APPLICATION FORM FOR FREE ELECTRICITY SUPPLY

TO WAPDA EMPLOYEES

1. Name of Employee __________________________________________

2. Designation __________________________________________

3. Formation __________________________________________

4. Date of joining to WAPDA / MEPCO __________________________________________

5. Name against whom meter is installed __________________________________________

6. Residential Address __________________________________________

__________________________________________Reference No.

__________________________________________

7. I solemnly declare that I am not availing concession of free electricity supply at any other
place except against the Reference number mentioned above applied for now.

Date: ___________ SIGNATURE OF EMPLOYEE

{CERTIFICATE OF ASSISTANT MANAGER (Customer Services) CONCERNED}

(Applicable in Case of transfer or change of residence)

8. Certified that the concession of free electricity against reference No.

allowed to above applicant posted as in the office

Drawing & Distributing Office Transaction location Code

No. has been discontinue w.e.f and his balance units are

the report has been sent to WAPDA Computer Center vide No.

dated .

Assistant Manager (C/S)

_________________ Division
 TO BE USED BY THE DRAWING & DISBURSING OFFICER

09. Designation of Drawing & Distributing Officer ___________________________

10. Department Code (Drawing & Disbursing Officer Code)

11. Inter Office Transaction Code (I. O. T)

12. E.P.F / G.P.F Account No. ___________________________

13. Prescribed limit of Free units ___________________________

14. Date from which concession is to be allowed ___________________________

I t i s c e r t i f i e d t h a t a b o v e i n f o r m a t i o n a g a i n s t S r. N o . 1 t o 1 4 h a v e
been verified and found correct.

STAMP / SIGNATURE
INCHARGE OFFICER

Endst: No. Dated:

Forwarded to the following for information & necessary action: -

1. Assistt: Manager (Customer Services), MEPCO_________________________________

2. Assistt: Manager (OP), MEPCO______________________________________________

ACTION TAKEN:

1. Fed to WAPDA Computer vide No. Dated

2. Processed by WAPDA Computer Center on

Checked By: