ry'tr PSPCLr' *ei&, ohl";i isen, H;*d "ffi;;'.Th;

MaJl, PatialaCINrU4o 1o9p'2o los*coggg lg Website: www_psp_c!.-i1

O*i"L ofElClc;m,nt;rci"L Se-S*les-Z Phone: OZTE-2214495g;"*Ut ;;ftG'*tw;,EfEm;i1.dom - F'gr: A175-2210320' 2307422

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I

B. iiu f€'ffi=aler-sfilro-fr4(ao.H), tfr-t, g.*a o€ts, err-tfdr 4'&S, r.,'fur2p-99-1

L Ombudsman, Electricity Punjab 66 KV Grid Sub Station, Plot No. A-2,

lndustrial Area, Phase 1, SAS Nagar (Mohali) -160055.

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13 Chief Administration & lR, PSPCL, Patiala.14. Finance Advisor, PSPCL, Patiala.

15. Chief Auditor, PSPCL, Patiala.16. CE/ARR &TR, PSPCL, Patiala17. CE/PP&R, PSPCL, Patiala18 f6-dTil6 fug.Ar,.e1.2}, ri:e,:w:a,:fu.r. uflar1i6' d u1.Dr..fi.F1.)ts fi es HEta

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20. All Addl.SEs/Sr.Xens/AEEs/Sales under PSPCL / Commercial Organization.21. CAO/TR (Finance), PSPCL, Patiala

lfur*-r

Page 4 of 8

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a

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Page 5 of 8

Feeder Name Season kwh/BHP/Month

11KV Sunderpura feeder in

Sub-Urban Sirhind Sub-Division,

District Fatehgarh Sahib,

Paddy Season 180

Non-Paddy Season 50

11KV Haripur feeder in Badali

Aala Singh Sub-Division, District

Fatehgarh Sahib

Paddy Season 180

Non-Paddy Season 50

11KV Kharora feeder in

Chaurwala Sub-Division District

Fatehgarh Sahib

Paddy Season 180

Non-Paddy Season 50

11KV Bambiwal-1 feeder in

Rural Cantt lalandhar Sub-

Division, District Jalandhar

Paddy Season 200

Non-Paddy Season 50

11KV Nawajipur feeder in

Malsian Sub-Division, District

Jalandhar

Paddy Season 160

Non-Paddy Season 40

11KV Dhanoya feeder in

Mukerian Sub-Division District

Hoshiarpur

Paddy Season 160

Non-Paddy Season 20

Paddy Season

Non-Paddy Season

DBTE Pilot Entitlements

20thJune to 20thoctober.

21't October to 19tn June.

Annexure-A

t-'j

Page 6 of 8

):r4:.'

h,Ed-dT -81.n

6T,ftf6 ?addtrf

Name of Scheme: "Lft1 E-d€ ffi o1ffi "Direct Benefit Transfer for Electricity (DBTE) Scheme to the Agriculture consumers

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I

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- -,-+e'o'

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10.

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Page 7 of 8

AN N EXU RE. B

ENROLMENT FORM

Name of Scheme: "trt1 u-s€ Afr 6ofl€; "Direct Benefit Transfer for Electricity (DBTE) Scheme to the Agriculture consumers

Would you like to be a part of the energyefficient pump-set scheme being offeredalono with this scheme? Read 4 for fullterms

(Siqnature of consumer) (Name of consumer)For office use only:

It is certified that the above details provided by the consumer has been

verified and found correct as per office record of PSPCL.

l.J.

(U

Signature of AE/AEEDS'Sub Division

i. Name of the Agricultural Pumpset (AP)consumer

2. Consumer's father nameConsumer's identity proof i,e. aadharcard/voter card/ ration card etc (Pleaseattach a copy of the identity proof with theapplication form)

4.Account Number of the AP connectionallotted bv PSPCL

5. Sanctioned Load of AP connection (BHP)

6. Name of 11 kV AP Feeder

7. Name of Division/ Sub Division

a Residential address of the AP consumer

9.Address of the land where the AP

connection is runninq

1n

11.

12.

Total agricultural land linked to the accountnumber mentioned at Sr. No. 4

acres etc,

Consumer's Mobile Number

Consumer's Bank account Details(Please attach a copy of the bank passbookwith the application form)

Account Number:_

Name of A/c holder:_

Bank Branch Name:

Bank Branch Address:

IFSC Code:

Date:

Page 8 of 8