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Format of Affidavit for Gas Connection Transfer After Death

affidavitI _________ son/daughter/wife of _________ resident of _________, do hereby solemnly affirm and declare as under: –

  1. That I am citizen of India.
  2. That my _________  died on _________.(death certificate enclosed)
  3. That I have _________  gas connection on my _________  name and its connection no. _________ from _________ gas agency on the above said address.
  4. That please transfer gas connection paper on my name.
  5. That I have all document proofs.
  6. That it is my correct statement.

Deponent

Verification:

I do hereby verify that the contents of the above said affidavit are true and correct in the best of my knowledge and belief.

Deponent


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