Scribd
Upload
664 views1 page

Transfer Application Form

This document is a name change application form for an electricity service connection in Andhra Pradesh, India. It requests details of the current consumer and service, as well as details of the applicant requesting the name change. It asks for identification documents like Aadhar card, ownership documents, and permission letters to support the name change application. The applicant must provide their signature and upload all supporting documents in PDF format for processing.

Uploaded by

Chaitanya Chaitu CA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
664 views1 page

Transfer Application Form

This document is a name change application form for an electricity service connection in Andhra Pradesh, India. It requests details of the current consumer and service, as well as details of the applicant requesting the name change. It asks for identification documents like Aadhar card, ownership documents, and permission letters to support the name change application. The applicant must provide their signature and upload all supporting documents in PDF format for processing.

Uploaded by

Chaitanya Chaitu CA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Price: `1

CPDCL
PDCL Name Change Application Form

Name Changes Request Details:-


Paste here your
Service Connection Number*:: ___________
_____________________________________________
recent passport
Circle Name*:  Anathapur  Kurnool  Mahaboobnagar  Medak  Nalgonda size photograph
ERO Code*: ______________________________
___________________________________

Consumer Details:-
Consumer Details Actual Details Changed Details
Surname
Name
Father Name
Caste
Mobile Number

Service Type: ____________________________


___________________ Reason for Name Change: __________________________________________
Location of Premises:-
House No*: ______________Street*: _________________________
________________________________________________________________
_______________________
Circle*:  Anathapur  Kurnool  Mahaboobnagar  Medak  Nalgonda
Mandal *:____________________________
______ Village*: _______________________________
_ Pin Code: _________________
___
Section Name: _________________________________ Location Type*:
Type  Urban  Rural
Location Name*: ___________________________________________
____________________________________ Load Connected:: _____________________
_______
Dispatch No: _________________________________
_______________

Informant Details:-
Aadhar Number: ______________________________
______________________________Informant Name*: ________________________________
_________________________________
Relation*: _________________ Door No: _________________ Locality/Land Mark: ___________________________________
_________________
District*: _________________________
_________ Mandal
Mandal*: __________________________ Village/Ward*:: _______________________
_______
Pin Code: ___________________ Mobile **: _____________________________ Phone: ________________
_______________________
Email: ____________________________________________
________________________________________________ Delivery Type*:
Type  Manual
Security Deposit (Available) *:: __________
_______________________
Proof Document*:  Gift Deed  Sale Deed  Ownership Certificate  Indemnity Bond
ID Proof*:  Aadhar Card Copy  Driving Licen
License Copy  Electoral Copy  Pan Card copy  Ration card copy

Document List: - (NOTE: All Upload Documents are in PPDF Format Only)
Application Form*
ID Proof*
Caste Certificate (Mandatory if SC/ST) *
Owner Ship Certificate/Sale Deed/Gift Deed (Selected Proof Document) *
Municipality/Gram panchayat Permission Letter
Letter*
 Indemnity Bond*
 Transfer Transferee Document
Document*
 Latest Bill and Receipt*
Applicant’s Signature

You might also like