Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Review the pre-printed sections such as customer number, customer segment, and customer name to ensure accuracy. If any information is incorrect, it may need to be corrected at the source prior to submission.
3. Fill in the address section, starting with address line 2, city, and pin code. Ensure that all details are accurate, including street name, house name, and house number.
4. Complete the contact information fields. Provide the first name, middle name, last name, and mobile numbers for both owner and tenant, if applicable.
5. Indicate the number of members living in the residence and input the birth year of the owner.
6. Enter the average electricity bill amount and detail the kitchen points, gas geyser points, and any other relevant information.
7. Select the premise type by indicating whether it is a flat, bungalow, or any other type, and specify the meter position along with any landmarks.
8. Specify the meter manufacturer and fill in the meter digits. If applicable, add any other details related to the meter type.
9. Use the remarks section for any additional notes that might support your application. If necessary, include further details on the back side of the form.
10. Finally, sign the document to verify all information is accurate and complete. Save changes, and then download, print, or share the form as needed.

Complete your documentation online to initiate the process for your new gas connection.