 font size="5">BANGALORE ELECTRICITY SUPPLY COMPANY LIMITED A FORM OF REQUISITION FOR LT POWER SUPPLY UPTO 66 H.P/50KW UNDER REGULATION-7 OF E.S.R.1988. POWER SUPPLY REQUIRED AT (ADDRESS) SERIAL NO: ISSUED TO SRI / M/s ISSUED ON REGN FEE PAID Rs Rt. No DATED. Office stamp. Asst. Executive Engineer(Electrical) Technical section. RR NUMBER ASSIGNED: DATE OF SERVICE:
TO: 1. The Executive Engineer, Elecl., O & M Division, 2. The Asst. Executive Engineer, Elecl., O & M Sub Division, 3. Bangalore Electricity Supply Company Limited, Dear Sir, I/ We hereby request you in accordance with the clause VI of the schedule of the Indian Electricity Act 1910, within one month or within such longer period as the Electrical Inspector may allow from the date of this requisition to supply energy to the premises owned / occupied by me / us and situated within the area of supply. I / We further request you to supply me/ us the meter necessary in terms of section 26 of the Indian Electricity Act 1910. I/ We agree to give you such security as may be required for the meter/ meters whenever called upon to do so. I/ We have also gone through the instructions obtained in this form and I /We have attended all the necessary documents along with this application.
1. Name of the applicant / company . 2. Name of the authorized signatory 3. Fathers name : .. (In case of ownership company.) 4. Age of the applicant: .years 5. Occupation/Designation 6. Power supply required at(address) 7. Type of Ownership: The premises is Owned/ Leased/ Singly owned/ Partnership/ Private company/ Public company.(documentary proof to be produced, and if partnership MOU to be enclosed) 8. If licence from appropriate authority obtained: YES / NO.(LICENCE not required in industrial area of KIADB/ KSSIDC) 9. Premises located in : industrial area of KIADB/ KSSIDC/ Private layout/ Municipal/ corporation/ Village panchayat area. 10.Is the connection new/ additional to old installation: 11.Details of the power required : Single Phase HP + KWs Three phase HP + KWs 12.Total electrical power required: HP + KW 13.Sister concerns, if any: 14.Address for correspondences till the power supply .is arranged: Telephone No. STD code 15. Details of enclosures: A) Site plan with proposed location of the meter Board. B) Latest Tax paid receipt. C) License/permit/NOC from local Body. D) Route map to locate the Premises. E) If lessee, registered lease agreement. F) Environmental clearance certificate wherever applicable. Certified that I/ We have gone through the instructions given to the applicant in this brochure and have filled up all the columns. Certified that the above information furnished by me/ us are true and correct. I/We are also aware that I/We are solely responsible for the incorrectness if any in the above declaration. If any of the information furnished above is false, BESCOM may disconnect power supply without notice. I/We are agreeable to execute the works as estimated on self execution basis. Dated on . Place Signature of the applicant/authorized signatory (Stamp of the firm) This is to certify that the following installation is serviced today, the . by the Corporation. The details are as under: 1. Name of the customer: 2. Address of the installation: 3. RR. No. : 4. Sanctioned Load 5. Tariff Applicable: 6. Meter reading date: 7. Next to RR No: 8. Ledger NO: 9. Capacitor provided ..KVAR 10. Initial security deposit Rs: Rt No and date .. 11. Meter security deposit Rs: .Rt. No. and date .. .. 12. Development charges Rs: .... Rt No. and date .. For Bangalore Electricity Supply Company Limited. Office Stamp |