When a distributor or a mechanic visits a household for the Hot Piping Check or Safe Delivery, they are required to fill out this form to confirm that:
While the format varies slightly by state and Oil Marketing Company (OMC), the declaration covers approximately 12 to 14 specific criteria. The applicant must declare that: Ujjwala 14 Point Declaration Form Hindi Pdf Download WORK
: The declaration covers the applicant and all family members as per the ration card. When a distributor or a mechanic visits a
Ujjwala 14 Point Declaration Form is a mandatory self-declaration document required for applicants seeking a free LPG connection under the Pradhan Mantri Ujjwala Yojana (PMUY) Ujjwala 14 Point Declaration Form Hindi Pdf Download WORK
Confirm that none of the 14 exclusion criteria apply to your household.
You can download the official forms directly from the PMUY Documents Portal :