Web Self Service

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, mobile number are mandatory
  • It is Requested to apply for New Connections (Industrial ) through GoM's MAITRI portal.
  General Information  
Consumer Category:*
Supply Type:* Service Requested:*
Application Date:  
  Application Details  
First Name:* Middle Name: Last Name:
Occupation: Applicants Classification:* Gender:*
Address at which supply is required(Please enter complete details)
Plot/ Flat No/ Survey No / House No / Building Name:* Society Name: *
Street/Landmark: Village:*
Taluka / City & District:*
PinCode:* Email:*
Mobile:* Phone:
Nearest Consumer No:* Aadhaar Number:
  Billing Details  

Click here if billing Address same as Meter Address

Plot/ Flat No/ Survey No / House No / Building Name:* Society Name:*
Street/Landmark: Village:*
Taluka / City & District:*
PinCode:* Email:*
Mobile:* Phone:
Type Of Premises:*
Consumer Sub Category:*

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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