APPLICATION FORM-LT NEW SERVICE CONNECTION (FOR DOMESTIC,NON-DOMESTIC,INDUSTRIAL CATEGORY and AGRICULTURE & ALLIED ACTIVITIES)
CONNECTION DETAILS
NAME OF PERSON/ORGANIZATION
NAME OF FATHER/HUSBAND
IS APPLICANT UNDER BPL CATEGORY
SELECT
NO
YES
ENTER BPL NO
APPLICANT CATEGORY
SELECT
GENERAL
SC
ST
OBC
CONNECTION TYPE
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PERMANENT
TEMPORARY
CONNECTION CATEGORY
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CONNECTION PURPOSE
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CONNECTION PHASE
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SINGLE
THREE
CONNECTED LOAD(Watts/HP)
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WATT
KW
HP
Capacitor
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YES
NO
SELECT DISTRIBUTION CENTER
DISTRICT
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DIVISION
SELECT
DC
SELECT
Location Selector For New Service Connection
Please CLick at place where Connection is desired and Drag Marker
ADDRESS DETAILS WHERE NEW CONNECTIONS IS BEING APPLIED FOR
HOUSE NO/PLOT NO/KHASRA NO
AREA/COLONY
CITY/TOWN/VILLAGE
DISTRICT
PINCODE
MOBILE NO
WHATSAPP NO
EMAIL ID
RESIDENCE ADDRESS
(If Above Address Details and Residence Address are same)
HOUSE NO/PLOT NO/KHASRA NO
AREA/COLONY
CITY/TOWN/VILLAGE
DISTRICT
PINCODE
MOBILE NO
BANK ACCOUNT DETAILS
BANK NAME
SELECT
ABHYUDAYA COOPERATIVE BANK LIMITED
ABU DHABI COMMERCIAL BANK
ADITYA BIRLA IDEA PAYMENTS BANK
AHMEDABAD MERCANTILE COOPERATIVE BANK
AHMEDNAGAR MERCHANTS CO-OP BANK LTD
AIRTEL PAYMENTS BANK LIMITED
AKOLA JANATA COMMERCIAL COOPERATIVE BANK
ALLAHABAD BANK
ALMORA URBAN COOPERATIVE BANK LIMITED
AMBARNATH JAIHIND COOP BANK LTD AMBARNATH
ANDHRA BANK
ANDHRA PRADESH GRAMEENA VIKAS BANK
ANDHRA PRAGATHI GRAMEENA BANK
APNA SAHAKARI BANK LIMITED
AU SMALL FINANCE BANK LIMITED
AUSTRALIA AND NEW ZEALAND BANKING GROUP LIMITED
AXIS BANK
B N P PARIBAS
BANDHAN BANK LIMITED
BANK OF AMERICA
BANK OF BAHARAIN AND KUWAIT BSC
BANK OF BARODA
BANK OF CEYLON
BANK OF INDIA
BANK OF MAHARASHTRA
BARCLAYS BANK
BASSEIN CATHOLIC COOPERATIVE BANK LIMITED
BHAGINI NIVEDITA SAHAKARI BANK LTD PUNE
BHARAT COOPERATIVE BANK MUMBAI LIMITED
CANARA BANK
CAPITAL SMALL FINANCE BANK LIMITED
CATHOLIC SYRIAN BANK LIMITED
CENTRAL BANK OF INDIA
CHINATRUST COMMERCIAL BANK LIMITED
CITI BANK
CITIZEN CREDIT COOPERATIVE BANK LIMITED
CITY UNION BANK LIMITED
CORPORATION BANK
CREDIT AGRICOLE CORPORATE AND INVESTMENT BANK CALYON BANK
CREDIT SUISEE AG
DCB BANK LIMITED
DENA BANK
DEOGIRI NAGARI SAHAKARI BANK LTD. AURANGABAD
DEPOSIT INSURANCE AND CREDIT GUARANTEE CORPORATION
