Meeseva NPDCL Name Change Application Form

Meeseva NPDCL Name Change Application Form

Download Meeseva NPDCL Name Change Application Form

Service Connection Number*: ____________________
Circle Name*:
Adilabad Khammam
ERO Code*: ________________________________
Consumer Details:-
Actual Consumer Surname *: ______
Actual Consumer Name*: _________________
Actual Father Name*: _____________
Actual Caste *:
Others
S.C
Changed Caste *:
Others
S.C
Actual Mobile Number*: ________________
Service Type *:
Domestic Commercial
6B –
Public Water Works
6A –
Religious Places (Temples, Church, Mosque, Govt.Schools
Reason for Name Change*: __________________________
Location of Premises:-
House No: _____________
Street
Circle*:
Adilabad
Khammam
Division *:__________________________
Pin Code: ______________ Location Type
Location Name*: __________________
Dispatch No: ________________________
Informant Details:-
Informant Name*: _________________________
Door No*: _________________ Locality/Land Mark
District*: __________________ Mandal
Pin Code: _________________
Email: _______________________
Document List:-
Application Form*
Identification like Ration Card/Vote Card/PAN Card/Aadhaar Card
Caste Certificate (Mandatory if SC/ST)
Owner Ship Certificate/Sale Deed/Gift Deed/Indemnity Bond in case of
Premises*
Municipality/Gram panchayat
Indemnity Bond*
Transfer Transferee Document
Latest Bill and Receipt*