balipanz

sub Application for Nane CorLCHOn, Address torrectign n Eicctiay Ii!

O96 00002 2310 ani ilete MtsNiahi 448689 I

Tha: idRe,adiress Eler ity

HEMANII RAJOW AR CHAH BAGI CHA

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0960000 223 I0

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3FTETT

ig Ur

ljat Ali 1809/2020

lesue
Date:
Date of BirthDOB: 05/09/1973
Male/ MALE

3
Pg Dn
3585 5220 7533
VID :9123 3473 1865 4220

Del

Unique dentification Authority of tndia AADHA A

Address:
CO: Abdu A. GUDAMAGHAT Gudamghat
Gaon, Sonitput,
Assam -784101

3585 5220 7533

VID 9123 3473 1865 4220
1947 tp uidai gov. in E www.uidai.gov. in
 FIFTY
RUPEES
F.50 Rs.50
SINDIA
INDIA NON JUDICIAL
3TH4 ASSAM
M490539

I,
AFFIDAVIT
DDAT ALI, S/O- Abdul Ali, Permanent resident of
Village-
Sonitpur, Assam do herebyGudamghat
P.0: Gudamghat, P.S-Chariduar, District- Gaon ,
and dedare on oath as under: solemnly affirm
R SAM
1. That I am the
permanent resident of above mentioned locality and citizen of
India by birth. This is true to the best ofthe
my knowledge, belief and
SNT-0
information.
SONITPUR That I am the consumer of 1(one) APDCL
TEZ^UR bearing Meter No. 4786891 and Consumer Connection under Balipara Sub Division,
Correct. NoO96D09Q.2231).This is true and
3 That my above mention meter number is entry one
reason I could not pay the monthly electriity bill at unknown person name for that
Office and hence I intend to transferred the Balipara Electrical Sub-Division
my name and address from the name of one aforementioned electric connection in
Correct. unknown person. This is true and
4 That the above mention meter was got by me from
Office and from that time the meter was completelyBalipara Electrical Sub- Division
listed by one unknown person
name and now I intend to transferred the electrical meter from
mine. This is true and correct. unknown person to

That this affidavit shall be used in support of my above

the above stated facts and shall be submitted before dectarations
as a proof of
the authority concern in
connection with transferring the electric connection in my sister in-law name from
my name.
And ISign this affidavit on this 10" day of April, 2023, at Tezpur.

Ldentified by me
Sworn before me by the deponent, being
Advocate(Hho2 identified by S.Islam Advocate, Tezpur

Si Pytukr.
Advocate
Sonjea lezpur
 FIFTY
RUPEES

5.50 O Rs.50
INDIA
INDIA NON JUDICIAL
3H4 ASSAM
M 490540

(Sn
Putul Kt. Borah\
SNT- 10
SONITPUR
TEZPUR
OF AsSAS