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Application Form For New Water Connection (नवीन नळ जोडणी अर्ज)

Applicant Details (अर्जदाराचे तपशील)

Title (शीर्षक)*

Please Select Title.

Name (नाव)*

Please Enter Valid Name.

Father's Name (वडिलांचे नाव)*

Please Enter Valid Father's Name.

Surname (आडनाव)*

Please Enter Valid Surname.

Full Name (संपूर्ण नाव)

Pin Code (पिन कोड)*

Please Enter Valid Pincode.

Email Id (ई - मेल आयडी)*

Please Enter Valid EmailId.

Mobile No. (मोबाईल क्र.)*

Please Enter Valid Mobile Number.

Aadhar No(आधार कार्ड)*

Please Enter Valid Aadhar No.

Zone No.(झोन क्र.)*

Please Enter Valid Zone No.

Plumber Details

Plumber Name*

कृपया योग्य नाव निवडा.

Application Form Details (अर्जाचा तपशील)

Property No. (मालमत्ता क्र.)

Please Enter Valid Property No.

House/Plot/Flat No. (घर/प्लॉट/फ्लॅट क्र.) *

Please enter a valid Plot No.

Name of Building (इमारतीचे नाव)

Please Enter Valid Building Name.

Name Of Layout (लेआउटचे नाव)*

Please Enter Valid Layout Name.

Name Of Road (रस्त्याचे नाव)

Please Enter Valid Name Of Road.

Nearby Landmark (जवळील लँडमार्क)

City (शहर)*

Full Address (संपूर्ण पत्ता) (Same as above (वरील प्रमाणे) Yes (होय) No (नाही) )*

Please Enter Valid Address.

Family Members (कुटुंबातील सदस्य)*

Please Enter Members of Family.

Connection Type (कनेक्शन प्रकार)*

Please Enter Valid Category.

Purpose Of Water Connection (पाणी जोडणीचा उद्देश)*

Please Select Purpose of Water Connection.

Tap Size in inch (टॅप आकार)*

Please Select Valid Tap Size.

Proposed Category for Commercial

C1A (Commercial A)

C1B (Commercial B)

C2 (Commercial 2)

List of Documents (with attachment)(कागदपत्रांची यादी (संलग्नकांसह))

Note: Upload below files only .pdf, .jpg, .jpeg, .bmp(Max upto 5 MB)(खाली फक्त .pdf, .jpg, .jpeg, .bmp फाइल अपलोड करा (कमाल ५MB पर्यंत))

Download Plumber Agreement Form

Self-Attested Applicant's ID Proof(Aadhaar/PAN/Driving License/Passport) (स्वयं-साक्षांकित अर्जदाराचा ओळखपत्र पुरावा (आधार/पॅन/ड्रायव्हिंग लायसन्स/पासपोर्ट))*