NO OBJECTION AFFIDAVIT / DECLARATION FOR

G-B

NO OBJECTION AFFIDAVIT / DECLARATION FOR TRANSFER OF GAS CONNECTION AFTER DEATH OF CONSUMER

(For Domestic LPG / Commercial LPG / PNG (Piped Natural Gas) / Any Other Gas Connection)

To,

M/s ………………………………………………………,

………………..........……… District ……..............….

Dear Sir/Madam,

We, 1- ……………..................………, aged........ years, S/O, W/O, D/O….………………………,

2- ……………..........................………, aged........ years, S/O, W/O, D/O….………………………,

resident of ………………….......................…………………………………………………, District ……………………..…, do hereby solemnly affirm and declare as under:

1-That Shri / Smt. ………………………………………………………, S/O, W/O, D/O …………………………………………………, was the holder / consumer of a Domestic LPG / Commercial LPG / PNG (Piped Natural Gas) / any other gas connection with M/s ……………………………………………………………………………………, District ………………………………, vide SV No./Connection No./Consumer No./BP No./CA No. ………………………………………, dated …………………………… .

2-That the said consumer Shri / Smt.……………………………………………………… expired on …………………………….  An attested copy of the death certificate is enclosed herewith.

3-That we are the family members / legal heirs of the deceased consumer and are fully competent to give this declaration / no objection.

4-That we have no objection whatsoever if the aforesaid gas connection standing in the name of the deceased consumer is transferred in the name of Shri / Smt. ……………………………..…………………………………, who is the son / daughter / widow / mother / brother / sister / legal heir of the deceased.

5-That after transfer of the said gas connection in the name of Shri / Smt. ………………………………………………………………, we shall have no claim, objection, dispute or demand of any nature whatsoever in respect of the said gas connection.

6-That we further declare that if the said gas connection is transferred in the name of Shri / Smt. ………………………………………………………………, the same is with our free consent and without any pressure, coercion or undue influence.

7-That the statements made above are true and correct to the best of our knowledge and belief.

Date: …………………

Place: ………………

DEPONENTS

Signature: …………………………………

Name: ………………………………………

Signature: …………………………………

Name: ………………………………………