*In case you have an e-Aadhaar, please fold it vertically and keep the left side (the side with your photo and Aadhaar Number as shown above) in the space provided above and follow the instructions as above.

**Address Proof (Photocopy of any one of the following):• Aadhaar (UID) letter • Lease Agreement • Telephone or Electricity Bill or any other Utility Bill • Self-declaration attested by Gazetted Offi cer • Flat allotment or possession letter • LIC Policy • Driving Licence • Voter ID • Passport • Ration Card • House Registration Document.

1. NAME OF COMPANY (e.g. IOCL / HPCL / BPCL)

2. NAME OF DISTRIBUTOR

3. CONSUMER NUMBER (Attach a copy of fi rst page of DGCC booklet or recent cash memo)

4. NAME OF THE LPG CONSUMER

5. YOUR REGISTERED MOBILE NUMBER or MOBILE NUMBER WHERE WE CAN CONTACT YOU

6. ADDRESS (Fill this only if your present LPG delivery address is different from address in the Aadhaar Card, also attach a current proof of address**)

Signature with date of LPG Customer as in Subscription Voucher (SV)

Enclosures:1. First page of DGCC booklet or copy of recent cash memo.2. Photocopy of proof of address if your address with LPG distributor differs from address in Aadhaar Letter.

Form-2(LPG Linking Form)

Step 1. Place your Original Aadhaar Letter* here as shown below: Step 2. Take photocopy of this sheet & fi ll-up the following details in the photocopy in BOLD BLACK / BLUE ink:

ACKNOWLEDGEMENT SLIP:

Received ‘Aadhaar LPG Linking Form’ from (Name) __________________________ / Consumer No __________ alongwith copy of Aadhaar.

Date: Sign & Stamp of Gas Distributor