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Application Form For Reconnection Of Water Line (पुन:जोडणी करणे अर्ज)
Application Form Details (अर्ज तपशील)
Consumer Number (ग्राहक क्रमांक.)
*
Please Enter Valid CAN No.
Zone No.(झोन क्र.)
*
Select Zone
A-1-TOWN HALL
G-2-MONDHA NAKA
C-3-CENTRAL NAKA
H-4-SAUBHAYA MANGAL KARYALA
B-5-CIDCO- N-6
E-6-CIDCO- N-6
F-7-JAWAHAR COLONY
I-8-SATARA
D-9-KRANTI CHOWK
J-10- RAILWAY STATION
Please Enter Valid Zone No.
Consumer Name (ग्राहकाचे नाव)
*
Please Enter Valid Consumer Name.
Tap Size in inch(टॅपचा आकार)
*
Please Enter Valid Tap Size.
Usage Type (वापर प्रकार)
*
Please Enter Valid Category.
Consumer Email Id (ग्राहकाचे ई - मेल आयडी)
*
Please Enter Valid Email Id.
Consumer Mobile No. (ग्राहकाचे मोबाईल क्र.)
*
Please Enter Valid Mobile No.
Consumer Address (ग्राहक पत्ता)
*
Please Enter Valid Consumer Address.
List of Documents (with attachment) (दस्तऐवजांची यादी (सह संलग्नक))
Note (नोंद):
Upload below files only pdf, .jpg, .jpeg, .bmp (Max upto 5 MB)(खाली फक्त pdf, .jpg, .jpeg, .bmp फाइल अपलोड करा (कमाल ५MB पर्यंत))
Self-Attested Applicant's ID Proof (स्वयं-साक्षांकित अर्जदाराचा ओळखपत्र पुरावा)
*
File selected is either greater than 5Mb or not of type .pdf.
Copy Of Latest Paid Bill (नवीनतम देय बिलाची प्रत)
*
File selected is either greater than 5Mb or not of type .pdf.
Declaration (घोषणा)
*
:-
The above mentioned information is true to the best of my knowledge and belief.(वर नमूद केलेली माहिती माझ्या माहितीनुसार आणि विश्वासानुसार खरी आहे).
Please check the declaration.
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Submit
Note(नोंद):
Upload listed files only .pdf, .jpg, .jpeg, .bmp (Max upto 5 MB)
List of document to be attached :
1.Self-Attested Applicant's ID Proof (स्वयं-साक्षांकित अर्जदाराचा ओळखपत्र पुरावा)
*
2.Copy Of Latest Paid Bill (नवीनतम देय बिलाची प्रत)
*