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Get Pahal Dbtl Scheme Joining Form Fillup

BLUE ink: 1. NAME OF COMPANY (e.g. IOCL / HPCL / BPCL) 2. NAME OF DISTRIBUTOR 3. CONSUMER NUMBER (Attach a copy of rst page of DGCC booklet or recent cash memo) 4. NAME OF THE LPG CONSUMER 5. YOUR REGISTERED MOBILE NUMBER or MOBILE NUMBER WHERE WE CAN CONTACT YOU 6. ADDRESS (Fill this only if your present LPG delivery address is different from address in the Aadhaar Card, also attach a current proof of address**) Signature with date of LPG Customer as in Subscription Voucher (SV) Enclos.

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