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/ Plot Details
Fields marked with (*) are mandatory.
Applicant Information
* / Name / : / Enter valid name Enter Name of Applicant
Address / : / Upto 500 characters.
State / : / / District / : /
City/Town / : / Invalid name / PIN / : /
Contact Phone / : / Invalid Phone No. / * / Contact Mobile / : / Please enter valid mobile number
Education Qualification / : / / Special Category / : /
* / Contact Email / : / Invalid Email / Preference Category / : /
Registered Office Details
* / Company Name / : / Enter valid name Enter Company Name
Address / : / Upto 500 characters. Enter valid Address
State / : / / District / : /
City / Town / : / Invalid name / PIN / : /
Phone / : / Invalid Phone / Fax / : / Invalid Fax
Website / : / Invalid URL / * / Constitution Type / : /
* / Contact Email 1 / : / Invalid Email / Contact Email 2 / : / Invalid Email
Note: Contacts will receive email alerts on Government of Maharashtra Queries & Processing at the above email addresses.
Plot Details
Plot Location / : / / Key Person Responsible For Management? / : /
District of present unit / : /
* Industrial Area of present unit / : /
Please select the Industrial Area
Note:- Please enter plot number in the format "Block Number-Unit Number." Use "-" as separator between the Block Number and the Unit Number.
Mention plot no. with no block number as : "123"
Mention plot number with block number alloted as : "C-123"
For multiple adjacent plots, please mention all the plot numbers separated by a "," as : A-1,A-2,A-3,A-4,A-5,A-6,A-7
* Present Property No. (Plot/Shed/Gala) / : /
Enter valid Plot No. Special Characters are not allowed. / * Area in m2 / : / Enter numeric or decimal value upto 50000000.00.
Product manufactured
Raw Material
Employment Details
Entrepreneurs profile
Approval already taken by the enterprise
Equity Details
Self/ promoter capitals Value(In Lacs) / : / Enter Valid Promoter Capital Value / Self/ promoter capitals % / : / Enter numeric or decimal value upto 100.
Secured Loans in value(In Lacs) / : / Enter Valid Secured Loan Value / Secured Loans in % / : / Enter numeric or decimal value upto 100.
Unsecured Loan in value(In Lacs) / : / Enter Valid Unsecured Loan Value / Unsecured Loan in % / : / Enter numeric or decimal value upto 100.
Foreign equity (in % ) / : / Enter Valid Foreign equity
Plot/Unit Contact Information
Unit Phone No. / : / Invalid Phone / Unit Fax No. / : / Invalid Fax
Unit Email Address / : / Invalid Email
* Proposed no. of workers - direct employment / : /
Enter valid Plot No. Special Characters are not allowed. / * Will labour contractor be engaged? / : / Please mention whether labour contractor be engaged.
* Pollution category of Industry / : / Please select the category of pollution / * Power Requirement / : / Please mention whether there is requirement for power. Enter valid Plot No. Special Characters are not allowed.
* Is boiler being installed? / : / Please mention whether boiler is installed. / * Built up area (in sq. mtrs.) / : / Please enter numbers only Enter built up area
* Project Investment (in Cr.) / : / Please enter numbers only Enter investment in plant & machinery / * Size of Industry / : /
* Stage / : / Select stage of industry / * Availbility of Own Land / : / Please mention whether own land is available.
* Type of Proposed / Existing Land / : / Please mention type of land proposed. / * Zone of Proposed / Existing Land / : / Please mention zone of land proposed.
* Water Requirement (in cubic mtr / day) / : / Please enter numbers only Enter water requirement / * Requirement of Water Reservation / : / Please mention zone of land proposed.
* Type of employees existing/proposed / : / Please mention type of employment of employees existing/ proposed. / * Finance Requirement for Project / : / Please mention whether finance is required.
* Interested in availing Incentives from GoM / : / Please mention whether interested in availing incentives from GoM.
* / Type of Industry/Activity / : / Details, If others Enter valid Type Of Activity
Main Manufacturing Activities / : /
EM / IEM / LOI Acknowledge Number / : /
Date of Acknowledgement / : / Invalid date format
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) / : / Numbers only
Details of plan approval (if applicable)
Letter No. / : / Invalid Letter No.
Dated. / : / Please enter valid date e.g. 'DD/MM/YYYY'
Issued by the (E.E./D.E.,SPA) / : /
Type Of Connection / : /
Numbers only
Application Type / : /
Consumer No / : /
2. Documents to be enclosed in case the Building plan are not approved.
2.1 Copy of Possession receipt of the plot.
2.2 Copy of theAgreement to lease.
2.3 MPCB's consent to establish the industry. (if applicable)
2.3 Block Plan showing existing water supply line, plot and the location of proposed water supply connection.
3. Documents to be enclosed in case the Building plan are approved.
3.1 Block Plan showing existing water supply line, plot and the location of proposed water supply connection.
3.2 Copy of the letter of plan approved.
Signature of Allottee
Note :- Document with one star (*) is acceptable under self certification.