DEUSTCHE BANK
DEVELOPMENT BANK OF SINGAPORE
DHANALAKSHMI BANK
DMK JAOLI BANK
DOHA BANK QSC
DOMBIVLI NAGARI SAHAKARI BANK LIMITED
DURGAPUR STEEL PEOPLES CO-OPERATIVE BANK LTD
EMIRATES NBD BANK P J S C
EQUITAS SMALL FINANCE BANK LIMITED
ESAF SMALL FINANCE BANK LIMITED
EXPORT IMPORT BANK OF INDIA
FEDERAL BANK
FINCARE SMALL FINANCE BANK LTD
FINO PAYMENTS BANK
FIRST ABU DHABI BANK PJSC
FIRSTRAND BANK LIMITED
G P PARSIK BANK
GS Mahanagar Co-operative Bank Limited, Mumbai
HARYANA STATE COOPERATIVE BANK
HDFC BANK
HIMACHAL PRADESH STATE COOPERATIVE BANK LTD
HSBC BANK
ICICI BANK LIMITED
IDBI BANK
IDFC BANK LIMITED
IDUKKI DISTRICT CO OPERATIVE BANK LTD
INDIA POST PAYMENT BANK
INDIAN BANK
INDIAN OVERSEAS BANK
INDUSIND BANK
INDUSTRIAL AND COMMERCIAL BANK OF CHINA LIMITED
INDUSTRIAL BANK OF KOREA
Irinjalakuda Town Co-Operative Bank Ltd
JALGAON JANATA SAHAKARI BANK LIMITED
JAMMU AND KASHMIR BANK LIMITED
JANA SMALL FINANCE BANK LTD
JANAKALYAN SAHAKARI BANK LIMITED
JANASEVA SAHAKARI BANK BORIVLI LIMITED
JANASEVA SAHAKARI BANK LIMITED
JANATA SAHAKARI BANK LIMITED
JIO PAYMENTS BANK LIMITED
JP MORGAN BANK
KALLAPPANNA AWADE ICHALKARANJI JANATA SAHAKARI BANK LIMITED
KALUPUR COMMERCIAL COOPERATIVE BANK
KALYAN JANATA SAHAKARI BANK
KARNATAKA BANK LIMITED
KARNATAKA VIKAS GRAMEENA BANK
KARUR VYSYA BANK
KEB Hana Bank
KERALA GRAMIN BANK
KOTAK MAHINDRA BANK LIMITED
KOZHIKODE DISTRICT COOPERATIAVE BANK LTD
KRUNG THAI BANK PCL
LAXMI VILAS BANK
Maharashtra Gramin Bank
MAHARASHTRA STATE COOPERATIVE BANK
MASHREQBANK PSC
MIZUHO BANK LTD
MUFG BANK, LTD
NAGAR URBAN CO OPERATIVE BANK
NAGPUR NAGARIK SAHAKARI BANK LIMITED
NATIONAL AUSTRALIA BANK LIMITED
NATIONAL BANK FOR AGRICULTURE AND RURAL DEVELOPMENT
NEW INDIA COOPERATIVE BANK LIMITED
NKGSB COOPERATIVE BANK LIMITED
NORTH EAST SMALL FINANCE BANK LIMITED
NUTAN NAGARIK SAHAKARI BANK LIMITED
ORIENTAL BANK OF COMMERCE
PAYTM PAYMENTS BANK LTD
PRAGATHI KRISHNA GRAMIN BANK
PRATHAMA BANK
PRIME COOPERATIVE BANK LIMITED
PT BANK MAYBANK INDONESIA TBK
PUNJAB AND MAHARSHTRA COOPERATIVE BANK
PUNJAB AND SIND BANK
PUNJAB NATIONAL BANK
QATAR NATIONAL BANK SAQ
RABOBANK INTERNATIONAL
RAJARAMBAPU SAHAKARI BANK LIMITED
RAJGURUNAGAR SAHAKARI BANK LIMITED
RAJKOT NAGRIK SAHAKARI BANK LIMITED
RBL Bank Limited
RESERVE BANK OF INDIA, PAD
SAHEBRAO DESHMUKH COOPERATIVE BANK LIMITED
SAMARTH SAHAKARI BANK LTD
SARASWAT COOPERATIVE BANK LIMITED
SBER BANK
SBM BANK MAURITIUS LIMITED
SHIKSHAK SAHAKARI BANK LIMITED
SHINHAN BANK
SHIVALIK MERCANTILE CO OPERATIVE BANK LTD
SHRI CHHATRAPATI RAJASHRI SHAHU URBAN COOPERATIVE BANK LIMITED
SMALL INDUSTRIES DEVELOPMENT BANK OF INDIA
