Kaagazaat

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Gas Connection Transfer Affidavit

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  1. You, the incoming consumer
  2. The connection
  3. Signing

Step 1 of 3

You, the incoming consumer

Where you are ordinarily residentNeeded

For example: Ravinder Kumar

For example: son of Sh. Mohinder Lal

For example: Son and legal heir

Your addressNeeded

For example: Aadhaar 5555 6666 7777

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GAS CONNECTION TRANSFER AFFIDAVIT

Executed at __________ on __________.

I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:

  1. THE CONNECTION

1.1 This affidavit concerns __________ bearing consumer number __________ with __________, standing at present in the name of __________, for the premises at __________.

  1. REASON FOR TRANSFER

2.1 I seek transfer of this connection into my name because of __________.

2.4 My relationship to __________ is: __________.

  1. DUES

3.1 __________

3.2 I undertake to clear any dues found outstanding against this connection up to the date of transfer, and I indemnify __________ against any claim, loss or demand arising from a due, a defect in my title to succeed to or acquire the connection, or a statement in this affidavit that later proves incorrect.

  1. SAFETY UNDERTAKING

4.1 I undertake to use the connection only at the premises stated above, for domestic purposes, and to comply with the distributor's safety and inspection requirements. I confirm that the gas stove, regulator and suction hose at the premises have been checked and are safe.

  1. DECLARATION

5.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this transfer. I am aware that furnishing false information to obtain a gas connection is an offence, and that __________ may refuse or cancel the transfer if any statement made here is found false.

VERIFICATION

Verified at __________ on __________ that the contents of paragraphs 1 to 5 above are true and correct to my own knowledge, that no part of it is false, and that nothing material has been concealed.

DEPONENT

Signature: ______________________________
__________

ATTESTATION

Solemnly affirmed and signed before me on __________ at __________, the Deponent having been identified to my satisfaction by __________.

Notary Public / Oath Commissioner
Registration No. and seal: ____________________

The rest stays out of view until every answer is in.

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GAS CONNECTION TRANSFER AFFIDAVIT

Executed at __________ on __________.

I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:

  1. THE CONNECTION

1.1 This affidavit concerns __________ bearing consumer number __________ with __________, standing at present in the name of __________, for the premises at __________.

  1. REASON FOR TRANSFER

2.1 I seek transfer of this connection into my name because of __________.

2.4 My relationship to __________ is: __________.

  1. DUES

3.1 __________

3.2 I undertake to clear any dues found outstanding against this connection up to the date of transfer, and I indemnify __________ against any claim, loss or demand arising from a due, a defect in my title to succeed to or acquire the connection, or a statement in this affidavit that later proves incorrect.

  1. SAFETY UNDERTAKING

4.1 I undertake to use the connection only at the premises stated above, for domestic purposes, and to comply with the distributor's safety and inspection requirements. I confirm that the gas stove, regulator and suction hose at the premises have been checked and are safe.

  1. DECLARATION

5.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this transfer. I am aware that furnishing false information to obtain a gas connection is an offence, and that __________ may refuse or cancel the transfer if any statement made here is found false.

VERIFICATION

Verified at __________ on __________ that the contents of paragraphs 1 to 5 above are true and correct to my own knowledge, that no part of it is false, and that nothing material has been concealed.

DEPONENT

Signature: ______________________________
__________

ATTESTATION

Solemnly affirmed and signed before me on __________ at __________, the Deponent having been identified to my satisfaction by __________.

Notary Public / Oath Commissioner
Registration No. and seal: ____________________

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