Subscription Voucher Form PDF Details

In navigating the complexities of dealing with the loss or misplacement of critical documents, the Subscription Voucher form stands out as a valuable tool for individuals facing such predicaments. Tailored to address instances where subscription or termination vouchers, associated with liquefied petroleum gas (LPG) services from major companies like the Indian Oil Corporation Ltd (IOCL), Bharat Petroleum Corporation Ltd. (BPCL), or Hindustan Petroleum Corporation Ltd. (HPCL), are no longer in the possession of the consumer due to misplacement or loss, this document provides a clear pathway towards resolution. Essential for consumers who have been issued these vouchers as part of their LPG service agreement, typically indicating a loan of gas cylinders and a regulator against a refundable security deposit, the form serves as a declaration. It allows individuals to state their case, detailing their consumer details, the circumstances under which the voucher was lost, and their intention to either terminate their agreement or return the cylinders while seeking a refund of their deposit in the absence of the original voucher. Additionally, it includes provisions for situations where the residence of the consumer has changed since the issuance of the voucher, ensuring that logistical changes in a consumer's life are accommodated. By filling out this declaration, consumers affirm their responsibility to return the voucher if found in the future and acknowledge potential liabilities should the lost voucher be misused. The format of the declaration emphasizes the importance of accuracy and honesty, as it involves solemn affirmations regarding the consumer’s identity, the details of their agreement with the LPG provider, and the circumstances leading to the voucher’s loss, laying out a structured approach for consumers to rectify their situation with the respective corporation.

QuestionAnswer
Form NameSubscription Voucher Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to get duplicate subscription voucher of indane gas, indane gas bond paper download, indane gas subscription voucher online, subscription voucher

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SV-TV Loss Declaration Format Ver.1 BPC/14

DECLARATION FORMAT

(To be submitted for loss of Subscription Voucher / Termination Voucher on plain paper )

DECLARATION

I _______________________________son/ daughter/ wife/ widow of Shri

____________________________________________________ aged _____ years an Indian inhabitant,

residing at _____________________________________ solemnly affirm and state as follows:

1.That I am / was a consumer of M/s. Indian Oil Corporation Ltd (IOCL)/ M/s.Bharat Petroleum Corpn Ltd.(BPCL) / M/s. Hindustan Corpn. Ltd.(HPCL), for LPG for domestic use at the following address

_______________________________________________________________________________

since __________. My consumer number is / was _______________. I was issued with Subscription Voucher No. ____________________ by M/s. ___________________________________ towards one/two gas cylinder(s) and a regulator on loan for my use against the refundable deposit of Rs.

__________.

2.That I was given the gas cylinder(s) and a regulator when I was residing in _____________________. Thereafter, I shifted to my above mentioned residence.

3.That I want to return the Subscription Voucher along with the cylinder(s) and regulator as I am shifting my residence from this town and want to terminate the agreement with the above mentioned Corporation.

OR

That I want to terminate the agreement with the above mentioned distributor.

4.That though I have the cylinder/s and regulator, I am not able to produce the Subscription Voucher (SV) to obtain Termination Voucher & get refund of the security deposit as the SV is misplaced / lost.

OR

That I am not able to produce the Termination Voucher as it misplaced / lost.

5.That I have not assigned or transferred the Subscription Voucher / Termination Voucher to any person whomsoever.

6.That I undertake to return forthwith the above referred Subscription Voucher / Termination Voucher to M/s. Indian Oil Corporation Ltd (IOCL)/ M/s.Bharat Petroleum Corpn Ltd.(BPCL) / M/s. Hindustan Corpn. Ltd.(HPCL), if found at any time in the future.

7.That I shall be liable to M/s. Indian Oil Corpn. Ltd / M/s. Bharat Petroleum Corpn Ltd./ M/s. Hindustan Petroleum Corporation Ltd., for any loss or expense incurred by them if any one produces the above referred Subscription Voucher / Termination Voucher to claim any amount from the Corporation.

I hereby declare that whatever has been stated above is true to the best of my knowledge, correct and nothing material has been concealed there from.

Date :_______________

Signature of person giving the Declaration

Place :_______________

Name :_____________________________