Form-1 (LPG Linking Form) ‘Step 1, Place your Orginal Aadhaar Letter here as shown below: ‘Step 2. Take photocopy of this sheet & fil the fllowing deals inthe photocopy in BOLD BLACK I BLUE ink ¥ ’ 1 NAME OF COMPANY 2. NAME OF DISTRIBUTOR 3. CONSUMER NUMBER (Attach a copy of fist page of DSCC. 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 (Fil this onl if your present LPG delivery ‘adress is diferent from address in the Aadhaar Card, ‘also attach a curent proof of address") Signature with date of LPG Customer a ia Subscription Voucher (SV). Enelosues 1. Fie page of DGCC becker copy ofrecer ash meme, 2, Photocopy of pea of adress your address wth LPG dstbutr iors ‘rom accross m ahaot Leer “In case you have an e-Aadhar, please fld it vertically and keep the left side (the side with your photo and Aadhaar Number as shown above) inthe space provided above and fallow the instructions as above. “Address Proof Photocopy of any one of the following ‘+ Aashaar (UID) ltr «Leste ayenent Te ‘ACKNOWLEDGMENT SUP: Received 'Aadhaar LPG Linking Form from (Name), { Consumer No ‘alongwith copy of Aadhaar. Date: Sign & Stamp of Gas Distibutor Sorcerers er eee