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NewConnectionRequest

Applicant'sDetailswhereConnectionisrequired(NewConnectionRequest)SLCC
Discom

%53/

TypeofRegistration

,QGLYLGXDO

TitleText

0U

Occupation

3ULYDWHVHFWRUHPSOR\HH *

FirstName

1$1'$1

District

.+86+$/6,1*+
Father's/Husband'sName

LastName

3DODP

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*

HouseNo

:=$723)/225

BuildingName

Street

675((712

Colony/Area

6$'+1$*$53$/$0

Landmark/LampPost
No./FeederPillarNumber

1HDU

CityPostalCode



MobileNo.



LandLineNo

Email

EKXZHVK#\DKRRFRP

5$00$1',5

*
*

Gender

0DOH

*(eithermobileno.orphoneno.ismandatory.)

FaxNo

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ClassofPremiseCatagory

ConnectionType

BankA/CNo.

BankName

PANNo.

*(1(5$/&$7(*25<

DesiredAppointmentDate 09Nov2015

Load

Branch
MICRCode

KW

KVA 

Desired
Appointment
Time



UploadDocument
PhotoProof(Mandatory)(InJPEGFormat)
1

PassportSizePhotographofThe
Applicant

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MiscellaneousDocuments(Allaremandatory)(InJPEG/PDFFormat)ClickHereTo
DownloadSampleFormats
1

DeclarationForm

AffidavitonStampPaper

DuesUndertakingonStampPaper

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IdentificationProof(Anyone)(InJPEG/PDFFormat)
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ElectoralIdentityCard

Passport

RationCard

DrivingLicense

AadharCardNo.

PhotoIdentityCardIssuedByAny
Govt.Agency

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AddressProof(Anyone)(InJPEG/PDFFormat)
ProofofOwnership

ProofofOccupancy/RentDocument

SaleDeed

Allotment/PossessionLetters

LeaseDeed

GeneralPowerofAttorneyTogetherWith
ProofofOwnershipofTheExecutor

HouseTaxReceipt

CertificateofResidenceIssuedByThe
GramPradhan/Councilor/MLA/MPofThe
AreaInCaseofRuralAreas/JJCluster

NoObjectionLetterofTheLandlord
TogetherWithProofofOwnership

RentReceiptTogetherWithProofof
OwnershipofTheLandlord

IndemnityBond

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TestReport&OtherDocuments(Optional)(InJPEG/PDFFormat)
1

TestReport

ProcessingFees:IfLoad>100KW,Rs
10000ShouldBeTakenInTheFormof
DDAsProcessingFeesAtTheTimeof
ReceiptofAPPL

OtherDocumentsifany

BoardResolutionforsign.Authority/GPA

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MemorandumAndArticlesofAssociation

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AgreementForm(CanBeSubmitted
Later)

ClearanceCertificateIssuedByThe
InspectorofLifts(InCaseaLiftIs
InstalledAtThePremises)

ValidIndustrialLicense/LalDora
Certificate

ElectricityBillofImmediateNeighbour,
IfPossible

10

NoObjectionCertificateFrom
DevelopmentCommissioner/Block
DevelopmentOfficer(ForAgricultural
TubeWellLoad)

11

FireClearanceCertificate(InCase
BuildingIsMoreThan15MetersIn
Height)

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Note:Asterik(*)indicatesmandatoryfields.

6XEPLW

Foranyenquirypleasecallat39999707(BRPL).

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