The power of service

FORM 16.1,
THIS FORM IS NOT CHARGEABLE
(ALL INFORMATION TO BE FILLED IN BLOCK LETTERS. PLEASE TICKT ( ) WHEREVER APPLICABLE) Affix your
passport size
APPLICATION FOR NEW CONNECTION CONTRACT DEMAND CHANGE LOAD CHANGE SHIFTING
photograph here
CHANGE OF NAME CHANGEOVER OF SUPPLY SWITCHOVER OF SUPPLY and sign across

Note: Do not staple the photograph

1 Customer Details First Name Middle Name Surname
Name Mr/Mrs/Miss/Ms
(New Name in the event of Change of Name)

Existing Account No Mob No

Landline No Email

Aadhar No PAN
(As per Rule 114B of Income Tax Rules 1962 It is mandatory
GSTIN for Commercial and Industrial applicants)
Refer point 20 from declaration cum undertaking
(As per Rule 49 of CGST Rules, 2017) Refer point 20 from declaration cum undertaking

Bank Name

Bank Branch

Bank Account Number

2 Customer Power Supply Address

Flat No/Building Name

Lane/Street

Landmark

Suburb/City Pin Code

Area of Premise Sq. mtr

Existing/Nearest CA No Meter No

Structure type
Chawl Hut Bungalow Multi-storeyed Building Others (Specify)

3 Bill Delivery/ Correspondence Address

Same as Power Supply address (In the event of bill Delivery Address different than Power Supply Address)

Flat No/Building Name

Lane/Street

Landmark

Suburb/City Pin Code

Preferred electricity bill language

Marathi Hindi English

I want my electricity bill

On Email As a Hard Copy

4 Type of Premises

Owned Rented Lease Others (Specify)

5 Purpose of Supply: (In the event of New Connection)

Residential Commercial Charitable/Religious PWW & Sewage treatment Street light Advertisements/Hoardings
Cremations & Burial Grounds Non-Commercial/Educational Temp – Religious Construction Power
Temp – Others Public services-Govt Public Services – Others Electric Vehicle Charging Station Industrial certificate valid till d d m m y y y y

Other ( Specify) Period of Temp Connection (Max. 1 year): From to (certificate valid till)
1
6 Load/Contract Demand (In the event of New Connection, Extension/Reduction of Load Contract Demand)

Existing Required
Particular
kW HP kW HP
New load
Change of Load
Contract Demand in kVA (Non-Residential Load> 20 kW)

Number of Meters (In case of Building application) Single Phase Three Phase

7 The wiring Carried Out/Cerified by Following Licensed Electrical Contractor

Name
Address
Telephone No
Email

Licence No d d m m y y y y

8 Changeover of Supply

Meter Number The Meter would be provided by AEML Self

9 Documents attached (Self attested)

A. Identity Proof submitted along with this application form

>If applicant is a person
>If applicant is an organisation (mention applicable)-Certificate of incorporation/registration issued by the Registrar

B. Proof of ownership or occupancy of premises for which electricity connection is required

THE APPLICANT HEREBY AGREES AND UNDERTAKES

1. That the Applicant/Consumer is not a minor. issued by Licensing Authority, Government of Maharashtra
and the test certificate is available with the Applicant and
2. That in case the applicant is not the sole owner of can be produced as may be required at any later stage.
the premises, no objection certificate has been obtained
from the co-owner. 8. That the Premises/building/structure has been
constructed as per prevalent building Bye- Laws and the
3. To abide by the provisions of the Electricity Act, total height of the Premises/building/structure-
2003, all applicable laws, conditions of Supply/Tariff
Orders and any other Rules or Regulations as may be (i) does not exceed 15 (fifteen) metres on the date of
notified by the Commission/Authority, as applicable from seeking electricity connection, or
time to time.
(ii) is more than 15 (fifteen) metres and has obtained
4. That AEML shall be at liberty to adjust the electricity valid Clearance certificate from appropriate government
consumption charges due/outstanding along with any authority, which is available with the Applicant.
other charges against the Consumer Security Deposit paid
by the Applicant upon permanent disconnection of supply.
9. That there is a provision of lift in the Premises and the
5. To indemnify AEML against all proceedings, claims, Applicant has obtained the valid lift fitness certificate
demands, costs, damages, expenses that AEML may from the Electrical Inspector for the lift in the said
incur by reason of a fresh electricity connection given Premises and the same is available with the Applicant and
to the Applicant. can be produced as may be required at any later stage.

