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Northern Electricity Supply Company Ltd.

SMART PREPAYMENT METER INSTALLATION FORM

Name of the Office Pabna S&D 1 Feeder Name Narikel Bagan

Feeder Code 11846 DCU Number

Consumer Name MOFAZZUL HOSSAIN Consumer No 73000461

Father’s /Husband Name Account Number 259

Mother’s Name Bill Group / Book/ Work order Number

National ID Number Tariff LT-C1-NORMAL

Address RAGHUBPUR ,PABNA

Mobile No(Owner) 01762022428 Mobile No(User)

New Meter Type Poly Phase Meter Old Meter Type Poly Phase Meter

Sanction Load(KW) 8 Maximum Demand(MD)

New Meter Number 11043001296 Old Meter Number 214112402

New Meter Reading (kWh) Old Meter Reading (kWh)

Installation Team Number Last Billed Reading

Transformer Code 11952 Transformer Name Mozahid Club200

Connection Type Offline New meter installation date

List of Recovery Material

List of Accessories Used Service Drop Cable length (if any):

Seal Numbers(New Meter) Seal Numbers(Old Meter)

Old Meter Photo New Meter Photo GPS Coordinates

(,)

I THE UNDERSIGNED CONSUMER/ON BEHALF OF CONSUMER HEREBY CONFIRM THAT MY OLD ENERGY METER IS REPLACED BY THE
ABOVE MENTIONING NEW SMART PRE PAYMENT METER. THE LAST READING OF MY ENERGY METER IS TAKEN BEFORE DISMANTLING
INFRONT OF ME.

I HAVE NO OBJECTION AGAINST THE ABOVE INFORMATIONS & INSTALLATION SERVICE PROVIDED HEREWITH.

Signature of Consumer: Date:

Signature of authorized Signature of authorized

Star Representative (Site) Star Representative (Office) representative of project (NESCO) representative of S&D (NESCO)

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