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Format of Undertaking for Two Gas Connections at Same Address

Birth Certificate Affidavit FormatI _________ son/daughter/wife of _________ resident of _________, do hereby solemnly affirm and declare as under: –

1.    That I am citizen of India.
2.    That two gas connection available on above said address.
3.    That I have _________ connection in my name and its connection no. _________ on the above said address.
4.    That the other connection in the name of _________ son/daughter/wife of _________ resident of _________.
5.    That I have no relation with the above mentioned person and I will never use the other connection.
6.    That it is my correct statement



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


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