Combined Application form (Water and Sewerage)
Date of Application 23/04/2024
Applicant Particulars
 Apply for Sewerage Connection also
PT Assessment Number
Name of Applicant
Mobile Number
Email
Aadhaar Number
Locality
Address
Zone / Ward / Block
No of floors
Property Tax
Connection Details
Connection Type
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Metered
Non-metered
Water Source Type
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RESERVOIR
Property Type for Water Connection
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RESIDENTIAL
Category
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Usage Type
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H.S.C Pipe Size (Inches)
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Sump Capacity (Litres)
No.of rooms
No.of persons
Water Supply Type
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Regular
Semi Bulk
Bulk
Apartment Name
Donation/Contribution
Sewerage Connection Details
Property Type for Sewerage Connection
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RESIDENTIAL
NON_RESIDENTIAL
MIXED
Residential Closets
Non Residential Closets
Enclosed Documents - Checklist
Document Name
Document Number
Document Date
Attach Document
Consent Agreement
document should not exceed 2 MB
Latest Tax Paid Receipt
document should not exceed 2 MB
Affidavit
document should not exceed 2 MB
White Ration Card
document should not exceed 2 MB
Property Photo
document should not exceed 2 MB
NO Due Certificate
document should not exceed 2 MB
Processing Details
Approver Department
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ACCOUNTS
ADMINISTRATION
DEPOSITS AND ADVANCES
EDUCATION
ENGINEERING
HORTICULTURE
INFORMATION TECHNOLOGY
LIGHTING
PARKS LEISURE AND CEMETRIES
PROJECTS
PUBLIC HEALTH AND SANITATION
REVENUE
SPORTS
TOWN PLANNING
URBAN POVERTY ALLEVIATION
WATER SUPPLY
Approver Designation
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Approver
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Comments
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