KNO *

Account Number *

Sub Division Name *

Consumer Name  *

Consumer Category  *

Meter Status  *

Mobile No. 

Email Id

Address

Bank Account No

Bank & Branch Name

IFSC Code

Aadhar No

Jan Aadhar No

Eligibility for Kisan Samman Nidhi * Select YES NO

Gender * Select Gender Male Female

1.Signature *

2.Undertaking: Kisan Samman Nidhi Eligibility.*

3.Undertaking: In case of Joint Name Connection. *

4.Copy of Aadhar Card. *

5.Copy of Jan Aadhar Card *

6.Copy of Bank Passbook/Cancelled Cheque *

7.Undertaking: Acceptance of T&C of Chief Minister Kisan Mitra Yojna *

8.Undertaking: Legal heir in case of death of Connection holder *