Skip to main content

Ujjwala 14 Point Declaration Form Hindi Pdf 'link' Download Work Review

The Ujjwala 14-Point Declaration Form (often called the Supplementary KYC or Deprivation Declaration) is a mandatory document for Pradhan Mantri Ujjwala Yojana (PMUY) applicants. It serves as a self-certified statement that the applicant's household does not meet any of the exclusion criteria that would disqualify them from the scheme. Download Links (Official PDF)

You can download the official forms directly from the PMUY Documents Portal:

Deprivation Declaration (Hindi): Download Official Hindi PDF Standard KYC Form (Hindi): Download Official Hindi KYC

Supplementary KYC (English/Reference): Download Supplementary KYC How to Fill the Form (Step-by-Step)

Personal Details: Enter the applicant's name (adult female only), Aadhaar number, and father's or husband's name.

Exclusion Declaration: You are declaring that no member of your household: Owns a motorized 2/3/4 wheeler or fishing boat. Owns mechanized agricultural equipment (3/4 wheeler). Has a Kisan Credit Card with a limit over ₹50,000. Is a government employee or pays income/professional tax. Owns a refrigerator or a landline phone.

Lives in a house with 3 or more rooms with pucca walls/roof. Earns more than ₹10,000 per month.

Address & Distributor: Provide your full residential address and the name of your local LPG distributor (Indane, Bharat Gas, or HP Gas).

Verification: Sign or provide a thumb impression at the bottom. The distributor will later verify this against your original documents. Required Documents to Attach When submitting this declaration, you must also provide: Supplementary KYC.pdf - PMUY Ujjwala 14 Point Declaration Form Hindi Pdf Download WORK

Ujjwala 14 Point Declaration Form (also known as the Supplementary KYC) is a critical document for applicants of the Pradhan Mantri Ujjwala Yojana (PMUY)

who do not fall into standard Socio-Economic and Caste Census (SECC) categories or are migrants. It acts as a self-certification that the applicant's household meets the "Poor Household" criteria and does not possess certain luxury items or exceed income limits. Download Ujjwala 14 Point Declaration Form PDF

Official forms are available in both Hindi and English on the PM Ujjwala Yojana Official Hindi KYC Form Download PMUY KYC Form (Hindi) Official English KYC Form Download PMUY KYC Form (English) Supplementary KYC (14 Point Declaration) Download 14 Point Declaration PDF General Downloads Page PM Ujjwala Yojana Forms Library What is the 14-Point Declaration?

To qualify for a free LPG connection, applicants must declare that no one in their household meets any of the following 14 exclusion criteria: Ownership of a motorized 2/3/4 wheeler or fishing boat. Payment of professional tax. Ownership of mechanized 3/4-wheeler agricultural equipment.

Living in a house with 3 or more rooms with pucca walls and roof. Possession of a Kisan Credit Card with a limit over ₹50,000. Ownership of a refrigerator. Having a household member who is a government employee. Ownership of a landline phone.

Ownership of a government-registered non-agricultural enterprise.

Ownership of more than 2.5 acres of irrigated land with irrigation equipment. Any household member earning more than ₹10,000 per month.

Ownership of 5 acres or more of irrigated land for two or more crop seasons. Payment of income tax. The Ujjwala 14-Point Declaration Form (often called the

Ownership of 7.5 acres or more of land with at least one irrigation equipment. How to Fill and Submit the Form Supplementary KYC.pdf - PMUY

The Ujjwala 14 Point Declaration Form (often referred to as the Supplementary KYC) is a critical document for applicants of the Pradhan Mantri Ujjwala Yojana (PMUY). It is a self-declaration used by women from poor households to confirm they meet the eligibility criteria and do not fall under specific exclusion categories. Download Links

You can download the official forms in PDF format directly from the Ministry of Petroleum & Natural Gas resources: Official Ujjwala KYC Form - Hindi Standard Ujjwala KYC Form - Hindi (Alternative)

14 Point Declaration / Supplementary KYC - English/Hindi (Standard template for verification)

Additional Forms & KYC Documents from the dedicated PMUY portal. What are the 14 Points?

Applicants must declare that neither they nor any family member meet these exclusion criteria: Ownership of a motorized 2/3/4 wheeler or fishing boat. Payment of professional tax. Ownership of mechanized 3/4-wheeler agricultural equipment.

Living in a house with 3 or more rooms with pucca (solid) walls and roof.

Possession of a Kisan Credit Card (KCC) with a limit exceeding ₹50,000. Ownership of a refrigerator. Having a household member who is a government employee. Ownership of a landline phone. Where to find the working PDF:

Households with non-agricultural enterprises registered with the government.

Ownership of more than 2.5 acres of irrigated land with at least one irrigation equipment. Any family member earning more than ₹10,000 per month.

Ownership of 5 acres or more of irrigated land for two or more crop seasons. Payment of income tax.

Ownership of at least 7.5 acres of land or more with at least one irrigation equipment. Key Details for Filling the Form

Applicant Info: You must provide the applicant's name, Aadhaar number, age, and residential address.

Family Composition: The declaration covers the applicant and all family members as per the ration card.

Legal Undertaking: By signing, you acknowledge that providing false information can lead to the termination of the connection, seizure of equipment, and recovery of any subsidies received.

Verification: The form must be signed by the applicant and subsequently verified/stamped by the local LPG distributor. Supplementary KYC.pdf - PMUY

3. Availability and Sources

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):

  1. IOCL (Indane): Indian Oil Corporation
  2. HPCL (Hindustan Petroleum): HP Gas
  3. BPCL (Bharat Petroleum): Bharat Gas

Where to find the working PDF:


2. Analysis of the Search Query


सामान्य 14 बिंदु (नोट: स्थानीय/स्कीम-विशिष्ट शब्दांकन भिन्न हो सकता है)

  1. आवेदक का नाम व पिता/पति का नाम
  2. आधार/पहचान संख्या
  3. स्थायी पता और वर्तमान पता
  4. परिवार का कुल सदस्य संख्या
  5. आय स्रोत / वार्षिक आय (यदि लागू हो)
  6. पहले से कोई गैस/बायोरोमिक/PNG कनेक्शन है या नहीं
  7. यदि पहले कनेक्शन है तो उसका विवरण (कंपनी, कनेक्शन नंबर)
  8. सामाजिक-आर्थिक वर्ग (SC/ST/OBC/General) — यदि जरूरत हो
  9. यदि लाभार्थी अन्य किसी सरकारी योजना का लाभ उठा रहा है तो उसका उल्लेख
  10. घोषणा कि दी गई जानकारी सत्य और पूर्ण है
  11. अगर गलत जानकारी मिली तो कार्रवाई स्वीकार करने की स्वीकृति
  12. फ़ोटो/दस्तावेज़ सत्यापन की स्वीकृति
  13. संकेतक/शपथ और हस्ताक्षर स्थान
  14. तारीख और कार्यालय/जिला अधिकारी का प्रमाणन (यदि आवश्यक हो)