A-1 Application Form
Service Request ID 
Instructions for filling the form:
- Kindly fill complete and correct information in relevant column.
- Applicant will be solely responsible for incomplete or incorrect information
- Applicant is requested to note the request id for future tracking of the application.
- Please provide the correct nearest consumer number, so that your request can be assigned to proper MSEDCL field office.
- The applicant will be contacted by MSEDCL officer /Call Center Representative on email/mobile provided by you for verification.
- Please download New Connection Form and keep ready duly filled in and signed with required documents (which are mentioned on A1 Form).
- Click here for help regarding filling New Connection Request.
- Email address is mandatory and either Phone number or Mobile number is mandatory.
I/we make the following declaration;
- to abide by the provisions of the Electricity Act 2003 and Maharashtra Electricity Regulatory Commission Electricity Supply Code and other conditions of Supply.
- to pay for the supply of electricity based on the prevailing tariff rates of MSEDCL
- to pay for all other proper charges as become due in accordance with above regulation and approved schedule of charges of MSEDCL.
- to deposit such security as MSEDCL may be entitled to be required from me/us under the above Act and Regulations.
- to undertake to avail supply within one month from the date the MSEDCL intimate that it is ready to supply to our premises failing which I/we undertake to pay the MSEDCL the minimum charges as may be applicable.
- The above information is true and if any false information is observed, I will be fully responsible for the same.
- In the event of death of individual I/We hereby nominate to receive or adjust the deposit outstanding in my/ our name to