Regular New Connection Request

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New Connection (REGULAR)

Application Details

Applicant Type *:

Application Type *:

Personal Details

First name *

Last Name

Father's Name/Husband's Name *

Name of the Nominee (Optional)

Email ID*

Mobile Number *

ID Proof *

ID Number*

Power Supply Required at (Address)

Address Line1 *

Address Line2

Address Line3

City

Division *

Pincode*

Correspondence Address Is same as Above

Address Line1

Address Line2

Address Line3

City

Division

Pincode

Connection Details

Sub Division Office * :

Section Office * :

Connection Type *:

Power Supply required for *:

IP Set Type:

Power Supply Required From :

Power Supply Required To :

Load Details

Requested Load(kW)*:

Requested Load(HP) *:

Required Voltage * :

Phase Requirement * :

LEC (Licensed Electrical Contractor) Details

LEC Name :

Contractor Class :

License No :

Supervisor Permit No :

Address of the LEC

Other Owned Installations within Premise

Installation #1

Please Enter Account ID/RR Number :

Installation #2

Please Enter Account ID/RR Number :

Installation #3

Please Enter Account ID/RR Number :

Other Details

Nearest Pole ID if any :

Site Type *:

Ownership Type :

Built up Area(Square Meters):

Mandatory Documents to be Uploaded (File types - jpeg/gif/png/bmp)

Document Types(.JPEG,.JPG,.BMP,.TIF,.TIFF,.JPE,.IFIF,.GIF ,but PDF cannot be uploaded)	Document(Max Total Upload Size : 6MB)
Identity proof *
Photocopy of PAN Card/Driving Licence/Passport/TAN/Aadhar Card/Voter ID
Ownership Proof *
Ownership Proof
Approved Architect Plan
Approved Architect Plan
Solar Water Heater
Solar Water Heater
Trade License
Trade License
Other Document
Other Document
Photo
Photo
Signature
Signature

I hereby declare that the above statement is true to the best of my knowledge and belief