FORM-1 Application for sanction of Water Supply House Service Connection 1. Name of the Owner / Occupier and : address (Name in Capital Letters) 2. Door No. of the House to which : Water tap is to be provided 3. Name of the Street : 4. Property Tax Assessment Number : 5. Whether permissions obtained from the Municipality for Construction of building : Certified copy of Building Plan Approved and proceedings shall be enclosed provided permission is obtained 6. Property Tax being paid per half year : 7. The purpose for which water tap : sought for 8. Approximate quantum of water required per day (In gallons) 9. Service charges for water tap : connection and cost of Application form Place: Date: Ward No. Yes/No Residential / Commercial/ Industrial D.D.No and date : Municipal Challan No.: and date Banker's Cheque No. and Date : Signature of the Owner/Occupier
