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  • Consent Form - 01.03.2013 House Lock TNF - Reason For Pending Connection-16

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    NIRANJAN KUMAR
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    This 3 sentence summary provides the key details from the consent form document: The consent form is for a city gas distribution project in Ajmer, India being carried out by Indraprastha Gas Limited, and involves obtaining customer consent for conversion to natural gas service. It collects customer information like name, address, and meter details, and asks the customer to indicate if they are ready for conversion, along with requested conversion date and time. Signatures are required from the customer, contractor representative, and inspection agency representative to document consent.

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    2. Consent Form - 01.03.2013 House lock TNF- Reason for Pending connection-16 (3).doc

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    This 3 sentence summary provides the key details from the consent form document: The consent form is for a city gas distribution project in Ajmer, India being carried out by Indraprastha Gas Limited, and involves obtaining customer consent for conversion to natural gas service. It collects customer information like name, address, and meter details, and asks the customer to indicate if they are ready for conversion, along with requested conversion date and time. Signatures are required from the customer, contractor representative, and inspection agency representative to document consent.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    4 views1 page

    Consent Form - 01.03.2013 House Lock TNF - Reason For Pending Connection-16

    Uploaded by

    NIRANJAN KUMAR
    This 3 sentence summary provides the key details from the consent form document: The consent form is for a city gas distribution project in Ajmer, India being carried out by Indraprastha Gas Limited, and involves obtaining customer consent for conversion to natural gas service. It collects customer information like name, address, and meter details, and asks the customer to indicate if they are ready for conversion, along with requested conversion date and time. Signatures are required from the customer, contractor representative, and inspection agency representative to document consent.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    CONSENT FORM F09 (PNG-P-01)

    REVISION NO.00

    Project : City Gas Distribution Project In Ajmer


    Client : Indraprastha Gas Limited.
    Consultant : RESONANCE ENERGY PVT.LTD
    Third Party Insp. Agency : MOODY INTERNATIONAL.
    Contractor Name : UPADHYAY CONSTRUCTION PVT. LTD.

    (To be filled by the contractor)


    Customer Name: __________________________________________________________________________

    Address: ________________________________________________________________________________

    ________________________________________________________________________________________

    BP No. : ______________________ Telephone No.: ______________________________________

    Ready For Conversion: (Yes / No) ____________________________________________________________

    Meter No.: ____________________ Initial Meter Reading: ________________________________________

    Meter Make: _____________________________________________________________________________

    (Tick “√” and explain the reasons below)

    For non-conversion For non-installation of PNG Conn. For Service Line House Lock

    Reasons
    :__________________________________________________________________________________________
    If Ready to Convert to Natural Gas, please mention date and time: ___________________________________

     In case of House Lock (visit records):

    DATE TIME

    TPIA/PMC
    Customer’s Signature Contractor Representative
    with Name Name & Signature Name & Signature

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