MAHANAGAR GAS LTD.

MGL House, G-33 Bandra Kurla Complex, Bandra (East), Mumbai - 400 051. MGL COPY
Customer care # 68674500 /61564500. Website : www.mahanagargas.com

NAME TRANSFER FORM FOR DOMESTIC PIPED NATURAL GAS CONNECTION

CA NO 210001134016 METER NO. CURRENT METER READING 00000000

APPLICANT DETAILS (TO BE FILLED IN BLOCK LETTERS ONLY)

Mr./ Mrs./ Miss./ M/s./ Dr.* FULL NAME (AS PER ID SUBMITTED)
Mr. Ankit Gupta

UPDATATION OF DETAILS (TO BE FILLED IN BLOCK LETTERS ONLY)

MOBILE NO * E-MAIL ID
9826910147 ankitguptajbs@gmail.com

* MANDATORY FIELD ALTERNATE NO

PLEASE INDICATE IF ANY CHANGES DESIRED IN PRESENT BILLING ADDRESS

REASON FOR TRANSFER OF PNG CONNECTION TRANSFER CHARGES APPLICABLE*

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✓
* No charges applicable in case of Death of owner / Builder name transfer
Please tick any one( )
IN OTHER CASES:
Purchase of Property Inheritance of Property / Succession
Non refundable Application Charges : Rs. 350/-
Demise of Registered Customer If any other GST @ 18% OF Application Charges : Rs. 63/-
Total : Rs. 413/-
TRANSFER CHARGES TO BE LEVIED IN NEXT BILL.

DETAILS OF DOCUMENTS

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✓
Please tick any one ( )
Sale Deed / Letter from Builder or Society Death Certificate / Letter from Society Succession certificate / Letter from Society Allotment Letter

If any other

✓ NO OBJECTION CERTIFICATE (NOC) FROM THE PREVIOUS OWNER

I/We Owner of

State that CA No. stands in my name. I/We have No Ojection in transfering the above

PNG connection to Date / /

S I G N AT U R E

NO OBJECTION CERTIFICATE (NOC) FROM THE PREVIOUS GAS CONSUMER IS NOT AVAILABLE

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( ) I, the applicant named above do hereby declare that I shall defend, indemnify and hold harmless MGL from all claims and losses that MGL may sustain or incur as
a result, whether directly or indirectly in not providing NOC from the previous owner.

DECLARATION BY APPLICANT

1. I/We declare the above details are true & correct and authorize MGL to verify the same. 2. I/ We acknowledge that we will visit www.mahanagargas.com for latest
terms and conditions which shall be binding on me/us. 3. I/We agree that this application can be accepted or rejected by Mahanagar Gas Ltd., without assigning
any reason thereof. 4. I/We agree to settle the unpaid connection related charges gas consumption bills of the previous gas consumer.

S I G N AT U R E
Date / / Name Ankit Gupta

FOR OFFICE USE

Remark : TF00684276 /
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Arrears checked Please tick( ) YES NO

CHECKED BY VERIFIED BY AUTHORISED BY

TERMS AND CONDITIONS FOR SUPPLY OF PNG
(I) Consumer fails to pay MGL any sum due to MGL under these Terms and Conditions; or
1.0 DEFINITIONS: (ii) Consumer fails to comply with any of its obligations and/or commits any breach of the
conditions on his part to be observed, performed, or fulfilled; or
“Application” means duly filled Application Form Cum Receipt submitted by Consumer along
(iii) The particulars as furnished by Consumer in the Application are found to be false or
with the applicable charges for taking PNG connection.
incorrect.
“Consumer” means the person/ entity who has taken PNG connection in his name.
(iv) PNG is not consumed by the Consumer for a continuous period of 26 weeks or more and
“MGL” means Mahanagar Gas Limited.
no minimum charges is also being paid by the Consumer.
'MGL Assets' means pipelines, meter, regulator and other equipment's installed for supply of
(v) Consumer fails to surrender subsidized Liquified Petroleum Gas (LPG) connection obtained
PNG.
from Government Oil Company within sixty days of obtaining PNG connection from the MGL.
“Premises” means the house / flat owned / occupied by Consumer where PNG is supplied / is
8.2 In case of termination under clause 8.1 MGL shall have the right to remove its MGL Assets
sought.
from the premises of the Consumer and the Consumer here by undertakes not create any
“PNG Rate Card” means schedule of charges for different items/ services payable by
obstruction during such removal of assets by MGL.
Consumer as mentioned on the MGL Website: www.mahanagargas.com
8.3 Temporary Disconnection:
2.0 PNG CONNECTION AND SUPPLY: In case of any planned non usage of PNG for a continuous period of 26 weeks or more,
2.1 PNG will be made available in the Premises, in accordance with the technical and safety Consumer shall intimate MGL about such non usage. In such cases, MGL shall temporarily
standards as specified by MGL, and subject to the availability of all requisite permissions. disconnection of PNG supply. To resume the gas supply, Consumer shall approach MGL and
2.2 MGL shall endeavor to provide PNG connection at the earliest date from the receipt of upon payment of reconnection charges, the PNG supply shall be resumed.
Application. However, MGL shall not be responsible for any delay in providing PNG connection 8.4 Permanent Disconnection :
for the reasons and circumstances beyond MGL's control . Consumer may, by written notice seek permanent disconnection of his PNG connection and in
2.3 MGL reserves the right to withdraw or disconnect the supply of PNG at any time in the suchcase, Consumer shall be liable to pay all dues till the date of permanent disconnection.
event of any emergency/ technical snag without any notice. 9.0 RECONNECTION :
3.0 USE OF PNG: 9.1 In the event of stoppage of PNG supply/ temporary disconnection, reconnection shall be
3.1 Consumer shall: done only upon payment of reconnection charges applicable as per PNG Rate Card.
(I) use PNG specifically for permitted domestic (cooking) purpose, only at the Premises and 9.2 In the event of permanent disconnection (wherein all the MGL Assets are removed by MGL
not for any other purposes. from the Premises) on account of default on part of Consumer or at the written request of
(ii) obtain specific prior written permission of MGL for any change in use of PNG at the Consumer , PNG connection shall be provided upon filing of fresh Application.
Premises. 10.0 SHIFTING OF RESIDENCE :
(iii) install any equipment's like geysers etc. only through MGL authorized representative.
If a Consumer desires to shift from the present place of residence having a PNG connection to
4.0 CHARGES: a new place of residence, the existing PNG connection will not be transferred to the new place
4.1 MGL at its discretion may revise / modify the applicable charges as mentioned in PNG Rate of residence. However, Consumer can apply for fresh connection for the new place of
Card available at the Website (www.mahanagargas.com) and shall be binding on Consumer. residence.

