Raithu Nestham Registration

Application for New Agriculture Connection

CONSUMER NAME AS PER AADHAR *

FATHER NAME *

AADHAR NUMBER *

MOBILE NUMBER *

ENTER OTP *

EMAIL ID

Bank Name *

Bank AC No*

ACCOUNT HOLDER NAME*

CIRCLE *

MANDAL *

SECTION *

DISTRIBUTION *

LOCATION OF PREMISES WHERE SUPPLY IS REQUIRED

BOREWELL LOCATION :

a) BOREWELL LATITUDE

b) BOREWELL LONGITUDE

PATTADHAR PASSBOOK NO. *

SURVEY NO. *

EXTENT OF LAND *

VILLAGE *

MANDAL *

PINCODE

LANDMARK *

ADDRESS FOR COMMUNICATION

DOOR NO *

STREET NAME *

TOWN/VILLAGE NAME *

MANDAL *

DISTRICT *

PINCODE

CONNECTION TYPE & INFORMATION DETAILS

LT CATEGORY *

SCHEME TYPE *

LINKED DOMESTIC SERVICE*

CONSUMER TYPE *

SOCIAL GROUP *

PURPOSE OF SUPPLY *

CONTRACT LOAD *

PHASE TYPE *

ESTIMATION TYPE *

NO OBJECTION FOR FIXING OF METER UNDER DBT SCHEME *

DOCUMENT UPLOAD INFORMATION DETAILS

NOTE: DOWNLOAD DBT MANDATE FORM COPY

Upload APWALTA Cerificate issued by MRO Copy *

File Browse:

Upload Pattadhar Pass Book Copy*

File Browse:

Upload Copy of Aadhar*

File Browse:

Upload First Page of Bank Passbook Copy*

File Browse:

Upload DBT Mandate Form Copy*

File Browse:

DTR TYPE & LINE INFORMATION DETAILS

IS NEW LINE REQ. *

DTR REQUIRED *

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