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C.F No.22
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Cost of Form Rs.10/-
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No.
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| Coimbatore Corporation |
| Water Supply And Drainage Section |
| Application for Name Transfer for Service Connection |
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To
The Commissioner,
Coimbatore Corporation.
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Sir,
I / We wish to inform that the following water supply house service connection is of my / house. Hence I / We request you to transfer the service connection in my / our name.
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Details of Water Supply House Service Connection:
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1. House Service Connection Assessment No:
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2. In whose name the house service connection at present:
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3. To whom name the house service connection to be transferred?
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4. Whether the house service connection is under Domestic / Non-Domestic use
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5. Door No:
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6. Ward No. and Name of street:
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7.Property tax name transfer order no & date:
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8. If the name transfer order not available
basis under which the
transfer is requested:
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9. Whether the water charges paid in full without arrears
up to the
last meter reading:
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10. Name of the applicant with address:
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AFFIDAVIT
- I / We assure that I / We will abide by the rules and pay that
water charges regularly by using my / our house service connection
continuously.
- I / We assure that I / We will abide by the rules and
regulations framed under water supply laws and Coimbatore City
Municipal Corporation Act, 1981.
- I / We assure that the water supplied through my / our house
service connection will not be supplied to others and also misused
to other purposes as per water supply rules.
- I / We also certified that the particulars furnished in this
applications are true to the best of my / our knowledge.
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Signature of the Applicant
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* Cost of Form : Rs.10/-
* Cost of Service: Free
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