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NOC NC Specimen

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CP Form 03-A

Dated 01-11-2017
SPECIMEN OF

N.O.C
(No Objection Certificate from owner)

1. I / We Mr. /Mrs. /Ms ________________________________________________


S/O / D/O / W/O _____________________________________________________
under take as follows

2. That the property No. ______________________________________________


situated at _______________________________________ is owned by me / us.
3. That Mr. /Mrs. /Ms ________________________________________ has
applied for a New Connection / Extension of Load / Reduction of Load / Change of
Tariff / Temporary Connection / Change of Name for Electricity under Tariff
________ in the name of _____________________________________in the joint
property

4. That I / we authorize Mr. /Mrs. /Ms ____________________________________


to apply for an Electricity Connection and I have no objection if he / she get this
connection in his / her name.
5. That I / we undertake to pay all the outstanding dues against the connection
previously existed here and noticed later on. I also undertake to pay the
outstanding dues for the connection applied for if defaults in future.

Owner Signature _______________ Witness Signature _______________

Name __________________________ Name __________________________

Address _________________________ Address _________________________

N.I.C # __________________________ N.I.C # __________________________

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