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Water Connection Registration Form
Applicant Name
:
*
PlumberName
:
*
Father Name :
*
Purpose :
*
--Select--
Normal Water Use
Water Use for Irrigation
Water Use For Factory
Address :
*
House No :
Ward No :
Slip No
:
Slip Date :
Connection Size:
Pipe Length :
Amount :
*
Tab No :
*
Applicant Signature :
File Size Limit 50KB
Plumber Signature :
File Size Limit 50KB
Applicant Photo :
File Size Limit 250KB
Ration Card :
File Size Limit 250KB
ID Proof :
File Size Limit 250KB
Tax Slip :
File Size Limit 250KB
Registry :
File Size Limit 250KB
Map :
File Size Limit 250KB
Stamp :
File Size Limit 250KB
Note
You Can Upload (Voter card , Adhar Card, Driving Licence) for Id Proof