Gujranwala Electric Power Company Limited

565-A, Model Town, GT Road, Gujranwala. www.gepco.com.pk

APPLICATION FORM FOR FREE ELECTRICITY SUPPLY TO GEPCO EMPLOYEE

1. Name of Employee
2. Date of Joining WAPDA
3. Designation
4. Grade of Post
5. Name of Office Where Working
6. Office Address

7. Residential Address
8. Name against whom meter installed
9. Address where meter installed
10. Reference Number
Solemnly declare that I am not availing concession of free electricity at any other place
11.
except against the Account Number Mentioned above (applied for now)

Dated: ____________________
Signature of employee
CERTIFICATE OF REVENUE OFFICER CONCERNED
APPLICABLE CASE OF TRANSFER OR CHANGE OF RESIDENCE
12. Certified that the concession of free electricity against Account No. _______________
allowed to above applicant while posted as ________________________________
bearing drawing & Disbursing officer/Inter office Transaction Code No: 024000 has been
discontinued w.e.f: ______________ and his balance units are __________ The input has
been sent to GEPCO Computer Centre vide No. ________________dated:____________

SIGNATURE AND STAMP REVENUE OFFICER

TO BE USED BY THE DRAWING AND DISBURSING OFFICE

Designation of Drawing and Disbursing
13.
Officer
Department Code (Drawing and Disbursing
14.
Officer Code)
15. Inter Office Transaction Code
16. EPF/GPF Account No:
17. CNIC No.
17. Prescribed limit of free units
18. Date from which concession is to be allowed
Certified that the particulars given against Serial No 1 to 18 have been verified and found correct.

NAME AND DESIGNATION HEAD OF

DIVN/OFFICE

Endst No_______________________/ Dated ______________________

Forwarded to the Revenue office / Customer Services Officer ___________________ and
HRMIS Cell GEPCO HQ Gujranwala for implementation.
ACTION TAKEN BY RO
1. Forwarded to GEPCO Computer Centre vide No _____________dated ___________
2. Processed by GEPCO Computer Centre on ________________________________
3. Checked by __________________________________________________________