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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.)

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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  Affidavits, Declaration, Format, Notarized, Format for declaration notarized affidavit

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