Users often struggle to find the "working" link for several reasons:
The Ujjwala 14 Point Declaration Form is a simple legal document, but it is the most important page in your LPG connection file. By using our verified Hindi PDF download link and following the filling guide above, you can avoid unnecessary delays.
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Need further help? Visit your nearest Indane/Bharat Gas/HP Gas distributor or call the PMUY helpline: 1906.
Disclaimer: This article is for informational purposes only. Always verify the latest form version with your official LPG distributor as government formats are subject to change.
Ujjwala 14 Point Declaration Form (also known as the Supplementary KYC or Deprivation Declaration) is a mandatory document for applying for a free gas connection under the Pradhan Mantri Ujjwala Yojana (PMUY)
. This form requires applicants to declare that they do not meet any of the 14 exclusion criteria that would disqualify them from the scheme. Download Links (Hindi & English) Ujjwala 14 Point Declaration Form Hindi Pdf Download WORK
You can download the official Hindi and English versions of the PMUY forms from the official PM Ujjwala Yojana Download Page Ujjwala KYC Form (Hindi): Download Official Hindi PDF
Supplementary KYC / 14 Point Declaration (English/Vernacular): Official Supplementary KYC PDF Ujjwala Yojana Application (Hindi): Download Application PDF The 14 Points of Exclusion
By signing this form, the applicant declares that no member of their household meets specific socioeconomic criteria related to vehicle ownership, income, landholdings, or amenities. Generally, these criteria include owning a motorized vehicle, paying income or professional tax, holding a Kisan Credit Card (KCC) above ₹50,000, possessing a refrigerator, or having a household member in government service. How to Submit the Form Download and Print
: Obtain the PDF from the links provided or your nearest LPG distributor. Fill Details
: Complete the form with applicant's name, Aadhaar, and address details. Sign and Date : The applicant must sign or place a thumb impression. Verification
The Ujjwala 14-Point Declaration Form (often referred to as the Supplementary KYC or Deprivation Declaration) is a critical document for applicants of the Pradhan Mantri Ujjwala Yojana (PMUY). It is used by households that are not listed in the SECC-2011 data but identify as "poor" and wish to avail themselves of a free LPG connection. Ujjwala 14 Point Declaration Form Hindi PDF Download Users often struggle to find the "working" link
You can download the official Hindi forms directly from the PMUY official website: KYC Form (Hindi): Download Hindi KYC
Supplementary KYC (14 Point Declaration - English Reference): Download Supplementary KYC
Deprivation Declaration (Hindi): Available on the PMUY Home Page under the "Forms" section. What is the 14-Point Declaration?
This form requires applicants to certify that they do not meet any of the 14 defined exclusion criteria, which include owning motorized vehicles, having a government employee in the family, or possessing specific agricultural equipment or land. Meeting any of these conditions disqualifies the household from the Ujjwala scheme. How to Fill the Form (Step-by-Step)
Personal Details: Enter the adult female applicant's name, age, and address.
Verification: Carefully read the 14 points, ensuring you fall under none of the exclusion criteria. Signatures: Apply your signature or thumb impression (LTI). The Ujjwala 14 Point Declaration Form is a
Distributor Approval: Submit the completed form to an authorized LPG distributor. Required Documents to Attach Aadhaar Card: For proof of identity/address. Ration Card: For household composition. Bank Details: Passbook for subsidy. Migrant Applicants: Use Annexure-I for address changes. Supplementary KYC.pdf - PMUY
The Government introduced this declaration to:
Without submitting this signed form, a new Ujjwala connection will not be released, and for existing beneficiaries, subsidy may be stopped.
The form is not a centralized "one-size-fits-all" PDF hosted on a single central government site. Instead, it is provided by three major Oil Marketing Companies (OMCs):
Where to find the working PDF: