form - 1 - wbsedcl

Form - 1

Way Leave Permission ( See regulation 3.2.1)

To

…………………………………… (Name of the Licensee)

……………………………………

…………………………………… (Address of the Licensee)

Sir,

I / We have no objection to allow the fixing and erection of the necessary

apparatus on or within the premises at …………………………………………………

……………………………………………………owned by me / us, for effecting service

connection to the premises at ………………….... ………………………………………

……………………………………………………………… owned / occupied by Sri/ Smt./

M/s. ………………………………………………………........ son / daughter / wife of

…………………………………………………………… .

I / We have no objection if the service line passes over / along / across / under

premises at ………………………………………………………………………………………

owned by me / us for effecting service connection to the premises at ……………………...

…………………………………………………………………………........................................

owned / occupied by Sri / Smt./ M/s. …………………………………………………………..

son / daughter / wife of ……………………………………………………………

Yours faithfully,

Signature ………………………………………..

( Name in full )

Address …………………………………………..

………………………………………….

………………………………………….

Date :

C:\wberc080610\WBERC(SOP) regulation 2010.doc

Annexure-A

Application form to be used by an intending consumer / a consumer requesting

the licensee for an inspection of his premises and preparation of estimate of

expenditure to be borne by the intending consumer / consumer for new

connection/ extension of load/ alteration of service.

*Please delete the inapplicable portions

See regulation 3.1]

To:

(Name of Licensee)

___________________________

(Address of Licensee)

___________________________

Sir,

I / We hereby request for an inspection, of my / our premises address of which is

given below, by your authorised representative, and preparation as also supply of an

estimate by you to me / us, giving in requisite details of the expenditures to be borne by

me / us in terms of the regulations made under section 46 of the Electricity Act, 2003,

together with the deposit(s) to be made by me / us in terms of the applicable Regulations

for the purpose of getting new connection for supply of electricity at my/ our premises at

EHV/HV/MV/LV having an expected connected load of ……………….. KW/HP for

domestic / commercial/ industrial/ ……………….(other purpose to be mentioned)

purpose/ extension of load of the existing service at my / our premises having Consumer

No. ………………………… from ……. KW/HP to …… KW/HP as estimated by my / our

licensed electrical contractor / alteration of service, namely ……………………………

(indicate the nature of alteration of service) as indicated in the attached hand drawn

sketch (attach hand drawn sketch if required) at my / our premises having Consumer No.

……………………….


I / We am / are depositing herewith an earnest money of Rs. ……..…. Please

adjust the earnest money with the amount that will be determined to be recoverable from

me / us as reasonable expenditure under the regulations made under section 46 of the

Electricity Act, 2003 for providing new connection(s) / expenditure for extension of load /

expenditure for alteration of service and requisite deposit(s) to be made by me / us

under the applicable Regulations. After making such adjustments, if any amount still

remains outstanding, the same may be adjusted with my / our electricity consumption

bill(s) or refunded to me / us.

I / We hereby inform you that I / we am / are the owner(s) / occupier(s) of the

premises and I / we enclose copy of documents establishing sufficient proof of my / our

bonafide occupation of the premises (viz., Passport / Voter Identity Card / Rent Bill /

Rent Control Challan / Telephone Bill / Municipal or any other Tax Bill / any other

document issued by any Ministry or Department of Government showing his occupancy

in the premises etc.) / ownership of the premises.

I / We hereby inform you that I / we intend to take meter on rental basis or by

purchasing the meter through depositing the cost of the meter.

I / We hereby further declare that there is no other service connection / line live

or disconnected, given/ was given by you in my / our name(s) in the premises for which

the new service connection is being applied for.

I / We hereby further declare that I/we have service connection in my / our

name(s) in the premises at ………………………………………………………………………

(address of the premises) where electricity is supplied by you and that there is no

outstanding dues in respect of that service connection.

The full address of my / our premises, which will be inspected by you for the

aforesaid purpose, Telephone No./ important land mark (if any) and nearest pole no. (if

available) are given below.


Address: -

_____________________

_____________________

_____________________

Telephone No. …………….

Important Land Mark: -

Nearest Pole No. (if available) …………………

Yours faithfully,

____________________________

(Signature of the applicant(s) with date) Full Name ______________________________ (In Block letters)

Full Address: ____________________________ (In Block ____________________________ letters) ____________________________

Telephone No(s), _________________________ if any.

Witness (1)

Signature with date

Full Name

Address

Witness (2)

Signature with date

Full Name

Address

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

Note: 1) Please strike out inapplicable items.

2) The printed list of purpose of supply as approved by the Commission from

time to time will be available from the licensee.


3) Please mention and describe important landmarks in the vicinity, if any, to

facilitate easy identification of the premises.

4) Please attach, if possible, a small sketch (not to scale) indicating the location

of the premises.

5) Earnest money to be deposited along with the application for new

connection:-

A. For LV and MV supply

(i)

(ii)

For industrial purpose - Rs.2000/-

For commercial purpose above contract demand in 10 KVA or

above – Rs. 1000/-

(iii) For purposes other than (i) & (ii) above – Rs. 200/-

B. EHV & HV supply

(i)

(ii)

(iii)

11 KV

33KV

132 KV

- Rs. 5,000/-

- Rs. 20,000/-

- Rs.1,00,000/-


WBjEDCLWESI BENGAf STATE ELECTRIdTY DTSIRIBUrIOiI COMPANY UMITED

(A GOVERIIT,ENIOTWTSTAE 6,AT EMEhPRISE)

AGREEIIENT FOR THE SUPPLY OF ELECTRICAL ENERGY A'trlRA IIIG}' HIGII VOITAGE

rr'6 ......-...........-........day of -........,,,..,,,,,,,,.,...,TwoBdBI WEST SENGqL SIATE ELfCTPIOTY

OIsTru&,IlOa @xPAxY lDffrED (,EEndlEr demn to 6 the IWBSEDCU whl.heryEtul std hdl(l ib r.tccsor) . ltlE . l,d6 Tne Ele.ti.iv ,tct 2003 havhg lER.rdErd tu * ud! n 4EEn, 8lc,<ar, seb.-E, srdhannagar, Kolkat!-700091 of the

(l-cE r*nd b 6 dE riNmed rt d eeeidoi .hall hdlde hls/ lts/ thelr..c-+E rn arffi.s, legal ep@ntanE, 4@! & pemnted aingN wheerhe .o.*d e adrlts) oa ttE ot Er %d

whees dE @n me6G) has/ haw ,equested $e wssEDCiL to p@ide tor suppry ofeectriBl enersy for lse in tE Cocume/, Con meE prdls4. an, the wBsEDcL hasagreed to p@lde such supply ol energy up.n the tems and MdittN hdinafter *t foid',

WrnESSEIH ANo IT IS HEREBY AGREED by and be6{en the pad6 h@to 6 toll@s:1. nre wsSELrCL shall supply to the Con me(, and'the comme(s) shall tal@ at the

pornt of suppry eretricr €nergy for Industda / commerclar/ Publrc uuilry sdlces/ PubrrcWater Wo*s/ Cold StoEqe/ HousJng C@ple, Multi SLrled Bulldhg/ CommunltyIrfiqarjon for Aqriolo)re/ puDoe at the foltowtnq premt*s at

5.

3,

2, The ere.nical energy so supplied shall be ol th@ phas, altsnadns diient at adecraEd pEsur€ of 300/ 220/ 1321 661 3Xl lrl 6.61 6 xlo voLE belweer phas6 andiiequen.y or fifty @mplete cycr6 pe. 54ond at the polnt of supply.

