Affidavit for Gas Connection

 

AFFIDAVIT

 

              I, _____ son/daughter of _____, Resident of _____, _____ do hereby solemnly affirm and declare as under:-

1- That the deponent is the resident of the above said address.

2- That the deponent wants to take the New Gas connection of _____ from the franchisee/distributors _____, at _____, _____.

3- That no Gas Connection has ever been allotted in the name of the deponent.

4- That the deponent undertakes that the deponent abides by the all rule and regulations/ terms and conditions of the _____.

Deponent

 

VERIFICATION

Verified that the contents of my above affidavit are true to best of my knowledge and belief and nothing concealed therein.

Verified at _____ on _________

Deponent