While applying for a new electricity connection, the applicant has to submit to the Electricity Company / Board, an Affidavit along with application form and other supporting documents viz. applicant's proof of identity & address, proof of occupancy (purchase deed / rent agreement with NOC from landlord), passport photograph, etc.
The affidavit has to be signed by the applicant in the presence of two witnesses, who shall sign as well. It has to be attested by a Notary Public before submitting it to the Electricity Company.
Either prepare the affidavit in a format prescribed by the Electricity Company or take the help of a legal consultant for this, otherwise you may refer to the below mentioned sample.
TEMPLATE
AFFIDAVIT
I, (Name of the Person), age ___ years, son/ daughter of (Father's Name), resident of (Address), occupation: _________, do hereby solemnly affirm and declare as under:
1. That I am the legal occupant of premises at (Address), bearing property registration no. _________, for which a new electricity connection has been required in the capacity as the tenant/ owner based on the documents of legal occupancy of the premises.
2. That the Competent Authority of (Name of the Electricity Company), vide letter no. _________ dated _________, has sanctioned a new connection in the said premises, and sanctioned a load of _____ KW/KVA.
3. That I undertake to pay the dues, if any, found outstanding against any Electricity connection earlier obtained for the said premises.
4. That I agree to abide by the terms and conditions mentioned in the application form for electricity connection.
6. That the electricity connection shall not confer any legal right of regularization of my premises including its land use.
7. That in case the electricity is to be used for a licensable trade, I shall obtain NOC/ License from the Competent Authority as may be required.
8. That I undertake to abide by the Electricity Act, 2003 and relevant electricity laws of the State of _________ as may be applicable for this connection from time to time.
9. That (Name of the Electricity Company) shall be at liberty to disconnect, without prior notice, the electricity supply including disconnection of electricity of my other premises, and may take all possible action as per law for recovery of dues including penalties or additional charges, under the following circumstances:
(i) failure on my part to pay the electricity bills on time by the due date or extended due date,
(ii) failure on my part to abide Electricity laws of the country applicable as applicable for my electricity connection,
(iii) the electricity connection is found to be used for any purpose other than for which it has been sanctioned, and
(iv) violation of the terms and conditions mentioned in the application form for electricity connection.
Declared at (Place) on this _____day, ___th of (Month), (Year).
(Signature)
DEPONENT
VERIFICATION
I, (Name of the Person), age ___ years, son/ daughter/ wife of (Name of the Father/Husband), resident of (Address) do hereby confirm that the statements made in the above affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.
Verified at (Place) on this _____day, ___th of (Month), (Year).
(Signature)
DEPONENT
Solemnly affirmed and signed in our presence at (Place) on this _____day, ___th of (Month), (Year).
WITNESSES:
1.
(Signature)
Name: _______________
Address: ______________
2.
(Signature)
Name: _______________
Address: ______________
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