PM Ujjwala Yojana Application Form PDF

Download PDF of PM Ujjwala Yojana Application Form

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PM Ujjwala Yojana Application Form

Pradhan Mantri Ujjwala Yojana is a social welfare scheme by Narendra Modi Government under which the government aims to provide free LPG connections to BPL households across the country. Under the scheme the central government will provide free LPG connection to 5 Crore BPL families across the country.

The scheme has been started from 01 May 2016. Under the Ujjwala Yojana, priority for LPG connection distribution will be given to the states where LPG penetration is less than the national average.

The PMUY application forms2021 as given below can be downloaded from the official website of Pradhan Mantri Ujjwala Yojana at or or it can be directly download in PDF format using the link given below. The application forms for PMUY are also available at the LPG outlets / agencies across the country.

How to Apply for PM Ujjwala Yojana

  • A woman of the BPL household, may apply for a new LPG connection (in the prescribed format) to the nearest LPG distributor.
  • While submitting the application form, the woman needs to submit detailed address, Jandhan Bank Account and Aadhar number of all members of the household.
  • The connection will be issued by the Oil Marketing Companies (OMCs) to the eligible beneficiaries after processing the application.
  • In case the consumer opts for EMI, the EMI amount will be adjusted against the subsidy amount due to the consumer on each refill.

Pradhanmantri Ujjwala Yojana application can be made only through the offline mode by filling and submitting the application form at the nearest LPG distribution agency.

Applications for PMUY are not invited through the online mode. Below is the complete procedure to apply for PM Ujjwala Yojana.

Details to be Mention in PM Ujjwala Yojana Application Form

  1. Name, age and contact details of the applicant along with a photograph.
  2. Total monthly/annual income of the BPL household from which the applicant belong.
  3. Permanent residence certificate of the particular state/union territory.
  4. Income certificate, BPL card may also be required to be attached with the application form.
  5. And any other details

Documents Required

  1. BPL Certificate Authorized by Panchayat Pradhan / Municipality Chairman*
  2. BPL Ration Card*
  3. One Photo ID (Aadhar Card or Voter ID Card)*
  4. One Recent Passport Size Photograph*
  5. Driving License
  6. Lease Agreement
  7. Telephone / Electricity / Water Bill
  8. Copy of Passport
  9. Self-Declaration attested by Gazetted Officer
  10. Ration Card
  11. Flat Allotment / Possession Letter
  12. House Registration Documents
  13. LIC Policy
  14. Bank / Credit Card Statement

Eligibility Criteria

Eligibility criteria for the Ujjwala Yojana (Free LPG Cylinder Scheme for BPL Women) is defined by the scheme guidelines. The state government and Union territories will help identify the eligible BPL beneficiaries for the scheme.

  • The applicant should be a permanent resident of India and above the age of 18 years.
  • The applicant should be a woman belonging to the BPL household.
  • The household of applicant should not already own an LPG connection in anyone’s name in the household.
  • Monthly household income of the BPL family should not exceed a certain level as defined by the state governments and union territories.
  • The applicant’s data should match with the BPL data with Oil Marketing Companies as per the SECC-2011 (Rural) database.
  • The applicant should not have availed similar benefits in any other Government scheme.


You can contact for any help/information about the Pradhan Mantri Ujjwala Yojana by going to the official website at the below link.


Or Visit the new official website of PM Ujjwala Yojana at

You can also call Toll Free Number of Ujjwala Yojana at 1800 266 6696 for any information about the scheme

If you want to contact the administrator of this website, please contact at [email protected]

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