CONSUMER SERVICES GROUP APPLICATION FORM · PDF fileCONSUMER SERVICES GROUP APPLICATION FORM...
Transcript of CONSUMER SERVICES GROUP APPLICATION FORM · PDF fileCONSUMER SERVICES GROUP APPLICATION FORM...
CONSUMER SERVICES GROUP
APPLICATION FORM FOR NEW CONNECTION
(Please refer instructions overleaf to help us serve you better)
FOR REGISTERING YOUR REQUEST/TO KNOW STATUS OF YOUR APPLICATION OR ANY FEEDBACK
CALL @ 39999707 OR LOG ON TO www.bsesdelhi.com
Also, e-mail us on [email protected] for any information grievance, feedback,appreciation or suggestion
BSES Rajdhani Power Limited
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
General Instructions
(Please go through the instructions before filing up the form)
1. All forms of BRPL are free of cost.
2. In case where a copy of certain documents has to be submitted, the applicant needs to produce the original
documents for verification by BRPL representative at the time of submission; the original documents must be
retained by the Applicant. However, a photocopy attested by Gazetted officer/ notary etc. is also acceptable.
The copy submitted to BRPL must be self-attested by the Applicant.
3. Applicant should insist on checking the Identity Card of BRPL representative visiting the premises. In case
of any feedback or complaint against our executive, please report to our helpline 011-39999707.
4. Applicant must not pay any money to any BRPL representative in cash including those providing
application forms, visiting premises or installing meter. In case of any feedback, appreciation or complaint
against our executive, please report to our helpline 011-39999707.
5 . All payments should be made against computerized Demand Note(s) at BSES counter/online, and receipt
thereof must be obtained and kept safely by the applicant.
6. Applicant should pay the Demand note amount within the stipulated time at designated cash counters only at
the Division Offices. Please note that payments of Rs. 20001/- and above should be made by way of DD/pay
order only payable at Delhi/New Delhi in favour of “BSES Rajdhani Power Ltd.”
7. Only complete documents shall be accepted by our executive. However, in case of non-availability of any
document at the time of visit, our executive shall assist in preparing the documentation and issue a deficiency
letter indicating the document to be attached with the filled up prescribed forms/ available documents left with
you, for submission of the same when completed, to your nearest customer care centre.
8. Applicant must ensure that wiring in his premises is complete and suitable metering space/protective devices
at applicant side are provided including Earth Leakage Protective Device (ELCB) which is mandatory as per
regulation - 42 of CEA.
9. BRPL has launched Door Step Services with the sole objective to facilitate our consumer in
documentation and delivery of services without the help of any middlemen. Please help us in our
fight against this menace.
BSES Rajdhani Power Limited
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
Section 2.
Section 1. Applicant Details (Fill as applicable)
1a.
2a.
Name of Applicant (specify as mentioned in proof of photo identity applicable for individual) / Organization Name (applicable for Organisation)
1b. Additional Details (Applicable for Individual )
Title
Mr. F I R S T M I D D L E L A S T
Mrs. F I R S T M I D D L E L A S T
1c. Additional Details (Applicable for Organisation)
F I R S T M I D D L E L A S T
D D M M Y Y
Designation of Signatory
Mother's Maiden Name
Name of Authorized Signatory
Date of IncorporationType of Organization (Refer Section 1c of New Connection Application Manual)
Father's/Husband's Name
Male/Female
F I R S T M I D D L E L A S T
Mr. Mrs. Ms. Others (Please Specify) …….............................…...
D D M M Y YM F Others Date of Birth
Premises Address at which Connection is required
House No.
Building Name
Street
Area PIN 1 1 0 0
Landmark
Landline Mobile
Email @
Communication Address (applicable for Individual) and Registered Address (applicable for Organisation) / Billing / Landlord Address
Address
Please provide your contact details to help us serve you better
House No.
