APPENDIX-II

Application-cum-Agreement for supply if Electricity

(Non-judicial stamp worth Rs.....should be affixed to this form while presenting)

To
The..........................................................
................................................................
...............................................................
................................................................
Sir,
           I/We request you to supply electricity at L.T.to my/our premises situated at...........................
The requisite information is furnished below:
(a)       Name of the consumer:
(b)       Address for Communication:
(c)       Status of consumer: Consumer should state his legal status (i.e.,)  whether he is 
     individual, partnership firm of limited company or any other legal person.  In case of 
     partnership firm, it should be stated whether it is registered or unregistered, location of 
     its Head Office, names and addresses  of all partners  and a copy of partnership deed 
     should be filed.  In case of Company, it should be stated whether it is private limited or 
     public limited,  names of present directors and a copy of memorandum of articles of 
     association should be furnished.  In case of any other type of legal person full details and 
     name and address of person competent to represent the consumer should be stated).
(d)       Location of premises where supply is required.
(e)       Category of supply:
(f)        Purpose of supply:
(g)       Contracted load:
(h)       Contracted Demand in HP/KVA
(i)       Details of connected load at the time of commencement of supply.
2.        I/We undertake to agree to pay at the tariffs and Miscellaneous and general charges prescribed by the Board and abide by the terms and conditions
           of supply notified  by the Board from time to time, which shall govern the supply of electricity to me/us in all respects.
3.        I/We request that the Board should provide necessary meter/meters/metering equipment.
4.        I/We shall avail supply within three months from the date of issue of intimation that supply is available.  As and when from the date supply is availed 
           of or from the date of expiry of three months form the date of issue of intimation that supply is available, which ever date is earlier, I/We shall be  
           bound to pay the Board all charges in accordance with tariffs as may be prescribed by the Board from time to time and made applicable to me/us 
           and scale of  Miscellaneous and General charges and the terms and conditions of supply notified by the Board and I/We shall abide in all respects 
           by those terms and conditions.
5.        Monthly Minimum Charges:
           I/We  shall pay minimum charges every month as prescribed in tariffs, and terms and conditions of supply even if no electricity is consumed for any 
           reason whatsoever and also if the charges for electricity actually consumed are less than the minimum charges.  The minimum charges shall also be
           payable by me/us even if electricity is not consumed because supply has been disconnected by the Board because of non-payment of electricity 
           charges, pilferage or other malpractices of for any other valid reason.
6.        I/We shall pay the Board inspection fees, cost of service line and other charges as may be demanded by the Board.
7.        I/We hereby agree that if I/We, am/are found indulging in theft of energy or any malpractice in respect of use of electricity, I/we shall pay additional
           charges as may be levied by the Board.  I/We also agree that in such an event the Board shall in addition to levy of the additional charge have right
           to disconnect supply of electricity to my/our premises for such period as my be decided by the Board.
8.        I/We and the Board shall be at liberty determine the contract by giving in writing one month's notice expressing such intention at any time after the 
           date of expiry of two years.  I/We agree that the Andhra Pradesh State Electricity Board my terminate this contract at any time by giving one week's 
           notice, if I/We violate the terms of this agreement or the terms and conditions of supply notified by the Andhra Pradesh State Electricity Board from 
           time to time or the provisions of any law touching this agreement including the Electricity (Supply) Act, 1948, the Indian Electricity act, 1910 and 
           Rules made thereunder.  This Agreement shall remain in force until it is terminated as above indicated.
Note: In the case of supply for Agricultural purposes, furnish details of lands including survey number, area, ownership, intended to be irrigated.
(B.P.Ms.No.755 dated 26-6-89)
Date                                                                                                                                                                                 (Signature of Consumer)
Signed by the consumer in my presence:
(1) Signature
Name and Address
Date
(2) Signature
Name and Address
Date