Affidavit for New Gas Connection

I, [Full Name], son/daughter of [Parent's Name], resident of [Full Address], do hereby solemnly affirm and declare as under:

1. That the deponent is a resident of the above-mentioned address.
2. That the deponent wants to apply for a new gas connection from the franchisee/distributor [Distributor Name], at [Location].
3. That no gas connection has ever been allotted in the name of the deponent.
4. That the deponent undertakes to abide by all rules, regulations, terms, and conditions prescribed by the concerned authority.

Deponent

Verification

Verified that the contents of the above affidavit are true to the best of my knowledge and belief, and nothing has been concealed therein.

Verified at [Location] on this [Date].

Deponent

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