GOVERNMENT OF PUDUCHERRY ELECTRICITY DEPARTMENT Form of Application for High Tension supply or Extra High Tension supply or Enhancement of existing High Tension supply 1. Name of the Consumer : 2. Registered address : 3. Address for communication : 4. Location of service with : R.S. Number/Postal address 5. Purpose of Service (viz.,) a. Industrial : b. Commercial building : c. Government building : 6. If Industrial, nature of service a. Service sector : : b. Engineering sector : c. Hospitality : d. Others (specify) 7. Nature of Product : Signature of Applicant / Authorised Signatory -2 8. Estimated energy : consumption for one month 9. Details of Consumer load : (a) Break up of existing connected load : (c) Capacity of the transformer installed by the consumer in KVA : Load in Inductive load Resistive load Air Conditioner load Lighting load Total connected load Details of Shunt capacitor installed KW KVA (KW/0.85) HP (KW/0.746) (b) Break up of proposed / additional load : KW KVA HP Signature of Applicant / Authorised Signatory -3 10. Existing Maximum demand in KVA : 11. Proposed Maximum demand in : KVA 12. Total Maximum demand in KVA : 13. Capacity of Diesel Generator set : installed, if any 14. Details of Power Feasibility : Certificate issued 15. Probable date of commissioning : 16. Remarks, if any, regarding : essentiality of supply UNDER TAKING I, hereby, undertake to carry out the electrical installation works by engaging electrical contractor possessing valid Contractor License "Grade A" issued by Puducherry Licensing Board. I, also hereby, undertake to abide by the Terms and Conditions of Supply of Electricity notified vide G.O.Ms. 28 dated 19-04-1993 along with upto date amendments and by the HT agreement to be executed with the department. Place : Date : Signature of Applicant / Authorised Signatory Affix Rs. 5/- Court Fee Stamp List of documents to be enclosed for High Tension service connection S.No Description 1. Application form with Signature & Seal (7 copies) 2. Attested copy of Registered ownership deed/Registered lease deed/PIPDIC allotment order (2 copies) 3. Attested copy of the valid Power Feasibility Certificate (3 copies) 4. Attested copy of Pondicherry Planning Authority approval and Certificate of conversion of Agricultural land to Industrial purpose (3 copies) 5. Attested copy of the Provisional Registration Certificate from Industries Department (3 copies) 6. Attested copy of the Registered partnership deed (3 copies) 7. Attested copy of the Memorandum and Articles of Association and Certificate of Incorporation ( 3 copies) 8. Power of attorney to sign the HT application and to deal with the matters related to Electricity Department, Puducherry (3 copies) 9. Attested copy of valid Commune Panchayat license / Permission (3 copies) 10. Attested copy of the valid NOC/Consent order from Department of Science and Technology & Environment (3 copies) 11. Attested copy of valid Approval/license Clearance from Inspector of Factories & Boilers (3 copies) 12. Attested copy of clearance from State Ground water Unit/Agricultural Department for mining water for Industrial details of purpose (3 copies) 13. NOC from Industrial Department in case of enhancement of CMD ( 3 copies) 14. Concurrence letter from the applicant in case of HT to bear the cost of 50% of the cost towards the erection and extension of lines over and above Rs. 1.00 lakh (3 copies) 15. Details of Machineries with capacity to be installed (3 copies) 16. Peak Hour Demand Restriction Undertaking letter (3 copies) 17. Site layout indicating location of point of supply with measurement ( 3 copies) 18. No due certificate in case of enhancement of demand / latest energy consumption bill & receipt ( 3 copies) N.B : It may be noted that the Power Feasibility Certificate, Commune Panchayat license/ permission, Inspector of Factories License and consent order from PPCC & other certificates should be got revalidated till the energization / enhancement of the service.
