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SCHEDULE
MEMORANDUM
OF APPEAL
(In
duplicate)
APPEAL
BEFORE THE APPELLATE AUTHORITY UNDER SECTION 127 OF THE
ELECTRICITY ACT, 2003.
Appeal against final order (AFO)
of_____________
AFO
NO._________of 200
Between
1.
Appellant
(Full address
of the Consumer including
Sc. No., category of service)
AND
2.
Respondent
(Full address
of the Respondent)
i.
Name of the licensee
ii. Assessing officer
(Designation and address)
Appeal under Section 127 of the Electricity
Act 2003
1. Details of
Applicant
a. Full
Name of the Applicant :
b. Full Address of the Applicant
:
c. Name, Designation & Address
of the Contact Person.
d.
Contact Numbers :
Telephone Number(s)
Mobile
Phone Number :
Fax
Number (s) :
e.
Service No.
f.
Category of service :
2. Details of the Distribution Licensee
a. Address of the concerned
sub-division/Section Office.
b. Address of the concerned
Division/Circle/Zone Office.
3. Address of the premises concerned
4. Contracted Load/Demand
5. Particulars of the meter installed
6. Date of Inspection
7. Connected load at the time of inspection
8. Nature of the unauthorised use alleged
9. Date of the provisional assessment notice
10. Amount provisionally assessed.
11. Date of filing objection by the Appellant
against provisional assessment
12. Date of hearing of the objection by the
Assessing Officer
Grounds
of Appeal
1.
2.
3.
(State the grounds of the appeal with a brief
narration of relevant facts and submissions)
The disputed amount under appeal is
Rs._____________and a fee of Rs.___________is paid by way of
Cash/demand Draft bearing No_______ dated__________ as per
section 127 of the Act read with Gujarat Electricity
Regulatory Commission (Procedure for filing Appeal before
the Appellate Authority) Regulations, 2004 (No.______ of
2004).
The Final order was not passed with the
consent of both the parties under Section 127(5) of the
Electricity Act 2003.
The appellant has paid Rs.__________being 1/3rd
of the disputed amount by way of Cash/Demand Draft bearing
No.___________ dated ___________to the licensee in
accordance with Section 127(2) of the Electricity Act 2003;
the proof of payment is enclosed.
Prayer
It is therfore, prayed
that___________________________________
Sd/-
Appellant
VERIFICATION*
I,________________________, do hereby declare
that what is stated in the above paragraphs is true to the
best of my knowledge and information and I believe it to be
correct.
Verified and
signed
Name & Signature of the Appellant
Place :
Date :
(*To be affirmed before authorized authority
e.g. Notary) |
