns.
that the above information furnished by Me/ Us are true and correct.
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.
/ are agreeable to execute the works as estimated on self execution basis.
Signature of the applicant/authorized signatory
(Stamp of the firm)