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Connection Type #

Update Old Application

Apply for New Connection

Online Application Id

Date

Applicant Name #

Guardian's Name #

Mobile Number #

+91

E-Mail

Connection Type #

Domestic

Commercial

Area Type #

Urban

Rural

Village

P.O. #

Tehsil #

District #

Name of the house #

Locality #

Year of construction #

Name of owner of the building #

Khasra Number #

Name of the person #
(Desiring to have the connection, whether owner or tenant)

Owner

Tenant

Is the connection sought for new or old construction #

New

Old

Completion plan approved from the competent authority #
(In case of new construction)

Yes

Size of the communication pipes #

Number of flushing distance required #
((if any) with description and other fittings required)

Details of existing fitting #

Pin Code #

Correspondence Address #
(for the owner/Tenant)

Select IPH Division #

Select IPH Sub-Division #

Documents Required #

Note: