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14 point exclusion declaration 2026
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- Click ‘Get Form’ to open the 14 point exclusion declaration in the editor.
- Begin by filling in your full name and relationship (son/daughter/wife) along with your age. Ensure that all personal details are accurate.
- Indicate your citizenship status by ticking the appropriate box. Remember, only Indian citizens are eligible for subsidized LPG.
- Provide your date of birth, ensuring you are over 18 years old, as this is a requirement for obtaining an LPG connection.
- Confirm that neither you nor any household member possesses an existing LPG connection or Piped Natural Gas connection by checking the relevant box.
- Attach a copy of your Ration card number or indicate if you do not have one. Make sure to delete whichever option does not apply.
- Fill in the KYC form and attach Proof of Address (POA) and Proof of Identity (POI).
- Affirm that the LPG connection will be used solely for domestic cooking at the provided address.
- Acknowledge that you will inform M/s. Seena Gas about any change of residence in writing.
- Review all information for accuracy before signing and dating the declaration at the bottom of the form.
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14 point exclusion declaration form pdf download
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