: Any member earning more than ₹10,000 per month .
Visit your nearest LPG distributor (Indane, Bharat Gas, or HP Gas). They will give you a physical copy for free.
The , officially known as the Supplementary KYC Document & Undertaking , is a mandatory self-declaration used to verify the eligibility of applicants for the Pradhan Mantri Ujjwala Yojana (PMUY) . It is primarily required for households that do not appear in the SECC 2011 list or other specific priority categories (like SC/ST) to prove they belong to a "Poor Household". Purpose of the 14-Point Declaration ujjwala 14 point declaration form pdf download
| Feature | Details | |--------|---------| | | Ujjwala 14 Point Declaration Form | | Scheme | Pradhan Mantri Ujjwala Yojana (PMUY) | | Purpose | Self-declaration of eligibility for a free LPG connection | | Issuing Authority | Ministry of Petroleum & Natural Gas, Government of India | | Language | Hindi / English (depending on state) | | Format | PDF (printable) | | Where to submit | Nearest LPG distributor (IOCL, BPCL, HPCL) |
📌 Always keep a copy of the filled form for future reference. : Any member earning more than ₹10,000 per month
October 26, 2023
: Non-agricultural enterprises registered with the government. The , officially known as the Supplementary KYC
✅ All 14 points must be ticked or signed/initialed. ✅ False declaration = immediate cancellation + legal action.
: Ownership of mechanized 3 or 4-wheeler agricultural equipment.
The applicant must declare that:
Launched in May 2016, PMUY aims to provide LPG connections to women from Below Poverty Line (BPL) households. To ensure the integrity of the scheme and prevent misuse (such as black marketing or multiple connections in a single household), the Ministry of Petroleum and Natural Gas (MoP&NG) introduced a strict compliance mechanism requiring beneficiaries to sign a 14-point self-declaration.