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Northern Electricity Supply Company Ltd.

SMART PREPAYMENT METER INSTALLATION FORM

Name of the Office Ishwardi S&D Feeder Name TOWN

Feeder Code 51 DCU Number

Consumer Name MD. SAIFUL ISLAM Consumer No 72037944

Father’s /Husband Name Account Number 6497/E

Mother’s Name Bill Group / Book/ Work order Number 7215 / 77L/149

National ID Number Tariff LT-E-NORMAL

Address RAIL GATE- ISHWARDI

Mobile No(Owner) 01733262610 Mobile No(User)

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

Sanction Load(KW) 15 Maximum Demand(MD)

New Meter Number 20330010859 Old Meter Number 51560209

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

Installation Team Number Last Billed Reading

Transformer Code 12393 Transformer Name RAIL GATE-250

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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