subject to the p@isions of west Bengal Aectrrdty Regolato./ commlsion (Ae.ticit5upply code) Resu aiion, 2004 & W6t Bengal EkcntTty Regulatory comml$lo(St ndards of Peitomance of Dlsnibution tlenses Re,atins to Consum€r 5edic6)Regurations, 200s and thek amendnient the to dme the conslmer{s) shall be entlded forthe said purpos to suci supply upto-but not ex@edrng maxlmum number of Klryolt-ampeE ror each year or supply as mentioned in Schedul.l heEto (hereinaiter retomdto as the tontrad Uemandl whidr shall be deemed to be pad of thrs AgEemenL

Unle$ olhetuise agreed upon the poiit 0f supply shall be the rncoming/ outgohgtermina s or ihe ckcui! breaker or isolator or indoor type brcaker of WSSEDCVconsume(s) instalied at coEume/s !Emi* lMtalled by the Consume(t undtr rule'so

o)Tne wBsEDct shall slpply eectnd eneqy io the consume(s) at the aborenEnt on€d point of supp y provlded thatl

(t)

it) The wBsEocL shall be endted to reall* payment by El€ corcum€G) a sum ofRs.....................--..-.,. t4ads lhe cost or hlgh @ltagd enh hish wltase linqequipnents, etc. (hereliafter collec{vely Efered to ar * ici Une) andAppaEtus neffiry to laydown or plae for the puDo* of glvhg supply at thepolnt mentoned he@f and the custome(s) shall pay bo dr WESEDCL su.h estwhd @lled up@ s do $ h tqrns ol wBt Bengal state El.idldty F€gula@rvcommissron (Reovery of ErpddltuE for Prwlding New Connecdons) Requlaton,2005 and l(s amendment{me to Uhe.

(ii) ln @* ol qeq,ljon of wo d urmkey basls by the @nsumer, the consunr€r killsupply and .lelrwr matenaH equlpmub and labour under direct superulslon andapp@€d sp&ifctjons of wSsEDcL, The @Emer wlll b€ Epo.sjue iir 12(rdelve) months r,bn the date of handlng d$ ttE *rylce llne to be q@Ed !ythem for any defect adslng out of bad @l*matrhlp whlch sn he ro be

(llr)wlenerer ne6ary tne wBsEDcL hay ,equrE oE cGume(s) to ann E: torrequlsite way ldws at hrs/ its/ thelr @n co6ts and pay the WBSEDC! the ct oldlveEron of $e *ryle llne if (le Mer(s) of fE land thdrgh shkn dE qrfE*dice lhe lf the owre(s) of the land th@gn whkh the edrdng sit hedkG) the $/BsEDcL to sindEw the seMc! line at any pohr d dm

(2) The abde *ryle lrae .nd App.6tc, .lo'ough p.ld by oiE!E(s), $J lErn tiEpropeny of and be malntalned by tic WBSEDCL fte WESEIICI .n.| *o b. srE dto supply ober c.nsume(s) fom such SeMe ltE a'(U d rr&5 tcd h tlEconsume/s/ con$ms' sob stadon Fd idEd h cEe 7 lEtd .n t dElpurpos. lo .tscl and m.inrdn suoh adiriodl aE -d ,rr.a! - E b dld

6, (r)At dre poilt of supply mentioned h Clause4 abN, $bj€d b tlP drb.6rerein.frer @ntained, Ele wBsEDo sha,l p6r,lde and eEt $d' giidEE ortsolaung devl@ and Metedng EquTpmats heEinafter refened to a dE ani6EE-'sAppaabiv 4 msy b€ nee$.y to afibrd @nud by dE wssEDcL lt dE sldvedto measure lhe same.

r2)Tne WBSEDCL mdy requle to prcVde metenng equrpment on s@r.!tY sE of..n\ume'/r/ consumed Eansloms and in such @s 3% shall De ad.ld b therccorded m;imum demaid and ldlowaE h@E b ffr t_ansforn.Uo lG.

