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Application Form For New Connection
Connection Details:-
Service Type
*
~~Select~~
LT
HT
Application of
*
~~Select~~
Person
Organisation
Personal Details:-
Consumer Name
*
Father/Husband/Director/Partner/Trustee
*
Aadhar No
*
Aadhar Document
*
Communication Address
*
Mobile No.
*
Email
Plot Size ( Sq. Feet)
Covered Area ( Sq. Feet)
Govt. Connection
*
~~Select~~
No
Yes
Govt. Connection Type
~~Selected~~
Central Govt.
State Govt.
Department Name
Please Indicate whether you want to install your own CEA Approved Meter
*
~~Select~~
No
Yes
Meter Ownership
~~Select~~
Consumer Meter No
Consumer Meter Make
Consumer Meter MF
Meter Test Report
Supply Details:-
Supply Address
*
Same As Communication
Landmark
Nearby Pole Distance (In Meter)
Premise Ownership
*
~~Select~~
Yes
No
Connection Phase
*
~~Select~~
Supply Voltage
*
~~Select~~
Urban/Rural Supply
*
~~Select~~
U
R
Dedicated Transformer required
*
~~Select~~
No
Yes
TOD Billing required
*
~~Select~~
No
Yes
Meter Type
*
~~Select~~
1 P 2 W
3 P 4 W
CT METER
Requested Load
*
Purpose of Supply
*
~~~Select~~~
Category of Supply
*
~~~Select~~~
Industrial Details:-
Category of Industry
*
~~~Select~~~
SSI (Small Scale Industry)
MSI (Medium Scale Industry)
LSI (Large Scale Industry)
Type of Unit
*
~~~Select~~~
Onwership
Partnership
Private Ltd.
Public Ltd.
Govt Dept.
Name of Industrial Area
*
Possession Letter Available
*
~~Select~~
No
Yes
Possession Letter No
Possession Letter Date
Possession Letter/ NOC
Whether supply is needed through an independent feeder
*
~~Select~~
No
Yes
if electricity connection for the premises was requested in the past
*
~~Selected~~
No
Yes
Name of Unit
Service connection No
Arrears of Payment
Expected date by which finance will available
Whether the requisite consent / NOC (if applicable as per the list of Pollution control Board)
*
~~Select~~
No
Yes
Obtained date from as per statutory requirements
NOC Document
*
Document Details:-
Consumer Passport size Photo
*
Consumer signature
*
Identify Proof document Type
*
~~~Select~~~
Electoral identity card
Passport
Driving license
Ration card
Photo identity issuedby government agency
PAN card
Certificate from village Pradhan
Certificate from Patwari
Certificate from Lekhpal
Certificate from village level worker
Certificate from village chowkidar
Certificate from Primary school teacher
Certificate from in-charge of primary health centre
Proof of occupancy of premise
*
~~~Select~~~
Sale deed
Lease deed
Khasra
Khatauni
Khata nakal
Registered general power of Attorney
Municipal tax receipt
Demand notice or other related Document
Letter of allotment
NOC of Owner
Proof of current Address
*
~~~Select~~~
Electoral identity card
Passport
Driving license
Ration card
Photo identity card issued by any Government agengy
Statement of running Bank Account
Water connection Bill
Telephone connection Bill
Any Outstanding in licensee's area of operation in consumer Name
*
~~Selected~~
No
Yes
Any Outstanding for the premise for which connection applied for
*
~~Selected~~
No
Yes
Any outstanding wit the licensee againt any firm with which the consumer is associated as an Owner, Partner, Director or Managing Director
*
~~Select~~
No
Yes
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