(SSUES ES 1) Please submit Requisition duy files @ signee. 2). Pay Transfer Fee of 2250 + Servos Tax or Pay Transfer ae per Tan Cara 3) Documentary evdence:abe submited (Ptease bring the orginal documents and one photocopy. After venfcaton atthe retain photocopies of the Bocuments Please rememerallareements/Sele deed/aficavit shouldbe duly notarizedor registered) 11 Change of Ownarship A. ForRegisteres Housing Societies 1 Agreement / Purchase Sle deed with the present Regsteree Customer OR Shave certcate of RegistereaSacety. 2) Latest Munioipal Tax Bl inthe applicant's name, OR NOC (Duly stamped.No Objection Cerfieate) Fromeheregistered Housing Society B. For Unregistered Housing Societies 1). Agreement / Purchase /Sale deed with dhe present Registered Customer, 2) No Objection Certiicate(NOC) from the present registered customer, OR Latest Municipal Tax ll 2, Death of Owner 1) Deatn Certificate of Registered Customer. 2) Documentary root at natura succession lice succession Centcete / Probate ot wil (originals or verfieaion / affidavit wearing suecession cum NOC from ether legal her other than spouse of Fealstered Customer, 3, Builder core 1) Index 2 or Sales Deed, 2) Possession Letter from Builder, 3) Photo 0 proot af owner 4) Co-owner consent with signed photo ID proot is required incase of joint property | agree the terms and conaltions 2x mersoned in Rested Forms attached along with this frm for change in name angabicebytnesame. Name: = Slanature of New Owes Date: DETAILS OF TRANSFER CHARGES Rs Conegue No (ESTP ‘Uwe hereby sate that we nave no objection in transfering the AGani PNG connection customer 1D no. ‘rom ne) (oew owner name) iGo eae busses meee eae ms Co-owner Name Signature CNG ORJECTION CERTIFICATE (NOC)FROM OLD OWNER Presenty stands cur name we _____ state that customer ID No, \We have No Objection in ransfering the ove PNG connectionin Nameof. Signature of 14 Owner: bate ‘IPNOC of ol custome Is not avalable nerdy aereetotake heresporibity of shiting he gaseanrectiontomyname ancl respensibe foram aspute pertaining rothesae! Adani Gas Limited | Customer Care Helpdesk: O79 2762 3264 / 1800 2535 5555 (Toll Free) Erna istomeroere.ged@edancom Website: wensadengeacom Customer Care Offices ‘Aanl cna ston Opp Mannarar Fre Staton Nr kishnstavg Cross Reaa Mannan Aheeabaé $80 008, ujat ns 3 Smangalom Sooay Op Ae Schoa Drevin Rand Sagas, Ame 360 O58, urs el Adani Gas Limited Domestic PNG Connection adani Gas NAME TRANSFER FORM 8.P.NO Nome ‘sess where PNG instal eee ene ee ee — thy: $$ Pha onte_ = —___— Mobile No Tana mail 10, — Sain PANES Name: : : society Pit name: pp@9t ye obit No. — Ta No. Emaitio. anaes ‘Reason for Transfe of PNG connection; (Tick mark any one ) ‘.Purceseot Proper [7] 2 nbetanes of ropeny/ Suecesion ~] 5. Proper acu by way of cour ore / auction east of Tenancy Leave an cense Agreement Lease ["] 4. Demise of registered customer[—] 5. Any atest ny] Pon Cara Number LP consumer Number Nae athe Congas) pe see aie essere eee eee ee eines aGeter aga nett pn a ten ra earned ce (Ghlayestorcsne ss vr serennyegetseamete hurr Slane ot New Owner