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Change in Name

The document is an application form for changing the name of a registered consumer for an electricity service connection. It requests information such as the current service connection number, name of the registered consumer, consumer category, and contracted load. It notes that copies of documents must be attached including the most recent paid bill, proof of ownership/occupancy, a no objection certificate if available, and documents related to a name change such as a registered deed or succession certificate. The form provides space for acknowledging receipt of the application including the date, current consumer name, new consumer name, and a reference number for future correspondence.

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Bilal Ahmad
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2K views

Change in Name

The document is an application form for changing the name of a registered consumer for an electricity service connection. It requests information such as the current service connection number, name of the registered consumer, consumer category, and contracted load. It notes that copies of documents must be attached including the most recent paid bill, proof of ownership/occupancy, a no objection certificate if available, and documents related to a name change such as a registered deed or succession certificate. The form provides space for acknowledging receipt of the application including the date, current consumer name, new consumer name, and a reference number for future correspondence.

Uploaded by

Bilal Ahmad
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application form Change in Name of Registered Consumer Annexure 10.4 {Refer Reg. 4.

63 (a)}

To ___________________________ (Representative of Licensee)


1 2 3 4 5 Service Connection No./consumer ID Name of Registered Consumer (at present) Consumer category Contracted load

Note: The following documents are attached with the application form: (Tick whichever applicable) 1. Copy of latest bill duly paid 2. Proof of ownership / legal occupancy of premises 3. No Objection Certificate from the existing consumer if available/possible. 4. Registered deed/ Succession certificate/_______________ (if any other document, please specify)

Date: ________________ Place: ________________

JK

Name of the person in whose name connection to be changed (in CAPITAL LETTERS)

------------------------------------------------------------------------------------------------------------------------------Acknowledgement Application form of Service Connection No. ___________________ at present in the name of _________________________________ (name of applicant) has been received on ______________ (date) for changing the name of Consumer to ______________________________________. In this regard, the consumer is given a reference no. __________ to be used for all future correspondence.

Signature / Seal of Licensees representative Name and Designation:

Jammu & Kashmir State Electricity Supply Code


All forms available for free on http://www.jkpdd.gov.in

PD

Telephone no.:

D
Signature of the Consumer Name:

Address:

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