APPLICATION FORM FOR NSC AGRICULTURE (IRRIGATION TEMPORARY TO PERMANENT)  CONECTION

   Name Of Applicant (will be connection owner)   
    Enter Your Aadhar No.  / Voter ID / Samgra ID   

ADDRESS OF RESIDENCE

  Residence Electricity Connection Service   No.   
  Village / Town   
  Village / Mohalla / Colony   
  District / Tehsil   
  Pin code   
  Mobile No.   

ADDRESS OF CONNECTION REQUIRED

  Village / Town   
  Khasra No.   
  Landmark   
  District / Tehsil   

APPLIED CONNECTION DETAILS

  Load Applied   
  Purpose   

APPLIED TO

  Circle   
  Division
   
  DC
   

SELECT VENDOR FROM LIST OF EMPANELLED VENDOR FOR WORK COMPLETION

Select Circle For Vendor List 
Select Vendor