Combined Application form (Water and Sewerage)
Date of Application 25/04/2024
Applicant Particulars
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
1068 SURFACE WATER
Property Type for Water Connection
Select from below
1068001HOTELSN
1068002CINEMAHALLSN
1068003HOSPITALN
1068004GVERNMENTOFFICESN
1068005BUILDINGSN
1068006VACANTLANDN
1068007APARTMENTSN
1068008BANKSN
1068009SHOPSN
1068010EDUCATIONALINSTITUTIONSN
1068011KALYANAMANDAPAMN
1068012KALYANMANDAPAMN
1068013RESIDENCEN
1069001BUILDINGN
1069003INDUSTRIALN
1069004GOVT PROPARTYN
1070001RESIDENTIALN
1070002NON-RESIDENTIALN
1071001INDEPENDENTN
1071002GOVT QUARTERSN
1072001RESIDENTIOALN
1072002GOVERNMENT HOSTELN
1073001RESIDENCEN
1073005COMMERCIALN
1146001RESIDENCEN
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 Closets
Non Residential Closets
Enclosed Documents - Checklist
Document Name
Document Number
Document Date
Attach Document
Property Tax Receipt
document should not exceed 2 MB
Demand Receipt
document should not exceed 2 MB
Ration Card
document should not exceed 2 MB
House Tax Reciept
document should not exceed 2 MB
Property Tax Payment Receipt
document should not exceed 2 MB
Mch
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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