Combined Application form (Water and Sewerage)
Date of Application : 21/11/2024
Applicant Details
Name
*
Mobile Number
*
DOB
Gender
*
Email Address
Guardian
*
Guardian Name
*
Select from below
FEMALE
MALE
OTHERS
Select from below
Father
Mother
Husband
Other
Correspondence/Billing Address
Connection Address Details
(This address will be printed on the bill.)
House No/Plot No
Nature Of Connection
Select from below
NEW
ILLEGAL
REGULARIZED
Landmark
Locality
Street
Pincode
Water Connection Details
Type of Connection
Water Connection
Sewerage Connection
Property UID
Water Connection Details
Billing Type
STANDARD
STANDARD
Custom Bill Amount
Plot Size (sq. yards)
Number of Taps
Property Type
Select from below
Non Residential
Residential
Category
Select from below
Usage Type
Select from below
COMMERCIAL
DOMESTIC
DOMESTIC_EXEMPTED
INSTITUTIONAL
Sewerage Consumer Number
Ledger Id
Sewerage Connection Details
Usage Type
Select from below
COMMERCIAL
DOMESTIC
DOMESTIC_EXEMPTED
INSTITUTIONAL
Water Consumer Number
Billing Type
STANDARD
Custom Bill Amount
Number of Seats
Number of Seats
Plot Size (sq. yards)
Ledger Id
Enclosed Documents - Checklist
Document Name
Document Number
Document Date
Attach Document(
)
document size should not exceed 2 MB
Ownership proof/Power of Attorney/Lease Agreement
ID includes Aadhar Card/Voter Id Card/DL
Electricity Bill
Applicant Photo(PP size)
Property Tax Receipt
Self Declaration by Applicant
Plumber Report/Drawing
Other Documents
Building Plan/Completion Certificate
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