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PSEB CS-5 PUNJAB STATE ELECTRICITY BOARD
No._________Date__________
APPLICATION NO._______________
Dated:_________________
From
AE/AEE/XEN
__________
___________
To
____________
____________
Intimation of Acceptance of A&A form and Demand Notice.
Dear Sir/Sirs,
1. Your application
for_________KW load with_________KVA Contract Demand, Single/Three Phase 230
V/400V/11KV/33KV/66KV/132KV/220 KV under DS/NRS/ SP/ MS /LS/AP/BS/Street Lighting/RT/TM
category against requisition forms /A&A forms submitted on dated____________has
been accepted subject to the testing of your installation being found satisfactory.
2. The Board
undertakes to give supply provided you remit the following charges which are
at current rates. In case these charges are revised at the time of release
of connection/load, you would be liable to pay the difference, if any.
a) Rs._________as
Service Connection Charges/Fixed and variable charges payable as per Schedule
of General and Service Connection Charges.
b) Rs.__________as
balance amount of Advance Consumption Deposit as per Schedule of General and
Service Connection Charges.
c) Rs.___________as
Special Deposit such as____________.
d) Rs.___________as
Meter Security as per Schedule of General and Service Connection Charges.
3. You are
required to install Shunt Capacitor of_________KVAR capacity and the details
of the capacitors be indicated in the Test Report.
4. Details
of Step down transformers including furnace or distribution transformer to be
Installed by HT consumers be indicated in Test Report. Clearance of
Chief Electrical Inspector, Punjab allowing energisation of transformer be attached.
5. Power
of attorney in favour of duly authorized person/representative executing the
Agreement be supplied, in case of partnership firms, registered societies
and limited companies.
6. In
case of Industrial connection(except falling under green category), you are
required to obtain clearance certificate from Pb. Air and Water Pollution Control
Board and furnish the same with the test report.
7. You are
requested to install earth leakage protective device of suitable capacity and
indicate the same in the test report.
NOTE:-
This provision is applicable for applicants availing connections at lower voltage
with power requirement of 5 KW or more or where electric power is required for
X-ray installation or luminous tube sign installation and those at medium or
high voltage.
8. Copy of
Challan for having deposited Rs._______________in the treasury on account of
inspection fee of Chief Electrical Inspector be attached.
9. This demand
notice is valid for the period of 2/3 months from the date of issue. If
the requisite formalities as mentioned above are not complied within the validity
period of ________months from the date of issue of demand notice, your application
shall be liable for cancellation without serving any further notice in
this regard. However, if you want extension in the validity period of
demand notice, a request in this regard should be made to this office up to_________
before expiry of validity period alongwith a deposit of Rs._______as extension
fee. Please note that if no such request for extension in demand notice
period is received before the date of expiry of original demand notice period,
your application shall automatically be treated as cancelled and the same shall
not be revived afterwards.
10. You may also supply
the undertaking/documents as under:-
11. Please return this
letter duly signed alongwith compliance of above stipulations.
Yours faithfully,
XEN/AEE/AE
Sub-Division
List of documents to be submitted:-
1. Test Reports
2. Details
and particulars of shunt capacitors
3. Detail
and name plate data of step down transformer
4. Particulars
and name place data of the energy consuming appliances for industrial and AP
consumers.
5. Clearance
Certificate from PPCB if applicable or affidavit.
6. Certificate/document
for claiming priority if applicable.
7. Copy of
challan of CEI and permission accorded by him.
8. Other
documents in terms of Regulation No.3,.
APPLICANT'S REPLY
A Sum of Rs.______________________is being remitted herewith in Cash/Cheque
No.____________________dated__________________on_________________Bank__________________________________
a)
Service Connection Charges/
Rs._____________________________
Fixed Variable Charges
b)
Advance Consumption Deposit
Rs._____________________________
c)
Special Deposit/Other Charges e.g. Rs._____________________________
d)
Security for meter
Rs._____________________________
Signature_______________________
Date:____________________Place________________ |