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AFFIDAVIT

I MR/Mrs.. Son of MR/Mrs.. Aged


about X years, by caste Muslim resident of .. in
the district of .. do hereby solemnly affirm and declare as follows :-

1. That I am a law abiding and bonafide Citizen of India and a resident of the
aforesaid locality. This IS true to the best of my knowledge and belief.
2. that I am owner and professor of a resident /commercial House standing over the
plot and measuring . Covered by dag
no..Patta nosituated at village

.. and my

Possession thereupon is not subjected to any lease or tendency.

This Is true to my knowledge and belief

3. That I have desire to take electric service connection in my aforesaid house as


per Assam power Distribution company limited terms and condition of
supply.1988 as amended from time to time.

This Is true to my knowledge and belief.

4. That, I shall be abide by the rules and regulation of the Assam Power Distribution
Company Limited for such electric Connection to my said House/preemies.

This is true to my knowledge and belief.

5. That there is no legal impediment in giving electric connection to my aforesaid


house/holding.

This is true to my knowledge and belief.

6. That, I hereby declare that electricity connection provided by Assam Power


Distribution Company Limited. Will not confer on me any right, privilege or claim
for establishing my legal ownership/title in respect of the aforesaid
house/buildings before any court of law or other forum.
This is true to my knowledge and belief.

7. That, I further declare that in the event of acquisition/requisition of my said


property or my eviction by the Govt. or other lawful authority, the Assam Power
Distribution Company Limited. shall have all rights and powers to disconnect the
supply of electricity and dismantle the electrical installations fitted in my said
house/building immediately without serving any notice of such disconnection
upon me.
This is true to my knowledge and belief.

8. That , it is further declare that all the amount to be paid or deposited by me on


account of all charges mentioned in Para 5 above for obtaining electricity
connection will stand forfeited on the event of such disconnection by Assam
Power Distribution Company Limited.

This is true to the best of my knowledge and belief.

9. That, I further undertake that I shall not claim any compensation or damages
whatsoever from Assam Power Distribution Company Limited. in the event of
disconnection of supply or disconnection of electricity lines to my said
house/buildings by the authority of the Assam Power Distribution Company
Limited.
This is true to my knowledge and belief.
10.That this Affidavit will be used as a piece of evidence to prove all the statements
made in the foregoing paragraphs and also will be used in obtaining electricity
connection to aforesaid Commercial house/buildings.
VERIFICATION

I, MR/Mrs.., S/O: MR/Mrs.., the


abovementioned deponent do hereby solemnly declare that all the statements
made therein before in Para 1 to 10 are true to the best of my knowledge and belief
and information and I sign this Affidavit on this day of .

Identified by me
DEPONENT

Solemnly affirmed and declared before me by


Advocate the deponent who id identified by
Advocate, Guwhati
on this the . Day ..

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