7. rhe @nsude(s) lf so requlred by 1ie wBsEDal" shall prclide and malnbin at IGJ iB/ureir own exps* an a@mmd4ton (h€relnaft.r @lled the "@Bm€is/ @EtB'sub-stntjonlor a s4 and @nstucio t be appded bv the wBsEDct for r€.editr ofthe el*trlc lln6 and aDpaEtu3 povlded for,the puDo* of the erPV,n foraaommodatinq tne appaEtus mennocd in dau* 6 ab@ to be lnslrlled fd ihepuaose of povldrng, taNfomlng, @nt'olllns and/ or hetedng $e supdy.

8. (1)Alr Transfome6, swltchqea6 and oths Eet i@l Equirrnent belonging lo dE' consume(, and direcny conneded to the fe4d€B or llB of the wBsEtrc! ihdl be

of slitabb Aesign and be malntained to tJE Esonable satishction of the WEEEDaLrhe esrns ol tuses and Elays on be Consume/y ConslmeB .onEDl 9@ a ridl as

the rupEnng capaciv of .ny or hls/ ltt/ helr orcuit BeakeE shall be subied b theapp@al of the wBsEDcL,

Hi,wder, n 6se of 33KV ind@r type tqrdnal a{E!ErE*, rrE qEtftr 3hdto mihtarn WBsEDct's HV ind@r equiprEn .nd .cc..oii6 tithln llxlEst6tion including rcplacement of defedv. stulpmev mpdBts, d andrequ,ed, a,ter commen@ment and Ull @ntin@t@ of pow€r epply undt

(2)

t2l In @se anv dehct h a1v pan o, ihe Con me/, co@merg installadon ls disvered*' ;;;;;,;;'Gj ; i,i;; wBsEDcl, the cocune(, oarr or his/ IE/ tlEn oun

;;;;#;;;;i;" vldscd r"d;rt, hordte/ disadtecl the raurv p€rr or u'e

hstallation fiom ute cl@its of the supplv,

IJ lne consrmer{s) 006/ do ro! isolate o alconre'r the h-'ty cppamr' from the

il-llli "l'

!ili,ijr,. G w*enci 5h, r m erlided to suspend sipprv at the oor-r.or

vdN Lll ne@{:ry cctol 5 E+n bv he @n+meG) and duLv'nohaEo 'u urE

i,'iii.ii rii"'.i,r, -"i

"*ii shah'e dee'ned b ha@ b€en @ntnJed ror tre

il.i'J-i,i^ii ".ii'"Lr-J"","i,4i ierauoy' oeonnedron o' the hu ry pat or t'ei'.lii,iill ii',i' ,r'. .-ii[

"i t

" s!!rv bv iie con*tre(, eu'd nor be bken'

13) The \46scDcl shall @ unde_ no 'e5pon,D:lriv or anv lnd for and/ or ln conn*don'-' iii J,?6i,;;iy c"*,"eu, @.bno1s or a-y appa6Ns or the cocuhe(n

iElalled beyond the Poht of suPPlY'

c h .and d o(:M autrc4zed bv E e WBSEDCL n that beFalr sha'l F eltjtled to have" ,H;d* E^iiE, co*;e- p*mrss ar ari ree'aue ume and ron trne to

E-r.; ;; ;.t". ;n m' and/ 'n rd epi u o' rep'a@mert or o$e 'se ..

or

u*not -imtc tgri,e in dae 7 tEef l.ne Lonsme(s) shafl be eponsDEii.-ffi-"EL J o- '

p6s or trE wBs€icl ro' suLh purpose Ho@P"

"rir,i ii- ,-a'9 Ed Fe"btv be tsr6 benEl 3 Ai'1 ro 5 PM',

10 rrE trEs ntund t! h.re rr tebY. slEt tc ,.tF'tv sled bY I! w!:P!L-."1!t E rE std mt be ilrf.rEl sth @pt bY l'E le,'66EDEansten 6. the ,tlipe

rt.lr) IE m.tennq equiprent snal geMlU lndude In*u@t Tansfodst' Pov_pl"c*" ''' 'itl.it"s iid;in h"* .eten t<w/ r<tlA mar.um demand lndrrotor a"d RwrH/

r2l rnE,€dlnos oi the eld net6 s_all be tn\en bv tne ePEeniadve of lhe WBSEDCL' '"-. h.;b.d, monh on or as rear as pEc!@ble the sanedav ored 6@'ar

iili',ri. iri,iii:v;et. ,.*t"ss End brri'ne wrr * done as per pbvrsioB or w6t,ij"lj n.ii.].]w d.JL- c".h!s on (E6ddrv supprv code) R€eurauon, 2004

liil-' i,i-i"a'"J n"'i u"" i" t'e lhe o 'ii" per @ ror rhe rrsr orrr afler conn*tro'

liiiiii'ii:liiir'l'd;'tl;l;;,t"; or As.ee;;nt ma, howeve' be Prer€tred ror a

1r rn rn. tu.nt or anv meter thofl nq abnofia y ow or tr'gh Eadng in corpa'ol !o' the r;adho of b; recs-blY corpa?ble penod or Mete'ing svsrm and / or re

Md*.di'"n.donnao'ooedy$Eenabyo,theMeelbe'n9fo*- -d 6e@ @@mDDo dunns the ps m wl_en 6e r4"terG) lharr g've sucn

L.. r'r"r' *,ii'o. u* x"t B the Hetering svstem not rLn'tlonirs o'open/ or

#;t;;;&;;;d;hs db; derecdve s'arr be detsmined bv

E;;';.1;;i;F.; a,n ou1e, paEnete'< ror re preed'nq and/ or

#i"-tiE.-n".'a""'g anv ds us and/ or subseque't Denod thd! ravb rdEt+ @tFr.t eThe wssEttl B r.wg EE llbqtY to instal a (hecl meter ar he premls6 ot the

co;sum€. or at tne wEsEDcLt sb_sladon' In tt e *nt the retei",jl" i'io:i iiiii.Jti; a"r".o., the enerev brrr sharl ba rarsed as per $E

advan@ of tie check mete6

12.rr]IE Consuner(s) shollpav to tre wBsEDcL lo_ e'ectrta energy.- ' A;;;*r ,n i.o,oine *it' uE prov s o- "nd sdre . o'

a! sEt fodh in the Schedul€ U heroto whlch

o)

o,[ffi ,:JmrJT##,"#iHE#"**,am*T?*T,t;-*ffiff;;iJ;;;Jii;"-fi;..d -ir t'e *'" *' pu't ot ot' p'go'"nL m

ii;,Efi"T#;';G ; idth h the *hedJ+tr he;to' wrt' etu tpm ilrd:re nred In l$e nobfiGuon.

r3.rlllhe WBSEDCL aftd qpiBton of ech calendar mnth $all deli@r to dE'- ''' i ii.,ii,]rir i-uriii"*,iance {idl the readhss or EE metas spedned h oae u

;HdHil';#i; #;;;i ;+Lb bv h; co*Ume(, to the wEsEDc! ttr;-;nd ;nFd. MvcA and other dalges f any lhe Cdsmer(s) ltEll Piiv ttE total

,"orniin-ioii"a l" uu titt *it'm due dale spedr€d n the b0l

tf th. onrumer d@ nol @Ire dP blli In Eual nme, ,le dEI6 rl.v aprx!'itr t)#;E'6ti il;;,;;-I;6'i.!v ; t,e brrr tu manne p.v.g* sitin EE d€ um''

6ntn 6n.Dt b' DEErrEd b'6'd o ttE net" E'dlngs'" ;l;;;;;;;;;;*L a pdrsiM.r brrr.srd be p'*md to the dEFer

which vdll 'be

how4er subJect to adjlstnat ln dtE dlg

r. /I1trin.m.lume sl tuils/ fallto pav lhe amNft orsry Hlunds thlsAgdEIt$ithh' -''' j::':.:::1 :i;";,i -.*; ; d," wBs@o. r'.r qrE 6E clisutrB(s) firM

