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Annexure 4 – Undertaking Format for release of connection or re connection based on DERC 6


Amendment Order for Building Height – To be taken from Applicant

SELF – DECLARATION / UNDERTAKING

I, ____________________________________ Son/Daughter of _____________________


Resident of _____________________ (hereinafter referred to as “Applicant”, which term shall
mean and include executors, administrators, heirs, successors and assigns), do hereby swear
and declare as under:

A. That the Applicant / deponent is owner / occupant of the premises bearing no. ,
situated at _____________________________________________________.
B. That I have applied for ____________ new connection (Domestic/ Non-domestic/ Industrial at
the above-mentioned address [Google Coordinates – _____(Latitude) & ____(Longitude)]
C. That I have submitted the ownership / occupancy documents of the said premises / property /
flat.
D. I understand that mere release of electrify connection / installation of meter/issuance of bill for
the use of electricity shall not be termed as confirming any ownership or other rights over the
concerned land or premise.
E. The deponent undertakes :-

(a) The dwelling unit where electricity connection is applied is within the height of 15
meters without stilt parking/ 17.5 meters with stilt parking of the building.
(b) The electricity connection granted to the premises will not be used for extending
electricity supply to other dwelling units.
(c) In case, it comes to my knowledge that there is illegal extension of supply or
electricity is used at dwelling units beyond the height of 15 meters without stilt
parking/ 17.5 meters with stilt parking of the building, I will promptly bring the
same to the DISCOM’s notice.
(d) I do hereby confirm and agree that I shall ensure that NO illegal extension of
supply or electricity is used at dwelling units beyond the height of 15 meters
without stilt parking / 17.5 meters with stilt parking of the building from my
connection. I do hereby undertake that in case the illegal extension of supply or
electricity is used from my connection at dwelling units beyond the height of 15
meters without stilt parking / 17.5 meters with stilt parking of the building, I shall
be liable to pay all outstanding bill of the said unit along with the bill as assessed
by BSES without disputing the assessment and / or raising any claim whatsoever
and the DISCOM shall be free to disconnect the electricity connection
immediately, without any notice.

F. I hereby undertake that I shall be using electricity for purposes applied for & shall not use /
permit to use in any other manner.
G. I agree and confirm that in case of any declaration containing in the instant undertaking is found
false at any later occasion, the same shall be mutatis mutandis be termed as breach of the
agreement between BRPL and the deponent, and BRPL shall be free to take all such action as
permitted under law including the same related to breach of terms of agreement.
H. I declare that the above statements are true and correct, and I shall be unequivocally liable to
abide the terms stated in this undertaking cum affidavit.

DEPONENT

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