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BANGALORE ELECTRICITYSUPPLY COMPANY LIMITED
(Wholly owned Government of Karnataka Undertaking)

REQUISITION FOR SUPPLY OF ENERGY

UNDER ELECTRICITY ACT 2003
(please tick ('II) on the appropriate box) Refer Annexure-/
o LT-l BJ/KJ Installation
o LT-2 Domestic Consumer Category I 0 LT-2a(i) o LT-2a(ii) o LT -2b(i) 0 LT- 2b(ii)
o LT-3 Commercial Lighting & Heating I 0 LT-3(i) o LT-3(ii)
o LT-4 IP Set Installations I 0 LT-4(a) o LT-4(b) o LT-4(c)(i) o LT-4(c)(ii)
o LT-S Installations of LT Industries o LT-5(a) o LT-5(b)
o LT-6 Water Supply/ Street light o LT-6(a) o LT-6(b)
o LT-7 Temporary Connection
Applicatin Type
I o Regular I o Tatkal

A I GENERAL PARTICULARS
For individual Applicants only
Name
Father's/Husband's Name
Name of the Nominee (Optional)

For Organization/ Corporate Applicants only

Name of the Organization

I I I I I I I I I
Name of the Authorized Signatory
Designation of the Authorized Signatory
Complete Address of location where power supply is required
House No./Flat No./Shop No./Plot No. I I I I I I I I I I
Floor Street Name
Area/ Cross
Location
Main City
Pin I Ph. No. Mobile
Landmark
Email
Permanent Address/ Registered Office Address in case of Company

o Same address as mentioned above o If different, specify below

House NO./Flat No./Shop No.1 Plot No.
Floor Street Name
Area/ Cross
Location
Main City
Pin I Ph. No. Mobile
Landmark
Email "

I
B PARTICULARS OF CONNECTION
No. of Points Desired load (KW/HP)
Required Voltage (V/ kV) Phase Requirement
o
Single phase o Three phase

Version-I
This requisition is for
o A new Service lOA sub-service from existing service
In case of new service, Adjacent Acc.ID/ R.R.No. I
In case of sub-service from existing service
Name of the existing consumer
Existing R.R.No. Acc.ID.
C I ACCOUNTDETAILS
Power Supply Required for (please tick (V) on the appropriate box)
Residential Commercial Industrial
Public Water Supply Agriculture IP Set Temporary
Kutira Jyothi Bhagya Jyothi Ganga Kalyana
If Government Central State
Public Street light/ Public Park light
Self Rental Public Use
I
D ADDITIONAL DETAILS
Any Other Special Government Scheme (please tick (V) on the appropriate box)
BJ KJ RGGVY GANGA KALYANA
Type of Ownership
Individual Leased/ Rental Co owned
Proprietorship Public Company Private Company
Partnership Trust
If IP set, Water Source
Open well Bore well River
Channel Sub-channel Nallah
Details of any other installation in his/her/their name in BESCOM area
R.R.No. Account No.
Installation #1
Installation #2
Installation #3
I
E PARTICULARS OF LEC
Name ofthe Licensed Electrical Contractor
I I
Address of the LEC
I I
Class
license No. Validity
Supervisor Permit No. Validity
If LECis different from the one mentioned herein, same may brought to the knowledge of BESCOM
DECLARATION
I/We hereby declare that the information provided herein are true and to the best of my/our
knowledge and I/We agree with the licensee to take a power supply for the above mentioned
purposes in accordance with KERCConditions of Supply (CoS & Supply Code) as amended from
time to time generally and specifically bound by the provisions of Clause 43 of Conditions of
Supply, 2006.
Name
Name/Seal of Organization
Affix Recent
Passport Size
Photograph of
Applicant
Date
Place Applicant's Signature
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BANGALORE ELECTRICITY SUPPLY COMPANY LIMITED
(Wholly owned Government of Karnataka Undertaking)

F List of Documents to be submitted (please tick ('1/) on the appropriate box) Refer Annexure-II
1 Proof of Ownership of the premises or Proof of Occupancy
2 General License from the local authority, if such License is provided for
3 In case of partnership firm, registered partnership deed
4 In case of a Limited Company, Memorandum and Articles of Association and Certificate of
Incorporation
5 Indemnity Bond if the Applicant is not the owner of the premises
6 Proof of Permanent residential address of the applicant and PAN number, if any
7 An undertaking stating that the applicant will not engage Child Labour in their Industrial!
Commercial installation. Also consent to disconnect the power supply to the installation in
case of violation
8 Full address with Location sketch
9 An undertaking on plain paper agreeing to install the Solar Water heater as per KERCtariff
order
10 A power supply agreement for supply of lowl high tension electrical energy in the
prescribed format on a specified stamp duty paper of amount as prescribed by the
Commission from time to time

Version-I
 GENERAL INSTRUCTIONS

1. Application should be filled up in Blockletters only and tick the boxeswherever necessary

2. ReferANNEXURE-Ito know your Tariff Category

3. ReferANNEXURE-litoknow the list of documents to be submitted

4. Affix your photograph and signature compulsorily

5. The filled in requisition form should be submitted to the AEEof the Sub Division

6. For any clarifications pleasecontact concerned Sub Division office

7. The application Registration / Re-registration cum Processingfees payable by the Applicant for
registration purpose is asfollows (Clause30.01) :

SI. Category Amount

No. (inRs.)
1. Domestic/ Non-Commercial lighting. 25.00
2. Domestic combined lighting & heating (AEH)/
Non-Commercial/ Non-Domesticcombined lighting 50.00
& heating.
3. Commercial lighting. 50.00
4. l.T. Power (3 phase) 100.00
5. Commercial/Residential complexes/ M.S. As prescribed for each installation of
Buildings. that category as above subject to
minimum of Rs.250.00 per premises
6. Layouts. 250.00 per layout

8. Process Flow Chart

Power
Registration Estimate Chargespayment
sanction
(AET) (Field officer) (Consumer)
/Intimation

1
Submissionof wiring
Issueof R.R
+--
Executionof work
~
Work Order .__ diagram, Completion
No. (Fieldofficer) (AET) report Agreement
(Consumer)

1
Servicingof
Installation
9. Indicative Maximum time limit (Clause 3, Duty of Licensee to Supply Electricity on request):

Release of Power Supply where service is Within one month of receipt of application
feasible from existing network
Release of supply where Network Expansion/ LT supply : 45 days
Enhancement required for providing connection llkV HT supply : 60 days
33kV HT supply : 90 days
EHT supply : 180 days
IP sets Within 30 days after attaining seniority (The
number of new connections shall be limited to
the target fixed for the year)

For any Electricity Complaints/ Suggestions, please call BESCOM Helpline 1912
Visit: www.bescom.org

