TRANSFER APPLICATION FORM

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Central Power Distribution Company of Andhra Pradesh Limited

TRANSFER APPLICATION
FORM
I.......................................................................................................herebytransfermyservice
connection No............................... at Door No............................................................. Street .....
............................................................................Town...........................................................
toSri/Smt/kumari.................................................................................................................
with Security Deposit of Rs...............................(Rupees...........................................................
.......................................................) pledged by me as I have (1) left the house of (2) sold the
house of (3) Mortgaged and I have nothing to do with the service from henceforth, as have
foregoneallmyrightsintheserviceconnection.

Signature of Transferor

I .....................................................................................................hereby agree to transfer of

the said service connection No..........................................................at Door No......................
..............Street.......................................................................Town..........................................
with the security deposit as i have taken possession of the said premises from
Sri/Smt/Kumari.......
.......................................................................................................................I hereby agree to
abide by the conditions of the agreement for the requisition entered into by
Sri/Smt/Kumari..........
.......................................................................................................with the Board.I agree to
execute agreement and L.T. requisition and abide by the conditions laid down by the Board
if
required .

Signature of Transferee.

http://apcentralpower.com/LeftMenu/Downloads/transfer_application_form.htm

09/01/2012