| Estimate Fixed Load Calculator |
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Name of (Individual/Firm/Company) : |
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Address of Connection : |
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Mobile : |
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| Consumer Type |
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Consumer Type : |
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Load Unit :
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| Load Required : |
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| Whether Service Line Material and Meter will be Provided by the applicant : |
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| Whether Line Extension/Capacity Addition Required : |
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| Extension of Line(KM) |
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| Capacity Addition(Nos) |
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| Metering Equipment |
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