Dgvcl Name Change Form PDF Details

The Dgvcl Name Change form encapsulates a multifaceted process tailored towards various electrical service requests, including the registration for new or additional L.V. supply, name changes, and shifting of connections. As a comprehensive document, it meticulously outlines the necessary details and evidences required from applicants to facilitate their requests effectively. This form is designed to cater to a wide range of premises—ranging from residential, commercial, industrial, agricultural, to institutional—underscoring its versatility. Through sections that capture the full name and legal status of the applicant, alongside detailed specifications of the premises and the requested electrical supply change, it ensures a personalized approach to each application. Additionally, it encompasses clauses for the declaration of agreement with the Distribution Licensee's tariffs and supply conditions, indicating a binding acknowledgment of terms by the applicant. Instructions within the document emphasize the need for complete and accurate information, alongside specific guidelines for cases like transfer of connection following a consumer's demise, showcasing a detailed protocol tailored to various potential applicant circumstances. Moreover, it intimates the required legal and regulatory compliance, such as the submission of partnership deeds for firms or death and succession certificates where applicable. This comprehensive approach not only streamlines the process for applicants but also ensures adherence to regulatory requirements and service standards.

QuestionAnswer
Form NameDgvcl Name Change Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesdgvcl light bill name change online, dgvcl name transfer form, dgvcl name change, dgvcl pdf

Form Preview Example

FORM OF REGISTRATION FOR NEW L.V. SUPPLY/ ADDITIONAL L.V.

SUPPLY/NAME CHANGE / SHIFTING OF CONNECTION.

/

A-1 FORM

Type of Premises !

Residential

Commercial

Industrial Institution Others Agricultural

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To

 

 

 

 

 

 

 

 

Application No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The

 

 

 

 

 

 

 

 

Date.

.,

,+/0

 

 

 

 

 

 

 

 

 

(Note Applicant is requested to fill his / her name with all the details clearly and to sign )

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I/ We hereby request you to supply electrical for the premise owned / Occupied by me / us . Details supported by necessary evidences are furnished hereunder.

,25,,,1,5,1(789,,1,:6

Details of Applicant: Full Name of Applicant:-

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( Begin with Surname )

55+,!

Legal Status of the Applicant:

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Apartment

Flat No.

Floor No.

<*

=56

6

Society

))&,

Plot No..

>5

Sub-Plot No.

)>566

1/5

Street

Mahollo

House No..

7,

?5

"66

Village

Others

#

*&6

 

Res. Survey No.

City Survey No.

Ward No..

6)66

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<

T.P. Scheme No.

City

Pin Code

,,,66

766

,

Name of the occupier of the

 

 

land/premises

 

 

 

 

 

1,/

 

 

 

 

(evidence to be attached)

 

 

 

 

 

@

 

 

 

 

 

Transfer of Connection

 

 

Yes / No

 

 

 

 

A1

 

 

 

 

 

 

 

Name of the original consumer(if Yes)

 

 

 

# :

 

 

 

 

 

Purpose of the industry

 

 

 

 

 

B#/

 

 

 

 

 

Details of the Load(Kilowatts)

 

This requisition is for the following

5,#5!

 

 

purpose:

 

 

 

 

 

 

,25,;,&

 

Existing

New/

 

New Connection

 

 

Sanctioned

Addl.

 

 

 

 

Load

Demand

Extension

in

 

 

A55

, 1

Existing installation

 

 

 

5,

;,&

5

 

 

 

 

 

Reduction

in

 

 

 

 

 

Existing Installation

 

 

 

 

 

5"

 

 

 

 

 

 

Reconnection

 

 

 

 

 

 

/.

 

 

Light, Fan &

 

 

 

Consumer

Service

 

Other

 

 

 

No.

 

 

appliances

 

 

 

#

 

 

5CD+ *&

 

 

( Copy of bill to be

 

)

 

 

attached)

 

 

Motive

 

 

,5,5,6!

 

Power

 

 

 

 

 

,

 

 

 

 

 

Total

 

Name of the Consumer

85

 

 

# 6

 

 

 

 

 

 

 

2/5

Present Postal Address of the applicant.

