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Application for Disconnection of Power Supply
Applicant’s Full Name
Mr.
Mrs.
Ms.
M/s
Plot No.
Sector No.
Disconnection Date
Existing Electric Connection Details
Name of the Consumer
Mr.
Mrs.
Ms.
M/s
Consumer No.
Existing Sanctioned Contract Demand (kW/kVA)
Supply Voltage
--select--
Low Voltage (LT) Single Phase
Low Voltage Three Phase
High Voltage
Extra High Voltage
Reason for Disconnection
Declaration:
I / We hereby declare that,
I will abide by the provisions of Electricity Act 2003 and Maharashtra Electricity Regulatory Commission (Electricity Supply Code and other condition of Supply) Regulation 2005. It is therefore requested to disconnect power supply of my / our above-mentioned installation and issue me the final Bill for supply of electricity.
Submit