Tariff
Sub Category
Schedule
LT-1
LT-2(a) LT-2a(i)
Applicable to areascoming under
Bruhat BangaloreMahanagara
Palike (BBMP),Municipal
Corporation and all Urban Local
Bodies
I-----------~
LT-2a(ii)Applicable to Areas
under Village Panchayats
LT-2(b) LT-2b(i)
Private and Professional
Educational Institutions in BBMP motive power.
Areas, Municipal Corporation and
all areas under urban Local
Bodies
LT-2b(ii)
Private & Professional
Educational Institutions in Areas
under Village Panchayats
ANNEXURE-I
ELECTRICITY TARIFF SCHEDULE - 2015
(LOW TENSION)
Applicable to
Installations serviced under Bhagyajyothiand Kutirajyothi (BJ/KJ)Schemes
Applicable to lighting/combined lighting, heating and motive Power installations of residential houses and also to
such houses where a portion is used by the occupant for (a) Handloom weaving (b) Silk rearing and reeling and
artisans using motors up to 200 watts (c) Consultancyin (i) Engineering (ii) Architecture (iii) Medicine (iv) Astrology
(v) Legalmatters (vi) Income tax (vii) Chartered Accountants (d) Jobtyping (e) Tailoring (f) Post Office (g) Gold smithy
(h) Chawki rearing (i) Payingguests/Home stay guests (j) personal Computers (k) Dhobis (I) Hand operated printing
press (m) Beauty Parlours (n) Water Supply installations, Lift which is independently serviced for bonafide use of
residential complexes/residence, (0) Farm Housesand yard lighting limiting to 120 Watts, (p) Fodder Choppers &
Milking Machines with a connected load up to 1 HP.Also applicable to the installations of (i) Hospitals,Dispensaries,
Health Centers run by State /Central Govt. and local bodies. (ii) Houses,schoolsand Hostels meant for handicapped,
aged destitute and orphans (iii) Rehabilitation Centres run by charitable institutions, AIDS and drug addicts
Rehabilitation Centres (iv) Railwaystaff Quarters with single meter(v) fire service stations. It is also applicable to the
installations of (a) Temples, Mosques, Churches,Gurudwaras, Ashrams, Mutts and religious/Charitable institutions
(b) Hospitals,Dispensariesand Health Centresrun by Charitable institutions including X-ray units (c)Jailsand Prisons
(d) Schools,Colleges,Educational institutions run by State/Central Govt.,/Local Bodies (e) Seminaries(f) Hostels run
by the Government, Educational Institutions, Cultural, Scientific and Charitable Institutions (g) Guest
Houses/TravelersBungalowsrun in Government buildings or by State/Central Govt./Religious/Charitable institutions
(h) Public libraries (i) Silk rearing (j) Museums (k) Installations of Historical Monuments of Archaeology
Departments(l) Public Telephone Booths without STD/ISD/FAXfacility run by handicapped people (m) Sulabh/
Nirmal Souchalayas(n) Viswa Shedshaving Lighting Loadsonly.
Applicable to the installations of Private Professional and other Private Educational Institutions including aided,
unaided institutions, Nursing Homes and Private Hospitals having only lighting or combined lighting & heating, and
 Tariff
Sub Category Applicable to
Schedule
LT-3 LT-3(i) Applicable to Commercial Lighting, Heating and Motive Power installations of Clinics,DiagnosticCenters,X Rayunits,
Applicable in areascoming under Shops, Stores, Hotels/Restaurants/Boarding and Lodging Homes, Bars, Private guest Houses, Mess, Clubs, Kalyan
BBMP,Municipal Corporation Mantaps / Choultry, permanent Cinemas/ Semi Permanent Cinemas,Theatres, Petrol Bunks, Petrol, Diesel and oil
and all areasunder urban local Storage Plants,Service Stations/ Garages,Banks,Telephone Exchanges.T.V. Stations, Microwave Stations, All India
bodies Radio, DishAntenna, Public Telephone Booths/ STD,ISO,FAXCommunication Centers, Stud Farms,RaceCourse, Ice
Cream Parlours, Computer Centres, Photo Studio / colour Laboratory, Xerox Copiers, Railway Installation excepting
LT-3(ii)
Railwayworkshop, KSRTCBusStations excepting Workshop, All offices, PoliceStations, Commercial Complexes,Lifts
Applicable in areasunder village
of Commercial Complexes, Battery Charging units, Tyre Vulcanizing Centres, Post Offices, Bakery shops, Tailoring
Panchayats
Shops, Beauty Parlours, Stadiums other than those maintained by Govt. and Local Bodies. It is also applicable to
water supply pumps and street lights not covered under LT 6, Cyber cafes, Internet surfing cafes, Call centers, LT.
based medical transcription centers, Private Hostels not covered under LT-2 (a), Paying guests accommodation
provided in an independent / exclusivepremise.

LT-4 LT-4(a) (a) Agricultural Pump Sets including Sprinklers, (b) Pump sets used in (i) Nurseries of forest and Horticultural
Applicable to I.P.SetsUp to and Departments (ii) GrassFarmsand Gardens (iii) Plantations other than Coffee, Tea, Rubber and Private Horticulture
inclusive of 10 HP Nurseries
LT-4(b)
Applicable to IP sets above 10 HP

LT-4(c)(i) -
Applicable to Private
Horticultural Nurseries,Coffee,
Tea and Rubberplantations of
sanctioned load up to and
inclusive of 10 HP.
LT-4(c)(ii)
Applicable to Private
Horticultural Nurseries,Coffee,
Tea and Rubberplantations of
sanctioned load above 10 HP.

7
 Tariff
Sub Category Applicable to
Schedule
LT-S LT-S(a) LT Heating & Motive power (including lighting) installations of industrial Units, Workshops, Poultry Farms,Sugarcane
Industries: Applicable to Crushers,Coffee Pulping,Cardamomdrying, Mushroom raising installations, Flour, Huller & RiceMills, Wet Grinders,
BangaloreMetropolitan Area & Milk dairies, Dry Cleanersand Laundrieshaving washing, Drying, Ironing etc., Bulk Ice Cream and Ice manufacturing
Municipal Corporation Units, Coffee Roasting and Grinding Works, Cold Storage Plants, Bakery Product Mfg. Units, KSRTC
workshops/Depots, Railway workshops, Drug manufacturing units and Testing laboratories, Printing Presses,
Garment manufacturing units, Bulk Milk vending Booths, Swimming Pools of local Bodies, Tyre retreading units,
Stone crushers, Stone cutting, Chilly Grinders, Phova Mills, pulverizing Mills, Decorticators, Iron & Red-Oxide
I- ----Icrushing units, crematoriums, hatcheries, Tissue culture, Saw Mills, Toy/wood industries, Viswa Shedswith mixed
LT-S(b) LT load sanctioned under Viswa Scheme, Cinematic activities such as Processing, Printing, Developing, Recording
Industries: Applicable to all areas theatres, Dubbing Theatres and film studios, Agarbathi manufacturing unit., Water supply installations of KIADB&
other than those covered under industrial units, Gem & Diamond cutting Units, Floriculture, Green House, Biotech Labs., Hybrid seed processing
LT-S(a) units. Information Technology industries engaged in development of hardware & Software, Information Technology
(IT) enabled Services/ Start-ups/ Animation / Gaming/ Computer Graphicsas certified by the IT & BTDepartment of
GOK/GOI,Silk filature units, Aqua Culture, Prawn Culture, Brick manufacturing units, Silk / Cotton colour dying,
Stadiums maintained by Govt. and local bodies, Fire service stations, Gold / Silver ornament manufacturing units,
Effluent treatment plants, Drainage water treatment plants, LPGbottling plants and petroleum pipeline projects,
Piggeryfarms, Analytical Lab.for analysisof ore metals, Satellite communication centers, Mineral water processing
plants / drinking water bottling plants and sodafountain units.

LT-6 LT-6(a) Water Water supply and sewerage pumping installations and also Applicable to Public Street lights/ Park lights of village
Supply Panchayat, Town Panchayat, Town Municipalities, City Municipalities / Corporations / State and Central Govt. /
APMC,Traffic signals,subways,water fountains of local bodies. Also applicable to Streetlights of residential Campus
of universities, other educational institutions, housing colonies approved by local bodies/development authority,
1- ----1 religious institutions, organizations run on charitable basis,industrial area / estate and notified areas,also applicable
LT-6(b) Public to water supply installations in residential Layouts,Street lights along with signal lights including the gateman's shed
Lighting with associatedequipment provided at the Railwaylevel crossing.

LT-7 Hoardings& Advertisement boards, Bus Shelters with Advertising Boards, Private Advertising Posts/ Sign boards in
the interest of Public such as Police Canopy Direction boards, and other sign boards sponsored by the Private
Advertising Agencies.Temporary Power Supply of all categories
 ANNEXURE-II
Tariff wise List of documents required:

SLNo Name of the document LTl LT2 LT3 LT4 LTS LT6 LT1

1 Proof of Identity Voter ID Voter ID Voter ID Voter ID Voter ID Voter ID

(Anyone) BPL Card Ration Card Ration Card Ration Card Ration Card Ration Card
Ration Card Passport Passport Passport Passport Passport
Driving License Driving License Driving License Driving License Driving License
PAN card PAN card PAN card PAN card PAN card
2 Proof of ownership (Any Registered sale deed Registered sale deed Record of Rights (RTC) Registered sale deed Registered sale deed
one)
Water rights certificate issued
Registered partition deed Registered partition deed by competent authority Registered partition deed Registered partition deed

