* Means Mandatory.
 
Applicant's Name:*
Occupation:
Supply Address:* House No.:
Street:
Colony/Area:
City:
Pin code:
Office Address: House No.:
Street:
Colony/Area:
City:
Pin code:
Copy As Above
Permanent Address:* House No.:
Street:
Colony/Area:
City:
Pin code:
Copy As Above
Mobile No.:*        
Telephone No.:        
Email Id:        
Division:*    
Category of Electricity Usage:* Purpose Of Connection:*  
Install your own Bureau of Indian Standards approved meter: Yes No
Nearest Landmark Pole No./Feeder pillar No./Nearest H.No. and New KS No.(if any):
 
Particulars of the premises to be connected:-
A.Floor No.: B.Covered Area:
Note : In case of multi-storey building, floor wise details shall be provided on the separate sheet.
Load Applied for(in KW):*        
Existing KS No.(if any): Existing Consumer No.(if any): Existing Loads(if any):
 
Requirement of Load:-
  Electric Points No. Of Points Wattage Per Point Total Wattage k.w
(a)Light Load:
(b)Power Load(Non A.C.):
(c)Power Load(A.C.):
(d)Lift:
TOTAL:
 
Documents to be submitted:-
 1. Passport size photograph of applicant.
 2. Electrical contractor Certificate for Internal Wiring (in the prescribed form)
 3. Fire Fighting/Lift safety Certificate(Wherever applicable)
4. Address Proof:
5. AFFIDAVIT Form to be downloaded, filled and must be attested by Notary Public with Rs 5 Stamp    
6. DECLARATION/UNDERTAKING (Enclosure to ANNEXE-I) Form to be downloaded and filled.    
User Type:*      
Submit 'AFFIDAVIT' and 'DECLARATION/UNDERTAKING' form after application approval at the counter.      
         
 
Conceived and Developed by New Delhi Municipal Council with Technical Support by Vayam Technologies Ltd.