FORMAT FOR WATER CONNECTION(NEW) AS PER SECTION 12 OF GMC ACT Guwahati Municipal Corporation - Guwahati Date Holding No. Name of Applicant Ward No. Name of Road Annual Ratable Value Report of Supdt. Water Supply Report of Supdt. Taxes Amount of Tax to be paid Remarks 1 2 3 4 5 6 7 8 9 10 N.B. Applicants shall fill up Column 1,2,3,4 & 5 Signature of Applicant