Central Power Distribution Company of Andhra Pradesh Limited: Transfer of Service: TRANSFER APPLICATION FORM

Central Power Distribution Company of Andhra Pradesh Limited

TRANSFER APPLICATION FORM

I………………………………………………. hereby transfer my service connection No…………………………. at Door No……………………………………. Street …..

……………………………..Town…………………………………………………..

to Sri/Smt/kumari……………… …………………………………………..

with Security Deposit of Rs………………………….(Rupees………………………………………

……………………………………………….) pledged by me as I have (1) left the house of (2) sold the

house of (3) Mortgaged and I have nothing to do with the service from henceforth, as have

foregone all my rights in the service connection.

Signature of Transferor

I ……………………………………………………………………..hereby agree to transfer of

the said service connection No………………………………………………….at Door No………………….

…………..Street……………………………………….Town……………………………………

with the security deposit as i have taken possession of the said premises from Sri/Smt/Kumari…….

………………………………………………………………………I hereby agree to

abide by the conditions of the agreement for the requisition entered into by Sri/Smt/Kumari……….

…………………………………………………….with the Board.I agree to

execute agreement and L.T. requisition and abide by the conditions laid down by the Board if

required .

Signature of Transferee.