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3enu u Ar+p ak A-1 FORM Type of Premises ivj p/S4apnno p/kar Residential 6rg$4u Commercial Industrial Institution Others Agricultural Vyapairk AO oigk s S4aiky ANy qetIiv8yk To p/it Application No. Ar+ k/ma k The Date. 7I tarIq :- (Note Applicant is requested to fill his / her name with all the details clearly and to sign ) Arjdare tenI te InI purepurI ivgt coQqa A9roma lqI shI krvI. I/ We hereby request you to supply electrical for the premise owned / Occupied by me /.

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