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APPLICATION FORM FOR FREE ELECTRICITY SUPPLY TO WAPDA EMPLOYEES Name of Employee Date of joining Wapda Designation BPS Substantive Name of office where working Office address Residential Address Name against whom meter is installed Address where meter is installed Reference Number I Solemnly declared that I am not availing concession of free electricity supply at any other place except against the reference number mentioned above applied for now. Dated SIGNATURE OF EMPLOYEE CERTIFICATE OF REVENUE OFFICER CONCERNED Application in case of transfer or charge of residence Certified that the concession of free electricity against Reference in the office of I. O. T No* Drawing Disbursing Officer Inter office Transaction Location Code No* has been discontinued w. e. f and his balance units are The input has been sent to WAPDA Computer Centre Vide No* Dated. STAMP SIGNATURE OF CONCERNED REVENUE OFFICER Free Electricity Supply Code No* Inter Office Transaction Code I. O. T E*P. F / G*P. F A/C No* Prescribed Limit of Free Units Date from which concession is to be allowed NAME DESIGNATION OF HEAD OF DIVISION / OFFICE Endst No* WCC/PF- / Dated* Forwarded to the Revenue / Customer Services Officer for information* ACTION TAKEN 1. Dated SIGNATURE OF EMPLOYEE CERTIFICATE OF REVENUE OFFICER CONCERNED Application in case of transfer or charge of residence Certified that the concession of free electricity against Reference in the office of I. O. T No* Drawing Disbursing Officer Inter office Transaction Location Code No* has been discontinued w. O. T No* Drawing Disbursing Officer Inter office Transaction Location Code No* has been discontinued w. e. f and his balance units are The input has been sent to WAPDA Computer Centre Vide No* Dated. STAMP SIGNATURE OF CONCERNED REVENUE OFFICER Free Electricity Supply Code No* Inter Office Transaction Code I. e. f and his balance units are The input has been sent to WAPDA Computer Centre Vide No* Dated. STAMP SIGNATURE OF CONCERNED REVENUE OFFICER Free Electricity Supply Code No* Inter Office Transaction Code I. O. T E*P. F / G*P. F A/C No* Prescribed Limit of Free Units Date from which concession is to be allowed NAME DESIGNATION OF HEAD OF DIVISION / OFFICE Endst No* WCC/PF- / Dated* Forwarded to the Revenue / Customer Services Officer for information* ACTION TAKEN 1. Dated SIGNATURE OF EMPLOYEE CERTIFICATE OF REVENUE OFFICER CONCERNED Application in case of transfer or charge of residence Certified that the concession of free electricity against Reference in the office of I. O. T No* Drawing Disbursing Officer Inter office Transaction Location Code No* has been discontinued w. e. f and his balance units are The input has been sent to WAPDA Computer Centre Vide No* Dated. STAMP SIGNATURE OF CONCERNED REVENUE OFFICER Free Electricity Supply Code No* Inter Office Transaction Code I. O. T No* Drawing Disbursing Officer Inter office Transaction Location Code No* has been discontinued w. e. f and his balance units are The input has been sent to WAPDA Computer Centre Vide No* Dated. STAMP SIGNATURE OF CONCERNED REVENUE OFFICER Free Electricity Supply Code No* Inter Office Transaction Code I. O. T E*P. F / G*P. F A/C No* Prescribed Limit of Free Units Date from which concession is to be allowed NAME DESIGNATION OF HEAD OF DIVISION / OFFICE Endst No* WCC/PF- / Dated* Forwarded to the Revenue / Customer Services Officer for information* ACTION TAKEN 1..

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