No objection certificate
NA
(NOC) from horticultural
Registered gift deed Registered gift deed department {only for LT-4 (c)} Registered gift deed Registered gift deed
Registered lease deed and Registered lease deed and Registered lease deed and Registered lease deed and
Indemnity Bond (since the Indemnity Bond (sincethe Indemnity Bond (sincethe Indemnity Bond (since the
Applicant is not the owner of the Applicant is not the owner of Applicant is not the owner of the Applicant is not the owner of
premises) the premises) premises) the premises)
3 Architect Plan by registered
NA A A NA NA NA
Architect
Application
4 An undertaking on plain paper A A
from the
agreeing to install the Solar Water (where hot water is required (where hot water is required
NA A NA competent NA
heater as per KERCtariff order. for processing or auxiliary for processing or auxiliary
authority.
purpose) purpose)
(MGPand YGM
5 Trade license issued by Competent A
to examine)
Authority (General/Trade license
NA NA A NA NA
issued by Competent
Authority)
Approval from the electrical
inspectorate along with an
undertaking by the applicant where
6 NA NA NA NA NA A
assembly of people is more than 99
along with other statutory
approvals.

Indemnity Bond indemnifying the

7 NA NA NA NA NA A
licensee in respect of collateral
damages.
An undertaking stating that the
applicant will not engage Child
Labour in their Industrial!
8 Commercial installation. Also NA NA A NA A NA
consent to disconnect the power
supply to the installation in case of
violation.
 Annex-7
POWER SUPPLY AGREEMENT FOR SUPPLY OF LOW TENSION ELECTRICAL ENERGY

An Agreement made this day of (date) of (month)

two thousand and __ between the --------------------ELECTRICITY
SUPPLY COMPANYLTD,a body
constituted by the Government of Karnataka (hereinafter called the 'LICENSEE'which
expression,wherever the context so admits shall include its successorsand assigns)of the one
part;

AND

_______ (herein after called as the 'CONSUMER'which expression, wherever the

context so admits shall include its successor,successorsin businessand assigns,heirs,executors
and administrators) of the other part.

Whereas at the request of the Consumer, the Licensee has agreed to supply to the Consumer
electricity for the purpose of in hisher/it's premisesat

____________________________________________________________________ for
bonafide purpose within the premises.

1. DEFINITIONS:
In this Agreement, unlessthe context otherwise requires:
a. "Act" shall mean the Electricity Act, 2003or such other enactment governing the
supply and use of electrical energy as may be in force from time to time.
b. "Conditions of Supply" shall mean the "Conditions of Supply of Electricity of
Distribution Licensee in the State of Karnataka" approved by the Karnataka
Electricity Regulatory Commissionand as amended from time to time.
c. "Commission" means the Karnataka Electricity Regulatory Commission.
d. "Street" includes any way, road, lane, square, court, alley, passage or open
space, whether a thoroughfare or not, over which the public have a right of way,
and also the roadway and footway over any public bridge or causeway;

2. CONDITIONS OF SUPPLY:
a. The Licensee shall supply electrical energy to the aforesaid premises of the
Consumer from its distributing main for the purpose at low tension as specified in the
"Conditions of Supply" under classification of supply and the Consumer shall take from
the Licensee, electricity required for the purpose herein above recited at the single
point of supply up to a maximum extent of __ KW/ HP,being the load sanctioned.
The energy so supplied shall be utilized within the premises mentioned hereto, for the
bonafide use of the Consumer.
b. Electrical energy supplied to the premisesshall not be utilized by the Consumer in
any manner prejudicial to the Licensee and all usage must be according to such
method or methods approved by the Licensee.The use of power must be confined to
such places as shall have been previously approved in writing by the Licensee. In case
prejudicial use of power is detected, the Consumer shall pay penal charges in
accordance with the provisionsof the "Conditions of Supply" as in force from time to
time. Besides,for dishonest abstraction / use / consumption of electricity or interference
with the metering equipment or accessories, the Consumer shall also be liable for
prosecution under the Act and any other law for the time being in force, and the
installation shall be liable for disconnection.

IGl
 c. The Consumer shall permit the Licensee, free of cost, to erect posts, distribution
lines, structures, equipments, cables and other apparatus necessary for the supply of
electrical energy under this Agreement over the land belonging to, or in the possession
of, the Consumer.
d. The Consumer agrees to take supply under any conditions of restrictions of load
and time that may be fixed by the Licensee from time to time and to pay fixed charges
under this Agreement in full notwithstanding such restrictions.

e. The supply is liable to be restricted, staggered or cut off altogether, as the case
may be, if the power position or any other emergency warrants such a course of
action. The Licensee reserves the right to periodical shutdown, as and when required,
for the purposes of routine maintenance after giving reasonable intimation to the
Consumer.
f. From the date of commencement of supply as defined in the "Conditions of Supply"
until termination of agreement, the Consumershall make payment to the Licenseefor
the electricity supplied during the prescribed billing period at the rates specified in the
Licensee's tariff from time to time and applicable to the class of power supply
irrespective of the installation being in service or under disconnection.
g. Subject to the provisionsof the Act, the "Conditions of Supply" and any other law
for the time being in force, the supply under this Agreement isvalid initiallyfor a period
of two years from the date of commencement of supply and shallstand automatically
renewed from year to year thereafter, until terminated by either of the parties.
However, in case of TEMPORARY POWERSUPPLY, the period of agreement shall be for
a period of days/weeks/months which period may be
extended by the Licensee at the request of the Consumer.The power supply shall be
disconnected after the expiration of the stipulated period unless a requisition is
received for extension of the period, and such further deposit as may be demanded
by the Licenseeispaid by the Consumerbefore the expiry date.
h.Without prejudice to the rights and liabilities of the parties in respect of any matter
antecedent to termination, either party to this Agreement may terminate this
Agreement by giving three months prior notice in writing.
i. The Licensee shall not be liable to pay any damages or compensation in connection
with lossof life or property arising,occurring or resultingfrom the useof power.
j. The industrial / I.P.Set Consumer shall obtain written permissionfrom the Licensee for
any changes to be made in the equipment, machinery or motors installed by him at
the time of servicingthough hissanctioned load does not exceed due to such change.
k.ln case of street light installations, the maintenance of lamps and fixtures shall be
carried out by the Consumerhimself/herself/itself.
I. Where the Consumer is required to obtain a license or permit or 'No objection
certificate' for running hisIndustrial/commercial concern or lift irrigation scheme and
the License or permit is suspended or cancelled, or the validity of the 'No objection
certificate' issued by the competent authority to lift water has expired, the Licensee
shall have the right to discontinue power supply during the period when the Licenseor
permit is cancelled or suspended or the validity of the No Objection Certificate issued
by the competent authority has expired,

3. METERS:
The energy supplied shall be measured and registered by a meter or meters in or upon
the said premisesto be provided, fixed and kept in proper order by the Licensee.
The procedure for billing when the meter is not provided or is faulty shall be regulated
as per the relevant provisionsof the Act and the "Conditions of Supply".

,I
4. SECURITYDEPOSIT:

The Consumer, on a request made by the Licensee in this regard, shall renew or
replenish all security deposits in the event of the same becoming exhausted or
insufficient.

5. TARIFFAND PAYMENT OF ELECTRICITYCHARGES:

Fromthe date thisAgreement comes into force, the Consumer shall be bound by, and
shall pay the Licensee,fixed charges, energy charges, and additional security deposit
in accordance with the tariffs approved by the Commissionand the "Conditions of
Supply" of the Licenseefrom time to time for the appropriate class of Consumers. The
Consumer shall pay the Licensee the tax on electricity charges as determined by the
Government of Karnataka from time to time. In case even after disconnection, if the
dues remain unpaid, then the Licensee shall be entitled to take recourse to the
provisionsstipulated in the "Conditions of Supply" and other laws for the time being in
force to recover the arrears.

