How to fill KYC Form for Gas Connection

Gas KYC Form for Indane Gas, HP Gas, and Bharat Gas

The KYC form for all gas connections remains the same with very few variations. The purpose of the form is to collect information about the customer so as to verify it and ensure that the person is actually eligible to receive the services of the gas agency. To that end the form collects the following information:

Personal details about you including your name, photographs, age and the names of your closest relatives.

It also collections contact details like your residential address, phone numbers and email addresses.

It will also collect information about documents that you submit to support the information mentioned in the form.

Fill UP KYC Form For LPG Gas Connection

There are certain things that you need to keep in mind when filling up KYC forms. Here is how you can go about it:

• Starting from the top, ensure that you provide a recent passport-size photograph for the form.
• You may be asked to sign the photograph once it is attached to the form. Do so by signing the paper while letting your signature spill over the photograph as well.
• In the first section, you will have to provide your own details like your full name and your date of birth. You may also have to enter the Gas Consumer Number if you have been allotted one already.
• The next part will collect the names of certain close relations like fathers, mothers and spouses.
• The next part is where contact details in the form of address, phone numbers and email ids, will be collected.
• If you are submitting documents in support of your identity, you will have to fill in details about said documents in the next section.
• If you have a ration card, then you can mention details of that as well in the next section.
• Once all the details have been filled in, go over them once to ensure that there are no mistakes in them. Once you are assured that there are none, you can attest to the KYC form at the bottom.
• Once the form is submitted, the agency officials will sign the acknowledgment at the bottom of the form and detach it from the rest of the form for you to keep.

Documents Required while Filling Out the Gas KYC Form:

Original documents are expected to be produced for the purpose of verification of Proof of Address (POA) and Proof of Identity (POI). You can even submit a ration card if you have one, but it is not mandatory. The documents that can be used to serve these purposes are:

• The POA (Proof of Address) Category Codes are As Follows:
  

  Document Provided As Proof of Address (POA)	Category Code
  Aadhaar Card (UID)	POA01
  Driving License	POA02
  Lease Agreement	POA03
  Voter ID	POA04
  Telephone/Electricity/Water Bill	POA05
  Passport	POA06
  Self-declaration attested by gazetted officer	POA07
  Ration Card	POA08
  Flat allotment/possession letter	POA09
  House registration document	POA10
  LIC Policy	POA11
  Bank/Credit Card statement	POA12

• The Proof of Identity (POI) Category Codes are As Follows:
  

  Document Provided As Proof of Identity (POI)	Category Code
  Aadhaar Number (UID/EID)	POI01
  Passport	POI02
  PAN Card	POI03
  Voter ID	POI04
  ID Card issued by Central/State	POI05
  Driving License	POI06

Step By Step Process to Fill KYC Form For LPG Connection

A KYC Form will also have to be filled out and submitted with the necessary proofs attached. A sample of the KYC form is given below along with instructions on how to fill it up (in italics):

Know Your Customer (KYC) Form (To be filled in black ink with BLOCK LETTERS. Fields marked with * are mandatory.) Personal Details (Mr. / Mrs. / Ms.) <Write your title here> First name* <Write your first name here as it appears in official records and the ID proof that you will submit. Remember to fill it out IN BLOCK LETTERS> Middle name* <Write your middle name here as it appears in official records and the ID proof that you will submit. Remember to fill it out IN BLOCK LETTERS> Last name* <Write your last name here as it appears in official records and the ID proof that you will submit. Remember to fill it out IN BLOCK LETTERS> b. Gas Consumer Number* <Write your consumer number here, it appears in your Subscription Voucher and DGCC booklet> c. Date of birth* <Write your date of birth here in the DD/MM/YYYY format> d. Close relative: Father’s/Spouse’s name*: <Write the name of your father or spouse here, as it appears on official records> Mother’s name*: <Write the name of your mother here, as it appears on official records> Address for LPG Connection/Contact Information Proof of Address (POA) Category Code: <Enter the category code associated with the type of proof of address that you are providing, see below for further explanation> House/Flat #/Name* <Write the name of your house, flat number, and floor number> Housing complex/Building <Write the name of your housing complex or building along with a landmark> Street/Road name <Write the name of the road on which the registered property is located as per official records> City/Town/Village* <Write the name of the city, town or village as the case may be> District* <Write the name of the district under which the property is located, as per official records> Phone #/Mobile # * <There is space on the form for both, a landline and a mobile phone number. Enter the number on which you will be reachable at all times, preferably mobile phone number that is registered under your name.> Email ID <Write your email ID here, but it is not a required field so you can leave it blank if you wish> Other Relevant Details Proof of Identity (POI) POI Category Code* POI_ _ <Here, write the category code associated with the type of document that is being submitted as a proof of identity> Card Number* <Here, enter the card number or series number of the identity proof you’ve provided> Ration Card details (if available) State of Issue <Here, enter the name of the state in which the ration card was issued> Ration Card Number <Here, enter the ration card number> Declaration: I hereby declare that the information provided by me above is true and correct to the best of my knowledge and belief. I also confirm that in the event that any of the information provided by me is found to be incorrect/incomplete and also in the event of any violation of Government Regulation related to the supply and distribution of LPG, Indian Oil Corporation/Bharat Petroleum Corporation/Hindustan Petroleum Corporation (IOC/BPC/HPC) will be within its rights to discontinue supply of PG cylinders to me, forfeit of security deposit and levy of penal charges as per the policy and guidelines and may initiate legal action applicable under provisions. Name & Signature: <Affix your name and signature as per official records here> Date: <Write the date on which you’ve filled and signed this form>

If you have not registered your LPG connection with the Oil Company and distributor yet, start your regularization process at the earliest.