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* Fields are Mandatory
.:: Application Type ::.
Application type : *
.:: APPLICANT DETAILS ::.
*
Applicant Name * Email ID
Guardian Name: Relationship with guardian
Telephone Number   Mobile Number *
Proof Type * Proof Number *
GST No
.:: POWER SUPPLY REQUIRED AT(ADDRESS)::.
Address Line 1 * Address Line 2
Address Line 3 Address Line 4
Taluk * GP/TMC/CMC *
Village/Town * State
Country PinCode *
.::CORRESSPONDENCE ADDRESS::. Is Same as above
Address Line 1 * Address Line 2
Address Line 3 Address Line 4
Taluk * GP/TMC/CMC *
Village/Town * State
Country PinCode *