 

 

 

 

# 5%&).

 

 

 

 

Tel. Phone No. (Resi.)

Office / Factory No.

5,/"6

)1,6

 

 

 

 

 

 

 

Near by Consumer No.

Fax No.

 

 

#

=)6

 

 

 

 

 

 

 

Details of the premises.

Name Change ( Necessary evidence to

,#

be attached)

 

 

 

*;,)!

Individual%&8#!

Existing Consumer's Service No.

 

A5# 6

 

 

 

 

 

 

 

Industrial Complex '(#!

 

 

 

 

 

 

 

 

 

Residential ComplexE>54!

Existing Consumer's Name.

 

A5#

 

 

 

 

 

 

 

Residential & Commercial Complex

 

 

 

 

F&E>54

 

 

 

 

 

 

 

 

 

Others*&!

 

 

 

 

 

 

 

 

 

Licensed Electrical Contractor

License

 

Telephone

 

?C)*)C5 ,5* 6

Number

 

Number

 

 

?C)*)G

 

5,6

 

 

 

 

 

Details of Licensed Electrical Contractor shall be furnished along with the application form. However, in absence of the same, the Applicant may furnish the details subsequently on request of Distribution Licensee.

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DECLARATION 6!

I/ We hereby declare that / We desire to have and agree with Distribution Licensee to take supply of energy for the above mentioned purpose for period of not less then two years from the date of commencement of the electrical energy and to be bound by the Distribution Licensee's appropriate tariffs, and charges and condition of supply applicable to me / us as in force from time to time

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C,,7CG,,,:6*&4 #,56C,)>&),#:615C7&,,+

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,),6

 

 

 

 

 

 

 

 

 

 

 

Applicant's Signature

 

 

 

 

 

 

,),6

 

 

 

 

 

 

 

 

 

 

Name

&

Signature

of

 

 

 

 

 

Witness.

 

 

 

 

 

 

 

 

 

 

4,),6

 

 

 

 

 

 

 

 

 

In case of Thumb

 

 

 

 

Impression, signature

&

 

 

 

 

 

 

 

Name

of

Witness

is

 

 

 

 

 

 

 

necessary

 

 

 

 

 

 

 

 

 

 

E #K 7& I&

)4,

 

 

 

 

 

),,76

 

 

 

 

 

 

 

 

In case of Firm /

 

 

 

 

 

 

 

association

power

of

 

 

 

 

 

 

 

attorney holder signature

 

 

 

 

 

 

 

must

be

supported

by

 

 

 

 

 

 

 

official seal.

 

 

 

 

 

 

 

 

 

<1777<,

 

 

 

 

 

 

? ), ) ),&5 ),5

 

 

 

 

 

 

 

5#76

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cashier, Please accept.

 

 

 

 

 

 

 

 

Rs.__________

 

 

 

 

 

 

 

 

 

as Reg. Fee.

 

 

 

 

 

JE / DE

 

Registration Fee Rs.________________Paid

 

 

 

Vide Money Receipt No.____________ Date___________

 

 

 

 

 

 

 

 

Jr. Cl / Cashier.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4/5

Note :

1.It is requested to fill complete and information in relevant columns. Applicant will be held responsible for filling incomplete or incorrect information.

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,

 

 

2.While submitting test report complete details regarding load and machineries should be mentioned in it, e.g. Name of the manufacturer of Motor, Kilowatt / Horse Power, Ampere, Voltage and purpose of the motor.

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3. In case of application for transfer of Name, the Applicant shall comply with the

relevant regulations. P6*,)&<,76<, 76

4.In the case of application for transfer of name, the lieu of deceased person is required to submit the Death Certificate as well as the succession certificate.

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5.As regards to the ownership of the land, copy of the extract of relevant revenue records or property card along with tax bill also required to be submitted.

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6.In case the applicant is a partnership firm, necessary partnership deed and registration certificate there of are required to submitted.

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7.If the occupier is unable to obtain “No Objection Certificate “from the owner of the premise, he may visit company’s officer personally.

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8. In order to obtain necessary statistical data and to provide better service to the consumer the applicant is requested to furnish the required detail property in this requisition form.

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5/5

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