New Connection Form

Applicant Type *
Name *
C/O *
Nearest Consumer Number
 
Address *
Identity Proof *
Meter Type *
Applied Load *
KW
Voltage *
Connection Type *
Check List for Document(PDF File Type Only.) *
 
Contact Details
( Mobile No. and Email ID will be used for further communication. Please Provide Mobile No and Email ID )
Mobile No. *
 
E-mail *
 
Declaration : I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief. I further undertake that I shall be held responsible, in case any of the above information is found to be false or untrue or misleading or misrepresenting.