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Epdcl Load Change

The EPDCL Load Change Application Form is designed for consumers requesting a load change for their service connection. It requires details such as consumer information, location, load details, and necessary documentation, including ID proof and recent power bill. The form must be submitted with all required documents in a single PDF file.

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gramasachivalayam.chgunnepalli
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1 views

Epdcl Load Change

The EPDCL Load Change Application Form is designed for consumers requesting a load change for their service connection. It requires details such as consumer information, location, load details, and necessary documentation, including ID proof and recent power bill. The form must be submitted with all required documents in a single PDF file.

Uploaded by

gramasachivalayam.chgunnepalli
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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EPDCL Load Change Application Form

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Service Change Type: - Load Change
Service Connection Number*: _______________________________________________ recent passport
Circle Name*:  Eluru  Rajahmundry  Srikakulam  Visakhapatnam  Vizianagaram size photograph
Area Code*: ________________________ Section Name*: _____________________________

Consumer Details:-
AADHAR Card No: _____________________________Consumer name *: ___________________________________________
Consumer Surname*: ___________________________ Consumer Father Name*: ____________________________________
Social Group *:  Others  S.C  S.T If Others: _______________________________________________________
Connection 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*: _________________________ Division*: _________________________ Sub Division*: ________________________
Pin Code: _________________ Department Type*:  Non Government  State Government  Central Government
Phase Type*:  Phase -1  Phase -3 Estimation Type*:  with Estimate  without Estimate

Load Details:-
S.No Category Sub Category No of Items

Changed Load: ______________________ 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 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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