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    ...... Form Rahul

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    Raj Verma
    Rakesh Varma has applied for a domestic piped natural gas connection at his residence in House No. 360, Sainik Vihar, Pitampura, New Delhi 110034. He is renting the property and has provided contact details for himself as well as the landlord for verification. The application includes payment details of the refundable security deposit and signatures of both the applicant and landlord approving the application.

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    © All Rights Reserved
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    ...... Form Rahul

    Uploaded by

    Raj Verma
    20 views5 pages
    Rakesh Varma has applied for a domestic piped natural gas connection at his residence in House No. 360, Sainik Vihar, Pitampura, New Delhi 110034. He is renting the property and has provided contact details for himself as well as the landlord for verification. The application includes payment details of the refundable security deposit and signatures of both the applicant and landlord approving the application.

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    Original Title

    ......form rahul

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    Rakesh Varma has applied for a domestic piped natural gas connection at his residence in House No. 360, Sainik Vihar, Pitampura, New Delhi 110034. He is renting the property and has provided contact details for himself as well as the landlord for verification. The application includes payment details of the refundable security deposit and signatures of both the applicant and landlord approving the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views5 pages

    ...... Form Rahul

    Uploaded by

    Raj Verma
    Rakesh Varma has applied for a domestic piped natural gas connection at his residence in House No. 360, Sainik Vihar, Pitampura, New Delhi 110034. He is renting the property and has provided contact details for himself as well as the landlord for verification. The application includes payment details of the refundable security deposit and signatures of both the applicant and landlord approving the application.

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    You are on page 1of 5

    5/23/2015

    WelcometoIGL

    INDRAPRASTHAGASLIMITED

    ReferenceNo.:

    (JointVentureofGAIL(India)Ltd.,BPCL&GovernmentofNCTofDelhi)

    DateofRegistration:

    2015383358
    09/05/2015

    IGLBhawan,PlotNo.4,
    CommunityCenter,Sector9,R.K.Puram,NewDelhi110022

    APPLICATIONFORMFORREGISTRATION&SUPPLYOF
    DOMESTICPIPEDNATURALGASCONNECTION
    (TobefilledinBlock/CapitalLettersOnly)
    I/WewishtoregisterfordomesticPipedNaturalgasconnectionasperdetailsmentionedbelow:
    NAME:Mr./Ms/Mrs.:

    rakeshvarma

    Father's/Husband'sName:

    late.shmanoherlalvarma

    Address:HouseNo.:

    houseno360

    StreetName:

    SAINIKVIHAR,PITAMPURA

    State:

    NEWDELHI

    Pincode:

    110034

    Landline(Office):

    (Residence):

    MobileNo.:

    9711000996

    Email:

    sunnydell321@gmail.com

    TypeofOwnership,Pleasetick()

    Owner

    Rented

    IfRented,pleasesubmitNOCtobeissuedbythelawfulownerofthepropertyasspecifiedbelow:
    PAYMENTDETAILS:(NonRefundableadditionalcharges,ifapplicabletobepaidoncompletionoftheinstallationasperClauseNo.2
    ofCustomers'Rights&Obligations)
    PayOrder/DD/ChequeNo.

    Date:

    Drawnon:

    favoring"INDRAPRASTHAGASLIMITED"

    Amount:

    towardsRefundableSecurityDepositasperthetermsandconditionsstatedoverleaf.

    Date:

    Yours'sFaithfully

    PAYMENTINCASHIS
    NOTACCEPTED
    (SignatureoftheApplicant)

    NOOBJECTIONCERTIFICATE(TobeFilledbythelawfulOwner)
    (Applicableonlyifthepremiseisrented)

    ThisistocertifythatI,Mr./Ms./Mrs.

    amthelawfulowneroftheabovementionedproperty.

    Ihavenoobjection,ifthetenantofthepropertyasmentionedabove,availsdomesticPNGconnectionfromIndraprasthaGasLimited
    Name:

    Date:

    PermanentAddressofOwner:
    Landline(Office):

    (Residence):

    MobileNo.:

    Email:

    ProofofOwnership(asenclosed):
    Signature:

    http://www.portal.igl.co.in/wps/PA_UCnectionPrintForm/common/UsrConnectionStatus.jsp?&Rf=2015383358

    1/5

    5/23/2015

    WelcometoIGL

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    2/5

    5/23/2015

    WelcometoIGL

    http://www.portal.igl.co.in/wps/PA_UCnectionPrintForm/common/UsrConnectionStatus.jsp?&Rf=2015383358

    3/5

    5/23/2015

    WelcometoIGL

    Print

    http://www.portal.igl.co.in/wps/PA_UCnectionPrintForm/common/UsrConnectionStatus.jsp?&Rf=2015383358

    4/5

    5/23/2015

    WelcometoIGL

    http://www.portal.igl.co.in/wps/PA_UCnectionPrintForm/common/UsrConnectionStatus.jsp?&Rf=2015383358

    5/5

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