If you face any difficulty, visit your nearest or your LPG distributor – they will provide a printed copy and help you fill it.
The (also known as the Supplementary KYC or Deprivation Declaration) is a mandatory document for applicants of the Pradhan Mantri Ujjwala Yojana (PMUY) who fall under the "Poor Household" category. This form requires the applicant to declare that they do not meet any of the 14 specific exclusion criteria, such as owning a motorized vehicle or having a government employee in the household. Download Links (Official PDF) Ujjwala 14 Point Declaration Form Hindi Pdf Download WORK
The applicant must fill in details such as: If you face any difficulty, visit your nearest
You can easily download the form to print it for offline use. Follow the steps below: Download Links (Official PDF) The applicant must fill
: 5 acres or more of irrigated land for two or more crop seasons. Income Tax : Must not be an income tax payer.
Confirm that none of the 14 exclusion criteria apply to your household.