SOCIETE GENERALE
SOLAPUR JANATA SAHAKARI BANK LIMITED
SOUTH INDIAN BANK
STANDARD CHARTERED BANK
STATE BANK OF INDIA
SUMITOMO MITSUI BANKING CORPORATION
SURAT NATIONAL COOPERATIVE BANK LIMITED
SURYODAY SMALL FINANCE BANK LIMITED
SUTEX COOPERATIVE BANK LIMITED
SYNDICATE BANK
TAMILNAD MERCANTILE BANK LIMITED
TELANGANA STATE COOP APEX BANK
TEXTILE TRADERS CO OPERATIVE BANK LTD
THE A.P. MAHESH COOPERATIVE URBAN BANK LIMITED
THE AKOLA DISTRICT CENTRAL COOPERATIVE BANK
THE ANDHRA PRADESH STATE COOPERATIVE BANK LIMITED
THE BANK OF NOVA SCOTIA
THE BARAMATI SAHAKARI BANK LTD
THE COSMOS CO OPERATIVE BANK LIMITED
THE DELHI STATE COOPERATIVE BANK LIMITED
THE GADCHIROLI DISTRICT CENTRAL COOPERATIVE BANK LIMITED
THE GREATER BOMBAY COOPERATIVE BANK LIMITED
THE GUJARAT STATE COOPERATIVE BANK LIMITED
THE HASTI COOP BANK LTD
THE JALGAON PEOPELS COOPERATIVE BANK LIMITED
THE KANGRA CENTRAL COOPERATIVE BANK LIMITED
THE KANGRA COOPERATIVE BANK LIMITED
THE KARAD URBAN COOPERATIVE BANK LIMITED
THE KARANATAKA STATE COOPERATIVE APEX BANK LIMITED
THE KURMANCHAL NAGAR SAHAKARI BANK LIMITED
THE MEHSANA URBAN COOPERATIVE BANK
THE MUMBAI DISTRICT CENTRAL COOPERATIVE BANK LIMITED
THE MUNICIPAL COOPERATIVE BANK LIMITED
THE NAINITAL BANK LIMITED
THE NASIK MERCHANTS COOPERATIVE BANK LIMITED
THE NAVNIRMAN CO-OPERATIVE BANK LIMITED
THE PANDHARPUR URBAN CO OP. BANK LTD. PANDHARPUR
THE RAJASTHAN STATE COOPERATIVE BANK LIMITED
THE SEVA VIKAS COOPERATIVE BANK LIMITED
THE SHAMRAO VITHAL COOPERATIVE BANK
THE SINDHUDURG DISTRICT CENTRAL COOP BANK LTD
THE SURAT DISTRICT COOPERATIVE BANK LIMITED
THE SURATH PEOPLES COOPERATIVE BANK LIMITED
THE TAMIL NADU STATE APEX COOPERATIVE BANK
THE THANE BHARAT SAHAKARI BANK LIMITED
THE THANE DISTRICT CENTRAL COOPERATIVE BANK LIMITED
THE VARACHHA COOPERATIVE BANK LIMITED
THE VISHWESHWAR SAHAKARI BANK LIMITED
THE WEST BENGAL STATE COOPERATIVE BANK
THE ZOROASTRIAN COOPERATIVE BANK LIMITED
THRISSUR DISTRICT CO-OPERATIVE BANK LTD
TJSB SAHAKARI BANK LTD
TUMKUR GRAIN MERCHANTS COOPERATIVE BANK LIMITED
UCO BANK
Ujjivan Small Finance Bank Limited
UNION BANK OF INDIA
UNITED BANK OF INDIA
UNITED OVERSEAS BANK LIMITED
UTKARSH SMALL FINANCE BANK
VASAI JANATA SAHAKARI BANK LTD
VASAI VIKAS SAHAKARI BANK LTD
VIJAYA BANK
WESTPAC BANKING CORPORATION
WOORI BANK
YES BANK
ZILA SAHAKRI BANK LIMITED GHAZIABAD
BANK ACCOUNT NO.
IFSC CODE
PAN CARD NO/TAN NO
DO YOU HAVE GSTIN NO :
SELECT
YES
NO
GSTIN NO
ID PROOF
ID PROOF TYPE
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Driving licence
Aadhar Card
Voter Id Card
Passport
Ration Card
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