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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Número de Atención Comercial"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Número de Solicitud"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Número de Cliente"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fecha de Ingreso"]
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[null,"TIPO DE SOLICITUD",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"X"]
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[null,null,null,null,"Incremento de Carga",null,null,null,null,null,null,null,null,"Conexión Nueva",null,null,null,null,null,null,null,null,"Cambio de tarifa",null,null,null,null,null,null,"Cambio de nivel de tensión"]
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[null,null,null,null,"Actualización de Datos",null,null,null,null,null,null,null,null,"Factibilidad de suministro",null,null,null,null,null,null,null,null,"Fijación de punto de diseño"]
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[null,null,null,null,"Traslado de suministro en el mismo predio (adjuntar croquis de ubicación)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Retiro de suministro"]
[]
[]
[null,"DATOS COMERCIALES"]
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[null,"Potencia Solicitada (KW)",null,null,null,null,null,null,null,null,null,null,"Nivel de Tensión",null,null,null,null,null,null,null,null,null,null,"Tarifa",null,null,null,null,null,"Suministro Aledaño"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"220V",null,null,null,null,"10KV"]
[]
[]
[null,"DATOS DEL SOLICITANTE (usuario del suministro)"]
[]
[null,"Nombre o Razón Social (Nombres y Apellidos)"]
[]
[]
[]
[null,"DNI / RUC",null,null,null,null,null,null,null,null,null,null,"Giro de la Empresa"]
[]
[]
[]
[null,"Representante Legal (Nombres y Apellidos)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DNI / RUC"]
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[]
[]
[null,"Teléfono",null,null,null,null,null,null,null,"Fax",null,null,null,null,null,null,"Correo Electrónico",null,null,null,null,null,null,null,null,"Condición del Solicitante"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Inquilino",null,null,null,null,"Propietario"]
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[null,"(Si es inquilino completar los datos del Propietario y la documentación correspondiente)"]
[null,"DATOS DEL PROPIETARIO"]
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[null,"Nombre o Razón Social (Nombres y Apellidos)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DNI / RUC"]
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[]
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[null,"Representante Legal (Nombres y Apellidos)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DNI / RUC",null,null,null,null,null,null,null,"Teléfono"]
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[]
[]
[]
[null,"DIRECCION DEL SUMINISTRO"]
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[null,"Jr. / Av. / Calle",null,null,null,null,null,"Nombre",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"N°",null,null,"Mz / Lote",null,null,null,"Piso/Dpto./ Int"]
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[]
[]
[null,null,"Urb. / Ind / Res. / Un. Vec.",null,null,null,null,null,null,null,null,null,null,null,null,"Sec. / Etapa / Zona",null,null,null,null,null,null,null,null,null,"Distrito"]
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[]
[]
[]
[null,"DIRECCION POSTAL (Dirección de envió de correspondencia y recibo)"]
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[null,"Jr. / Av. / Calle",null,null,null,null,null,"Nombre",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"N°",null,null,"Mz / Lote",null,null,null,"Piso/Dpto./ Int",null,null,null,null,"     "]
[]
[]
[]
[null,null,"Urb. / Ind / Res. / Un. Vec.",null,null,null,null,null,null,null,null,null,null,null,null,"Sec. / Etapa / Zona",null,null,null,null,null,null,null,null,null,"Distrito"]
[]
[]
[]
[]
[null,"REQUISITOS PRESENTADOS"]
[]
[null,"Documentos del Propietario"]
[]
[null,null,null,null,"Copia simple de la Inscripción de Registro de predio o Certificado registral inmobiliario (CRI) emitida por SUNARP (Antigüedad no mayor a 2 meses) u otro documento que acredite la condición del propietario"]
[]
[]
[null,null,null,null,"Copia simple del DNI del(los) propietario(s) o del representante legal de la empresa propietaria (vigente)"]
[]
[null,null,null,null,"Copia simple de la Inscripción de Constitución de Empresas emitido por SUNARP (Antigüedad no mayor a 2 meses)"]
[]
[null,null,null,null,"Copia del Certificado de Vigencia de Poder del representante legal emitido por SUNARP (Antigüedad no mayor a 2 meses)"]
[]
[null,null,null,null,"Copia de Ficha RUC otorgado por SUNAT (actualizado y activo)"]
[]
[null,null,null,null,"Croquis de ubicación especificando información exacta de la ubicación del predio: calles aledañas, referencias y señalización de la ubicación del medidor (aprobación sujeta a resultado de inspección)."]
[]
[null,null,null,null,"Cuadro de cargas especificando la demanda máxima estimada y opción tarifaria, firmado por un Ing. Electricista o Mecánico Electricista colegiado (R.D. N° 018-2002 EM / GDE)."]
[]
[]
[null,null,null,null,"Cronograma de entrada de cargas, a partir de potencias mayores a 50KW"]
[]
[null,null,null,null,"Otros (especificar) :"]
[]
[null,"Documentos del Inquilino (Documentos adicionales a los anteriores)"]
[]
[null,null,null,null,"Carta de autorización con firma legalizada, mediante la cual el(los) propietario(s) autoriza(n) al inquilino a efectuar cambios en el suministro asignado a su predio. (indicar potencia y opción tarifaria)"]
[]
[]
[null,null,null,null,"Copia simple del contrato de arrendamiento (vigente)"]
[]
[null,null,null,null,"Copia del Certificado de Vigencia de Poder del representante legal emitido por SUNARP (Antigüedad no mayor a 2 meses)"]
[]
[null,null,null,null,"Copia de Ficha RUC otorgado por SUNAT (actualizado y activo) del inquilino"]
[]
[null,null,null,null,"Copia simple de DNI del o representante legal de la empresa inquilina (vigente)"]
[]
[null,null,null,null,"Copia simple de la Inscripción de Constitución de Empresas emitido por SUNARP (Antigüedad no mayor a 2 meses)"]
[]
[null,null,null,null,"Otros (especificar)"]
[]
[null,"Información Contacto para Envió de Recibo Electrónico de Consumo de Energía Eléctrica"]
[]
[null,"Tipo Documento: ",null,null,null,null,null,null,null,null,null,null,null,null,"Nombres y Apellidos : "]
[]
[null,"Nro Documento: ",null,null,null,null,null,null,null,null,null,null,null,null,"E-Mail :  "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Teléfono Celular :  ",null,null,null,null,null,null,null,null,null,"Telefóno Fijo : "]
[]
[null,"Nota:  Toda instalación en vía pública deberá contar con autorización municipal vigente."]
[]
[null,"Nombre y teléfonos del contacto para las coordinaciones del requerimiento:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Teléfono : "]
[]
[null,"Nombre :",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-Mail : "]
[]
[null,"Nombre y teléfonos del representante a enviar la \"FACTURA ELECTRONICA\"",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Teléfonos : "]
[]
[null,"Nombre :",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"E-Mail : "]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"Firma y Sello del Solicitante (Representante Legal)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"        Firma y Sello del Ejecutivo"]

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[null,null,null,"Copia literal de la partida electrónica expedida por SUNARP donde se encuentra inscrita la persona jurídica"]