CONSUMER SERVICES GROUP APPLICATION FORM FOR NEW ... - …

CONSUMER SERVICES GROUP

APPLICATION FORM FOR NEW CONNECTION

(Please refer instructions overleaf to help us serve you better)

FOR REGISTERING YOUR REQUEST/TO KNOW STATUS OF YOUR APPLICATION OR ANY FEEDBACK

CALL @ 39999707 OR LOG ON TO www.bsesdelhi.com

Also, e-mail us on [email protected] for any information grievance, feedback,appreciation or suggestion

BSES Rajdhani Power Limited

Registered office: BSES Rajdhani Power Ltd. (A joint venture of Reliance Infrastructure Ltd. and Govt. of NCT of Delhi)BSES Bhawan Nehru Place, New Delhi 110019

CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com

General Instructions

(Please go through the instructions before filing up the form)

1. All forms of BRPL are free of cost.

2. In case where a copy of certain documents has to be submitted, the applicant needs to produce the original

documents for verification by BRPL representative at the time of submission; the original documents must be

retained by the Applicant. However, a photocopy attested by Gazetted officer/ notary etc. is also acceptable.

The copy submitted to BRPL must be self-attested by the Applicant.

3. Applicant should insist on checking the Identity Card of BRPL representative visiting the premises. In case

of any feedback or complaint against our executive, please report to our helpline 011-39999707.

4. Applicant must not pay any money to any BRPL representative in cash including those providing

application forms, visiting premises or installing meter. In case of any feedback, appreciation or complaint

against our executive, please report to our helpline 011-39999707.

5 . All payments should be made against computerized Demand Note(s) at BSES counter/online, and receipt

thereof must be obtained and kept safely by the applicant.

6. Applicant should pay the Demand note amount within the stipulated time at designated cash counters only at

the Division Offices. Please note that payments of Rs. 20001/- and above should be made by way of DD/pay

order only payable at Delhi/New Delhi in favour of “BSES Rajdhani Power Ltd.”

7. Only complete documents shall be accepted by our executive. However, in case of non-availability of any

document at the time of visit, our executive shall assist in preparing the documentation and issue a deficiency

letter indicating the document to be attached with the filled up prescribed forms/ available documents left with

you, for submission of the same when completed, to your nearest customer care centre.

8. Applicant must ensure that wiring in his premises is complete and suitable metering space/protective devices

at applicant side are provided including Earth Leakage Protective Device (ELCB) which is mandatory as per

regulation - 42 of CEA.

9. BRPL has launched Door Step Services with the sole objective to facilitate our consumer in

documentation and delivery of services without the help of any middlemen. Please help us in our

fight against this menace.




Section 2.

Section 1. Applicant Details (Fill as applicable)

1a.

2a.

Name of Applicant (specify as mentioned in proof of photo identity applicable for individual) / Organization Name (applicable for Organisation)

1b. Additional Details (Applicable for Individual )

Title

Mr. F I R S T M I D D L E L A S T

Mrs. F I R S T M I D D L E L A S T

1c. Additional Details (Applicable for Organisation)

F I R S T M I D D L E L A S T

D D M M Y Y

Designation of Signatory

Mother's Maiden Name

Name of Authorized Signatory

Date of IncorporationType of Organization (Refer Section 1c of New Connection Application Manual)

Father's/Husband's Name

Male/Female

F I R S T M I D D L E L A S T

Mr. Mrs. Ms. Others (Please Specify) …….............................…...

D D M M Y YM F Others Date of Birth

Premises Address at which Connection is required

House No.

Building Name

Street

Area PIN 1 1 0 0

Landmark

Landline Mobile

Email @

Communication Address (applicable for Individual) and Registered Address (applicable for Organisation) / Billing / Landlord Address

Address

Please provide your contact details to help us serve you better

House No.

Building Name

Street

Area PIN 1 1 0 0

Landmark

Landline Mobile

Email @

Section 3. Category

TEMPORARY

Type of Premises

Company ProvidedOwned Govt. Provided OthersRented/Lease

Type of Area

3a.

3b.

3c.

2b.

Signature of Applicant/Authorized SignatoryDate D D M M Y Y




E-BILL

YES

NO

RH (Residential Area) :

VI (Village Area ):

HB (High Rise building) :

IA (Industrial Area) :

UC or JJ-Unauthorised Jhuggi Jhopri):

SA (Shopping Complex or Area)

DD (DDA Flat) :

FA (Farm House) :

CGHS Flats :

Govt. Flats :

Valid till DD MM YYYY

3d.

1

Request No.

AcknowledgmentDocuments Received :

Ownership Proof: __________________________________________

Address Proof: ____________________________________________

Others: ___________________________________________________

Name

Designation

Section 4.

Section 7.

4a Purpose/usage of new connection - Refer to Section 4 of Application Manual and mention relevant Code here and

Mention Description of purpose/usage as mentioned in Section 4 of Application Manual here

4b

4c

4d

4e

Signature of Applicant/Authorized Signatory

Applicant's Meter

Voltage Level Phase

Meter Choice

Date D D M M Y Y

List of documents attached

if applicable


Prepaid Post Paid

Section 5. Near by Installation Pole No. / Feeder No. Meter No. House No.

