Combined Application form (Water and Sewerage)
Date of Application 26/04/2024
Applicant Particulars
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
Select from below
Metered
Non-metered
Water Source Type
Select from below
1001001_G_BORE AND WELLS_N
1001 Surface Water
Property Type for Water Connection
Select from below
1001004RESIDENTIALN
1001005NON-RESIDENTIALN
Category
Select from below
Usage Type
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H.S.C Pipe Size (Inches)
Select from below
Sump Capacity (Litres)
No.of rooms
No.of persons
Water Supply Type
Select from below
Regular
Semi Bulk
Bulk
Apartment Name
Donation/Contribution
Sewerage Connection Details
Property Type for Sewerage Connection
Select from below
Residential Closets
Non Residential Closets
Enclosed Documents - Checklist
Document Name
Document Number
Document Date
Attach Document
Ration Card
document should not exceed 2 MB
Donation Challan
document should not exceed 2 MB
Property Tax Reciept
document should not exceed 2 MB
House Tax Receipt Upto Date
document should not exceed 2 MB
Gift Deed
document should not exceed 2 MB
Sale Deed
document should not exceed 2 MB
Photo Identify Card
document should not exceed 2 MB
Last Payment Receipt
document should not exceed 2 MB
Connection Charges Chalan
document should not exceed 2 MB
Property Tax Paid Receipt
document should not exceed 2 MB
Consent Agreement
document should not exceed 2 MB
Processing Details
Approver Department
Select from below
ACCOUNTS
ADMINISTRATION
EDUCATION
ENGINEERING
PUBLIC HEALTH AND SANITATION
REVENUE
TOWN PLANNING
URBAN POVERTY ALLEVIATION
Approver Designation
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Approver
Select from below
Comments
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