Soil Resistivity Application Form
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Installation Details

Installation Name*

Consumer Name*

Installation Address*

Consumer Mobile Number

Consumer Email

Location

House or Building Name / No.

Street*

City*

Pincode*

District*

KSEB Section*

Licensee

Contractor License No

Contractor Name

License Validity

Scope

License Status

Supervisor Permit No

Contractors

Sl No. License No Name status Scope Validity Action

Supervisors

Sl No. License No Name status Scope Validity Action
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General Details

Location Sketch (512 KB) (.pdf)

Possession Certificate (512 KB) (.pdf)

Any Other Supporting Documents (512 KB) (.jpeg,.jpg,.doc,.docx,.png,.pdf,.xls,.xlsx)

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Payment Details
Office Details

Application going to submit at :

Application Fee :

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