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To identify the location) 5. Total Connected Load 6. Purpose of Supply: 7. (a) Date from which supply is required (b) Duration for which supply is required 8. Details of Fee (a) Amount (b) Mode cheque/draft/cash (i) No Date (ii) Bank Name DECLARATION I/We, ., solemnly assure and undertake that a. I/We also agree to be bound by the Licensee Distribution Code as approved by the Commission including any modifications.

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