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Form 4 Account Transfer Undertaking

This document is an undertaking by a consumer requesting the transfer of an account for utility supply. The consumer agrees to pay all dues, including those incurred before the transfer, and acknowledges the Licensee's right to disconnect service for non-payment. Additionally, the consumer indemnifies the Licensee against any liabilities arising from disputes related to the account transfer.

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Madura Agency
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0% found this document useful (0 votes)
129 views2 pages

Form 4 Account Transfer Undertaking

This document is an undertaking by a consumer requesting the transfer of an account for utility supply. The consumer agrees to pay all dues, including those incurred before the transfer, and acknowledges the Licensee's right to disconnect service for non-payment. Additionally, the consumer indemnifies the Licensee against any liabilities arising from disputes related to the account transfer.

Uploaded by

Madura Agency
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

FORM-4

UNDERTAKING

Whereas I/We ....................................S/o, D/o,


W/o.......................................... (a firm under the name and style
of) ................................................................................. herein after called
consumer, have approached the (Name of Licensee) herein after referred to as
Licensee for transfer of A / C No........................for supply
at .................................................. in my/our name and whereas the Licensee after
perusal of documents produced by me/us has agreed to effect transfer of account,
as sought for by the consumer, this undertaking witness the following:
1. The consumer shall pay on demand and without demand all dues to the
Licensee including such dues as may become payable as a result of revision of
bills relating to the period prior to the transfer of account in his/her/their name.
The commitment to pay the demands relating to the period prior to the transfer
of account will include such demands omitted to be made periodically and such
omission has been detected after the service has been transferred in the name of
the consumer.

2. The Consumer agrees that the Licensee shall have the right to enforce
disconnection of supply in the event of consumer failing to fulfill the
obligation of this undertaking.

3. The consumer further agrees to indemnify the Licensee against any


loss/damage or any other liability, the Licensee may suffer as a result of any
dispute or disputes raised by the consumer himself/herself/themselves or by
any other party with regard to this transfer of account at any time.

SIGNATURE

WITNESS WITH ADDRESS

1.

2.

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