DJB RMS PORTAL

Mutation Application Form

Details of Existing Consumer

KNO *

Name

Premise Address

Upload Profile Image

Passport Size Photograph Of the applicant.Please Upload valid image(.jpg .jpeg .gif .png ) file. File Size should be less than 1MB.

Details of Applicant applying for Mutation

Govt. Organization

Upload Govt. File

Organization Type

Name *

Father's/Husband's/Mother's Name *

UID No

Email Id

Mobile Number *

Home Number

Office Number

Other Details Blood relation *

Normal Mutation

Blood Relation/Legal Heir

Relation Type *

Mutation Reason

No of children

No of adults

Bank Details

Name of the Bank **

Name of the Branch **

MICR Code **

Bank Account No **

11.Documents to be attached (Max Size 5 MB)

OwnerShip Status *

Proof Of Ownership *

Upload Proof of OwnerShip Document

Proof Of Identity *

Proof Of Identity Document *

Upload Proof Of Identity

Upload Self Declaration Form *

12.Declaration/Undertaking

I hereby declare that all the information furnished by me is true to the best of my knowledge and if any discrepencies are found , I will be responsible for disconnection of services by the DJB without any prior notice and any other legal action taken by DJB.

Submitted By

Submitted By *

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Applican't Name	ss
Application Type	ss
Application Ref No	ss
Date Of Submissions	ss

Mutation Application Form

Upload Profile Image

Mutation Reciept