New HT Service Connection Entry * Indicates Mandatory Fields

Applicant Details

Applicant Name*		Select Circle Name*	Select Circle BANJARA HILLS CYBER CITY GADWAL HABSIGUDA HYDERABAD CENTRAL HYDERABAD SOUTH MAHABOOBNAGAR MEDAK MEDCHAL NAGARKURNOOL NALGONDA NARAYANPET RAJENDRANAGAR RURAL ZONE SANGAREDDY SAROORNAGAR SECUNDERABAD SIDDIPET SURYAPET VIKARABAD WANAPARTHY YADADRI
		Select Section*	Select
Status of the Consumer/Firm*	Select Individual Registered Partner Ship UnRegistered Partner Ship Private Company Limited Company Any Other Government Institutions
Govt. Code.*	Select Govt. Code	HOD Code*	Select HOD Code

Connection Address

Survey.No.*		Plot.No.*
Door No.*		Town/Village*
PIN Code*		Phone No.
Mobile No.*		Mobile No.1*
Email ID*
Email ID1*		Email ID2*

Connection Details

Consumer/Firm Name*
Category*	Select Category HT-I (Industries) HT-II (Commercial & Others) HT-III (Railway /BUS Stations & Airports) HT-IV (Irrigation & CPWS) HT-V (Railway Traction) HT-VII (TEMP) HT-VIII(GREEN POWER) HT-IX (Electrical Vehicle Charging/Battery Swap)
Industry and product Mfd.*	Select	Special Economic Zone *	Select YES NO
Self Attested Occupancy Certificate*	YES NO Occupancy Certificate must be Attested
Occupancy Certificate No:
Certificate Issued By :
Certificate Issued Date :	( DD/MM/YYYY )
Contracted Max. Demand*	KVA	Contracted Load*	KW
Number of running shifts*	Select Two ShiftsThree Shifts	Running days in a month
Estimate Type*	Select DepartmentTurn Key	Seasonal Industry *	YES NO
Independent Feeder *	Select YES NO
Starting Month*	January February March April May June July August September October November December	No.of Months*	4 5 6 7 8 9 10 11 12

Phased Manner Demand
Number of Phases*

Sl.No.

Phase Demand

From Date

End Date

Lending Bank account Details

Name		Account No.
Bank name	-Select Bank-A.P.STATE CO-OP BANK LTDABE Co-op Bank Ltd.,ABN-AMROALLAHABAD BANKANDHRA BANKAP Mahesh co-op bankAP Vardhamana co-op Bank Lt.d.,APGVD BANKAU Small Finance BankAXIS BANKAdarsh bankAgrasen Co-op Urban Bank Ltd.,Anantha Grameena bankAndhra pradesh Grameena Vikas BankAndhra pragathi Grameena BankBANDAN BANKBANK OF BAHRAIN KUWAITBANK OF BARODABANK OF INDIABANK OF MAHARASHTRABANK OF RAJASTHAN LTDBHAVANA RISHI CO-OP BANKBNP Paribas Corporate Investment BankingBOMBAY MERCHANTILE CO-OP BANK LtdBank of AmericaCANARA BANKCATHOLIC SYRIAN BANK CENTRAL BANK OF INDIACORPORATION BANKChaitanya Co-op Urban Bank LtdCity Bank City Union Bank LtdDBS Bank of IndiaDCB BankDENA BANKDEUTSCHE BANKDEV. CREDIT BANK LTDDHANALAKSHMI BANK LTDDIST. CO OP CENTRAL BANKDarusalam Co-op Urban BankDeccan grameena bankDevi Gayatri Co-op Urban Bank LtdEQUITAS BANKEenadu BankFEDERAL BANK LTDGlobal Trust BankHDFCHONGKONG AND SHANGHAI BANKING CORPORATION LIMITEDHSBCHyderabad District Co-op BankICICIIDBI BANKIDFC BANKINDIAN BANKINDIAN OVERSEAS BANKING Vysya BankIndusind BankJAGRUTI CO-OPERATIVE URBAN BANK LTDJAMMU AND KASHMIR BANK LTDKARNATAKA BANK LTDKARUR VYSYA BANK LTDKOTAK MAHENDRA BANKKotak BankLakshmi Vilas BankMAHESH BANKMaharana Pratap BankMahaveer Co-op BankNABARDNADUNGUDI BANK LTDNAVABHARAT CO-OP BANK LTDNDCC BANKORIENTAL BANK OF COMMERCEPUNJAB AND SIND BANKPUNJAB NATIONAL BANKPalamoor Co-operative urban Bank Ltd.,Priya Darshini Urban Co-op BankRBL BANKRESERVE BANK OF INDIAROYAL BANK OF SCOTLANDRaja Rajeshwari Mahila Cooperative BankRajadhani Bank LtdRajadhaniCo-opUrbanBankLtdRangareddy bankSANGLI BANK LTDSBM BANKSEVENHILLS CO-OP.URBAN BANKSOUTH INDIAN BANK LTDSTANDARD CHARTERED BANKSTATE BANK OF HYDRABADSTATE BANK OF INDIASTATE BANK OF INDORESTATE BANK OF MYSORESTATE BANK OF PATIALASTATE BANK OF SURASHTRASVC CO-OPERATIVE BANK LTDSYNDICATE BANKSri Mahayogi Lakshammma avva bankState Bank of Bikaner & Jaipur State Bank of TravancoreTHE BHAVANA RISHI CO-OP URBAN BANK LTDTHE COSMOS CO-OP BANK LtdTHE HYDERABAD-DIST CO-OP CENTRAL BANK LTDTHE KARNATAKA BANK LTDTHE KRANTHI CO OP URBAN BANK LTDTHE LAKSHMI VILAS BANK LTDTHE MAHANAGAR CO-OPERATIVE URBAN BANK LIMITEDTHE MAHANAGAR CO-OPERATIVE URBAN BANK LTD.THE SECUNDERABAD CO-OPERATIVE URBAN BANK LTDTHE VYSYA BANK LTDTHEKARNATAKA BANK LTDTHEPOCHAMPALLYCOOPURBANBANKTIRUMALA CO-OPERATIVE URBAN BANK LTDTamilnadu merchantile BankTelangana Grameena BankTelangana state co-op.Apex BankLtdThe Shamrao Vithal Co-operative Bank LimitedUCO BANKUNION BANK OF INDIAUNITED BANK OF INDIAUNITED WESTERN BANK LTDVARDHAMAN [MAHILA] CO-OP. URBAN BANK LTDVIJAYA BANKVisakhapattanam co-op bankYES BANK LIMITEDcity union bank ltd	Branch
IFSC code
PAN No.*
GSTN Available*	Select YES NO

Registered Office Address

Office Survey.No.*		Office Plot.No.*
Office Door No.*		OFFICE: Town/Village*
Office PIN Code*		Phone No.
Owner/Authorised Person(NAME)*		Designation*
Authorised Person Mobile No*
Service Required Date*	(DD/MM/YYYY )	Any other information
Are any other services existing elsewhere in the same name or in the names of sister concerns:		YES	NO

Upload Documents

Ownership Documents		(upload only .pdf files)
Memorandum of Association (MOA) / Partnership Deed		(upload only .pdf files)