DNH Power Distribution Corporation Limited,

Vidhyut Bhavan, 66 KV Road, Near Secreteriate,

Amli, Silvassa, 396230
Tele.: (0260) 2406500, TeleFax.: (0260) 2642338, Fax: (0260) 26406502, Web :
www.dnhpdcl.in, Email: support@dnhpdcl.in

1.Ack. No. : C2021051330872 SCNO : Date : 13-05-2021

2.Category : INDUSTRY / HT / NEW POWER Application For : CONSENT
3.Demand Load : 500.00KVA
4.Last Name : PATEL First Name : PRASHANT MiddleName : CHANDUBHAI
5.Fathers/ husbands Name : CHANDUBHAI Occupation/ Designation : AUTHORISED SIGNATORY
6.
Company Name: NMC INDUSTRIES PRIVATE LIMITED
Supply Address : SURVEY NO.255/6,,ATHAL,Athal,SILVASSA,396230
Email : plant@nmcindustries.com
Contact : 9727837658
7.Permanent Address : SURVEY NO.255/6,,ATHAL,,SILVASSA,396230
8.Office Address : SURVEY NO.255/6,,ATHAL,,SILVASSA,396230
Category For : SMALL
Product : FABRICATED METAL PRODUCTS, EXCEPT MACHINERY AND EQUIPMENT
9.List of Documents
1 Proof of Identity 2 Proof of Ownership
3 Proof of Occupancy 4 Certificate of Project Report 5. Udyog Aadhar Registration
10.In case of tenant, permission of Landlord with proof of ownership of premises
NO
alongwith landlords full name & address be attached
11.In case of partnership firm, partnership deed and authorization, article of association
NO
in the name of the applicant be attached
12.In case of public/private Ltd firm, memorandum, article of association, certificate of
YES
incorporation and authorization in the name of the applicant be attached
13.In case of Cooperative Group Housing Society, certified copy the registration of the
NO
cooperative Group Housing Society be attached
14.Details of any other existing connection in the name of applicant at any other premises in DNH, Silvassa.
Service Connection No :
15.Details of any other connections in the same premises. If any
Service Connection No :
Service Connection No :
16.Details of any other disconencted electricity connection in the name of applicant anywhere in DNH, Silvassa.
Service Connection No :
17.The wiring carried out/certified by the following Licensed Electrical Contractor.
Landline No :
Address : H.No.2290, dokmardi, amli, silvassa, 09925621225
Name : Sai Darshan Electrical
Dadra & nagar Haveli-396230
Mobile No: 9601973722
Licence No :
G/CGU/C-4811
Email ID : sdesilvassa@gmail.com Issuing Authority : null
Valid Upto:
15-12-2019
18.Mention your option to procure the meter. MCB/CB & associated equipments by the
YES
applicant (Yes/No)
19.Mention your option to bear the cost of service line and extensions by the applicant
YES
(Yes/No)
20.Installation test Report along with List of Machinery be attached NO
Billing & Collection
21.Do you prefer to receive copy of bill/payment remeinder/important messages through
YES
email/sms
21.If yes, have you meantioned your email address/ Mobile Number at Sr. no. 6 above. YES
Email ID : plant@nmcindustries.com Mobile No :
22. Udyog Aadhar Registration No. DN01B0001165
 Declaration / Undertaking
(A) I have read and agreed to the notice/conditions above and make following declaration/ undertaking:-
(B) To abide by the provisions of Electricity Act 2003 and Joint Electricity Regulatory Commission (JERC) for the
State of Goa and Union Territories (Electricity) Supply Code and other conditions of supply) as amended from
time to time.
(C) To pay for the supply of electricity based on the prevailing tariff rates of DNHPDCL.
(D) To pay for all other proper charges as become due in accordance with the above regulations and approved
schedule of charges of DNHPDCL.
(E) To deposit such security as DNHPDCL, may be entitled to required from me under the above act and
regulations.
(F) In case of any fraudulent document submitted by me , I shall be solely and exclusively responsible for the
criminal proceedings or any court proceedings initiated and DNHPDCL and any employed therof, shall not be
responsible for the same.
(G) at any also undertake that the above information is correct and in case, I/we violate any undertaking/
instructions or any other information is found to be false at any stage. My/our electric connection may not be
released and if released, it may be disconnencted without any notice and all charges deposited by me/us be
forfeited.
Remark : Your application will be processed as per seniority from the date on which all the required documents
are uploaded.

PATEL PRASHANT CHANDUBHAI

Signature of Applicant