Domestic Commercial Industrial Agriculture Tubewhell

Company :

Select Company LESCO GEPCO FESCO IESCO MEPCO PESCO HESCO SEPCO QESCO TESCO

Sub Division :

Select Sub Division

Landroad/Owner Tenant(Rental)

Applicant Name:

Father/Husband Name:

NIC / CNIC:

Present Address:

Mobile No1:

Mobile No2:

Same as above

Contact Person Name:

Mobile no:

Present Address:

Relationship with Applicant:

Email:(Optional)

No. of meter already Installed:

Select Meter 0 1 2 3 4 5 6 7 8 9 10

Minimum Load (In KWh):

Premises Address:

Reference No:

Name & address:

Meter Installation Company:

Select Company

I/we agree to get a connection from DISCO (later stated as department/dept.) for the appliances mentioned above. I/we also agree that I/we will pay the tarrif and scheduled service charges as stated by department for the services and electricity provided to me/us. Attested photocopy of my CNIC is uploaded with the request form, further I/we testify that electricity wiring is installed by authorized contractor of provincial government. Adding more, I/we will be responsible for any damage due to malfunction of wiring. I testify that I do not owe any dues to DISCO/WAPDA for connection against personally owned property or for connection against previously rented property by me. And there was no previous connection at the place where new connection is requested, also if it is found that there was a previous connection on the same address, I/we will be responsible to pay any remaining dues.