Date *

Application Type

New Connection Connection Size / Category Temporary Connection MF / Meter Digit

Source

Call Center Walk In Camp Connection Online

Fields marked * are mandatory.

Salutation Mr. Mrs. Miss. M/S. First Name * Middle Name * Last Name * Address * Landmark City * Amravati Ambernath Badlapur Street * Postal code * Locality * State * Select Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh * Chhattisgarh Daman And Diu * Delhi * Goa Gujarat Haryana Himachal Pradesh Jammu And Kashmir Jharkhand Karnataka Kerala Lakshadweep * Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry * Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttaranchal West Bengal District * THANE Ahmednagar Akola Amravati Aurangabad Beed Bhandara Chandrapur Dhule Gadchiroli Gondia Hingoli Jalgaon Jalna Kolhapur Latur Mumbai city Nagpur Nanded Nandurbar Nashik Osmanabad Palghar Parbhani Pune Raigad Ratnagiri Sangli Satara Sindhudurg Solapur Wardha Yavatmal Matheran Weena Buldhana Washim Taluka * Select Thane Kalyan  Murbad  Bhiwandi  Shahapur  Ulhasnagar  Ambernath Water Works * Select 1-Wena WSS 2-Gondia WSS 3-Ballarpur WSS 4-Tiroda WSS 5-Pipri Meghe WSS 6-Arvi WSS 7-Mahadula WSS 8-Aheri WSS 9-Goregoan WSS 10-Peri Urban Nagpur 11-Amravati WSS 12-Yavatmal WSS 13-156 Village RRWSS 14-Anjangoan 16-Akot WSS 17-Karanja WSS 18-Jalgoan Jamod WSS 19-Chikaldhara WSS 20-Patur WSS 22-105 RRWSS 23-Malpathar 40 RRWSS 24-Langhapur +57 Village RRWSS 26-79 Village RRWSS 27-Manora +28 village RRWWS 28-Ambarnath 29-NahavaSheva 30-Govane WSS 31-Matheran WSS 32-Amboli WSS 33-Satara WSS 34-Mahabaleshwar WSS 35-Pachgani WSS 38-Chakan WSS 41-Jalochi 42-Gandhinagar RRWWS 44-Shirbhavi 45-Dongergoan Kusgaon 46-Tanang RRWSS 47-Defence Water Works 48-Igatpuri WSS 49-Ozar Sakore and 2 Villages 50-Chandwad +44 villages 51-Dahiwal +25 villages 52-Naigoan +9 villages 53-Malmatha +25 villages 54-Badlapur 55-Daryapur Mobile No.* WhatsApp No. NO YES Email Secondary Mobile Name In Marathi Address In Marathi Property No. Property Type * Select APARTMENT RELIGIOUS PLACE CONSUTRUCTION PURPOSE BANQUET HALL / MARRIAGE HALL HOTEL / GUEST HOUSE SLUM COMMERCIAL SHOP RESTAURANT COMMERCIAL COMPLEX WARE HOUSE / GODOWN INDUSTRIAL BANK HOSPITAL / NURSING HOME INSTITUTIONAL INDIVIDUAL HOUSE Purpose* Select Residential Commercial Construction Govt Employee * Select NO YES Population * Select 1 2 3 4 5 6 7 8 9 10 More Application Type* SINGLE GROUP No. of Floors * Select 1 2 3 4 5 6 7 8 9 10 More No. of Flats * Select 1 2 3 4 5 6 7 8 9 10 More No. of Application * Rainwater harv. Select YES NO Borewell * Select YES NO Operational * Select YES NO Same as above Plot/Flat/House No.* Landmark * Building/Mohalla/Area Name BID Address In Tamil District * THANE Ahmednagar Akola Amravati Aurangabad Beed Bhandara Chandrapur Dhule Gadchiroli Gondia Hingoli Jalgaon Jalna Kolhapur Latur Mumbai city Nagpur Nanded Nandurbar Nashik Osmanabad Palghar Parbhani Pune Raigad Ratnagiri Sangli Satara Sindhudurg Solapur Wardha Yavatmal Matheran Weena Buldhana Washim City/Village * Amravati Ambernath Badlapur Pin code * Conn. Type * Select Retail Bulk Conn. Category* Select Domestic Non-Domestic No profit No loss Shops, Dispensaries ETC Special Consumer Domestic Non-Domestic No profit No loss Shops, Dispensaries ETC Special Consumer CIDCO JNPT CORPORATION GRAMPANCHAYAT (19 villages) GRAMPANCHAYAT (5 