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Consumer Information

Consumer Type

Individual

Title

Mr.

First Name

Rakesh

Middle Name

Kumar

Last Name

Rai

Son Of Daughter Of Wife Of

Father/Husband's Name

Rajendra Prasad Rai

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Building Name

A12

Street

IIT DELHI

Colony/Area *

IIT DELHI

Landmark

Opposite

Landmark Details

IRD, IIT DELHI

City Postal Code

110016

WHERE SUPPLY IS REQUIRED

Nearby Locality

INDIAN INSTITUTE OF TECHNOLOGY DELHI HAUZ KHAS

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 Colony/Area
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IIT DELHI

Landmark

Opposite

Landmark Details

IRD, IIT DELHI

City Postal Code *

110016

INDICATE LANDMARKS

Pole No./Feeder Pillar No./Nearest House No.

Near by gate no.3 IIT Delhi

Connection Details

Permanent Temporary

Category of electricity usage *

Domestic

Load (KW)

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7/2/24, 4:06 PM BSES Rajdhani Power Limited
Important Documents

Important Note :
For ownership proof - Sale Deed/Conveyance Deed/Allotment Letter/Valid Lease agreement/Mutation certificate issued by Govt
authority/sub division agreement/GPA.
Ensure all pages (front and back side) of the relevant document are uploaded.
All uploaded documents should be self-attested by applicants(s) on photocopy of original documents.
All uploaded documents should be clear & readable.
Uploaded documents should be in Pdf format . Ownership proof document within size limit of 25 MB & other documents within size
limit of 5 MB .

 Identification Proof (Self Attested) (Anyone in PDF Format)*

ID Proof Type. *

Aadhaar Card

ID Proof Doc No. *

951028030728

adhar card.pdf

 Ownership Proof (Self Attested) (Anyone in PDF Format)*

Allotment Letter

allotment_letter.pdf

Documents CheckList

 Internal Wiring at the premises has been tested by a Licensed

Electrical Contractor/designated officer of the Government and the Yes No
test Certificate is available with the applicant.
electricity_certificate.pdf

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The , a company incorporated under the provisions of the Companies Act, 1956 or as amended, having its registered office at ____
(hereinafter referred to as "Applicant", which expression shall, unless repugnant to the context or meaning thereof, include its successors
and assigns), through its duly Authorized representative Mr. ____ do hereby swear and declare as under:

Or
A Sole proprietorship/ a partnership firm having its office at ____ (hereinafter referred to as the applicant which unless the context
otherwise provides includes its successors and assigns), through Mr. ____ , who is a partner or a duly authorized representative do hereby
swear and declare as under:

THAT the Applicant is a lawful occupant of the premises at A12-C3,Floor 2,A12,IIT DELHI,IIT DELHI,Opposite,IRD, IIT DELHI, New Delhi,
110016(hereinafter the "Premises").

THAT the Applicant has requested the licensee to provide a service connection at the above-mentioned premises in the Applicants name
for the purpose mentioned in the application form.

THAT in furnishing the present Declaration, the Applicant has clearly understood that should any of the statements in this declaration prove
to be false or incorrect at any later stage, the licensee shall be within his lawful rights to disconnect supply to the premises without any
prior notice and proceed to adjust electricity supply dues payable by the applicant against consumer security deposit and /or recover the
same in accordance with Law.

THAT the Applicant has complied with all requirements under all statute for the time being in force and the Applicant himself/herself shall
be held legally responsible for any issue arising out of any such noncompliance for which the licensee may initiate action in accordance
with applicable law.

That I, the Applicant hereby agree and undertake:

1. That no objection certificate for seeking electricity connection from the co-owner has been obtained (in case the applicant is not
the sole owner of the premises).

2. To indemnify the licensee against all proceedings, claims, demands, costs, damages, expenses that the licensee may incur by
reason of a fresh service connection given to the Applicant.

3. That to the best of applicants knowledge, all electrical works done within the premises are as per Central Electricity Authority
(Measures relating to Safety and Electricity Supply) Regulations, 2023 as amended from time to time.

4. That the internal Wiring at the premises has been tested by a Licensed Electrical Contractor and the test certificate is available with
the applicant :

Provided that in case of Government quarters/ offices, the certificate issued by the designated officer of the Government may be
accepted by the distribution licensee.

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 (iii) Provisional Industrial License, or
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(iv) Sanctioned building plan from concerned Municipal Corporation or DDA

B. Agricultural Consumers

i. Certificate of Residence from Block Development Officer,

C. Non-domestic for Khokhas and Temporary Structure

(i) The Bazaari Receipt Number, or

(ii) No Objection Certificate for Khokha/Temporary Structure from concerned Municipal Corporation of Delhi or Delhi
Development Authority or any other concerned Land Owning Agency. Please provide following information in respect of
certificate available with the applicant. (Certificate No., issuing authority, date of issue, Purpose, validity, if applicable)

D. Charging station for electric vehicles - An undertaking by the applicant that the charging station for electric vehicles is as
per the Specifications as may be specified by Central Electricity Authority or Bureau of Indian Standards from time to time.

