APPLICATION FORM OF BILL CORRECTION
NAME OF CONSUMER  
ADDRESS OF CONSUMER  
LAND MARK  
IVRS/SERVICE NO  
MOBILE NO.  
APPLIED FOR CORRECTION IN BILL MONTH  

 

TYPE OF CONNECTION

  

SANCTIONED LOAD  

APPLICATION TO OFFICE OF

SELECT CIRCLE  TO  
SELECT DIVISION
 
SELECT DISTRIBUTION CENTER
 
REASON /BRIEF DESCRIPTION OF APPLICATION