5.0 BILLING AND PAYMENT: 11.0 TRANSFER OF CONNECTION:

5.1 Every bill shall be paid by Consumer in full on or before its due date mentioned on the bill. 11.1 MGL may permit transfer of PNG connection in the event of sale/purchase of the Property,
In the event of delay in making payment of any amount due to MGL, the Delay Payment demise of Consumer etc. subject to submission of necessary documents as required by MGL
Charges (DPCs) along with interest shall be levied in the bill. and on payment name transfer charges. The transfer will be effective from the date of written
5.2 If the Consumer is making the payment of bill via cheque or DD, Consumer shall make the confirmation by MGL. In case of transfer of PNG connection to the legal heir of Consumer upon
payment atleast three days before the due date to avoid levy of any delayed payment charges. the demise of Consumer, no transfer charges are payable.
5.3 In case of non-availability of actual meter reading, MGL will raise bills on past average 11.2 Purchaser of a flat/ house with pre-existing MGL's PNG connection, shall be liable for the
consumption. The amount paid by the Consumer against such bills shall be adjusted in the payment of past dues if not settled by the seller. MGL shall not supply PNG in such cases
bills raised on actual meter readings as and when such readings are taken. without settlement of past dues.
5.4 If meter is inaccessible on three consecutive billing cycles a seven days' notice shall be 12.0. LIABILITY / INDEMNITY:
served on Consumer to keep the Premises available for meter reading on the date and time
12.1 Consumer shall not use PNG for any illegal or unlawful activity or purpose. In case of any
indicated in the notice. In case Consumer fails to comply with the notice, MGL reserves the
offence / violation of any law, statute or regulation by Consumer, Consumer alone shall be
right to disconnect the PNG supply of the Consumer.
responsible and liable for such offence or violation and Consumer agrees to indemnify and
5.5 In case of any dispute or any discrepancy with respect to consumption /amount of bill,
keep indemnified MGL from and against any loss, claim, action or proceedings that may be
Consumer is required to lodge his complaint within 14 days of making the payment and on
suffered or incurred by the MGL as a result of such offence or violation.
receipt of such complaint, MGL will look into the issue and if found correct, will make
12.2 Consumer shall ensure that PNG provided by MGL is exclusively used for domestic
necessary adjustments in the subsequent bills.
(cooking) purpose. If at any time after the commissioning, it is found that PNG is being used
5.6 Consumer shall ensure to make the payment of bill in the mode and manner as mentioned
for other than domestic purposes, Consumer shall be liable to pay all the bills with an
in the bill,-MGL shall not be responsible for any payment made by the Consumer in any other
additional penal rate as specified by MGL, with retrospective effect from date of connection.
mode or manner other than what is mentioned in the bill.
12.3 Consumer shall be liable for payment of any loss or damage caused to pipes, equipment
5.7 If gas consumption goes over and above the security deposit (gas consumption) then the
or installations whether caused on account of negligence by Consumer or its employees or
same shall be revised periodically and will be mentioned in subsequent bills.
agents, theft, sabotage or otherwise, howsoever.
5.8 MGL shall not be responsible for any payments made by the Consumer to any other
12.4 Consumer shall indemnify and keep MGL indemnified from and against any action, claim,
agency/ person other than the one authorised by MGL.
proceeding, loss or damage that may be suffered or incurred by MGL on account of any
6.0 OBLIGATlON'S OF CONSUMER: dispute with the Landlord/Society or consumer failing to obtain the permission of the
6.1 Consumer shall permit MGL/ its authorized representative access to the Premises for Landlord/Society for laying of pipelines, equipment and other installations for PNG supply and
providing PNG connection, meter reading, inspection, maintenance checkups, alteration or in case of any event as aforesaid, Consumer shall pay to MGL all costs for removal of the
replacement of any MGL Assets (if deemed necessary or expedient by MGL) and pipelines, equipment and other installation for PNG supply.
disconnection. 12.5 Consumer shall deem to be in exclusive possession and control of PNG once PNG passes
6.2 Consumer shall take all adequate precautions and adopt all safety measures to safeguard the meter outlet, and there upon Consumer shall be liable for any leakage or for any damage