Building Name
Street
Area PIN 1 1 0 0
Landmark
Landline Mobile
Email @
Section 3. Category
TEMPORARY
Type of Premises
Company ProvidedOwned Govt. Provided OthersRented/Lease
Type of Area
3a.
3b.
3c.
2b.
Signature of Applicant/Authorized SignatoryDate D D M M Y Y
BSES Rajdhani Power Limited
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
E-BILL
YES
NO
RH (Residential Area) :
VI (Village Area ):
HB (High Rise building) :
IA (Industrial Area) :
UC or JJ-Unauthorised Jhuggi Jhopri):
SA (Shopping Complex or Area)
DD (DDA Flat) :
FA (Farm House) :
CGHS Flats :
Govt. Flats :
Valid till DD MM YYYY
3d.
1
Request No.
AcknowledgmentDocuments Received :
Ownership Proof: __________________________________________
Address Proof: ____________________________________________
Others: ___________________________________________________
Name
Designation
Section 4.
Section 7.
4a Purpose/usage of new connection - Refer to Section 4 of Application Manual and mention relevant Code here and
Mention Description of purpose/usage as mentioned in Section 4 of Application Manual here
4b
4c
4d
4e
Signature of Applicant/Authorized Signatory
Applicant's Meter
Voltage Level Phase
Meter Choice
Date D D M M Y Y
List of documents attached
if applicable
BSES Rajdhani Power Limited
Prepaid Post Paid
Section 5. Near by Installation Pole No. / Feeder No. Meter No. House No.
Section 6. ELCB Installed Yes/No MCCB Main Switch Yes/No
7a 7b
issued by Govt. Agency
Rent receipt for the last 3 months / Lease agreementalong with no objection certificate and proof of ownership of landlord
vi NOC from other legal heir / owner
7c a. Industrial
Valid Industrial License / Factory License / Lal Dora Certificate in case of rural village
b. Agricultural Consumers
i. Certificate of Residence from Block Development Officer
ii. No Objection Certificate from Development Commissioner / Block Development Officer Delhi Jal Board for tube wells
c. Non-domestic for Khokhas and Temporary Structure
i. Teh Bazaari Receipt Number
ii. No Objection Certificate for Khokha/Temporary Structure for single delivery supply
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
* Select whichever is applicable
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BSES Rajdhani Power Limited
That the internal wiring at the premises has been tested by a Licensed Electrical Contractor and the test certificate is available with the applicant. Provided that in case of Government quarters / offices, the certificate issued by the designated officer of the Government may be accepted by the Licensee.
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
Date D D M M Y Y
Note : Applicable laws but not limited to shall include the following :1. In case the location of the premises where connection is being sought does not conform to the minimum permissible distance from a
HT Line, the applicant shall be solely liable for any direct and / or indirect loss (including life and property) in case of any damage / accident in the premises due to the HT Line.
2. Every charge of electricity / any other sum + other than such charge for electricity due and payable to Licensee which remained unpaid by erstwhile owner/occupier of the premises/land shall be recoverable from the applicant. The said other sum would also include any bill raised towards theft of energy/ misuse charges.
3. As per Clause 61A of the Indian Electricity Rules, 1956 (as amended up to date), Earth Leakages Protective Device (ELCB) for low voltage installation of 2 kW and above is mandatory and applicant has installed the ELCB in accordance with the said clause.
4. In case of receipt of reference from the concerned land owning / law enforcing agency regarding sealing / demolition / vacation of Premises and / or in case where any suit is filed against the Licensee on account of giving supply to the Premises, Licensee is authorized to disconnect the supply of electricity without any further notice.
5. The applicant shall provide adequate space of prescribed design for housing the electrical equipment's etc. to be installed by the Licensee and also provide certificate from Electrical Inspector in case of HT connection as applicable under Central Electricity Authority (Measures relating to safety and Electric Supply) Regulations 2010.
