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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 *:

 
 
Load Details
 

Requested Load(kW)*:

 

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 : 4MB)
Identity proof *  
Photocopy of PAN Card/Driving Licence/Passport/Aadhar Card/Voter ID
Proof of Occupancy *  
Completion Certificate*  
Completion Certificate