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    Transfer Application Form

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    Chaitanya Chaitu CA
    This document is a name change application form for an electricity service connection in Andhra Pradesh, India. It requests details of the current consumer and service, as well as details of the applicant requesting the name change. It asks for identification documents like Aadhar card, ownership documents, and permission letters to support the name change application. The applicant must provide their signature and upload all supporting documents in PDF format for processing.

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    Transfer Application Form

    Uploaded by

    Chaitanya Chaitu CA
    190 views1 page
    This document is a name change application form for an electricity service connection in Andhra Pradesh, India. It requests details of the current consumer and service, as well as details of the applicant requesting the name change. It asks for identification documents like Aadhar card, ownership documents, and permission letters to support the name change application. The applicant must provide their signature and upload all supporting documents in PDF format for processing.

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    This document is a name change application form for an electricity service connection in Andhra Pradesh, India. It requests details of the current consumer and service, as well as details of the applicant requesting the name change. It asks for identification documents like Aadhar card, ownership documents, and permission letters to support the name change application. The applicant must provide their signature and upload all supporting documents in PDF format for processing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    190 views1 page

    Transfer Application Form

    Uploaded by

    Chaitanya Chaitu CA
    This document is a name change application form for an electricity service connection in Andhra Pradesh, India. It requests details of the current consumer and service, as well as details of the applicant requesting the name change. It asks for identification documents like Aadhar card, ownership documents, and permission letters to support the name change application. The applicant must provide their signature and upload all supporting documents in PDF format for processing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Price: `1

    CPDCL
    PDCL Name Change Application Form

    Name Changes Request Details:-


    Paste here your
    Service Connection Number*:: ___________
    _____________________________________________
    recent passport
    Circle Name*:  Anathapur  Kurnool  Mahaboobnagar  Medak  Nalgonda size photograph
    ERO Code*: ______________________________
    ___________________________________

    Consumer Details:-
    Consumer Details Actual Details Changed Details
    Surname
    Name
    Father Name
    Caste
    Mobile Number

    Service Type: ____________________________


    ___________________ Reason for Name Change: __________________________________________
    Location of Premises:-
    House No*: ______________Street*: _________________________
    ________________________________________________________________
    _______________________
    Circle*:  Anathapur  Kurnool  Mahaboobnagar  Medak  Nalgonda
    Mandal *:____________________________
    ______ Village*: _______________________________
    _ Pin Code: _________________
    ___
    Section Name: _________________________________ Location Type*:
    Type  Urban  Rural
    Location Name*: ___________________________________________
    ____________________________________ Load Connected:: _____________________
    _______
    Dispatch No: _________________________________
    _______________

    Informant Details:-
    Aadhar Number: ______________________________
    ______________________________Informant Name*: ________________________________
    _________________________________
    Relation*: _________________ Door No: _________________ Locality/Land Mark: ___________________________________
    _________________
    District*: _________________________
    _________ Mandal
    Mandal*: __________________________ Village/Ward*:: _______________________
    _______
    Pin Code: ___________________ Mobile **: _____________________________ Phone: ________________
    _______________________
    Email: ____________________________________________
    ________________________________________________ Delivery Type*:
    Type  Manual
    Security Deposit (Available) *:: __________
    _______________________
    Proof Document*:  Gift Deed  Sale Deed  Ownership Certificate  Indemnity Bond
    ID Proof*:  Aadhar Card Copy  Driving Licen
    License Copy  Electoral Copy  Pan Card copy  Ration card copy

    Document List: - (NOTE: All Upload Documents are in PPDF Format Only)
    Application Form*
    ID Proof*
    Caste Certificate (Mandatory if SC/ST) *
    Owner Ship Certificate/Sale Deed/Gift Deed (Selected Proof Document) *
    Municipality/Gram panchayat Permission Letter
    Letter*
     Indemnity Bond*
     Transfer Transferee Document
    Document*
     Latest Bill and Receipt*
    Applicant’s Signature

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