Consumer Name*
Communication Address*
Consumer Mobile Number*
Consumer Email
Location
Landmark
Street*
City*
Pincode*
District*
Local body*
Panchayath / Muncipality /Corporation*
KSEB Section*
Type of Building*
Line Position
Name of Feeder
Between Locations
Authority
Local Authority address
Survey Number
Land Tax Receipt No
Applicant Category*
Proof showing BPL Category*
Clearance Letter from KSEBL/Licensee
Any Other Supporting Documents
Compliance Report (Need to upload only if defect communicated)
Application going to submit at :
Application Fee :