MGL Assets installed by MGL at Consumer's Premises for supply of PNG. Consumer shall not caused to any person or property as a result thereof. Accordingly, Consumer shall protect and
adjust, clean, repair, replace or otherwise handle any of the MGL Assets. If any damage / indemnify and keep harmless and defended MGL against all claims, demands actions, suits,
breakage / nonfunctioning of the MGL Assets is noticed, Consumer shall immediately intimate proceedings, judgments and all liabilities, costs, expenses, damages or losses which may arise
to MGL and MGL shall replace or rectify the same at the earliest on chargeable basis, if out of or result from or which the MGL may incur or suffer as incidental to or in connection with
damage is due to Consumer's negligence. the supply of PNG after PNG passes the meter outlet or during temporary disconnection, if any.
6.3 In case, Consumer carries out any unauthorized repair/ alteration or tamper/permits 12.6 The indemnity provisions will be enforceable notwithstanding termination of PNG supply.
tempering, directly or indirectly, [Jointly or severally referred to as Illegal Acts] of any MGL 12.7 MGL shall not be liable for consequential loss (being loss of business, goodwill,
Assets for PNG supply, the same shall be deemed to be breach of the contractual terms opportunity or profit)
contained herein and, in such cases, MGL reserves the right to terminate the Agreement and 13.0 FORCE MAJEURE :
remove its Assets from the Premises & forfeit the security deposit. Further, in case of any
MGL shall be excused from performance and shall not be in default in respect of any obligation
accident/ incident, due to Illegal Acts in relation to MGL Assets, Consumer shall be solely
hereunder to the extent that the failure to perform such obligation is due to acts of god, war,
responsible for any loss or damages or to the property or human life arising out of such
revolt, riot, fire, tempest, flood, earthquake, lightning, pandemic, direct or indirect consequences
accident. MGL shall not be responsible for any direct or indirect loss caused on account of any
of (declared/undeclared) sabotage, hostilities, national emergencies, civil disturbances,
such illegal Act by Consumer
commotion, embargo or any other change in applicable laws, breakage bursting or freezing of
6.4 Consumer shall notify MGL in case of non-receipt of
pipeline or occurrence of any event beyond the control of MGL.
(I) first PNG bill within the period of two months from the date of commencement of PNG
supply; 14.0 AMENDMENT :
(ii) periodic PNG bills within 10 days from the expiry of two months period of receipt of the
MGL reserves its right to amend, add or delete all or any of these terms and conditions at any
previous bill. In case of non-receipt of PNG bill, Consumer shall obtain duplicate copy of PNG
time including right to amend due to change in applicable laws. As and when such amendment
bill and make the payment of the same within the due date.
is affected, the same shall be uploaded on the web site of MGL and shall be binding on
6.5 Consumer shall inform in writing to MGL before any change of ownership of the Premises
Consumer from the date of its uploading on the website including amendments due to change
and clear all pending arrears/ dues before submitting written request to MGL for refund of
in law.
Security Deposit.
6.6 In case if there is any change in the registered mobile number of Consumer, Consumer 15.0 NOTICE
shall update the same to MGL on immediate basis. All notices, demands or other communications issued by MGL shall be sent to Consumer as
7.0 PROPERTY/OWNERSHIP: per the address provided by Consumer on the Application.

MGL Assets up to and including Suraksha hose pipe connecting the burner shall be and remain 16.0 JURISDICTION :
the property of MGL and Consumer shall not have or claim any right, title or interest therein. All disputes arising out of these Terms and Conditions, shall be subject to exclusive jurisdiction
8.0 TERMINATION of Competent Courts at Mumbai
8.1 Without prejudice to above & other rights of MGL in law or otherwise, MGL may at any time
and with prior notice terminate PNG supply of Consumer if: 17.0 CONFIDENTIALITY

Information provided to MGL by Consumer shall be used for the purposes enumerated in this
terms & conditions and shall be kept confidential unless the same is required to be disclosed
(i) for billing or market operation purposes, or (ii) for law enforcement purposes, or (iii) dues if
any of Consumer is transferred to debt collection agency; and in such cases the confidentiality
obligations shall cease to the extent required under the foregoing circumstances.

((Applicant Signature))