Electricity Department APPLICATION FOR TRANSFER OF SERVICE I, ........................................................ ...... present ownerofserviceNo... .. .. .. .... .. .. .. ..atNo. .. .. .. .. .... .. .. .. .... .. .. .. .... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Street .. .. .. .. .. .. .. .. .. .. .. ..Town/Village hereby apply for transfer of the service to the name of Thiru .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..asIhave .. .. .. .. .. .. .. .. .. .. .. .... ...... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .... .. ...... I agree that any dues towards current consumption charges etc., that remain outstanding after transfer of service may be adjusted against my Security deposit before this is refunded to me. Signature of Transferor I .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. hereby agree to transfer the service No. .. .. .. .. .. .. .. .. .. at No. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Street .. .. .. .. .. .. .. .. .. Town/Village to my name as I have taken possession of the premises from .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. I hereby agree to abide by the conditions of the agreement or requisition entered into by Thiru .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. and by the department rules and to condition for supply. I agree to execute a fresh agreement and to pay the required Security Deposit. I also to make good any dues from the previous owner that may come to light after the Security Deposit has been refunded to him. Signature of Transferee