8. *That the industrial connection is taken based on the documents mentioned in clause 7A(b) above and I shall obtain the valid
document as mentioned in clause 7A(a) above within a period of 3 months from issue of electricity connection. (*If applicable)

9. That above referred applicable documents/certificates indicated at various points are available with me and can be inspected by
the Licensee at any time. In case of failure or reluctance to produce/allow the inspection of said documents/certificates the licensee
may disconnect the connection granted owing to such failure/, reluctance.

10. That I shall provide a legible and certified copy of any of above applicable documents to the licensee pursuant to order/request
of any government agency, judicial forum or any other authority seeking such information.

11. That my industry/trade has not been declared to be releasing obnoxious hazardous/pollutant by any government agency and
that no orders of any Court or judicial authority would be breached by running of my industry/trade or granting any electricity
connection to the same. The licensee is indemnified against any loss accrued by the applicant on this account that on an Order issued
by a Court of law or judicial authority or any government agency for disconnection of electricity, the licensee may disconnect the
supply.

12. That I shall indemnify and hold harmless, the licensee, in case of any injury or incident on account of any fault in electrical work in
the premises, and the licensee shall not be liable for any mishap or incident occurring at the premises to the applicant on account of
any faulty/defective/inferior quality wiring at the premises for which the connection is being applied.

13. To pay the electricity consumption bills and all other charges at the rates set out in the licensee's Tariff Schedule and
miscellaneous charges for supply as may be in force from time to time, regularly as and when the same becomes due for payment.

14. To deposit the additional security deposit and additional service line cum development (SLD) charges, if any from time to time
based on the prevailing Orders/rules, directions and Regulations of the Commission.

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 (ii) total cumulative built up area of the premises in the plot/building exceeds 2000 sqm, or
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(iii) plot of size above 600 sqm or above,

I/the applicant shall unconditionally and unequivocally provide the space along with right to access, without any charge & in
perpetuity, for installation of Distribution Transformer to BRPL to energize my connection along with supply to other outside
consumers and shall execute all other documents including Sub-station Space Agreement/ Affidavit as notified by BRPL time to
time.

23. If Unique Property Identification Code (UPIC) is not submitted, I declare that I will submit it with BRPL, whenever it is issued to me
by the concerned authorities.

24. Notwithstanding anything stated herein above, it is agreed by the applicant that it shall keep BRPL indemnified from all third
party claims, compensation, penalty dispute, liability, relating to issuance of electricity connection for EVCS and any other issue
related to operation and maintenance of such EVCS at the site which includes litigation expense also.

UNDERTAKING WITH APPLICATION OF NEW CONNECTION

BSES welcomes its esteemed consumers in its family. Our vision is to be the most admired trusted and integrated utility in the world. We
are committed to provide quality, safe and reliable services to our consumers and committed for consumer satisfaction & operational
excellence. For complying DERC norms, we therefore request you to go through the undertaking and please submit the signed copy along
with other necessary documents at the time of application of connection.

I, Rakesh Kumar Rai son/daughter/Authorized representative of Rajendra Prasad Rai resident of A12-C3,Floor 2,A12,IIT DELHI,IIT
DELHI,Opposite,IRD, IIT DELHI, New Delhi, 110016 Connection applied address A12-C3,Floor 2,A12,IIT DELHI,IIT
DELHI,Opposite,IRD, IIT DELHI, New Delhi, 110016 hereby undertake that I shall:-

1. Provide suitable and adequate space at immediate entry or outside the premises when permanent connection is applied in such a
manner that meter is always accessible to meter reader as notified in DERC Supply Code and Performance Standards Regulations 2017
Chapter-V Article-29(3). I shall provide minimum space required for meter installation as per the dimensions of meters boxes and bus bar
given in below table:-

Meter & Bus bar Length(mm) Width(mm)

1 phase meter with box 250 150
3 phase meters with box 420 350
1 Ph 2-way Bus bar 250 220
1 Ph 4-way Bus bar 320 300
3 Ph 2-way Bus bar 350 500
3 Ph 4-way Bus bar 350 500
3 Ph 8-way Bus bar 300 500

2. Provide fire clearance certificate when permanent connection is applied in

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 dated 24.02.2021.
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5. I will provide fire retardant closed panel to install meter box, circuit breaker, main switch, switch gear, electrical vehicle charging point
and associated equipment and same will not install under or near the staircase of my premise as per the notification of DDA unified
building Bye-Law for Delhi 2016 dated 24.02.2021 and letter no. CEI/1/9/2020/263-294 dated 03.05.2021 specially in multi storied
buildings.