Section 6. ELCB Installed Yes/No MCCB Main Switch Yes/No

7a 7b

issued by Govt. Agency

Rent receipt for the last 3 months / Lease agreementalong with no objection certificate and proof of ownership of landlord

vi NOC from other legal heir / owner

7c a. Industrial

Valid Industrial License / Factory License / Lal Dora Certificate in case of rural village

b. Agricultural Consumers

i. Certificate of Residence from Block Development Officer

ii. No Objection Certificate from Development Commissioner / Block Development Officer Delhi Jal Board for tube wells

c. Non-domestic for Khokhas and Temporary Structure

i. Teh Bazaari Receipt Number

ii. No Objection Certificate for Khokha/Temporary Structure for single delivery supply



* Select whichever is applicable

2

3


That the internal wiring at the premises has been tested by a Licensed Electrical Contractor and the test certificate is available with the applicant. Provided that in case of Government quarters / offices, the certificate issued by the designated officer of the Government may be accepted by the Licensee.



Date D D M M Y Y

Note : Applicable laws but not limited to shall include the following :1. In case the location of the premises where connection is being sought does not conform to the minimum permissible distance from a

HT Line, the applicant shall be solely liable for any direct and / or indirect loss (including life and property) in case of any damage / accident in the premises due to the HT Line.

2. Every charge of electricity / any other sum + other than such charge for electricity due and payable to Licensee which remained unpaid by erstwhile owner/occupier of the premises/land shall be recoverable from the applicant. The said other sum would also include any bill raised towards theft of energy/ misuse charges.

3. As per Clause 61A of the Indian Electricity Rules, 1956 (as amended up to date), Earth Leakages Protective Device (ELCB) for low voltage installation of 2 kW and above is mandatory and applicant has installed the ELCB in accordance with the said clause.

4. In case of receipt of reference from the concerned land owning / law enforcing agency regarding sealing / demolition / vacation of Premises and / or in case where any suit is filed against the Licensee on account of giving supply to the Premises, Licensee is authorized to disconnect the supply of electricity without any further notice.

5. The applicant shall provide adequate space of prescribed design for housing the electrical equipment's etc. to be installed by the Licensee and also provide certificate from Electrical Inspector in case of HT connection as applicable under Central Electricity Authority (Measures relating to safety and Electric Supply) Regulations 2010.




2017

4

BRPL

BRPL

BRPL

BRPLBRPL

BRPL

399999707

BSES Rajdhani Power Limited.4001/-


. As an Applicant for such a connection, you need to fill up the following forms and submit specified documents as part of your application.

Space Requirement

Sl. No. Category Description Minimum Size (Meters)

For a load of 100kw to 300kw or the plot size of 300 sq. meter to 1000 sq. meter

Installation of one number of 11kv PoleMounted Distribution Transformer

4Mx 4M(i)

For a load of 100kw to 300kw or the plot size of 300sq. meter to 1000 sq. meter

Installation of one number of 11kv Plinth Mounted Distribution Transformer

8Mx 5M(ii)

For a load above 300kw to 700kw or the plot size of 1000 sq. meter to 2000 sq. meter

Installation of one number of 11kv Plinth Mounted Distribution Transformer

9Mx 5M(iii)

For a load above 700kw to 1500kw or the plot size of 2000 sq. meter to 4000 sq. meter

Installation of two number of 11kv Plinth Mounted Distribution Transformers

10Mx 8M(iv)

Cases not covered above Actual size based on load requirement

(v)



The minimum space required to be provided by the developer / applicant for installation of distribution transformers shall be as under :

5




Sl. No. Tariff Category (as per Tariff Order)Security Deposit for Permanent Connection (Rs. kW or per kVA as the case may be)

Domestic

Upto 2kW

Above 2kW upto 5kW

Above 5kW

Non-Domestic

Industrial

Agriculture

Public Lighting

Railway, DMRC, DIAL, DJB

Mushroom Cultivation

Advertisement and Hoardings

Any other category not specified above

1

(i)

(ii)

(iii)

2

3

4

5

6

7

8

9

600

900

1200

4500

4500

300

3000

3000

600

4500

To be decided by commission

TABLE 2

S.No. Type of area Sd Load Amount RR Charges Total

1 2 3 4 5

Upto 5 KW

5-150 KW

150-200 KW / 215 KVA

Upto 200 KW / 215 KVA

I

II

III

Electrified Area

Un-electrified Area

3000

Maximum of 25000

(3000+500 per KW or KVA)

25000+4000 per KW or KVA

14000 per KW or KVA

Actual RR Charges for

Servcie line


Service line


Service line


Service line

4+5

4+5

4+5

4+5

OTHER MISCELLANEOUS CHARGES

1

2

3

4

I

II

5

I

II

III

IV

6

I

II

Non-refundable registration cum processing fee of EHT and HT connections

Field Inspection to be scheduled on a holiday for the Licensee

Security towards pre-payment meter

One time non-refundable charges for temporary connections

LT Supply

HT Supply

Installation Inspection Fee other than at the time of energising new connection

Upto 5 kW

More than 5kW upto 10 kW

More than 10 kW

HT Installation

Charges for reconnection in case of change of occupancy or temporary disconnection

Single phase connection

Three phase connection

1000

500

3000

500 per kW

2000 per kW

120

200

400

1000

200

500

TABLE - 1

TABLE - 3

6




7

BRPL.BRPL


CIN : U74899DL2001PLC111527, GSTIN : 07AAGCS3187H2Z3 Tel. 3999 9707, Website : www.bsesdelhi.com8



(This installation Test Report is to be certified by a Licensed Electrical Contractor. This is for reference of consumer.)

Signature of AMPS/DGM (Licensee)

9

Power Helpline

Nature of Services/Complaints BRPL Power Supply/

Billing & Metering/

39999707

Anti Corruption/

Door Step Services

FOR REGISTERING YOUR REQUEST / TO KNOW STATUS OF YOUR APPLICATION / OR ANY FEEDBACK.

CALL @ 39999707 OR LOG ON TO www.bsesdelhi.com OR E-mail at [email protected]

