Combined Application form (Water and Sewerage)
Date of Application 15/01/2025
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
1031 BORE WELL
1031 SURFACE WATER
Property Type for Water Connection
Select from below
1031005RESIDENTIALN
1031006NON-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
Property Tax
document should not exceed 2 MB
Property Tax
document should not exceed 2 MB
Location Plan
document should not exceed 2 MB
Tracing Cloth Copies
document should not exceed 2 MB
Ammonia
document should not exceed 2 MB
Property Tax Receipt
document should not exceed 2 MB
House Document/ Recpit
document should not exceed 2 MB
Building Plan
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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