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CPDCL Title Transfer (LT/HT) Application Form

Service Connection Number*:

Mobile Number *: Pin code *:
Reason for Complaint *:

LT/HT Title Transfer Details:

Changed Consumer Name *:
Changed Father Name *:
Social Group *: OC / BC / SC / ST / Others

Informant Details:-
Informant Name*: State*:
District*: Mandal*: Village/Ward*:
Delivery Type*: □ Manual
Proof Document*:
ID Proof*: □ Aadhar Card Copy □ Electoral Copy□ Pan Card copy□ Ration card copy
ID Proof Number*:

Aadhaar Authentication:
Aadhaar Card Number *:

Document List: - (NOTE: All Upload Documents are in PDF Format Only)

□LT/HT Application Form (MeeSeva Form) Signed by Applicant *

□ID Proof*
□Owner Ship Certificate/Sale Deed/Gift Deed (Selected Proof Document) *

Applicant’s Signature