Supply of Electricity Form

the undersigned declares that the information provided on this application is true and accurate and understands that any false declaration may result in reassessment of deposit and / or disconnection of service. in case of corporate application,the undersigned confirms that i am a duly authorised officer of the company and have authority to apply for electricity service.

Having Agreed To Pay/transfer A Deposit To Fortis Tci,the Undersigned Hereby Applies For Services In Accordance With the Current Schedule Of Rates,the Customer's Handbook—terms Of Service & Other terms And Conditions Of Supply Being Fromtime to time Force Regulating the Use And Supply Of Electricity which Are On File With Fortistci, Or Any Other Superseding Schedule Governing this Class Of Service.The Undersigned Understands And Agrees To the terms Here in And Acknowledges And Agrees to the Right Of Fortis Tci to Require Security Deposits, Installations/ Connection Fee, Interest Of 2% Per Month On All Out Standing Balances And Any Other Additional Charges. Installation/connection Fees Are Non-refundable I / We Here by Agree to Payall Charges In Connection With the Installation Of Service And Supply Of Electricity and to Abide By the Rules And Regulations Of Fortistci.

I/ We Here by Acknowledge And Agree Fortistci Shall Not Be Required to Hook Up Premises Until they Receive A Certificate Of Inspection And wiring That Installation And wiring Conform To the Standards Required By the Electrical Code And Have Received the Apropriate Fees And Deposit Required By Fortistci In Accordance With Their Rules And Regulations

It Is Further Agreed that Should Fortistci Or the Undersigned terminate this Service the Undersigned Will Be Liable For All Unpaid Amounts And Authorised Fortistci to transfer Any Outstanding Amounts to Any Ofthe Undersigned's Active Fortistci Accounts.