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Note : Kind attention. Applicants, Executive Engineers and competent authorities. Please note that As per latest government circulars, the fees will be calculated
by concerned Executive Engineer and fees will be approved by competent authority. Only after this approval of fees, the applicant will pay and after receipt of online
payment epermission letter will be generated by Executive Engineer.
Intention Form : Please read instructions before you proceed further.
Firm Type:
*
Government
Semi-Government
Company
Individual
Name of Organization
:
*
Pan Number :
*
Permanent Address:
*
City:
*
:
District:
*
Please Select District
Ahilyanagar
Akola
Amravati
Beed
Bhandara
Buldhana
Chandrapur
Chhatrapati Sambhajinagar
Dharashiv
Dhule
Gadchiroli
Gondia
Hingoli
Jalgaon
Jalna
Kolhapur
Latur
Mumbai
Mumbai Suburban District
Nagpur
Nanded
Nandurbar
Nashik
Palghar
Parbhani
Pune
Raigad
Ratnagiri
Sangli
Satara
Sindhudurg
Solapur
Thane
Wardha
Washim
Yavatmal
Taluka:
*
Please Select Taluka
Pincode:
*
:
Telephone No.:
*
Email Id.:
Scan Copy Of Authorization Letter:
*
(Please upload file only in pdf format)
Local Representative Details
Contact Person Name:
*
:
Contact Person Aadhaar No.
*
:
Contact Person Address:
*
Contact Person Mobile No.:
*
Scan Copy of Contact Person ID Proof:
*
(Please upload file only in pdf format)
(Scan copy of PAN Card / Aadhar Card / Election Card / etc ) **
Authentication Letter:
*
(Please upload file only in pdf format)
Permission For:
Name of Utility:
*
Network (OFC/ROW)
Telephone
Electricity
Water Pipeline
GAS Pipeline
Petrol Pipeline
Approach Road
Building Line & Control Line
Approach Road For :
*
Please Select Approach Road For
Layout of Petrol Pump & Petrol Pump
Service Station With Petrol Pump
Resort
Hotel
Dhaba
Any Other
Approach Road For (Any Other):
*
Applied for District:
*
Please Select District
Ahilyanagar
Akola
Amravati
Beed
Bhandara
Buldhana
Chandrapur
Chhatrapati Sambhajinagar
Dharashiv
Dhule
Gadchiroli
Gondia
Hingoli
Jalgaon
Jalna
Kolhapur
Latur
Mumbai
Mumbai Suburban District
Nagpur
Nanded
Nandurbar
Nashik
Palghar
Parbhani
Pune
Raigad
Ratnagiri
Sangli
Satara
Sindhudurg
Solapur
Thane
Wardha
Washim
Yavatmal
Name of Road:
*
:
Authentication / Login Details
Email Id:
*
Confirm Email Id:
*
Password:
*
Confirm Password:
*
Security Code:
*