Combined application form (Water and Sewerage)
Date of Application : 26/04/2018
Applicant Particulars
PT Assessment Number
Name of Applicant
Mobile Number
Email
Aadhaar Number
Locality
Address
Zone / Ward / Block
No of floors
Property Tax
Water Connection Details
Connection Type
Select from below
Metered
Non-metered
Water Source Type
Select from below
Ground Water
Surface Water
Property Type for Water Connection
Select from below
Residential
Non-Residential
Category
Select from below
GENERAL
BPL
Usage Type
Select from below
RESIDENTIAL
COMMERCIAL
H.S.C Pipe Size (Inches)
Select from below
3/4_18.75
1/2_12.50
Sump Capacity (Litres)
No.of rooms
No.of persons
Water Supply Type
Select from below
Regular
Semi Bulk
Bulk
Apartment Name
Donation/Contribution
BPL Card Holder Name
Sewerage Connection Details
Property Type for Sewerage Connection
Select from below
RESIDENTIAL
NON_RESIDENTIAL
MIXED
Category
Select from below
GENERAL
BPL
Residential Closets
Non Residential Closets
Supporting Documents
Document Name
Document Number (
)
Document Date (
)
Attach Document(
)
Latest Property Tax Receipt
document should not exceed 2 MB
Building Plan
document should not exceed 2 MB
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