Ujjwala 14 Point Declaration Form Hindi Pdf Download ((exclusive)) Work -
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) Ujjwala 14 Point Declaration Form Hindi Pdf Download WORK
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. The Ujjwala 14-Point Declaration Form (often called the
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
2. Analysis of the Search Query
- "Ujjwala 14 Point Declaration Form": This is the specific document required for enrollment in PMUY 2.0. In previous iterations (PMUY 1.0), document requirements were stricter. The "14 Point" system was introduced to simplify verification.
- "Hindi Pdf": Indicates the user requires the document in the official Hindi language, suitable for use in North Indian states (UP, MP, Bihar, Rajasthan, etc.).
- "Download WORK": The word "WORK" is likely a keyword modifier used by the user to filter out non-functional links. It implies frustration with search results that lead to login pages, 404 errors, or images that cannot be printed.
Detailed Breakdown: The 14 Points (Translated from Hindi)
To help you fill the form correctly, here is the English translation and explanation of each of the 14 points: "Ujjwala 14 Point Declaration Form": This is the
| Point | Hindi Text (Summary) | What to fill | | :--- | :--- | :--- | | 1 | परिवार बीपीएल श्रेणी में आता है। | Tick the box. Your BPL card number may be required. | | 2 | परिवार में किसी अन्य सदस्य के पास PMUY कनेक्शन नहीं है। | Confirm that no one else in the family has a Ujjwala connection. | | 3 | मैं इस योजना के तहत पहली बार आवेदन कर रही हूँ। | Confirm this is your first application. | | 4 | मेरे पास पक्का/कच्चा मकान है। | Mention house type (Pucca/Semi-pucca/Kutcha). | | 5 | मैं 18 वर्ष से अधिक उम्र की महिला हूँ। | Enter your Date of Birth/Age. | | 6 | मेरे नाम में कोई अन्य LPG कनेक्शन नहीं है। | Declare zero existing connections under your name. | | 7 | मैं सरकारी सब्सिडी का लाभ लूंगी। | Acknowledge that you will take the subsidy. | | 8 | घर में रसोई क्षेत्र सुरक्षित है। | Agree to safety norms (ventilation). | | 9 | मैं नियमित रिफिल लेने का वचन देती हूँ। | Promise to take refills regularly. | | 10 | सिलेंडर सुरक्षा नियमों का पालन करूंगी। | Agree to safety rules for cylinder usage. | | 11 | जानकारी सही होने पर हस्ताक्षर। | Sign only if all info is correct. | | 12 | गलत जानकारी देने पर कानूनी कार्यवाही होगी। | Acknowledgment of penalty for false info. | | 13 | स्थानीय भाषा में समझ लिया। | Confirm you understood the terms in Hindi. | | 14 | तारीख और हस्ताक्षर। | Put the current date and your signature/thumbprint. |
Frequently Asked Questions (FAQ)
Q1: Can I download the Ujjwala 14 Point Declaration Form in Hindi for free? Yes. The form is free to download. You only pay for the stamp paper (Rs. 10-20) and printout.
Q2: Is this form mandatory for all Ujjwala connections? Yes. No LPG distributor can release a subsidized Ujjwala connection without a properly filled and signed 14 Point Declaration Form.
Q3: What if I lost my form? Can I use a handwritten copy? No. You must use the standard printed format issued by the Oil Marketing Companies. Handwritten copies are strictly rejected. Download the official PDF above.
Q4: My link says "404 Not Found." Why is the download not working? If the download link is broken, it means the oil company updated their server. In that case, go to your nearest Common Service Centre (CSC) or LPG Distributor office and ask for a physical copy of the "Ujjwala 14 Points (Hindi)."