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 ooka
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