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Load Change SPDCL

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gs186annaparrupnpdgnt
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38 views

Load Change SPDCL

Uploaded by

gs186annaparrupnpdgnt
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APCPDCL Load Change Application Form

Paste here your


recent passport
size photograph
Service Change Type: - Load Change
Service Number*: _______________________________________________

Consumer Details:-
AADHAR Card No: _____________________________
Consumer name *: _________________________________________ Consumer Surname*:
___________________________ Consumer Father Name*: ____________________________________
Social Group *:  Others  S.C  S.T  BC  OC If Others:
_______________________________________________
Category Type*:  Domestic  Commercial  Commercial – Hoardings  6A – Street Lights
 6B – Public Water Works  General Issues
 Religious Places (Temples, Church, Mosque, Govt.Schools etc)
Location Type*:  Urban  Rural Location Name*:
_________________________________________________

Location of Premises:-
House No*:
____________________Locality*:__________________________________________________________________ Circle*:
 GUNTUR  NELLORE  ONGOLE  KADAPA  TIRUPATHI  VIJAYAWADA Division*:
______________________________ Sub Division*: ___________________________ Pin Code: _________________ Actual
Sub Category: _____________________________________ Dept Type: _______________________________________
Phase Type*: ____________________________  with Estimate  without Estimate
Changed Load: ______________________Kilo Watts Reason for Change:
_______________________________________

Address for Communication:-


Door No: __________________ Locality/Land Mark:
____________________________________________________________ State*:_____________________District*:
_________________________ Mandal*: ____________________
Village/Ward*: ____________________Pin Code: _________________Mobile Number*: ___________________
Email ID: ___________________________________

Informant Details:-
Informant Name*: __________________________________________________ Informant Relation*:
____________________
Delivery Type*:  At Kiosk Security Deposit (Available) *:
______________________________________
ID Proof*:  Aadhar Card Copy  Driving License Copy  Ration Card Copy  Pan Card Copy  Electoral Card Copy

Document List: - (NOTE: All Upload Documents are in PDF Format Only)
Application Form* Latest Power Bill with Receipt* Category and Load Change Undertaking Form*
Note: Please upload Application Form and Above Documents as a single file
 ID Proof *

Applicant’s
Signature

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