Online Application form for New Connection

Applicant Type :*: Application For: * Category:*
  General InformationClick Here If you dont know your subdivision
Circle :* SubDivision:
Date:* Type of Supply: *
  Applicant Particulars Details  
Individual/Firm Name:*
Name & Designation : Father/Husband/Director/Partner:* Identity Proof :*
Address at which supply is required(Please enter complete details)
Plot/Flat No/House No:* Address Line1:* Landmark:*
City/Village:* PinCode:* Aadhar Number:*
Email:* Mobile:* Authorized Area [Y/N]:
Property ID: Haryana Udhyam Memorandum(HUM)ID: Parivar Pehchan Patra(PPP)ID:
Correspondence Address:*   Same as above
  Applied Load Details  
Connected Load [KW]: (In case of AP Category entered load in BHP)* Contract Demand [KVA] :
Purpose of Supply:* Supply Metering Equipment:
  DocumentPlease upload self attested .jpg , .jpeg, .pdf and .png files.  
User Photo:(File size must be less than 50KB.)*
Proof Of Ownership:(File size must be less than 500KB.)*
Proof Of Identity:(File size must be less than 500KB.)*
  If Details of Connection on the same premise/property/other connections in the name of Applicant(Optional)  
Account Holder:
Account Number: Address:
Category: Connected Load [KW]: Contract Demand [KVA]:

I/we make the following declaration;

  • The information provided in this application is true to my knowledge.
  • I/We agree to abide by all the Rules & Regulations of the Nigam & HERC.
  • I/We will deposit electricity dues and old dues if any , as per the applicable electricity tariff and other charges failing which the supply of electricity will be liable to be disconnected.
  • I/We will own the responsibility of security and safety of the meter, cut-out and the installation
  • I/We am/are the owner(s) / legal occupier of the premises in which supply of electricity is hereby requisitioned for which true copies of documents are submitted.
  • That the internal wiring at the premises has been got executed and tested by a Licensed Electrical Contractor/ designated officer of the Government and test certificate is available with the applicant

I/ we agree to the terms and conditions

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