Transcription of ANNEXURE – A Format for Declaration/Notarized Affidavit
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ANNEXURE – A Format for Declaration/Notarized Affidavit
ANNEXURE AFormat for Declaration/Notarized Affidavit ( To be submitted by person desirous of New LPG Connection or connection against Termination Voucher. Ration card holder to submit this declaration on plain paper, others to submit in the form of notarized Affidavit on non- judicial stamp paper of requisite value) declaration I_____Son/Daughter/Wife of _____Age_____Year_____ Resident of (complete address at which LPG connection is required)_____ _____ desire to take domestic LPG connection in my name and affirm as I am an Indian my date of birth is _____(LPG connection cannot be provided to a person under 18 years of age.) neither I, nor any other member of the household (household means a family consisting of husband, wife, unmarried children and dependent parents living together in a dwelling unit having common kitchen), posses any LPG connection from PSU Oil Companies or Piped Natural Gas Connection, for domestic @That I am enclosing a copy ration card number_____ including my @That Do not have Ration Card in my name or in the name of any member of my
ANNEXURE – A Format for Declaration/Notarized Affidavit ( To be submitted by person desirous of New LPG Connection or connection against Termination Voucher.
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