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Electric Vehicle Charging Station New Connection Application Form

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 Click Here to upload mandatory relevant document for New Connection.
Please Click Here to know your relevant document for New Connection.
Email address, mobile number are mandatory.

Application Details

First Name:*

Middle Name:

Last Name:

Consumer Full Name:*

Max 50 char

Email: *	Mobile: *	Phone:
Application Date:	Aadhaar Number:
Consumer Category: *	Supply Type: *		GST Number:

Requested Load / Contract Demand / Supply Type

Requested Load:*
Contract Demand:*

Address at which supply is required(Please enter complete details)

Nearest Consumer No: *
Plot/ Flat No/ Survey No / House No / Building Name: *	Max 50 char		Society Name: *	Max 50 char
Street/Landmark:	Max 50 char
District: *		Taluka: *
Village: *		Pincode: *

Other Details

Name of Highway and milestone (if any) : *		Ownership Details : *
Operation Timings(in hours/Day, except Holidays) : *	(Hrs): (Mins):	Mode of payment for charging:
Whether facility of advance booking available : *	Yes No	Manned/ unmanned :
Charger Type : *		No. of Chargers : *
Combined Charging system CCS
CHAdeMO
Type-2 AC
Bharat DC-001
Bharat AC-001
Other type Charger	Enter Description: *

Charging vehicle type (Wheeler) *

2-Wheeler

3-Wheeler

4-Wheeler

Bus

Multi-Axle Vehicle

Is Multiparty/Triparty Secondary Consumers:* Yes No

Please select option for payment:*

Only Processing Fees

Provisional Estimate alongwith Processing Fees

I hereby declare that

I will abide by the provisions of Electricity Act 2003 and MERC (Electricity Supply Code and Standard of Performance of Distribution Licensee including Power Quality) Regulations and other conditions of Supply. 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.

All further communication about this application will be done on the email id and mobile number provided above.

	I/ we agree to the terms and conditions	Place: *
Please Click on Generate OTP buttton to get OTP for verification.(SAME OTP IS SEND ON MOBILE AND EMAIL.YOU MAY USE ANY ONE OF THEM.)

Enter the OTP : *

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For any queries related to online applications, please mail customercare@mahadiscom.in or contact our customer care center at 1912,1800-233-3435, 1800-212-3435.
For any queries/ complaint related to Online Payment, Consumer can raise the complaint via Mahavitaran Mobile App or click on below link to raise the complaint https://wss.mahadiscom.in/wss/wss?uiActionName=getServiceRequestConsumerDetailsLink

Web Self Service

New Connection Request Electric Vehicle Charging Station

Electric Vehicle Charging Station New Connection Application Form

Instructions for filling the form:

I hereby declare that

I/ we agree to the terms and conditions

Place: *