:jiil:ff"idffi;;il;;iiiiidn'" o' qnv *-a"a,-t eftrev 'nd

at rhe

I;#';;; ;;A 'i p"v'irii t'x "a ur ieca'ea h the m@ndme' mav

#i'i i a;i,iii ,it i,iri' ,nur tur r'.Fsr ft. .n oblraum lsrdrns ktrudinejj'iJiiiii:iiiit "rd;naco@ 'tn

E;m"i'o'r fE ben m.de'

t2) ror Non-Paynent ol anyPayment suEharge at the

blll sithh ItE dt d.te tlE @@m6(t shall rEv tlte6te speiied h tlE s.Hlen hecto and lts retlson' tr

shall on bdnq $ rEqrEd bv 0. n,E@o- Fdldeih. {m of Rs.

in rh. ffi r.@lhcd h ttE lEi.iiililiii.y ciiiiiiiiiJiii iiriit.;; ftu'ii.c) Regu'eo zdE

o,.-"r,"" *r.* ,", .oke pavErt or hoithlY etlv b's lnY€h dolving'

;l;11-:;;lJ;;;. ;*i*ld;;ai ;o**e leter or dldn eai.r'rt to tne sum

lii''l*" -l.,]----..--1..-.- . ..... ,n Ii; o. $bmisrd or santv d€rci!

rh {11 The aoreenot woLd remsh wlld at ledt for 'n' Er fifi $e "ate

ol* qow ano mav ontinG t[ lt's d&tiiBuon

;il#1:il;:'iil#1id. -d;--il;i

or uE oi"s Dutu dbl be at nbedv to

de&rmine tnB Aq,ement beto'e uE elFrv n w aGdd ierlod The wBsEDcl' ls

$iillil',i i"illiiiil t't eE*mmt ri dE po* supprv to dE @NhB rcmams

:il;;'Jc6d;;;-.d; i3o da's ror nd'pavmen' or er€turdtv datag d arry

6r anv orcclon unds Be'Bidtv Supplv Code as

::jH':ii"fi;i;i,i-; ;;;G o;p6 he b6 taken w u'e dnsums to

lilJ! ii"Li]i'"i;i:**o"n, t'e 'eremst

or 'n'

neh* wrh the .o*mer

Fii,Hi'ji's:itr':T##i'#l*:msr";s"H};'lt*x'i:l:"i.il;il':"Li;i, i.;, poriioit'i'i a'a'q am'un'udon or $pprvor

iii"lii"ii # *E;'i;i,",r'. "c -*" ql:I*d,g fl :d'gtsJ;;1J#''l:leri.d or discontlnuatDn ol supplv or Dowa ( 4

rirn rr orel.olcc n, 5uch oltls acton or oe otF _hal mai' a s lrcm the

l',j.i.-i"iiiii ii l.ppri . '4"t"" rsue' the@' on temrtuon or agselr tr'e

iilii* ltiii r:i"'i;tL'as^, , .m*e the @ke rrne 6hd o$er rn'tarraum throueh

which ele.Elcitv ls supplied to the coMmer'

(4)

!rt'I e) ffi Tilf Sff fl,ff '.'#""mffi tr#*:"i$f"1l]'i$ fi []l

ffi hffi'-#i*gimffi Hlti*?Tr#ill,,.,o,n he lsta:Lclsui:efr)*?1'Iflsf;eTriffi?## tr##"frJj;-n h mm d?uno $e cuanuly oi me PMr

T*"J'":}H"-;,i&;;.' ri'" ivesEDo 'har

Bie st"ps 's

per wBERcs

ffiT.,,11" ifii#': ;i;J;t ed to Mprrance or neesry bnnarid* indudms

lh* sDedfeJ herein bd@ bY dre @Nums

-, :r.r*-*:l:l *lg ll ,s#Yri g;.?,fff il'd[9,i,ff:".$l illi"Ji'l','ii-J"ii'*;ft' ' 'eer

