Format - 3

Hubli Electricity Supply Company Limited

(Wholly owned by Government of Karnataka Undertaking)

Revenue Report
(To be submitted by the AAO/SA)

Sl.
Parameter Utility Observation
No.
A Applicant details
1 Name of the Applicant Yes No

2 RR Number Yes No

3 1ph LT 3ph H
Type of connection:
LT T

4 Sanctioned load in kW/KVA

5 Tariff applicable
6 Arrears/ Audit short claims (if any)

(Signature and Name in capital letters)

Assistant Account Officer / Senior

Assistant,
O & M Sub-division / Section
____________, HESCOM