6. I agree to provide space for meter installation in a premise at one location so that all meters can be installed at one place and energized
from same feeding point to avoid safety hazards.

7. I will provide space for meter installation at two different location (on opposite wall) if electricity of my premise/Entire building is
supplied through two different feeding points on HVDS area.

8. It is my responsibly to install fire extinguisher near the meter installation location in case of multiple meters are installed at one location
and I shall be responsible for keeping the fire extinguisher in working condition and be responsible for its yearly maintenance.

9. I will lay underground HDPE pipe & make trench for laying cable inside the premise up to the position of meter installation condidering
future load growth in case of underground service cable, as per the table given below.

HDPE Pipe Sizes for laying of Underground Cables*

Load Cable Size(Sq.mm) Proposed pipe size Dia (mm)
Up to 5 KW 2*10 30
6-10 KW 2*25 36
11-20 KW 4*25 40
21-50 KW 4*50 45
51-99 KW 4*150 65
100-140 KW 4*300 90

10. It is my responsibility to ensure that electrical installation and other related work in my premise to be maintained in such a manner as
to prevent danger due to shock, fire hazards and installation is carried out in accordance with the relevant code and practice.

11. It is my responsibility that no other service pipes and cables shall be taken along the ducts provided for laying power cables and all
ducts provided for power cables and other services shall be provided with fire barrier at each floor crossing in multistoried buildings to
adhere the safety guideline issued vide letter no. CEI/1/9/2020/263-294 dated 03.05.2021.

12. I shall provide space for fixing MS angle (L or I shape of suitable strength)/Anchor hook bolt 10/12 mm to fix on wall of premise, above
15 feet height from road level to support overhead cables.

13. I do hereby undertake and abide to maintain safe distance between my premise and BSES network always as per the below prescribed
norms.

Sr.No Lines/Installation Min. Vertical Clearance Min Horizontal Clearance

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18. I undertake to provide the space outside the house/outside staircase area/common entrance/ corridor/ common parking area/ fire
escape area in building to avoid accidents & I shall ensure to keep escape route safe and free all the time so that the same can be used in
case of calamity. I understand that the compliance of the terms of this undertaking and the other terms as agreed by me in the undertaking
documents is a pre-requisite for the release of electricity connection to me and in case of mine non-compliance of the terms of this
undertaking and/or failure to provide adequate space, BRPL shall be well within its rights to refuse the release of electricity connections, at
any stage, without any liability for any claim from any party whatsoever.

19. I shall provide adequate arrangements to make separate earthing provision before installation of any type of three phase energy meter
in compliance of the provisions of DERC(Supply Code and Performance Standards) Regulations, 2017 and the subsequent amendments
thereto.

Undertaking Format for release of connection or re connection based on DERC 6th Amendment Order for Building Height

SELF - DECLARATION / UNDERTAKING

I, Rakesh Kumar Rai Son/Daughter/Wife of Rajendra Prasad Rai Resident of A12-C3,Floor 2,A12,IIT DELHI,IIT DELHI,Opposite,IRD, IIT
DELHI, New Delhi, 110016 (hereinafter referred to as "Applicant", which term shall mean and include executors, administrators, heirs,
successors and assigns), do hereby swear and declare as under:

A. That the Applicant / deponent is owner / occupant of the premises bearing no. , situated at A12-C3,Floor 2,A12,IIT DELHI,IIT
DELHI,Opposite,IRD, IIT DELHI, New Delhi, 110016

B. That I have applied for Domestic- new connection (Domestic/ Non-domestic/ Industrial at the above-mentioned address

C. That I have submitted the ownership / occupancy documents of the said premises / property / flat.

D. I understand that mere release of electrify connection / installation of meter/issuance of bill for the use of electricity shall not be termed
as confirming any ownership or other rights over the concerned land or premise.

E. The deponent undertakes:-

(a) The dwelling unit where electricity connection is applied is within the height of 15 meters without stilt parking/ 17.5 meters with stilt
parking of the building.

(b) The electricity connection granted to the premises will not be used for extending electricity supply to other dwelling units.

(c) In case, it comes to my knowledge that there is illegal extension of supply or electricity is used at dwelling units beyond the height of 15
meters without stilt parking/ 17.5 meters with stilt parking of the building, I will promptly bring the same to the DISCOM's notice.

(d) I do hereby confirm and agree that I shall ensure that NO illegal extension of supply or electricity is used at dwelling units beyond the
height of 15 meters without stilt parking / 17.5 meters with stilt parking of the building from my connection. I do hereby undertake that in
case the illegal extension of supply or electricity is used from my connection at dwelling units beyond the height of 15 meters without stilt

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Signature of Applicant/Authorized Signatory or Thumb Impression

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