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APCPDCL SERVICE REQUEST REGISTRATION

CONSUMER SERVICE REQUEST REGISTRATION FORM

SERVICE TYPE *

CATEGORY TYPE *

LT Category HT Category

SERVICE NUMBER *

REGISTRATION NO *

CIRCLE *

MANDAL *

SECTION *

Consumer Details Info

CONSUMER NAME *

FATHER NAME *

STREET NAME *

DOOR/HOUSE No. *

TOWN/CITY *

LANDMARK *

EMAIL ID

PIN CODE *

CONTRACT LOAD *

PHASE TYPE *

SC TYPE *

CATEGORY *

LOAD TYPE *

ESTIMATION TYPE *

Without Estimate With Estimate

REMARKS *

Consumer Details Info

CONSUMER NAME *

FATHER NAME *

STREET NAME *

DOOR/HOUSE No. *

TOWN/CITY *

LANDMARK *

EMAIL ID

PINCODE *

REMARKS *

ESTIMATION TYPE *

Without Estimate With Estimate

EXECUTION TYPE *

Department Turn key

CONTRACTED LOAD *

WATTS

Note: 1 KW is equal to 1000 WATTS

ADVANCE CHARGES *

Category Change Details

CHANGED CATEGORY *

PHASE TYPE *

PURPOSE OF SUPPLY

EXISTED EXECUTION TYPE *

Department Turn key

CHANGE EXECUTION TYPE *

Department Turn key

ADDITIONAL LOAD *

CONTRACTED LOAD (After Load AdditionS)

Load should be ≥ 70KVA

LOAD TO BE REDUCED *

CONTRACTED LOAD (After Load Reduced)

Load should be ≤ 75KW

Load should be ≤ 100HP

ADDITIONAL LOAD *

CONTRACTED LOAD (After Addition)

CONSUMER NAME *

FATHER NAME *

SOCIAL GROUP *

METER TYPE *

METER AMOUNT *

LOAD TO BE REDUCED *

CONTRACTED LOAD (After Load Deration)

Roof Top Panel Capacity*

LOAD CAPACITY *

NEW DOOR NO *

NEW STREET *

NEW LAND MARK*

NEW CITY*

Information Details Info

PROOF OF DOCUMENT *

MOBILE NUMBER *

ID PROOF DOC *

ID DOC NUMBER *

Document List Info

Upload Electricity Bill Copy

File Browse:

Upload ID Proof Document

File Browse:

Estimated Charges Details Info

APPLICATION FEE

Rs.

DEVELOPMENT CHARGES

Rs.

SECURITY DEPOSIT

Rs.

ADVANCE CC CHARGES

Rs.

SGST CHARGES @9%

Rs.

CGST CHARGES @9%

Rs.

OTHER CHARGES

Rs.

TOTAL AMOUNT

Rs.