Change of Name-Legal Heir
Change of Name-Legal Heir
Change of Name-Legal Heir
App No
For Office
Use Only
Con No load/ Con
Date
Demand
.............. Date of change of
Purpose Tariff
kW/kVA ownership Affix recent Passport size
Photograph of applicant /
Kerala State Electricity Board Limited authorised signatory
Name
Land
Phone No.
Mobile
E mail
If connection is Name of Organisation
2 required for an
Organisation Designation of Applicant
Name & dtd signature of Name & dtd signature of Name & dtd signature of
owner first witness second witness