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14 December 2025

✅ This form is not for general LPG customers . It is specifically for first-time LPG connection applicants under PMUY.

Launched in May 2016, PMUY aims to provide LPG connections to women from Below Poverty Line (BPL) households. To ensure the integrity of the scheme and prevent misuse (such as black marketing or multiple connections in a single household), the Ministry of Petroleum and Natural Gas (MoP&NG) introduced a strict compliance mechanism requiring beneficiaries to sign a 14-point self-declaration.

The , officially known as the Supplementary KYC Document & Undertaking , is a mandatory self-declaration used to verify the eligibility of applicants for the Pradhan Mantri Ujjwala Yojana (PMUY) . It is primarily required for households that do not appear in the SECC 2011 list or other specific priority categories (like SC/ST) to prove they belong to a "Poor Household". Purpose of the 14-Point Declaration

The form contains 14 declarations (self-attested statements) that the applicant must agree to in order to receive the subsidized LPG connection. It ensures that the applicant is eligible and will not misuse the connection.