Application For Refund Of Security Deposit 6. 8. 9.
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1Application for Refund of Security Deposit
1.
Name of Applicant
2.
C.A. / K No
3.
Complaint No. / Notification No.
4.
Address where connection exists
5.
Address of Correspondence
Name of the Bank & Branch
Bank
Type (Saving / Current)
Saving ⃝
Current ⃝
6.
Account
Bank Account No
Details
MICR No.
Individual
⃝
Company
⃝
7.
Please tick the correct consumer type
Partnership Firm
⃝
Proprietary Firm
⃝
Whether refund required through ECS /
8.
ECS
⃝
Cheque ⃝
(please tick)
Cheque
If Cheque is required, whether it is to be
9.
Post
⃝
Collect ⃝
(please tick)
sent by post or will be collected in person
Phone / Mobile No.: _____________________________
Signature of Applicant
Enclosures
1)
In case of Company, Resolution by the Board of Directors for surrender of the connection and refund of security deposit.
2)
In case of partnership firm, a copy of the dissolution deed or signatures of more than two thirds of total number of partners on
request letter for surrender of connection and refund of security deposit. The Deed should also specify the treatment of such
financial processes and the manner in which such amounts can be accounted for i.e. % share of each partner.
3)
In case of demise of the registered consumer, a copy of the will stating the transfer of ownership of the premises or NOC from
the other legal heir (s).
4)
For consumer who had taken the electric connections in the pre-reforms period [i.e before July 2002], and if the amount of
security deposit is not reflected in their latest bill, they also have to submit any ONE of the following documents along with
their application form:-
(a) Copy of security deposit receipt.
(b) Copy of any bill of DESU/DVB period which reflects the amount of security deposit.
(c) Any correspondence which reflects the amount of security deposit.
If the consumer is unable to submit any of the above documents, the claim will be processed on the basis of records available
with the DISCOM.
ACKNOWLEDGEMENT
Your request / complaint has been registered along with mobile and email details. You may check the status of your request /
complaint by calling at our helpline no. 011-66404040 or visiting
_________________________________
Notification no. ___________________________________ & expected resolution date
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Parent category: Business