Application Form "Water Tax Payment"

Applicant's Basic Information

Salutation Name
Gender Aadhaar Card No
E-mail Mobile No
       
Address Information
Country State
District Ward
Address Premises No
Pin Code Holding No
Post Office Police Station
       
Details of Water Ferule
Tank No.: Ferule size:
Do you have meter? Ferule use for
Meter No. Consumer No.
    Govt. Housing / Bangla Awas