CPA.V2- 01/2017 Page 1 STANDARD TERMS & CONDITIONS OF RCI® MEMBERSHIP IMPORTANCE NOTICE These terms and conditions contain clauses appearing in similar font / text
- 2 - Chapter 1 Specifications GENERAL Model RCI-2950DX RCI-2970DX-150 Frequency Range: 12 meter : 10 meter 24.8900 ~24.9900 MHz 28.0000 ~29.6999 MHz
179 RCI 4 & 7 Series Electric Strikes RCI • Fail Locked (Secure) • Accommodates 3/4” latch projection (pull-man design not included) • Enlarged latch cavity
AADHAAR ENROLMENT / CORRECTION FORM Aadhaar Enrolment is free and voluntary. Correction within 96 hours of enrolment is also free
Email Confirm email My complaint is: What do you consider a fair resolution to your problem? If you need more space, please attach additional pages
Download THE INDIAN JOURNAL OF PEDIATRICS. Copyright/Authorship Form. MANUSCRIPT ID NUMBER (If available). Article title (first few words). First Author : …
T2491 v.03 11.06.2017. Page . 1. of . 8. 01-CA9674 H. SETTLEMENT REGISTRATION/CLAIM FORM. Auto Airbag Settlement for
E RES E E ducational Records valuation Service, Inc. Academic Transcript/Records Request Form (Form 101-F) For Nursing Licensure in the United
Reason for Cancellation. (Select One) n Customer Request n Flat Cancellation n Repossession. (Must include Repossession letter from lienholder) n Loan Paid Off n Other. Product To Be Cancelled: n Guaranteed Asset Protection. (GAP) n Lease Wear & Tear
united states securities and exchange commission washington, d.c. 20549 form 10-k s annual report pursuant to section 13 or 15(d) of the securities exchange act of 1934
Travel claims form. About the incident. Area of cover (please select all that apply )*. Baggage claim. Cancellation. Cutting a trip short. Medical. Missed departure. Passport, documents. Personal liability. Personal money. Travel delay. Change in hea
Handbuch zur Ersten Hilfe DGUV Information 204-007 Januar 2017
Pre-Determination of Benefits Form. For Commercial Members Only. Fax completed form to: 866-756-9733. Note: To avoid delay in processing your request, please fill out this form completely. PHYSICIAN OR OTHER HEALTH CARE PROVIDER. Physician or Provide
New York Network Management, LLC Appeals Form Provider Name: Practice: 0HPEHU ODVW QDPH ¿UVW QDPH Member ID #: Insurance Plan: Claim #: DOS: Detailed reason for denial:
Come discover with us. Page 1 of 7 SUBCONTRACTOR PREQUALIFICATION FORM Completion of the Prequalification Form allows HESS to learn
Attention: You may file Forms W-2 and W-3 electronically on the SSA’s Employer W-2 Filing Instructions and Information web page, which is also accessible
Download 3 or 4 Digit Security Code:______ Credit Card Billing Zip Code:______. EVENT REGISTRATION FORM. PROGRAM TITLE. EVENT CODE. EVENT DATE. PRICE *. TOTAL. If you need more space please duplicate this form. Please fax this completed form wit
Revised November 2014 TRANSCRIPT REQUEST FORM 80 Vandenburgh Ave, Troy, NY 12180 (518) 629-4574 www.hvcc.edu Submission: Submit this form to the Registrar’s Office
I/We hereby acknowledge receipt of the cheque book(s) specified above. Signature of Recipient. For Bank Use Only. Signature Verified and Data Input Checked and Additional Information. Date input by. Verified/Approved by Low Cheque No. Signature(s) by
Marketplace Eligibility Appeal Request Form – Individual D (09/2017) Additional help. Language assistance services . If you need help with your appeal in a language
Download 3 Oct 2017 ... prohibited? YES. NO. 3. Will you wear your jogger's identification card at all times , whilst on the reservoir. YES. NO compound? 4. Walking on the curb wall of the dam is prohibited and I will obey the rules. YES. NO.
Download 3 Oct 2017 ... prohibited? YES. NO. 3. Will you wear your jogger's identification card at all times , whilst on the reservoir. YES. NO compound? 4. Walking on the curb wall of the dam is prohibited and I will obey the rules. YES. NO.
Payee NRIC: Bank Account No:: Notification of payment will be sent to this email address. Important Notice: The Company shall (i) be discharged from all liability
information, I/we would not hold Smart Value Products And Services Limited, its registrars and other service providers responsible. I/We will also ... bank (i.e. the bank of the SVPSL) and the beneficiary bank (i.e. bank of the Associate) is ... with
.
