AHD-LT Name Change Requisition Form1 PDF

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NAME CHANGE APPLICATION FORM torrent LOW VOLTAGE SERVICE POWER To, Torrent Power Limited Service No. |] We hereby request you to change the name of the existing connection as the premise is now owned / occupied by me/us. I / We take responsibility that the documentary proofs submitted are authentic and reflect, ownership / occupancy ofthe premise and there has been no change in ownership / occupancy of the premise till date. 1 / We also certify that there are no legal orders / cases pending in court regarding the ownership/ occupaney ofthe premise. | / We take full responsibilty for any legal objection / action by the previous owner or any other person and it wll be my / our duty to resolve the objection at my / our cost and risk. 1/ We also indemnify the company against any loss or claim against the company. In the event of any dispute regarding the ownership / occupancy of the premise, |/ we authorise the company to revert back the name of the existing connection to the previous owner / occupier. | / We agree to pay any outstanding dues against the service and maintain adequate security deposit as per the relevant provisions of the Gujarat Electricity Regulatory Commission Supply Code and relevant regulations. Latest Photo Name of existing consumer For Non-Residential provide applicant's residence service no, Date Details of Applicant Legal tas of alan (1) owner (I) tenon FullName of Applicant suney no | |p Ste | re sctenen | Hows Fano [1 torment por i Name ot Soeiey Asarent | twee | J oty Picode | Ldn Te No J Mobiewe. | Emit | aN No Present Psat acess | Bank Deals fecuinypeSovhg | current) | IFSC Code eR code sankaveno | Ao Hoke Name Note (1 Please attach copy of cheque canceled cheque along the appiation [2h ncasername nt printed on cheque, you are requested to attach a copy of ont page ofthe cheque Book ass ook a a List of latest sel attested document to be attached, please carry original documents fr verification Proof of current address / Identity Proof submitted along with this pplication form I Applicants @ person [Tick as applicable) C1 etectratdentty card [-] Passport [-] Driving License 1 Ration care (1 Pancars [] Aashar card C1 statement of Active Bank Account (1 Photo identity card issued by Government agency [7] Most recent Water / Telephone / Electricity / Gas connection Bill / Income Tax assessment order [51 Phote Certificate from any sillage level Government funetionary Co-owner consent with signed photo ID proot is requiredin case of joint ownership. tthe applicant isa company, trust, educational institution, government department ete. The application form shall be signed by a competent ‘authority leg, Branch Manager, Principal, Executive Engineer, etc) ‘along with a relevant resolution authority letter of the institution concerned Proof of ownership or ecupancy for which electricity connection is required (Tick as applicable) 7] copy ot registered sate cad or nate dees oF inthe case of agricltural connections. acopy of T2,3-Aana hak patrak lA [7] Municip tox receipt or Demand notice or eny other related document [5] Letterotattment [] Suecession/Legat HeirCertiicate ‘An applicant who isnot an owner but an occupier of the premises shal, ‘alongwith anyone ofthedocuments listed as above, alse furnish @ No Objection Certiiesteromowner ofthe premises Pleate refer te list of additional acuments required in case of Partnership Firm /Public/ PrivateCo./ Industrial / Agricultural ote. IN). Partnership Firm-PartnershipDeed (2), PropriotaryFirm -Rogistration Certicate (9). Public and/or Private Limited Company ~ Memorandum and ArticlesofAssociationand Certificate of Incorporation (6). Industral -IndustriatLicense existing customer is deceased then please provide death certificate ‘and NOC romother tegat hers ofthe property. Any ther documenta appicable(Pleasespeciy| TORRENT POWER LIMITED Regd. fice: “Samanvay", 400, Tapovan Ambowadh, Ahmedabad - 180015, CIN: Lar2000,200

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