Affidavit for Transfer of Gas Connection
AFFIDAVITE
To,
The Chief Area Manager,
___________________,
Dear Sir,
This is to advise that _____ Son of _____ who Residing at_____,
has left with me your equipment covered under your subscription voucher No.
_____, dated _____, vide consumer No. _____, issued by _____ at _____, since
_____ does not intent to making use of the said equipment. I request that the
same may be transferred in my name and afresh consumer No. be given to me.
Costumer copy of the T. S. V. No. _____, dated _____, issued to _____ is
surrender herewith. I confirm that agreeable to pay the corporation deposit for
the equipment as per your terms carrying in from.
In above below the consent _____ requested _____ to transfer his
customer ship in my name and also authorized me to sign the sand receipt of
deposit amount.
Sign. Of File Applicant
I, _____ hereby confirm that I have no objection to me
corporation transferring the subject get connection covered by T.S.V No. _____,
dated _____ held by me to _____ R/_____, and I hereby explicitly authorized
_____ to accept the receipt of deposition on my behalf.
I hereby totally surrender my claim on this connection and shall
not have any claim whatsoever at any future date.
Sign. Of Original Customer