APPLICATION FOR DOMESTIC/COMMERCIAL FILTER WATER CONNECTION IN THE JURISDICTION OF N.D.M.C AREA
To be submitted to Executive Engineer (WS) N.D.M.C.
N E W D E L H I
1.Full Name (in block letters)
of applicant
2.Full address of premises where water connection
is required.
3.a)Present address & telephone number on which
applicant is available and correspondence is to
be made.
b) Whether the applicant is tenant or landlord.
4.Name & address of legal owner of premises/
property.
5.Particulars of existing filtered.
a)Water connection in the premises.
b) Existing source/arrangement of water for the
applicant.
6.Brief description of premises.
7.Total overall requirement of filtered water
connection of entire premises.
8.Additional quantity of water required for the
new connection.
9.Justification with particulars of units/flats/families/
Number of persons etc. for proposed new filtered
water connection.
10.Site plan (Sketch) showing meter position on
plumbing works water lines marked on sketch
about existing, mainline & proposed connection
requirement of road cutting, length of connection
line from main line to meter point etc.
11.No objection from Landlord (if application is not
legal owner of property).
12.Mode of distribution of water in the premises
viz. stating position of over head tank, Under
Ground tank etc.
13.Arrangement of sewerage/water disposal.
14.Particulars for proposed new connection (Viz.
size of connection etc.)
15.In case of water connection is required for New
Building Block following required :-
(i) Drawing Showing arrangement of water
and sewer line.
(ii)Reference of Building, sanctioned plan.
(iii)Approved C Form, Occupation/occupation
certificate of the building.
16.Purpose for using the water (Domestic or for
office or shops/Commercial or labour camp of
construction).
17.In case of commercial establishment shop etc.
particulars of business and whether the same
having valid licence/registration in the name of
above applicant if required.
18.Name of the plumber (Registered in N.D.M.C.)
by whom the work is to be executed (Not
applicable in case of Govt. Deptt./Organization
like C.P.W.D./P.W.D. etc.
19.If the applicant is a Land Lord bonafide proof of
ownership of the building and last paid bill of
house tax is to be attached.
NOTE :- 1.The form No. W-I is to be submitted separately.
- The applicant must attach a Photostat Copy of Ration Card or bonafide proof of occupancy of the building in which the connection is required.
- If necessary, separate sheet may be attached for furnishing the details of relevant above mentioned items.
- The applicant is required to submit an Indemnity Bond to be executed on Rs. 2/- Non Judicial Stamp Paper alonwith application for water/sewer connection as per enclosed proforma.
List of Encl.: List of Encl. Required (Self Attested)
- NOC Rent Receipt in case of Tenant.
- Copies of Last Paid Water/Electricity Bills
- Copy of Last Paid House Tax Bill in case of Land Lord.
- Copy of Completion Certificate/Completion Plan
- Affidavit/Indemnity Bond on Prescribed proforma
In case of OldBuilding.
Plumber Signature Name and signature
of the applicant
Name :
Address :Date :-