FORM OF SELF-DECLARATION OF METER READING I__________________________________________ Aged __________________________ S/O ____________________________ here by solemnly affirm as followed. I am the owner bonafide occupier of the premises bearing electrical service connection mention here. I have received the bill for the billing period ___________________ I find that the meter (final) noted in the bill is not correct / I am furnishing the correct reading here under. I hereby declare that the reading fur nished by me is correct and I may be permitted to pay the amount based on the reading furnished by me provisionally subjected to inspection of the premises and verification of the reading by the authorities of Central Power Distribution Company of AP Limited. I agree to abide by the decision of the competent authorities of Central Power Distribution Company amount payable if any pursuant to revision or conformation of the bill with in week. I also agree that if I do not make payment of such balance amount if any, the power supply to the above service may be disconnected without any further notice. The following details are furnished. 1. S.C.NO _________________________________________________________ 2. Name __________________________________________________________ 3. Area ___________________________________________________________ 4. Present Meter Reading ______________Date___________________________ (As seen on the meter) 5. Previous Meter Reading _____________Date _______________ ____________ Station: Date: Signature of the owner/Occupier
