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CPDCLCategoryChangeApplicationForm

The document is a CPDCL Category Change Application Form for consumers wishing to change their service connection type. It requires personal and consumer details, location information, and reasons for the change, along with supporting documents in PDF format. The form also includes sections for informant details and delivery type, and it must be signed by the applicant.

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manthru1
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0 views

CPDCLCategoryChangeApplicationForm

The document is a CPDCL Category Change Application Form for consumers wishing to change their service connection type. It requires personal and consumer details, location information, and reasons for the change, along with supporting documents in PDF format. The form also includes sections for informant details and delivery type, and it must be signed by the applicant.

Uploaded by

manthru1
Copyright
© © All Rights Reserved
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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Price: ` 1

CPDCL Category Change Application Form


Paste here
Service Change Type*:  Category Change your recent
Service Connection Number*: _________________________________
___________________________________
passport size
Circle Name*:  Anathapur  Kurnool  Mahaboobnagar  Medak  Nalgonda
photograph
Area Code*:: _____________________________ Section Name*:: _________________________________

Consumer Details:-
Aadhar Number: ______________________ Consumer Name *: ____________________________________
_________________________________
Consumer Surname*: ___________________
___________ Consumer Father Name*: ________________________
____________________________
Social Group *:  Others  S.C  S.T If Others: ______________________________________________
_________________________________
Actual Connection Type*:  Domestic  Commercial  Commercial – Hoardings  6A – Street Lights
 6B – Public Water Works  General Issues
 Religious Places (Temples, Church, Mosque, Govt.Schools etc)  Agriculture Services
Changing Connection Type*:  Domestic  Commercial  Commercial – Hoardings  6A – Street Lights
 6B – Public Water Works  General Issues
 Religious Places (Temples, Church, Mosque, Govt.Schools etc)  Agriculture Services
Location Type*:  Urban  Rural Location Name*: ____________________________________________
____________________________

Location of Premises:-
House No*: ____________________Locality
Locality*: ________________________________________________________
______________________________
Circle*:  Anathapur  Kurnool  Mahaboobnagar  Medak  Nalgonda
Mandal*: ___________________________ Village
Village*: __________________________________ Pin Code: __________________
_______
Section Name*: _____________________________
______________ Estimation Type*:  Turn Key  Department
Connected Load: ____________________________  with Estimate  without Estimate
Reason to Change: ______________________________________________________________
______________________________________________________________
___________________

Address for Communication:-


Door No: _________________ Locality/Land Mark: _____________________________________________________________
___________________
District*: ________________________
____________ Mandal
Mandal*: __________________________ Village/Ward*:: ________________________
______
Pin Code: _____________ Mobile Number
Number*: ______________________ Email ID: _______________________________
________________________
Ration Card No: _______________________________________
_________________________________________

Informant Details:-
Informant Name*: ______________________________________
__________________________________ Informant Relation*: ________________________
_____________
Delivery Type*:  AT Kiosk
ID Proof*:  Aadhar Card Copy  Ration Card Copy  Driving License  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
Form*
Note: Please upload Application Form and Above Documents as a single file

ID Proof*
Price: ` 1

Applicant’s Signature

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