A Adani Gas Limited adani Be Domestic PNG Connection Domestic Scheme Details & Acceptance ° Details of Customer ‘ Nameofthecustomer:=_ _ House No, __Society Name__ For Charaed &.Uncharaed Society/Apt, Both [1] Scheme a~Payin instalments* ln case of Apartments / Flats & Towers, out of Total Rs. 5400/-, Customer iitioly needs to pay only Rs. 4L400/- atthe time of registration with application focm,& balance amaunt le, Re 4,000/- to ve paid in instalments of Rs. ,000/- each in next 4 bimonthly billing cycte In case of Bungalows, Tenements @Row Houses, Customer initially neds to pay Rs. 300/- with €O! Form. Once estimation of connection charges is done, customer needs to fill the registation form and pay. Ry 200/- along with estimated amount (f any) Balance amount Le. Rs. 4,000): to be paid in instsiments oF Rs. 1.000/-eachinnext 4 bimonthlybiling cycle Allextra charges are applicable as per Tarif Card and Terms &-Consitions areas applicable as mentlonedia ‘Application Forme.NOC. [L] Scheme s - Combo ofter* (Standard Connection +1 Extra Point) In this scheme, customer can get 1 extra point with standard connection, by paying Rs, 6,600/- only, Instead of Rs. 7,400/ All extra charges are applicable as per Tariff Card.and Terms & Conditions ae as applicable as mentioned in Application Forme NOC For Uncharged Bulk Society/Apt. Only ) Scheme ¢- Connection a Discounted Cost? (For Bulk Society/Apt.) Inthis scheme, Customer needs to pay full amount of Rs. 5,400 at the time of registration® get discount ‘nextra charges an society commen estimate. Thsissubject to company policy® gsidelines, or Charged Society/Apt. Only 7) SehemeD- Tatkal Connection* (for charged Seciety/Apt,) In this scheme, customer will get connection in 15 days after cheque clearance, Customer can get ‘Standacd Kitchen Point along with T Extra Kitchen Point &1 Bathioom point by paying Rs, 8.000). only, Instead of Rs 10,400/- All extra charges are applicable as per Tariff Care and Terms © Conditions areas applicable as mentioned In Application Forme. NOC Dectaration*: | 40 hereby agree & confi that () The scheme and offer will be at the sole desecration of Adani Gas Limited, and can be discontinued at any time without ving any notice, (i) Getting PNG connection Is: subject to AMC permissions & technical Feasibility (w) All extra charges are applicable 3s per Tarif Card and Terms & Conditions areas applicable as mentioned in Application Forme NOC Ne two scheme can be clubbed together el agree to the said terms theterms which shall prevalfromtine to time Signature of Buyer