FORMAT FOR THE SHIFTING OF AGRICULTURAL SERVICE CONNECTION

SL,NO Description Existing Proposed

1 Name of the Applicant and B.Anandakrishna B.Anandakrishnan
Address n s/o Bakthavachalu
s/o Bakthavachalu Nedumaram
Nedumaram

2 Service Connection No 531-008-187 531-008-187

3 Service Connection Date

4 Priority under Which the Agricultural

Service was effected

5 Reason for shifting No Water Water available

6 Whether there is any arrears no no

pending
In the service

7 Whether the following documents

have been enclosed

A Necessary clearance has been

obtained from AAO/ RB

B Attested copy of sale deed or patta yes yes

is Enclosed

C Adungal for 1409 Pasali is in the yes yes

name of applicant

D Field map sketch showing the yes yes

location
Of Well / Borewel is enclosed

E Kisti receipt enclosed yes yes

f Whether the letter has been

received
From the consumer is enclosed to
bear the both wells obtained
amount
 Whether the Dryness certificate
G and
Water flow certificate for the both
wells obtained and enclosed

h Registration No and date of the

Application

I Revenue Village Nedumaram Nedumaram

J S.F. No 310/8 15/36

k Distribution Nedumaram Nedumaram

L Connected Load in H.P 3 HP 3 HP

M Name of the Distribution Nedumaram SS Nedumaram SS I

Transformer II 100 KVA 250 KVA

N Capacity 100 KVA 250 KVA

O Whether the L.T Tailend 1.329 % 1.726

Regulation is within the %
permissible limit

P Date of Inspection

Certified that I have personally enquired into the case and satisfy myself that
the new well and the lands to be irrigated belong to the consumer and the request of
the consumer is for bonafide reason.

Certified that the shifting is no motivated in order to sell the Agricultural

service connection the persons from whom they had purchased the land after availing
free service connection from the Board under Normal priority