APPLICATION FORM FOR FREE ELECTRICITY SUPPLY

TO WAPDA EMPLOYEES

1. Name of Employee
2. Designation
3. BPS (Substantive)
4. Name of Office Where Working
5. Office Address
6. Residential Address
7. Date of Appointment
8. Name Against Whom Meter is
Installed
9. Address Where Meter is
Installed
10. Reference No.
11. GP Fund Account No.
12. I solemnly declare that I am not availing concession of free electricity 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 Change of Residence)

13. Certified that the concession of free electricity against Reference

No._____________________________ allowed to above applicant posted
as______________________________ in the office of
____________________________________under Drawing & Disbursing
Officers, 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 Center vide No.
_______________________________________ dated ____________________.

STAMP & SIGNATURES OF

CONCERNED REVENUE OFFICER

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 TO BE USED BY THE DRAWING & DISBURSING OFFICER

14. Designation of Drawing &

Disbursing Officer
15. Free Electricity Supply Code No.
16. Inter Office Transaction Code
No.
17. Prescribed limit of Free Units
18. Date From Which Concession is
to be Allowed

19. Certified that the particulars given against serial No. 1 to 16 have been
verified and found correct.

NAME & DESIGNATION OF

HEAD OF DIVISION OFFICE
________________________________________________________________________

Endorsement No. ___________________________Dated:______________________

Forwarded to the Revenue Officer /Customer Service Office WAPDA
________________________________________________ for implementation.
ACTION TAKEN
1. Fed to WAPDA Computer Center Vide No. ________________________
2. Processed by WAPDA Computer Center on _______________________
3. Checked by: _______________________________________________

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