Requisition for Re-connection

Requisition for Re - connection

To,
The Assistant Engineer (

),
Ajmer Vidyut Vitran Nigam Limited,

I/We hereby request the Nigam for Reconnection as per details Mentioned hereunder:-

1. Name of applicant (In block letters):

2. Father's/Husband Name:

3. Full Address of the Premises:

4. Account No.:

5. K.No.:

6. Category:

I/We also abide by the provisions contained in the prevailing "Terms and Conditions for Supply of Electricity" and "Tariff for Supply of Electricity" before supply is reconnected.

Date:-

(Signature of consumer(s))