PM Ujjwala Yojana Form PDF: 14 Point Declaration, KYC Forms [Hindi/English] Download

PM Ujjwala Yojana Form PDF are available to download at pmuy.gov.in, download KYC forms [English & Hindi] as well as 14 point declaration form. One can now easily download, print, fill and submit PMUY KYC Forms along with supplementary KYC document & undertaking to the nearest LPG gas agency (distributor). In this article, we will describe how to download Pradhan Mantri Ujjwala Yojana KYC forms PDF (English/Hindi) & 14 point declaration form.

Also Read: PM Ujjwala Yojana 2.0 online apply process

PM Ujjwala Yojana Form PDF Download at pmuy.gov.in

PMUY is a new social welfare scheme for free distribution of LPG connection to BPL households across the country. Pradhan Mantri Ujjwala Yojana application forms are available at the LPG outlets (distribution centers) as well as at pmuy.gov.in official website. The prescribed PMUY KYC application form and 14 point declaration form can be downloaded in PDF format, here is how.

• Firstly, visit the official website at https://pmuy.gov.in/
• Scroll down the homepage to reach “General Information on PMUY Scheme” section and click “Forms” link.



• On clicking the Forms link, the page to download PMUY 2.0 offline documents will open



• From here you can download the following PDF forms to apply offline for PM Ujjwala Yojana 2.0:-
  • PMUY KYC form (English),
  • PMUY KYC form (Hindi),
  • Supplementary KYC document and undertaking (Ujjwala 14 Point Declaration Form),
  • Self declaration for migrants (annexure 1) and
  • Pre installation check (annexure 2).
• Each of these Pradhan Mantri Ujjwala Yojana Form PDF is shown in the section below.

Also Read: Check State District PMUY Data

Pradhan Mantri Ujjwala Yojana KYC Form English PDF

On the offline documents page, click at KYC Form (English) tab or directly click https://pmuy.gov.in/documents/Ujjwala-KYC_english.pdf to open Pradhan Mantri Ujjwala KYC Form English PDF as shown below:-

Alternate link to download PMUY English KYC Form PDF –
a) https://pmuy.gov.in/documents/Ujjwala-KYC.pdf
b) https://pmuy.gov.in/documents/KYC.pdf

Pradhan Mantri Ujjwala Yojana KYC Form in Hindi Download

On the offline documents page, click at KYC Form (Hindi) tab or directly click https://pmuy.gov.in/documents/Ujjwala-KYC_hindi.pdf to open Pradhan Mantri Ujjwala KYC Form Hindi PDF as shown below:-

Alternate Link to download PMUY KYC Form PDF in Hindi – https://pmuy.gov.in/hi/documents/Ujjwala-KYC.pdf

Ujjwala 14 Point Declaration Form PDF Download

On the offline documents page, click at Supplementary KYC Document and Undertaking tab or directly click https://pmuy.gov.in/documents/Supplementary%20KYC.pdf to open Pradhan Mantri Ujjwala 14 Point Declaration Form PDF as shown below:-

What is 14 Point Declaration (PMUY Exclusion Criteria)

Each applicant and their family members must not possess or meet any of the following exclusion criteria:-

• Motorized 2/3/4 wheeler/fishing boat.
• Pay professional tax.
• Own Mechanized 3/4 – wheeler Agricultural equipment.
• Dwell in 3 or more rooms with pucca walls and roof.
• Possess Kisan credit card with credit limit of over Rs. 50,000/-.
• Own a refrigerator.
• Household member is a government employee.
• Own landline phone.
• Household with non-agricultural enterprises registered with government.
• Own more than 2.5 acres of irrigated land with 1 irrigation equipment.
• Any of the members of household earning more than Rs. 10,000/- per month.
• Own 5 acres or more of irrigated land for two or more crop season.
• Pay income tax.
• Own at least 7.5 acres of land or more with at least one irrigation equipment.

If the applicant or their family members possess or meet any of the conditions specified here would not be eligible for PM Ujjwala Yojana.

Other PMUY Offline Forms

• PMUY 2.0 Self Declaration for Migrants (Annexure 1) – https://pmuy.gov.in/documents/Annexure%20I.pdf
• New LPG Connection Pre Installation Check (Annexure 2) – https://pmuy.gov.in/documents/Annexure%20II.pdf

About Pradhan Mantri Ujjwala Yojana 1.0 & 2.0

In May 2016, Ministry of Petroleum and Natural Gas (MOPNG), introduced the “Pradhan Mantri Ujjwala Yojana” (PMUY) as a flagship scheme with an objective to make clean cooking fuel such as LPG available to the rural and deprived households which were otherwise using traditional cooking fuels such as firewood, coal, cow-dung cakes etc. Usage of traditional cooking fuels had detrimental impacts on the health of rural women as well as on the environment.

The scheme was launched on 1st May 2016 in Ballia, Uttar Pradesh by Hon’ble Prime Minister of India, Shri. Narendra Modi. The target under the scheme was to release 8 Crore LPG Connections to the deprived households by March 2020. On 7th September 2019, Hon’ble Prime Minister of India handed over the 8th Crore LPG connection in Aurangabad, Maharashtra.

Ujjwala 2.0: Additional allocation of 1.6 Crore LPG Connections under PMUY scheme with special facility to migrant households. Target number of connections under Ujjwala 2.0 was achieved during Dec’22, thus taking overall connections under the scheme to 9.6 Crore. Government of India has approved release of additional 75 lakh connections under PMUY Scheme, taking overall target under the scheme to 10.35 Crore, against which connections are getting released now.