Copyright © 2013 Maha-E-Biz ® All Rights Reserved.
This site is best viewed with Internet Explorer 6.0 or higher at a minimum screen resolution of 1024x768
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Top of Form
Home See All Services
The form available on this page is not saved and submitted to MIDC online.
If you need to submit the forms online to MIDC, please register here or login using your login credentials.
On this page, you can fill the form and print it for submitting to MIDC physically.
/ Plot Details
Fields marked with (*) are mandatory.
Applicant Information
* / Name / : / Enter valid name Enter Name of Applicant
Address / : / Upto 500 characters.
State / : / / District / : /
City/Town / : / Invalid name / PIN / : /
Contact Phone / : / Invalid Phone No. / * / Contact Mobile / : / Please enter valid mobile number
Education Qualification / : / / Special Category / : /
* / Contact Email / : / Invalid Email / Preference Category / : /
Registered Office Details
* / Company Name / : / Enter valid name Enter Company Name
Address / : / Upto 500 characters. Enter valid Address
State / : / / District / : /
City / Town / : / Invalid name / PIN / : /
Phone / : / Invalid Phone / Fax / : / Invalid Fax
Website / : / Invalid URL / * / Constitution Type / : /
* / Contact Email 1 / : / Invalid Email / Contact Email 2 / : / Invalid Email
Note: Contacts will receive email alerts on Government of Maharashtra Queries & Processing at the above email addresses.
Plot Details
Plot Location / : / / Key Person Responsible For Management? / : /
District of present unit / : /
* Industrial Area of present unit / : /
Please select the Industrial Area
Note:- Please enter plot number in the format "Block Number-Unit Number." Use "-" as separator between the Block Number and the Unit Number.
Mention plot no. with no block number as : "123"
Mention plot number with block number alloted as : "C-123"
For multiple adjacent plots, please mention all the plot numbers separated by a "," as : A-1,A-2,A-3,A-4,A-5,A-6,A-7
* Present Property No. (Plot/Shed/Gala) / : /
Enter valid Plot No. Special Characters are not allowed. / * Area in m2 / : / Enter numeric or decimal value upto 50000000.00.
Product manufactured
Raw Material
Employment Details
Entrepreneurs profile
Approval already taken by the enterprise
Equity Details
Self/ promoter capitals Value(In Lacs) / : / Enter Valid Promoter Capital Value / Self/ promoter capitals % / : / Enter numeric or decimal value upto 100.
Secured Loans in value(In Lacs) / : / Enter Valid Secured Loan Value / Secured Loans in % / : / Enter numeric or decimal value upto 100.
Unsecured Loan in value(In Lacs) / : / Enter Valid Unsecured Loan Value / Unsecured Loan in % / : / Enter numeric or decimal value upto 100.
Foreign equity (in % ) / : / Enter Valid Foreign equity
Plot/Unit Contact Information
Unit Phone No. / : / Invalid Phone / Unit Fax No. / : / Invalid Fax
Unit Email Address / : / Invalid Email
* Proposed no. of workers - direct employment / : /
Enter valid Plot No. Special Characters are not allowed. / * Will labour contractor be engaged? / : / Please mention whether labour contractor be engaged.
* Pollution category of Industry / : / Please select the category of pollution / * Power Requirement / : / Please mention whether there is requirement for power. Enter valid Plot No. Special Characters are not allowed.
* Is boiler being installed? / : / Please mention whether boiler is installed. / * Built up area (in sq. mtrs.) / : / Please enter numbers only Enter built up area
* Project Investment (in Cr.) / : / Please enter numbers only Enter investment in plant & machinery / * Size of Industry / : /
* Stage / : / Select stage of industry / * Availbility of Own Land / : / Please mention whether own land is available.
* Type of Proposed / Existing Land / : / Please mention type of land proposed. / * Zone of Proposed / Existing Land / : / Please mention zone of land proposed.
* Water Requirement (in cubic mtr / day) / : / Please enter numbers only Enter water requirement / * Requirement of Water Reservation / : / Please mention zone of land proposed.
* Type of employees existing/proposed / : / Please mention type of employment of employees existing/ proposed. / * Finance Requirement for Project / : / Please mention whether finance is required.
* Interested in availing Incentives from GoM / : / Please mention whether interested in availing incentives from GoM.
