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Declaration for providing Gas Connection within Same address but Different Households I Son/Daughter/Wife of Resident of affirm as under 1. That I am residing 2. That I am also enclosing a copy of Pan card/Driving licence/Passport/Voter ID/ Aadhaar/ other photo identity issued by State/Central government as a proof of identity and date of birth. 4. That I confirm that I am not in possession of an LPG connection from any Oil Company for my domestic use neither in my name nor in name of any of my family member who are residing with me. Declaration for providing Gas Connection within Same address but Different Households I Son/Daughter/Wife of Resident of affirm as under 1. That I am residing 2. That I am also enclosing a copy of Pan card/Driving licence/Passport/Voter ID/ Aadhaar/ other photo identity issued by State/Central government as a proof of identity and date of birth. 4. That I confirm that I am not in possession of an LPG connection from any Oil Company for my domestic use neit.

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