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This document outlines the application form for high tension (HT) electricity service connections in Tamil Nadu, India. It includes sections for applicant information like name and address, premises details, load requirements, and necessary supporting documents. The electricity supplier provides their estimates for capacity, materials required, approximate cost, and notes any priority applications. The form collects essential details to process requests for new or additional HT power connections.

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Mathan Murugesan
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74 views2 pages

294 HTSCForm

This document outlines the application form for high tension (HT) electricity service connections in Tamil Nadu, India. It includes sections for applicant information like name and address, premises details, load requirements, and necessary supporting documents. The electricity supplier provides their estimates for capacity, materials required, approximate cost, and notes any priority applications. The form collects essential details to process requests for new or additional HT power connections.

Uploaded by

Mathan Murugesan
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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FORM-4 (Tamil Nadu Electricity Board) Application for High Tension (H.T) Service connections (Including addl. Demand).

FORM OF APPLICATION OF NEW SUPPLY OR ADDITIONS TO CONNECTED LOAD AND HAVE MAXIMUM DEMAND EXCEEDING 63 KVA. (Refer clause 27(3) of Tamil Nadu Regulatory commission, TAMIL NADU ELECTRICITY DISTRIBUTION CODE, Notification No. TNERC /DC/8/1 dated 21.07.2004) 1. Name of Electricity supply Licensee and registered address: 2. Name of consumer and registered address 3. Address of consumers premises at which supply is required 4. Nature of service 5. Voltage rating at which High Tension (H.T) supply is required. 6. Data on consumers load Notified connected load in M.D. in KVA Description As on date Subsequent additional sanction Estimated requirement now applied Total Brief details of industry to be served No. of shifts Probable date of load maturing Signature of Consumer Name (in capital letter) Date Office Seal. Note : The application shall be accompanied by the following documents (1) (a) When the applicant is the owner of the premises: Certified copy of the sale deed for the premises executed in his favour (or) Property Tax receipt for the premises in the name of the applicant. (b) When the applicant is not the owner of the premises: Consent letter from the owner of the premises (or) Proof of legal occupation (including lease deed) along with the following: (a) Indemnity Bond in Form 6 (b) Letter of acceptance to pay security deposit at twice the normal rate. (2) Partnership deed in case the applicant is a partnership firm or Memorandum / Articles of Association in case of companies registered under Companies Act. (3) Letter / Resolution authorizing the signatory (4) Site Plan 7. Data to be furnished by Licensee Estimated Capacity Nature Brief list of Approximate Any other H.P.

increase in M.D. of the undertaking if any, the application is recommended

of existing services if any

of supply DC /AC voltage or low voltage etc.,

materials required i.e. cable transformer switchgear etc.,

cost of giving service

remarks affecting the supply undertaking with particular ref. to plant site location of consumer installation Materials to be ordered 5 6

Materi-als in stock 1 2 3 4

8. Information regarding priority whether there is any prior High Tension (H.T) applications in the connected area awaiting supply of power Note :For the purpose of priority, the area served by the sub-station feeder will be taken into account.

Signature of Licensees Engineer

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