Registration Form for New Domestic Consumers | Central U.P. Gas Limited Build 0

Source of Application

Application is submitted by:

Vendor code

Connection and Area Detail

Select your city

Kanpur detail

Scheme type in Kanpur

*Customers have to pay non-refundable fixed monthly charges of Rs. 40/- (exclusive of GST). It shall be charged to the customer in their bill over and above the gas consumption charges. This fixed monthly charge will be applicable till the time connection exists.

Registration amount total Rs. 7000.00 per connection

Select the area in Kanpur

“If location is not available please select OTHER and mentioned the location name”

Bareilly detail

Scheme type in Bareilly

* Remaining amount shall be added in the bi-monthly bill in the form of Rs. 500/- EMI charges along with the gas consumption bill. Bareilly (Initial Amount of Rs. 1275/-) 12 EMIs shall be charged and it’s valid for 6 months from 05.10.2024 to 04.04.2025.

Registration amount total Rs. 7000.00 per connection

Select the area in Bareilly

“If location is not available please select OTHER and mentioned the location name”

Jhansi Detail

Scheme type in Jhansi

*Customers have to pay non-refundable fixed monthly charges of Rs. 40/- (exclusive of GST). It shall be charged to the customer in their bill over and above the gas consumption charges. This fixed monthly charge will be applicable till the time connection exists.

Registration amount total Rs. 7000.00 per connection

Select The Area in Jhansi

“If location is not available please select OTHER and mentioned the location name”

Unnao detail

Scheme type in Unnao

*Customers have to pay non-refundable fixed monthly charges of Rs. 40/- (exclusive of GST). It shall be charged to the customer in their bill over and above the gas consumption charges. This fixed monthly charge will be applicable till the time connection exists.

Registration amount total Rs. 7000.00 per connection

Select the area in Unnao

“If location is not available please select OTHER and mentioned the location name”

Enter your area ( )

LPG Connection Detail

LPG Connection

LPG Company

LPG Consumer No.

LPG Dealer name

Personal Details

Name

Father's name

House No.

Floor

Building Code

Street

Land mark

District

Pin code

House type

Mobile No.

WhatsApp No

Telephone No.

Adhaar (UID) No.

Email ID

Confirm your Email ID

ID Proof and Address Proof Attachment

ID Proof

Select document

ID proof

Only jpg, jpeg, png, pdf file maximum size of 4 MB allowed.

Address Proof

Select document

Upload address proof for address provided in the Personal Detail.

Address proof

Only jpg, jpeg, png, pdf file maximum size of 4 MB allowed.

Cheque/DD Details

Select Cheque or DD

Cheque

Demand Draft (DD)

Cheque/DD No.

Cheque/DD Issue Date

Bank Name

Amount

Upload the scan copy of Cheque/DD

One file only.
4 MB limit.
Allowed types: gif jpg jpeg png.
16 MB limit per form.

I would like to opt for receiving transnational/promotional sms/email from CUGL

I agree with the terms & conditions

View registration form terms and conditions Addendum to Terms

Terms and conditions Kanpur and Bareilly