(Fields marked * are mandatory)
Applicant Details
Choose Category*
Note:- The Application shall refer the applicable tariff schedule available on NDMC/DERC website for correctt tariff category. In case of any doubt, the application shall seek help of NDMC/DERC.
* based on funding pattern as per tariff sehedule.
Applicant Full Name*
(Max length 50 chars)
Name of Father/Husband/Director/
Pratner/Trustee *
(Max length 50 chars)
Address at which supplay is required
House No*
(Max length 50 chars)
Street*
(Max length 100 chars)
Colony/Area*
(Max length 50 chars)
Pincode*
(Max length 6 chars)
Telephone Number
(Max length 8-12 chars)
Mobile Number*
(Max length 10 chars)
Email Address*
(Max length 50 chars)
Adress For Communication/Billing
House No*
(Max length 50 chars)
Street*
(Max length 100 chars)
Colony/Area*
(Max length 50 chars)
Pincode*
(Max length 6 chars)
Telephone Number
(Max length 8-12 chars)
Email*
(Max length 50 chars)
Particulars of the premises to be connected:-
List of Document Attached
* Documents with maximum size of 2 MB can be uploaded. The supported formats are JPEG and PDF.
Please upload any one
Identify Proof if applicant is an Organization.
* Documents with maximum size of 2 MB can be uploaded. The supported formats are JPEG and PDF.
Proof Of Ownership or occupancy of permises for which the eletricity connection is required ( upload any one)
Declaration by the Applicant
I -----------
Son/Daughter of ----------------------
resident of (here in after referred tp as "Applicant". which term shall mean and include executors administrators, heirs,successors and assign), do hereby swear and declare as under:.
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That the applicant has requested the licensee to provide a service conncetion at the above mentioned premises in the Applicant's name for the purpose mentioned in the application form. |
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The grace period would be two months i.e. April and May. Thereafter the penalty @ 5% of the license fee would be charged for each subsequent month from the pet owners. |