ANNEXURE - I

LOAD DECLARATION FORM

Date:
Consumer Name & Address:
Consumer No. (Old & New):
Contract Demand (in KW/KVA):

Tariff:

Division/Sub-Division/Section:
Meter Status: OK / Defective / Burnt
Power Supply Status: Connected / Disconnected
Sl. No.
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2
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5
6
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8
9
10
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12
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14
15
16
17
18
19
20
21
22
23

Description of Appliances
Tube light
Incandescent lamp
CFL
Table Fan
Ceiling Fan (48", 56")
Music System
Television
Mixer Grinder
Electric Iron
Fridge
Cooler
Heater for cooking (according to
physical availability)
Heater (for water heating)
Microwave oven
Washing machine
Kitchen Exhaust Chimney
Aqua guard water filter
Air Conditioner ( 1Ton, 1.5 Ton etc.)
Geyser
Pumpset( 0.5HP,1.0 HP etc.)
Personal Computer/ Monitor & Printer
Industrial appliance
Other item (if any)
TOTAL

No. of Points

Wattage of Points

Total Wattage

My Declared Load is . KW/KVA

In case my declared load is more than contract demand, I agree to deposit the additional security amount.

Date:
Place:

Signature of Consumer

NOTE :The wattage against Sl. No.(22) above may be estimated as stated above(In case of non-availability
of rated capacity of any item, the load shown in Annexure-II shall be considered)

ANNEXURE - II

LOAD DETAIL OF ELECTRICAL APPLIANCES

Sl. No.

Description of Appliances

Standard Rating
(if rating on appliance is not available)

Tube light

40 W

Incandescent lamp

60 W

Table fan

60 W

Ceiling Fan

70 W

Music System

40 W

Television

125 W

Mixer Grinder

500 W

Electric Iron

450 W

Fridge

125 W

10

170 W
1000 W

12

Cooler
Heater for cooking (according to physical
availability)
Heater (for water heating)

13

Microwave oven

900 W

14

Washing machine

340 W

15

Kitchen Exhaust Chimney

45 W

16

Aqua guard water filter

30 W

17

Air Conditioner (1Ton)

1500 W

18

Air Conditioner (1.5 Ton)

2000 W

19

Geyser

2000 W

20

Pumpset(0.5HP)

375 W

21

Personal Computer/ Monitor & Printer

220 W

11

1500 W