Web Self Service

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 Click Here to upload mandatory relevant document for Change Load/Demand.
  • Please Click Here to know your relevant document for Change Load/Demand.
  General Information  
Service Requested:*
Consumer Category:*
Application Date:  
  Applicant Details  
Name:*
Nearest Consumer No:*
Tariff:
Tariff Desc:
  Applicant Address  
Plot/ Flat No/ Survey No / House No / Building Name: Society Name:
Street/Landmark: Village:
Taluka / City & District:
PinCode: Email:*
Mobile:* Phone:
Aadhaar Number:

I hereby declare that

  • I will abide by the provisions of Electricity Act 2003 and Maharashtra Electricity Regulatory Commission (Electricity Supply Code and other conditions of Supply) Regulation 2005.I will further abide by rules & regulations issued by regulatory bodies & MSEDCL from time to time.. I will pay the electricity bill as per prevailing MSEDCL Tariff. If the premises is declared unauthorized then at the time of vacation by competent authority, MSEDCL will have liberty to remove the electric connection immediately.
  • The above information is true and if any false information is observed, I / we will be responsible for the consequence thereof.

I/ we agree to the terms and conditions

Place: *

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