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Property Details
Fields marked with (*) are mandatory.
Applicant Information
* Name :
Address :
Upto 500 characters.
State : District :
City/Town :
PIN :
Contact Phone :
* Contact Mobile :
Education Qualification : Special Category :
* Contact Email :
Preference Category :
Registered Office Details
* Company Name :
Address :
Upto 500 characters.
State : District :
City / Town :
PIN :
Phone :
Fax :
Website :
* Constitution Type :







* Contact Email1 :
Contact Email3 :
Contact Email2 :
Contact Email4 :
Note: Contacts will receive email alerts on MIDC Queries & Processing at the above email addresses.
Property Details
Is Plot MIDC or Non-MIDC ? :
District of present unit :
* Industrial Area of present unit :
* Property Form :
* Type of Property :
* Present Property No. (Plot/Shed/Gala) :
* Plot Area in m2 :
Plot/Unit Contact Information
Unit Phone No. :
Unit Fax No. :
Unit Email Address :
* Type of Industry/Activity : Details, If others
EM Acknowledgement Number
(If Applicable)
:
Date of Acknowledgement : Select Date
  Application for grant of MIDC's Water Supply Connection / Enhancement / Reduction  
   
   I/We submit herewith application for grant of MIDC's Water Supply Connection with details given below :  
     
  1. Details  
     
 
* Water requirement (Cub. Meter / day) :
Details of plan approval (if applicable)  
Letter No. :
Dated. : Select Date
Issued by the (E.E./D.E.,SPA) :
Type Of Connection :
 
Consumer No :
Water Meter Size (mm Dia) :
 
I/We hereby declare that the information provided by me/us is true to the best of my knowledge and belief and nothing has been concealed therein. I am/We are well aware of the fact that if the Information given by me/us is proved false/not true, I/We will have to face the punishment as per the law. Also, all the benefits availed by me/us shall be summarily withdrawn.
 
   
 
Document to be enclosed
Sr.No.Document NameIs Mandatory
1 MPCB Consent (as necessary) Non Mandatory
2 Block Plan showing existing water supply line, plot and the location of proposed water supply connection. [Mandatory] Non Mandatory

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