CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM
Độc lập – Tự do – Hạnh phúc
—–o0o—–
………….., ngày….. tháng….. năm………
ĐƠN XIN CẤP ĐIỆN
(V/v: Đề nghị cấp điện sinh hoạt cho hộ gia đình tại địa chỉ……………………)
Kính gửi: Công ty Điện lực ……………………..
Tôi tên là:………………………………………………, sinh năm:………………………
Chứng minh nhân dân số: ……………cấp ngày ………………tại ………………………
Địa chỉ thường trú: ………………………………………………………………………..
Số điện thoại: ………………………………………………………………………………
Tôi xin thay mặt cho hộ gia đình ở địa chỉ………………………… gồm những thành viên sau:
Ông/ Bà: …………………………………, sinh năm:…………………………………….
Chứng minh nhân dân số: …………….cấp ngày ……………..tại ………………………
Ông/Bà: ……………………………………. Sinh năm …………………………………
Chứng minh nhân dân số: …………….cấp ngày …………….tại ………………………
Căn cứ đại diện: ………………………………………………………………………….
Tôi xin trình bày với Quý cơ quan sự việc như sau:[1]
……………………………………………………………………………………………
……………………………………………………………………………………………
……………………………………………………………………………………………
Căn cứ vào nhu cầu của hộ gia đình, bằng đơn này, tôi kính mong Quý công ty xem xét và tổ chức một cuộc gặp gỡ để gia đình tôi và Quý công ty bàn bạc và ký kết hợp đồng mua bán điện.
Tôi cam kết sẽ sử dụng điện hiệu quả, tiết kiệm và tuân thủ đúng các yêu cầu của phía công ty cũng như quy định của pháp luật.
Tôi xin trân trọng cảm ơn!
Đại diện hộ gia đình
(ký, ghi rõ họ tên)
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