Form of Application for new Water Connection 1. 2. 3. 4. 5. Name of the Applicant Father's/ Husband' s Name Address Location of the building Land for which connection is sought Documental proof of ownership/ Tenancy's I Shri/Shrimati declare that the information given above are true to the best of my knowledge and I shall be liable for taking appropriate action by the department if found incorrect .I should also be abide by the rules Signature of the applicant. Date Published on National Portal of India (india.gov.in) and regulations of the department . Public Health Engineering Department Government of Arunachal Pradesh