villages) Institutional Domestic Institutional Non-Domestic GRAMPANCHAYAT RAILWAY TARAPUR PROJECT COLONY 1 & 2 BARC COLONY 3 & 4 ITI INSTITUTE ITT Colony Police Station TATA Housing 1&2 Police Chaukl Irrigation Colony PWD Quarters Ordanance Factory Raw water Sada Pokharan Raw Water OMC Non-Domestic(Bulk) Domestic Charity (urban) Commercial (urban) Bulk Supply Domestic Charity (urban) Commercial (urban) Domestic Non-Domestic A Class Charity (urban) Bulk Supply Domestic Charity (urban) Commercial (urban) Commercial (Rural) Domestic (Rural) Charity (Rural) Commercial (Rural) Domestic Commercial Domestic Non-Domestic Institutional Domestic Unmetered GRAMPANCHAYAT Domestic Domestic Unmetered Non-Domestic Unmetered Institutional Bulk Supply Domestic Unmetered Non-Domestic Unmetered Institutional Domestic Non-Domestic Metered Institutional Domestic Institutional Domestic Non-Domestic A Class Charity Hotel C Class Charity Domestic Domestic Non-Domestic B Class Charity Commercial Other Hotel C Class Institutonal Domestic Semi Non Domestic Domestic Charity Commercial Domestic Non-Domestic Metered Institutional Domestic Domestic Unmetered Institutional Domestic Commercial Institutional Domestic Other Domestic Charity Hotel C Class Domestic Non-Domestic Charity Domestic Charity Commercial Domestic Non-Domestic C Class Charity Commercial Other Domestic Non-Domestic Commercial Other Domestic Charity Commercial Domestic Non-Domestic Commercial Domestic Unmetered Domestic Unmetered Domestic Unmetered Non-Domestic Unmetered Domestic Commercial Bulk Supply Institutional Other Commercial Bulk Supply Institutional Industrial Domestic Unmetered Non-Domestic Unmetered Bulk Supply Domestic Unmetered Commercial Institutional Other Domestic Unmetered Non-Domestic Unmetered Domestic Commercial Institutional Domestic Unmetered Domestic Non-Domestic Institutional Domestic (Urban) Hotel B Class Hotel A Class Hotel A Class Hotel B Class Commercial Domestic Non-Domestic Institutional Charity (urban) Commercial (urban) Bulk Domestic Bulk Non-Domestic MC Domestic Non Domestic Institutional Municipal corporation Non-Domestic Non Domestic Stand Post Domestic Non Domestic Institutional Non-Domestic Domestic (Bulk) Institutional Non-Domestic Unmetered Domestic Metered Domestic Metered(Bulk) Institution Metered(Bulk) Institution Metered Non domestic Metered No Profit No Loss Connection Size(MM)* Select 15 25 20 75 525 40 150 50 65 100 80 32 400 120 110 151 200 250 300 301 302 12.7 19 38 12.5 55 500 Existing Consumer* No Yes Area Type* Select Rural Urban Ownership * Select Owner Tenant Owner Name* Address* Contact No* Conn. Start Date* Enter Days* Conn. End Date* Remark *

Proof of Identity Doc. Passport Voter ID  Card Income Tax PAN Card Adhaar Card Proof of residence Driving License Pensioner Card with Address Ration Card with photograph and address Index 2 Home Tax Receipt 7/12 extract Mandatory Document Property Tax Receipt Declaration of Rainwater Harvesting Building Approval Plan NOC from owner Captial Contribution Doc. Application for new connection on Letter Head 100 rs Stamp Paper Affidavit Construction completed Certificate NagarPalika Approved Plan / Blue Print Architect Certificate (Certificate showing area of flats) Architect License Registration Letter Nearer Consumer No. Application No. Application Charges(Rs.): 100.00 Total Amount(Rs.): 100.00