DELHI JAL BOARD, GOVT. OF NCT OF DELHI

 

Application form for Water Connection

 

 

 

To

 

The Zonal Revenue officer (Water)

Delhi Jal Board,

---------------------- zone.

 

Dear Sir,

 

I/ We apply for a water connection.The necessary particulars are truthfully stated as follows:

 

  1. The case of fresh water connection/ regularization of existing unauthorized water connection.
  2. Name of Applicant: --------------------------------------------------------------------.
  3. Father/ Husbandís Name: -----------------------------------------------------------.
  4. The details of premises for which water connection is required:
    1. House No.
    2. Floor
    3. Ward/ Block/ Project.
    4. Street.
    5. Locality
    6. Area of Plot (Sqmt.)
  5. Type of connection: Domestic/ Non-domestic/ Industrial
  6. If, applicant is not the owner of premise, then details of the owner of the premise:
    1. Name:-------------------------------------------------------------------------------.
    2. Father/ Husbandís Name: ----------------------------------------------------.
    3. Address: ---------------------------------------------------------------------------.

 

I/ We certify that the premise for which water connection is being sought is not an unauthorized construction of the land belonging to Govt./ Local Body/ Any Agency under Govt.

 

UNDERTAKING

 

  1. I/ We shall install ISI water Meter at my own cost, if, it is not provided by DJB.
  2. I/ We shall install water connection within a period of 15 days from the date of sanction.
  3. I/ We shall be liable to pay the outstanding dues pertaining to disconnected water connection if any, in the same premise.
  4. I/ We shall be liable to pay outstanding dues on the water connection existing in the name of previous owner/ occupier of the premise.
  5. I/ We shall be liable for the forfeiture of advance, security, and development charges and also cancellation of sanction of water connection/ disconnection of unauthorized water connection, if, particular furnished above are found to be wrong at the time of inspection by the officers of the DJB.
  6. I/ We shall be responsible for civil and criminal liability, if, particulars furnished are wrong, OR Undertaking given here in is not discharged properly.
  7. I/ We shall install the water connection including pipes, fittings etc from ferrule to the premise through Licensed Plumber OR any plumber executing work to the satisfaction of DJB and will intimate the name and address of such plumber to DJB, if required.
  8. I/ We shall pay road restoration charges t the competent Authority.
  9. I/ We agree that sanction of water connection OR payment of development charges would not condone the illegality of unauthorized construction and liability of action in consequence thereof and would not, in itself, entitle the applicant for claiming any right title or claim in respect of the premise.
  10. I/ We shall abide by the provisions of the Delhi Water Board Act, 1998 and rules/ Regulations framed or orders/ directions issued there under.

 


Signature of Applicant

 

Address:

 

 

 

ACKNOWLEDGEMENT

 

Received an application form No. ------- on -------------- at -------.

 

 

Signature/ Seal of the Office

Name

Designation

 

NOTE: - Applicant is advised to take the acknowledgement and keep it safely.DJB is targeting to sanction the water connection within 24 hours.In case of any delay/ harassment/ complaint of corruption, contact DOR (Phone 3526205).Approach DJB directly and avoid touts.

 

 

 

HELP DJB TO SERVE YOU BETTER

CONSERVE WATER EVERY DROP IS PRECIOUS