FORM I (Tamil Nadu Electricity Board) Application Form for LOW TENSION Service connection (except Agriculture and Hut) FORM OF REQUISITION FOR SUPPLY OF LOW TENSION ENERGY ( Single Phase / Three Phase) (Refer clause 27(3) of Tamil Nadu Regulatory commission, TAMIL NADU ELECTRICITY DISTRIBUTION CODE, Notification No. TNERC /DC/8/1 dated 21.07.2004) To The Designated Engineer (Address of the Licensee) Sir, 1. I hereby require you to supply electrical energy to the premises hereinafter described. (Note this undertaking does not preclude a separate written contract being entered into, if so desired by the Licensee or the consumer.) 2. I agree to pay for said energy, service connection and other dues including the deposit of such security, meter rent, as may be demanded in accordance with the scale of rates prescribed under Tamil Nadu Electricity Distribution Code, Supply Code, notifications and orders issued in this regard by Tamil Nadu Electricity Regulatory Commission. 3. I wish to be charged under Tariff .... under schedule of the TNERC tariff order dated. 4. I agree to take supply for ...... years and utilize the energy in the premises described hereunder or outside the premises for my bonafide use. 5. In case I sell or otherwise dispose of the property / vacate the premises while the supply is continued, I agree to give one Calendar month notice in writing and pay all the arrears to the Licensee. Failing such notice, I hold myself responsible for energy consumed in the premises till such notice is given to the Licensee. 6. Description of the premises Door No. and / or name of the house or premises Street Town / village and Taluk Owned by (Name in Block letters) Tenanted by (Name in block letters) Applicant's correspondence address 7. The following are my requirements (A) Lighting Number of Wattage of Total Point's point's wattage (i) Lights -- (ii) Fans -- (iii) Convenient wall plugs -- (B )Domestic electrical apparatus: (i)Cookers -- (ii) Water heaters -- (iii) Refrigerator -- (iv) Air Conditioners (v) Other purpose -- (vi) Convenience wall plugs-- (C) Power Loads (i) Domestic (ii) Industrial (iii) Welding (iv) Other purposes (v) Convenient Wall Plugs Demand applied for in KW The wiring has been completed on : Signature of the Consumer Place Date Note : The application shall be accompanied with the following documents: i) Proof of ownership (sale deed or property / water / sewerage tax receipt) ii) Consent letter from owner wherever applicable FOR LICENSEE'S USE ONLY Application registered as No. dated Note. 1. In case of transfer of the service, fresh application should be signed by the transferee (or a letter signed by both the transferor and transferee, agreeing to the above conditions for transfer should be obtained). 2. Additions or omissions to the connected load to be notified to the Licensee before effecting the electricity connections. PRECAUTION TO BE ADOPTED BY CONSUMERS, OWNERS ELECTRICAL CONTRACTORS, ELECTRICAL WORKMEN, AND OTHER SUPPLIERS OF ENERGY No electrical installation work, including additions, alterations, repairs and adjustments to existing installations except such replacement of lamps, fans, fuses, switches and other component parts of the installations as in no way alter its capacity or character shall be carried out upon the premises or on behalf of any consumer or owner for the purpose of the supply of energy to such consumer or owner, except by an authorized person specified by the Authority.
