Apply Online : Apply PNG Torrent Gas Customer Portal

Customer Onboarding Form

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Basic Information

Fields with * are Mandatory.

Title *

First Name *

Middle Name

Last Name *

Area *

Society *

Flat/Plot No

Floor Wing

Pincode *

Mobile No *

Alternate Mobile No

Email Address *

Address *

Address 2

Landmark

Referred By (BP Number)

Referred By Name

Opted Scheme *

By pressing NEXT, I/We agree to be contacted telephonically or through any other suitable medium for the Piped Natural Gas related matters.

Additional Information

Fields with * are Mandatory.

Type Of Residence *

Premises Status *

Occupation Status *

Ownership Type *

PAN no

Aadhaar No.

Father/Husband/Spouse Name. *

D.O.B (dd/mm/yyyy). *

Gender

Your Existing LPG Connection Details

Fields with * are Mandatory.

LPG Company *

LPG Consumer No.

LPG Agency.

No of LPG cylinder

Extra Point Requirement

Geyser Point

Extra Kitchen Point

Attachment Section

ID Proof *

Address Proof *

Accept Terms and Conditions *

I accept the Terms and Conditions of Torrent Gas.

Name of Owner/ Co-owner:	___________________________________________	Signature:	___________________________________________
Current Address of the Owner/ Co-owner:	_____________________________________________________________________________________________________
Mobile No:	___________________________________________
Document enclosed: _________________________________________________ (PAN card, Driving Licence etc.) for Signature proof