Combined Application form (Water and Sewerage)
Date of Application 25/04/2024
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
Select from below
Metered
Non-metered
Water Source Type
Select from below
1035 SURFACE WATER
Property Type for Water Connection
Select from below
1035001RESIDENCIALN
1035004NON -RESIDENTIALN
Category
Select from below
Usage Type
Select from below
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
NON_RESIDENTIAL
MIXED
Residential Closets
Non Residential Closets
Enclosed Documents - Checklist
Document Name
Document Number
Document Date
Attach Document
Pt Assessment Document
document should not exceed 2 MB
Dd/challna Receit
document should not exceed 2 MB
Property Tax Receipt
document should not exceed 2 MB
Written Application
document should not exceed 2 MB
House Tax Receipt
document should not exceed 2 MB
Declaration
document should not exceed 2 MB
Demand Draft / Office Chalana
document should not exceed 2 MB
Estimate Charges Receipts
document should not exceed 2 MB
Advance Tax Receipt
document should not exceed 2 MB
Pt Assessment Receipt
document should not exceed 2 MB
Property Tax Receipt Or House Document
document should not exceed 2 MB
Will Document
document should not exceed 2 MB
Sale Dd
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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