FORM-4

(Refer to Regulation 5(7) of Tamil Nadu Electricity Regulatory Commission, TAMIL NADU
ELECTRICITY SUPPLY CODE Notification No. TNERC/SC/7/1 Dated 21.07.2004)
UNDERTAKING

Whereas I/We ……………………………………… S/o, D/o, W/o ………………………………… (a firm under

the name and style of) ……………………………………………………………………………………. herein after called
consumer, have approached the (Name of Licensee) herein after referred to as Licenses for transfer
of A/ C No ……………………… for supply at ……………………………………….in my/out name and where as the
Licensee , as sought for by the consumer, this undertaking witness the following:

The consumer shall pay on demand and without demand all dues to the Licensee including such dues
as may become payable as a result of revision of bills relating to the period prior to the transfer of
account in his/her/their name. The commitment to pay the demands relating to the period prior to
the transfer of account will include such demands omitted to be made periodically and such omission
has been detected after the service has been transferred in the name of the consumer.

2. The consumer agrees that the Licensee shall have the right to enforce disconnection of supply in
the event of consumer failing to fulfil the obligation of this undertaking.

3. The consumer further agrees to indemnify the Licensee against any loss/damage or any other
liability, the Licensee may suffer as a result of any dispute or disputes raised by the consumer
himself/herself/themselves of by any other party with regard to this transfer of account at any time.

SIGNATURE

WITNESS WITH ADDRESS

1.

2.