Scribd Logo
Upload

Welcome to Scribd!

  • 36 views

    CBM

    Uploaded by

    Sassy Paladin
    This document contains an application form for a new electricity connection from Power M Builders. It requests customer information like name, contact number, and service address. It also asks for details of the application like the type of service availed, application type whether it's new connection, transfer of service, etc. The form also collects site details, metering scheme, technical line number information and space for approval and remarks. It requires a signature over the printed name of the authorized representative.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    CBM

    Uploaded by

    Sassy Paladin
    36 views1 page
    This document contains an application form for a new electricity connection from Power M Builders. It requests customer information like name, contact number, and service address. It also asks for details of the application like the type of service availed, application type whether it's new connection, transfer of service, etc. The form also collects site details, metering scheme, technical line number information and space for approval and remarks. It requires a signature over the printed name of the authorized representative.

    Original Title

    CBM (1).docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains an application form for a new electricity connection from Power M Builders. It requests customer information like name, contact number, and service address. It also asks for details of the application like the type of service availed, application type whether it's new connection, transfer of service, etc. The form also collects site details, metering scheme, technical line number information and space for approval and remarks. It requires a signature over the printed name of the authorized representative.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    36 views1 page

    CBM

    Uploaded by

    Sassy Paladin
    This document contains an application form for a new electricity connection from Power M Builders. It requests customer information like name, contact number, and service address. It also asks for details of the application like the type of service availed, application type whether it's new connection, transfer of service, etc. The form also collects site details, metering scheme, technical line number information and space for approval and remarks. It requires a signature over the printed name of the authorized representative.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    CBM: Power M Builders CBM: Power M Builders

    Lyka V. Paladin Lyka V. Paladin


    0912-406-2533 0912-406-2533

    Customer Information Customer Information


    Customer Name: ____________________________ Customer Name: ____________________________
    Contact Number: ____________________________ Contact Number: ____________________________
    Birth Date: ____________________________ Birth Date: ____________________________
    Service Address: ____________________________ Service Address: ____________________________

    Application Details Application Details


    Availment: Availment:
    ____Full Bundle ____Documentary Bundle ____Full Bundle ____Documentary Bundle
    ____Technical Bundle ____Processing Bundle ____Technical Bundle ____Processing Bundle

    Application Type: Application Type:


    ____New Connection ____Temporary ____New Connection ____Temporary
    ____Transfer of Service ____Transfer of Service
    ____Reconnection ____Rel/Rem ____Reconnection ____Rel/Rem
    ____Change in load/Service ____Separation ____Change in load/Service ____Separation

    SIN: __________________ SIN: __________________


    (For Rec, TOS, Rel/Rem & CLS only) (For Rec, TOS, Rel/Rem & CLS only)
    Applied Load: _________ Applied Load: _________
    ____Residential ____Non-Residential ____Residential ____Non-Residential
    PSIC: _________ PSIC: _________

    Site Details Site Details


    Left Meter ___________________ Left Meter ___________________
    Right Meter ___________________ Right Meter ___________________
    Landmark _____________________ Landmark _____________________

    Metering Sheme Metering Sheme


    __Normal ___Pole hug/ICP ___EMC __Normal ___Pole hug/ICP ___EMC
    TLN __________________ TLN __________________
    TLN Pole __________________ TLN Pole __________________
    Approval Remarks (For full and Technical Bundle Approval Remarks (For full and Technical Bundle
    only) only)
    S/E Remarks: S/E Remarks:
    __________________________________________ _________________________________________
    __________________________________________ _________________________________________
    __________________________________________ _________________________________________
    __________________________________________ _________________________________________
    __________________________________________ _________________________________________

    ____________________________________ ____________________________________
    Signature over Printed Name Signature over Printed Name

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy