Annexure 4.10(Ref. Clause 4.72.1) Format for transfer of connection/mutation of name To, The Executive Engineer ___________________ ___________________ A connection No.____________________ for contracted load of ____________ exists in name of ______________________ at ______________________________________________________________ (address). It is requested that above referred connection may please be transferred in name of ___________________________ at same address due to following reasons: _________________________________________________________________________ _____________________________________________________________________ Following documents for transfer of above connection is enclosed herewith. 1. Receipt of deposition of processing fee. 2. Registered deed/succession certificate/______________ . 3. Fresh application form duly filled in 4. No objection from the existing consumer if available/possible. 5. Thanking you. Name, Signature, Address, Phone No of the Applicant Acknowledgement Application of Sh./Smt. ----------------------- is, complete in all respect/has following shortcomings, for transfer of connection/mutation of name against connection No.____________________ in name of ___________________ is hereby received on ------ -----------. In this connection, the applicant is given a reference No.---------- to be used in all future correspondence. Signature of Representative of the Licensee