* / Type of Industry/Activity / : / Details, If others Enter valid Type Of Activity
Main Manufacturing Activities / : /
EM / IEM / LOI Acknowledge Number / : /
Date of Acknowledgement / : / Invalid date format
Application for Building Completion Certificate (BCC) / Occupancy Certificate
I / We hereby provide, required documents for building completion certificate / Drainage Completion Certificate for Plot No.
,in completed on * Please enter valid date e.g. 'DD/MM/YYYY' according to the plans sanctioned vide office
communication No.* Dated * Please enter valid date e.g. 'DD/MM/YYYY'
2. Documents to be enclosed.
2.1 Form for completion certificate by the Architect : Refer MIDC D.C.Rules : APPENDIX IX: Form No. 8
2.2 Form for Indemnity for Grant of Occupancy Certificate for part of Building : Refer MIDC D.C.Rules : APPENDIX IX: Form No. 10
2.3 Final Fire NOC.
2.4 Certificate of Stability of Structure Refer MIDC D.C.Rules : APPENDIX IX: Form No. 14
2.5 Certificate from Owner stating that the provision of 24 hour water storage is made.
2.6 No Dues Certificate by MIDC E.E.
2.7 Approval for Extension of Time limit from MIDC Regional Office[if applicable]
2.8 Set of approved plans
2.9 True copy of Approval for Factory Inspector [if applicable]
2.10 Copy of NOC by Food and Drugs Department [if applicable]
2.11 Copy of Approval of Explosive Department[if applicable]
2.12 MPCB Consent to operate[if applicable]
Signatue of Licensee/ Lessee
Copyright © 2013 Maha-E-Biz ® All Rights Reserved.
This site is best viewed with Internet Explorer 6.0 or higher at a minimum screen resolution of 1024x768
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English मराठी
Web Self Service
Web Self Service Home > New Connection Request
New Connection Request
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A-1 Application Form
Service Request ID []
Instructions for filling the form:
· Kindly fill complete and correct information in relevant column.· Applicant will be solely responsible for incomplete or incorrect information
· Applicant is requested to note the request id for future tracking of the application.
· Please provide the correct nearest consumer number, so that your request can be assigned to proper MSEDCL field office.
· The applicant will be contacted by MSEDCL officer /Call Center Representative on email/mobile provided by you for verification.
· Please download New Connection Form and keep ready duly filled in and signed with required documents (which are mentioned on A1 Form).
· Click here for help regarding filling New Connection Request.
· Email address is mandatory and either Phone number or Mobile number is mandatory.
General Information
/ Individual
Consumer Category:* / / Others: /
Supply Type:* / / Service Requested:* /
Application Date: /
Application Details
Applicant/Company Name:* / /
Occupation:* /
Address at which supply is required(Please enter complete details)
Plot/ Flat No/ Survey No / House No / Building Name:* / / Address Line1:* /
Landmark: / / City/Village:* /
PinCode:* / / Email:* /
Mobile: / / Phone: /
Existing/ Nearest Consumer No:* /
Billing Details
/
Click here if billing Address same as Meter Address
Plot/ Flat No/ Survey No / House No / Building Name:* / / Address Line1:* /Landmark: / / City/Village:* /
PinCode:* / / Email:* /
Mobile: / / Phone: /
Type Of Premises:* / / Others: /
To be filled if Type Of Premises selected is OTHERS.
Consumer Sub Category:* / / Others: /
Requested Load / Contract Demand
Requested Load:* / /
Contract Demand:* / /
Extension/ Reduction
For Extension/ Reduction of Load :
Existing Load: * / /Revised Load: * / /
Extension/ Reduction
For Change in Contract Demand :
Existing Contract Demand: * / /Total Contract Demand * / /
I/we make the following declaration;
· to abide by the provisions of the Electricity Act 2003 and Maharashtra Electricity Regulatory Commission Electricity Supply Code and other conditions of Supply.· to pay for the supply of electricity based on the prevailing tariff rates of MSEDCL
· to pay for all other proper charges as become due in accordance with above regulation and approved schedule of charges of MSEDCL.
· to deposit such security as MSEDCL may be entitled to be required from me/us under the above Act and Regulations.
· to undertake to avail supply within one month from the date the MSEDCL intimate that it is ready to supply to our premises failing which I/we undertake to pay the MSEDCL the minimum charges as may be applicable.
· The above information is true and if any false information is observed, I will be fully responsible for the same.
· In the event of death of individual I/We hereby nominate to receive or adjust the deposit outstanding in my/ our name to
/
I/ we agree to the terms and conditions
/Place: *
/SubmitFill
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