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Form 17 Sep 2021

This document is an application form for low tension electricity service connection from the Tamil Nadu Electricity Board. It outlines the applicant's agreement to pay for energy and related dues, the duration of supply, and responsibilities in case of property transfer. The form also requires details about the premises and specific electrical requirements of the applicant.

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garuda electricals
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22 views1 page

Form 17 Sep 2021

This document is an application form for low tension electricity service connection from the Tamil Nadu Electricity Board. It outlines the applicant's agreement to pay for energy and related dues, the duration of supply, and responsibilities in case of property transfer. The form also requires details about the premises and specific electrical requirements of the applicant.

Uploaded by

garuda electricals
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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T.N.E.B.PRESS-OFFSET-400000c.

5/2009

TAMIL NADU ELECTRICITY BOARD


FORM-1
Application Form for LT. Service connection (except Agriculture and Hut)
FORM OF REQUISITION FOR SUPPLY OF LOW TENSION ENERGY ( Single Phase!Three Phase)
(Refer clasuse 27(3))

To
The Designated Engineer
(Address of the Licensee)

Sir,

1. I hereby require you to supply electrical energy to the premises hereinafter described.

(Note this undertaking does not preclude a separate written contract being entered into, if so desired
by the Licensee or the consumer.)

2. I agree to pay for said energy, service connection and other dues including the deposit of such
security, meter rent, as may be demanded in accordance with the scale of rates prescribed under Tamil Nadu
Electricity Distribution Code, Supply Code, Notifications and orders issued in this regard by Tamil Nadu
Electricity Regulatory Commission.

3. I wish to be charged under Tariff ...................... ..... . under schedule of the TNERC tariff order dated.

4. I agree to take supply for ........ ................. years and utilize the energy in the premises described
hereunder or outside the premises for my bonafide use.

5. In case I sell or otherwise dispose of the property I vacate the premises while the supply is
continued, I agree to give one Calendar month notice in writing and pay all the arrears to the Licensee. Failing
such notice, I hold myself responsible for energy consumed in the premised till such notice is given to the
Licensee.

6. Description of the premises

Door No. and I or name of the house or premises

Street

Town I village and Taluk

Owned by (Name in Block letters)

Tenanted by (Name in block letters)

Applicant's correspondence address

7. The following are my requirements

Number of wattage of Total


Point's point's wattage

(A) Lighting
(i)Lights - - -
(ii) Fans - - -
(iii) Convenient wall plugs - - -

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