A-1 Form for Power Supply for Residential / Commercial /Industrial Purpose You can fill this form online also. Please visit www.mahadiscom.in (Processing fee will be waived if application and payment is made online) Date of Application: ___
To, The Engineer, Section /Sub-Division/ Circle Office, -------------------------------------------. Dear Sir / Madam, I hereby submit this application for new connection for supply of electrical energy at the premises mentioned below A. Details of Applicant 1) Applicants Name (IN BLOCK LETTERS) 2) Email Id: 3)
First name
Name of Father/Husband (Phone No)
Surname (Mobile No)
Aadhar Card No.(Optional)
B. Details of Premises 1) Address of Premises House / Flat / Gala / Survey No. Street / Landmark: Taluka / City & District: 2) Type of premises Self Owned Name & address of the Owner :(If not self owned) 3) 4) Nearest Consumer No for reference: (Please Specify)
Society Name: Village: Pin Code: Rented
C. Power Supply Requirement Residential / Commercial / Industrial Type of Supply Single Phase (LT) Three Phase (LT) HT
Occupier / Other
Connected Load(KW)*:
Contract Demand (KVA):
(* Please refer overleaf to calculate required load.) D. Applicants Classification (for new connection of residential only) a) General b) SC/ST
c) BPL
E. Document attached 1) 2) 3)
Occupancy/Ownership proof: Identity Proof: Test report of Consumer’s premises from Govt. Authorized contractor ( to be submitted before the release of connection):
Declaration: I hereby declare that I will abide by the provisions of Electricity Act 2003 and Maharashtra Electricity Regulatory Commission (Electricity Supply Code and other conditions of Supply) Regulation 2005.I will further abide by rules & regulations issued by regulatory bodies & MSEDCL from time to time.. I will pay the electricity bill as per prevailing MSEDCL Tariff. If the premises is declared unauthorized then at the time of vacation by competent authority, MSEDCL will have liberty to remove the electric connection immediately. The above information is true and if any false information is observed, I / we will be responsible for the consequence thereof.
For Office Use:
Signature of Applicant
Signature & Office Stamp (Representative MSEDCL)
F. Documents Required (Please Tick
which is applic able )
a. Proof of Ownership or Occupancy of Premises (Any one of the following) Occupancy Certificate issued by Statutory body / Competent Authority Ownership Document/form 8 / Form 7-12 / tax / lease issued by Local Authority In case of tenant Leave & License / Lease agreement with Property Owner’s NOC In case of Quarter, Allotment letter of its authority. In case of Slum Area, if none of the above documents is available then affidavit on Rs. 200/- stamp paper.
b. Identity Proof (Any one of the following)
c. Documents required for relevant category (if applicable)
Voter’s identification Card
SC / ST Caste Certificate
Collector/Govt. Authorized Photo ID
BPL Certificate
Aadhar Card PAN Card Driving License Passport
Remark: 1) Required Statutary & regulatory permission is to be submitted. 2) For industrial connection purpose following additional documents required : a) Industrial Registration / DIC Certificate . b) Separate sheet for Load profile. G. Calculation of Load Requirement: Appliances*
(a) load (watts)
LED
9 /12
Tube Light
40
Table fan / ceiling Fan
80
Colour Television
120
Refrigerator (Small)
225
Exhaust Fan
150
Computer
150
Washing Machine
500
Cooler (Medium size)
170
AC (1.5 ton) / Room Heater (Blower Type) Pump motor (1 HP) Geyser (Storage)
(b) No of Appliances
Total(Watts) (a x b)
1800 740 2000
Others Total
Note: For Service Connection & Other Charges please refer Annexure 1 and 2 of Circular No. CE/Dist-III/SOC/24500 Dt. 30.08.2012
SCHEDULE OF CHARGES
Sr. No. 1 a b a b c 2 a
MAHARASHTRA STATE ELECTRICITY DISTRIBUTION COMPANY LTD. ANNEXURE 1 SERVICE CONNECTION CHARGES FOR NEW OVERHEAD CONNECTION CATEGORY Approved by MERC* L.T. Supply Single Phase. For Load up to 0.5 KW For Load above 0.5 KW and up to 10 KW Three Phase Motive Power up to 21 HP or other loads up to 16 KW Motive Power up to 21 HP but up to 107 HP or other loads above 16 KW but up to 80 KW. Motive Power above 107 HP but up to 201 HP or other loads above 80 KW but up to 150 KW. H.T. Supply
SOC
Variable Charges Rs. 950 1500
Rs. Nil Nil
3500
Nil Nil
8000
Nil
13000
H.T. Supply up to 500 KVA.
20500
30 /- per KVA for excess load above 500 KVA.
th
As per Hon’ble Commission’s order in case No 19 of 2012 dtd. 16 August 2012 i)
In case MSEDCL permits an applicant to carry out the works through a LEC, a rate of 1.30% of the normative charges will be applicable towards supervision charges
ii)
In case of extension of load, the normative charges will be applicable on the total load (existing as well as additional load demanded) as per the load slabs indicated above
Note
Sr. No. 1 a b a b c d 2 a b
MAHARASHTRA STATE ELECTRICITY DISTRIBUTION COMPANY LTD. ANNEXURE 2 SERVICE CONNECTION CHARGES FOR NEW UNDERGROUND CONNECTION CATEGORY Approved by MERC* L.T. Supply Single Phase. For Load up to 5 KW For Load above 5 KW and up to 10 KW Three Phase Motive Power up to 27 HP or other loads up to 20 KW Motive Power up to 27 HP but up to 67 HP or other loads above 20 KW but up to 50 KW. Motive Power above 67 HP but up to 134 HP or other loads above 50 KW but up to 100 KW. Motive Power above 134 HP but up to 201 HP or other loads above 100 KW but up to 150 KW. H.T. Supply H.T. Supply up to 500 KVA. H.T. Supply above 500 KVA.
As per Hon’ble Commission’s order in case No 19 of 2012 dtd. 16 August 2012 i)
The road opening charges vary from area to area hence will be levied on actual basis.
ii)
In case MSEDCL permits an applicant to carry out the works through a LEC, a rate of 1.30% of the normative charges will be applicable towards supervision charges.
iii)
In case of extension of load, the normative charges will be applicable on the total load (existing as well as additional load demanded) as per the load slabs indicated above.