6. That to the best of applicant’s knowledge, all 10. That the Applicant would let the Distribution
electrical works done within the premises are as per Licensee disconnect the electric connection under
Central Electricity Authority (Measures relating to Safety reference, in the event of any default, non-compliance of
and Electricity Supply) Regulations, 2010 as amended statutory provisions and in the event of a legally binding
from time to time. directive by Statutory Authority(ies) to effect such an
order. This shall be without prejudice to any other rights
7. That the internal wiring at the premises has been tested of the licensee including that of getting its payment as
by a Licensed Electrical Contractor having valid license on the date of disconnection.

Name & Applicant’s Signature Date d d m m y y y y

2
11. That if the premises applied for is falling under CRZ, as may be in force from time to time, regularly, as and
Forest area or any other area where any Court of when the same becomes due for payment.
Law/Statutory Authority has prohibited release of power
supply, the Applicant shall submit a No Objection Certificate 19. To deposit the additional security deposit (as
(NoC) to seek electricity connection, from such Authority. applicable) from time to time, based on the prevailing
Orders/rules, directions and Regulations of the Commission.
12. That the applicant is solely and exclusively responsible
for the genuineness and correctness of the document/s 20. For GSTIN :In compliance of Rule 49 of CGST Rules,
submitted by him in support of the application and the 2017, I/We shall forthwith submit with AEML my/our
other documents as indicated at various points herein. In Goods and Service Tax Identification Number or Unique
case any such documents are found to be fraudulent and Identity No. a Bill of supply (monthly electricity bill ) shall
/or fake and/or forged and/or incorrect and /or print Goods and Services Tax Identification Number or
invalid/incomplete, then the applicant/consumer shall be Unique Identity Number, if registered, of the consumer
solely and exclusively responsible for the criminal
proceedings and/or any court proceedings initiated and/or For PAN :
any dispute which arises any time in future and AEML i.)As per Rule 114B of Income Tax Rules 1962 every person
and/or its successors, assignees and/or any employee is required to quote his PAN in all documents pertaining
thereof, shall not be responsible for the same in any to the transaction of sale or purchase of any nature for a
manner whatsoever. In such a case, AEML reserves the value exceeding Rs. 2 lacs per transaction for the purpose
right to disconnect the connection granted and in case of of clause (c) of sub-section (5) of Section 139A
Change of Name, re-transfer connection in the name of
previous registered consumer under this declaration cum ii.)As per section - 206AA of Income-tax Act, 1961, TDS (if
undertaking, without any notice. applicable)@20% on Security Deposit Interest will be
deducted instead of 10% for non-availability of valid PAN
13. That all details mentioned in the application form are
correct and all applicable customer-end obligations (E.g. 21. Applicable only for applied Industrial/Commercial
Documentary and Payment compliance, Site readiness, load between 100 and 150 kW: The Applicant
Way-Leave permits) are complete and complied in all authorizes AEML to debit the approved connection
respects, at the time of applying for new electricity charges and applicable security deposit in first
connection, through online/offline mode. In case any of electricity bill (as and when enabled by AEML), and
these requirements are not ready, or in case of an objection, undertake to pay the same within the due date. The
AEML reserves the right to cancel the application. Applicant / Consumer may opt to pay such Security
Deposit by way of a Bank Guarantee.
14. That the Applicant will provide a copy of any of above
applicable documents to the Distribution Licensee 22. That the Applicant shall not hold AEML liable for
pursuant to the request from any external Government delay in providing connection or meeting any Standards
agency, judicial forum or any other authority empowered of Performance subsequent to grant of connection in
under statute seeking such information. case AEML is prevented from doing so on account of any
force majeure events/exemptions as specified in the
15. That Applicant’s industry/trade has not been Standards of Performance Regulations, as amended from
declared to be releasing obnoxious hazardous/pollutant time to time.
by any Government agency and that no orders of any
court or judicial authority would be breached by running 23. That there are no arrears towards energy or related
of Applicant’s industry/trade or granting any electricity charges outstanding in his/her name and /or on
connection to the same. The Applicant shall indemnify account of the said premises. In the event of aforesaid
and keep indemnified AEML against any loss of any declaration/undertaking given by the applicant/
nature on this account. consumer is found false in view of any pre-existing
liability, the applicant/consumer shall willfully, without
16. The Applicant further agrees to indemnify and hold demur pay such amount on demand. The
harmless, AEML and/or its successors and/or its employees, Consumer/applicant shall be duty bound to extend full
in case of any injury or incident on account of any fault in co-operation to AEML while determining and/or
electrical works in the Premises and from point of supply to identifying the arrears, if any, of the premises or
the Premises. AEML shall not be held responsible/liable for account no, within a period of 60 days. The
any mishap or incident occurring at the Premises or from applicant/consumer shall make payment of the said
point of supply to the Premises on account of any arrears immediately on demand.
faulty/defective/inferior quality wiring/installation, right
from the time of energizing the new electricity connection. 24. The Applicant/Consumer shall identify suitable
On occurrence of such incident, AEML may disconnect the space agreeable to AEML to install electrical meter and
Applicant’s supply, if continuance of supply to such related devices and ensure un-hindered passage to
installation is threat to the life or property. Such personnel of AEML to access the meter cabin.
disconnected supply shall be reconnected only after
rectification of faulty installation and submission of test 25. That the following terms and conditions are
report from Licensed Electrical Contractor. complied with respect to space for meter installation:

17. The applicant further agrees to bear the expenses a. Metering installation is protected from excessive
towards repairing/ replacement of AEML’s assets or dust and moisture, exposure to direct sunlight, rain and
works, in case there is sufficient proof that the damage/ water seepage and vermin. The Applicant/Consumer
fault has been occurred due to faulty electrical work/ shall ensure that temperature within the meter room
wiring in his premises. shall not be more than 10°C, above ambient. It should not
be in proximity of machineries, heating devices,
18. To pay the electricity consumption bills and all other equipment generating high vibration or magnetic fields
charges, at the rates set out in the licensee’s Tariff and areas prone to fire and toxic hazards.
Schedule and the MERC approved Schedule of Charges,

Name & Applicant’s Signature Date d d m m y y y y

b. Meters are not located at an elevated area or a v.) for laying outgoing feeders (LT/ HT) from their premises
depressed area that does not have access by means of a as the same arrangement is for making interconnection
stairway of normal rise. The meters shall not be installed with outside network which shall further help in arranging
below/in the stair case or in common passage or lobby. alternate supply in case of break down on mains. In the
event land under way leave permission is sold, leased,
c. Board wiring is carried out preferably on Fire rented or otherwise disposed off, while entering to such a
retardant plywood, complying IS 5509. In case of non transaction the applicant/consumer shall ensure by
availability of FR plywood, marine plywood complying IS necessary covenants that this terms and conditions will
710 can be used. The plywood shall be of 19 mm thickness be abided by the other parties to the said transaction.
and the same shall be provided by an applicant. Typically
plywood is available in following sizes (7’x4’ , 7’x3’, 8’x3’, 28. That the excavated trenches shall be reinstated by
8’x4’ ).IS mark is printed on the center of either face of the Applicant/Consumer at his/her own cost when the
the ply for identification. cable is laid to provide supply to their premises. AEML
shall be responsible to reinstate in the event the works is
26. That the following terms and conditions shall be carried out to provide supply to any other customer.
complied with, for applicant/consumer’s installation
beyond the point of supply of AEML: 29. That AEML shall have full rights to optimally utilize its
assets (Substation/ pillars) in applicant/consumer’s premises
a. The Applicant/Consumer must install appropriately and shall not object to laying outgoing feeders (LT/ HT) from
rate MCB with enclosure near the start of the electricity their premises as the same arrangement is for making
supply and shall not install DP Switch. interconnection with outside network which shall further help
in arranging alternate supply in case of break down on mains.
b. The Applicant/Consumer, if having voltage exceeding
250 Volts, shall provide his own earthing system for 30. Additional Term and Conditions for Change-over
installation. applications:

c. The Applicant/Consumer, if having sanctioned load a. The consumer/applicant shall clear all it's dues with
above 2 KW, shall install Earth Leakage protective device existing distribution licensee and submit the proof.

27. The applicant/consumer shall provide way leave in b. Changeover is permissible to existing consumer where
favour of AEML: name and purpose or classification of category for which
the electricity has been provided by previous distribution
i.) to lay its cables through his/owner’s land/ property licensee remains same.

ii.) to access AEML’s equipment and work in its premises c. The meter reading for final billing shall be taken jointly
in accordance with the applicable provisions of Supply and signed off by both distribution licensees in presence
Code or any other Regulations, as prevailing from time of the applicant/ it's representative.
to time
d. In the event the consumer/applicant is not present at the
iii.) to provide permanent Right of Way to AEML personnel time of final meter reading, the readings taken jointly by the
along with vehicles and cables and/or apparatus, without previous distribution licensee and AEML shall be final and
any further consent (for now and in future) binding upon the applicant / consumer. The Final meter
reading shall be the opening meter reading for AEML.
iv.) for laying, strengthening and maintaining of electrical
network and system

I/We declare and undertake that I/we have complied with all statutory requirements under all statutes for the time
being in force. I/we shall be solely responsible for any issue arising out of any such non-compliance and further I/we do
hereby jointly and severally Indemnify AEML, its agents and servants against all claims, proceedings, demands, costs,
expenses and consequences whatsoever, which may arise on account of processing my/our application.

Applicant’s Signature Co-applicant's Signature (If applicable)

Date d d m m y y y y Place

FOR OFFICE USE

Business Partner No Account No

Application processed by