6. DISCONNECTION FOR ARREARS AND RECONNECCTION:

In case the Consumer failsto pay the charges due for the electricity supplied within the
due date, the Licenseeshall be entitled to cut off the supply after giving due notice as
provided in the Act and "Conditions of Supply" and power supply shall be restored only
on payment of all arrears including interest and reconnection charges as stipulated
from time to time in the "Conditions of Supply".

7. CONTINUITY OF POWER SUPPLY:

The Licensee shall take all reasonable precautions to ensure continuity of supply of
power to the Consumer at the point of commencement of supply. However, the
Licensee shall not be liable to the Consumer for any lossdue to the interruption in the
supply of power by reason of damage to the equipment of the Licensee during war,
mutiny, riot, strike or by earth-quake, hurricane tempest or any accident or causes
beyond the control of the Licensee.

8. ENTRYINTO CONSUMER'S PREMISES:

The Licenseeshall have access to the premisesof the Consumerat all reasonable times
without notice for meter reading, inspection, testing and / or for any other purpose
incidental to, or connected with the proper maintenance of supply.

The Licenseeshall have access to the premisesat any time for inspection, if there isany
reason to suspect breach of the provision of this Agreement, the Act and the
"Conditions of Supply".

If the Consumer, his agent, employees or anyone else purporting to act on his behalf
attempts to obstruct or impede the Licensee or its employees or authorized person in
this regard, the Licensee shall be entitled to immediately cut off power supply. The
Consumer shall also be liable to pay such penalty as may be imposed by the Licensee
in thisregard.

12-
 9. ASSIGNMENTS OR TRANSFER OF THE BENEFIT OF THIS AGREEMENT BY THE CONSUMER:
The Consumer shall not, without the previous consent in writing of the Licensee, assign,
transfer or part with the benefit of this Agreement and shall not in any manner part
with, or create any partial I separate interest in it.

10. APPLICATION OF THE PROVISIONS OF THEACT AND THE"CONDITIONS OF SUPPLY":

In all matters not herein specifically provided for, the provisions of the Act, the
"Conditions of Supply" and other laws for the time being in force shall apply.

11. SAVING CLAUSE:

Nothing contained in this Agreement or any amendment thereof shall restrict any rights
and obligations, which the Licensee or the Consumer has derived under any legislation
relating to supply and consumption of electricity enacted during the period of this
Agreement.

In witness whereof, the Licensee through its duly authorized representative and the
Consumer have executed this Agreement on the day month and year first above
written.

Consumer I Authorized signatory For .... mm .. Electricitv Supply Company

Limited
(i) . Signature .
(Signature) Name .
Name . Designation .
Address .

Witnesses: Witnesses:
(1) . (1) .
(Signature) (Signature)
Name . Name .
Address . Address .
 INDEMNITY BOND ANNEX-S
(If the intending Consumer isnot the owner of the premises)

To: From
....................... Engineer,

Whereas the land / premises detailed hereunder, belongs to Sri/Smt.. and I am only
lessee / tenant / occupier of the said land / premiseswhere I have applied for the electricity
connection to the said land / premises and I am not able to obtain the consent of Sri /
Smt.. but produced the proof of occupancy, ie valid power of attorney
/ latest rent paid receipt / registered lease deed.

Thereto I, in consideration of the grant of electricity connection to me on the conditions of

supply for which I have executed the Agreement, further agree to indemnify and keep harmless
the Licensee from all damages and claims, whatsoever, including costs of suit, original petitions
and all manner of legal or other proceedings that the Licensee may incur or likely to incur on
account of any action or threat by or at the instance of the owner of the said land / premises
(whether such owner be the said Sri/ Smt or any other). I also further agree
that such loss,damages and any other claim resulting out of the electricity connection being
given to me without the consent of the owner of the land / premisesare also recoverable from
me and my properties under the provisionsof the Revenue Recovery Act, in force at the time of
such recovery, or by such other proceedings as the Licensee may deem fit to initiate.

I hold myself answerable to costsof such recoveries and proceedings also.

Place: Signature of lessee/ tenant / occupier

Date:
Witnessee:-
1)
2)