Get New Connection – Geeta Devi

Know Your Customer Form

1) Personal Details

Salutation

First Name*

Middle Name:

Last Name*

Close Relative

Father's Name*

OR Spouse Name

Mother's Name*

2) Address for LPG connection / Contact Information

Proof of Address ( POA ) click here to know list of accepted documents

House/ Flat #, Name*

Floor No*

Housing Complex/Building*

Street/Road Name*

Land Mark*

City/Town/Village*

State

District

Distributor

Mobile Number*

Telephone Number

Email ID*

3) Details Related

Government has launched the 'Give Up Subsidy' scheme which is aimed at motivating LPG users who can afford to pay the market price for LPG, voluntarily surrender their LPG subsidy.

If you want to give up subsidy, select 'Yes' below. If you want subsidy, select 'No' below:

YesNo
Choose an option:
I have AadhaarI do not have Aadhaar