Water Quality
Quality Test Registration Form
Name
*
E-mail
*
Mobile No.
*
Address
*
Pincode
*
Category
*
Select Category
Domestic
Commercial
District
*
Laboratory
*
Packages
Parameters
Rate
Select
NB: An additional charge of Rs:100/- will be added along with individual parameters upto 3 no.s
APPLICATION DETAILS
Application ID
Name
Address
,
Mobile No.
E-mail
Packages
Amount to be paid
Proceed Payment
ONLINE FEE PAYMENT
Application ID
Transaction ID
Name
Amount
If the applicant fails to submit the water sample physically at the selected lab within 15 days after applying online, the application will be rejected. Refund will not be applicable in that case.
I accept the terms and conditions given above.
Pay Online
