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TOWN GAS GRID ----------------------------
2. NAME OF THE CONSUMER --------------------
3. CONSUMER CODE NO -------------------
WARD/LOCATION
4. PIPED GAS USER FOR HOW MANY YEARS ------------------
5. ANY INTERRUPTION IN GAS SUPPLY THE YEAR
2004. YES/NO
6. IF YES, HOW MANY TIMES -----------------------------------
7. RESPONSE FROM AGCL AGAINST COMPLAINT IMMEDIATE/DELAYED
8. INTERRUPTION IN GAS SUPPLY WAS NOTIFIED
/ SUDDEN
9. GAS SUPPLY WAS RESUMED AFTER --------------
MINUTES/HOURS
10. HOW IS THE SERVICE OF THE PIPED GAS
? SATISFACTORY/ NOT SATISFACTORY
11. ANY SUGGESTION ---------------------------------
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