$dl ar","d c.Ead dem'M'

i:l rn" *.u,itv a"porit.uV * ino@d to take into adount $e altercd contract

,0, *" ,oa a, O*tO i-,on or @ntnd d'hand wil' b' orsldeed a5 @r WBERCa

Pequlauon appllable BE@f

-",s**:$$tril.-i*n+,ffi :+*'**;#'Ir#ffi!,iffi

T-il

" 1111" jli,,ilill JLLi"l'ffi l*.HTy":hfl,ffi Efi :?]ii

*#:J,J*#s H'# m.U*s ;r*m*l"S'r"*lliHJi.ltil6' t'a-t.,as) drEt rct M h p'6ra hth wssEDot s1s1em'

-ffiffimi:ffitt:ffi:i{e*ffiL.EFr dl@6tan .., the wBSEDcr nv llsMnecl *en wU n the rte PEod

ffi d"ffi;*x$ti;I''Jf;,f;l';ll;;ll:[rH:,m"''*i t

"a-o n* a;-*" *e {pplv lr th* ls 6pnb6date and arfldat Ea$n to

lIi*ffi_t"-,it r* s r"aubh! ln tampedns uF mder Includtnc the meEnns

ffiH,ffi d;i*:ti jj""ts lTBrsrI ;t ;: *#llltiXii;il'i.1ffi-w r"p''p' @ or ere'tiLrrv ror c purpose ouEr tnfi ror whro

lli"Ji'ai ril .#"

i.ia"a n6nded or arr* / e&nos supprv or e'ercv to anv oth'r

premiG i' onwms or Peon tom hE @nedon'

i"" .,""t "t

d*.va" "

*" tNms *h@ supplv has been dl@rtdld dle to

*-:,#Il';'li"r'j'*-r,'i':u#"g,ma"l#,Iitr?:51i{"1'xifl s':iieoulahon 2oo4 and a, amended trom tme to lme

6)

2r. rhe exedon ot d s Aocment silt not in .ny waY aftuct the thbnltv of dE coMme(s)-_ r.1"*-i;

"ria,"i"na draEs unds di asement dlted ......... ...... asahe

ili"i-i"iii ii,,*i'r"*t binG) ;ndl or supplemeitary brll(s), whrch h's/ ha{€ b€en

nnfer.d a.d 7 tr sI be DrifsEd aM the wBst[rL {ill be at liberv to esde ar

lcns *u' i",i,." t" i*"n' -m dus from $e cohsume(, & lr the sdld d6 'Epayable by the coBume(s) und* tt'ls Ag@rent

)7 rhe coMmer{s) hercbv ac@/ aqreed to accePt and aude bv the p6\rCoN of-- ir.i,r.r" r.' ii6r -a c.oiad;6 tumed th@unlin tor rhe tme bdnq ln ro@ and arr

.tr'.,.,i*i,ent amqUm-ssl tlt6.tio addluotu hs€to e td as the $me are

appl @ble whlrh shall be dsed to be rEn of thb &eemsl

)'l rhe aore.msl$all be @d and corsEued as sublec! h all 6p'it to the pl!6oB or

the Lfuicis Ad, 2m3 and Resulauons framed lheELndd am of the Rul6 for the dme

i".c i" ro"i tu;t*+, * t_it the eme E+€c$/dv rov b. spplkable'

IN w[NEss WHEREoF the p.ni* to the.e pret€nts haw h@under *t and sub*ibe$eir Epective hands atu *ale the dav, manb and

'tar fr6t abo@ wfttei'

son€d. sled and ddi@d tor andon- behalf of lle w6t Benoat St teElectldv Dlstrbudon company LB.

signed, S€aled and delivery bY he

consume(s) in pesence

The Common Seal oi th5

consumBr has been sftix€d

(6)

Ih€ @sum€f(s) dudnq tte @nnnuance ofthh a0l!6med thel b6 dttdart lo

conslmo el€ct!:al po$r upto bui not .r6€dhS tF Co'tlct Ddllatld e hdhatod

SCTIEDULE . II

A6 p6r pBElling apPlLabb Tadff, .chodub en.Bot k atached heFrvlh'

a

form - 1 - wbsedcl

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