Combined Application form (Water and Sewerage)
Date of Application 26/04/2024
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
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1012 SURFACE WATER
Property Type for Water Connection
Select from below
1012001RESIDENTIALN
1012002NONRESIDENTIALN
Category
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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
NON_RESIDENTIAL
MIXED
Residential Closets
Non Residential Closets
Enclosed Documents - Checklist
Document Name
Document Number
Document Date
Attach Document
Propertytax Bill
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
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Comments
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