BSES Rajdhani Power Limited
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
2017
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BRPL
BRPL
BRPL
BRPLBRPL
BRPL
399999707
BSES Rajdhani Power Limited.4001/-
BSES Rajdhani Power Limited
. As an Applicant for such a connection, you need to fill up the following forms and submit specified documents as part of your application.
Space Requirement
Sl. No. Category Description Minimum Size (Meters)
For a load of 100kw to 300kw or the plot size of 300 sq. meter to 1000 sq. meter
Installation of one number of 11kv PoleMounted Distribution Transformer
4Mx 4M(i)
For a load of 100kw to 300kw or the plot size of 300sq. meter to 1000 sq. meter
Installation of one number of 11kv Plinth Mounted Distribution Transformer
8Mx 5M(ii)
For a load above 300kw to 700kw or the plot size of 1000 sq. meter to 2000 sq. meter
Installation of one number of 11kv Plinth Mounted Distribution Transformer
9Mx 5M(iii)
For a load above 700kw to 1500kw or the plot size of 2000 sq. meter to 4000 sq. meter
Installation of two number of 11kv Plinth Mounted Distribution Transformers
10Mx 8M(iv)
Cases not covered above Actual size based on load requirement
(v)
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
The minimum space required to be provided by the developer / applicant for installation of distribution transformers shall be as under :
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BSES Rajdhani Power Limited
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
Sl. No. Tariff Category (as per Tariff Order)Security Deposit for Permanent Connection (Rs. kW or per kVA as the case may be)
Domestic
Upto 2kW
Above 2kW upto 5kW
Above 5kW
Non-Domestic
Industrial
Agriculture
Public Lighting
Railway, DMRC, DIAL, DJB
Mushroom Cultivation
Advertisement and Hoardings
Any other category not specified above
1
(i)
(ii)
(iii)
2
3
4
5
6
7
8
9
600
900
1200
4500
4500
300
3000
3000
600
4500
To be decided by commission
TABLE 2
S.No. Type of area Sd Load Amount RR Charges Total
1 2 3 4 5
Upto 5 KW
5-150 KW
150-200 KW / 215 KVA
Upto 200 KW / 215 KVA
I
II
III
Electrified Area
Un-electrified Area
3000
Maximum of 25000
(3000+500 per KW or KVA)
25000+4000 per KW or KVA
14000 per KW or KVA
Actual RR Charges for
Servcie line
Actual RR Charges for
Service line
Actual RR Charges for
Service line
Actual RR Charges for
Service line
4+5
4+5
4+5
4+5
OTHER MISCELLANEOUS CHARGES
1
2
3
4
I
II
5
I
II
III
IV
6
I
II
Non-refundable registration cum processing fee of EHT and HT connections
Field Inspection to be scheduled on a holiday for the Licensee
Security towards pre-payment meter
One time non-refundable charges for temporary connections
LT Supply
HT Supply
Installation Inspection Fee other than at the time of energising new connection
Upto 5 kW
More than 5kW upto 10 kW
More than 10 kW
HT Installation
Charges for reconnection in case of change of occupancy or temporary disconnection
Single phase connection
Three phase connection
1000
500
3000
500 per kW
2000 per kW
120
200
400
1000
200
500
TABLE - 1
TABLE - 3
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Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
BSES Rajdhani Power Limited
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BRPL.BRPL
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com8
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com
(This installation Test Report is to be certified by a Licensed Electrical Contractor. This is for reference of consumer.)
Signature of AMPS/DGM (Licensee)
9
Power Helpline
Nature of Services/Complaints BRPL Power Supply/
Billing & Metering/
39999707
Anti Corruption/
Door Step Services
FOR REGISTERING YOUR REQUEST / TO KNOW STATUS OF YOUR APPLICATION / OR ANY FEEDBACK.
CALL @ 39999707 OR LOG ON TO www.bsesdelhi.com OR E-mail at [email protected]
Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019
CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com