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SPDCL Title Transfer (LT/HT) Application Form

Service Connection Number*:: ___________


_____________________________________________
Mobile Number *: ___________________________ Pin code *: ___________________
Reason for Complaint *:: ___________________________________________________________________________________

LT/HT Title Transfer Details:


Changed Consumer Name *:: _____________________________________________
Changed Father Name *: _________________________________________________
Social Group *: OC / BC / SC / ST / Others

Informant Details:-
Informant Name*: ________________________________
_________________________________ State*: ______________________________
____________
District*: _________________________ Mandal
Mandal*: ________________________ Village/Ward*:: ___________________
_______
Delivery Type*:  Manual
Proof Document*: _______________________________
ID Proof*:  Aadhar Card Copy  Electoral Copy
Copy Pan Card copy
 Ration card copy
ID Proof Number*: _____________________________

Aadhaar Authentication:
Aadhaar Card Number *: ______________________________

Document List: - (NOTE: All Upload Documents are in PPDF Format Only)

LT/HT Application Form (MeeSeva Form) Signed by Applicant *


ID Proof*
Owner Ship Certificate/Sale Deed/Gift Deed (Selected Proof Document) *

Applicant’s Signature

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