New Connection Request Form

If you are interested to get a new piped gas connection please enter your detail below. HCG representative will contact you and carry out the procedures.

Domestic

Name *

Son / Wife / Daughter of *

Address House No. *

Block No.

Society Name

Area / Street Name

City

Pin Code *

Phone

Mobile No. *

Email ID *

Type of ownership

Commercial / Industrial

Demand assessment form for prospective customers

Name of the company / Industry / Factory / Hotel *

Address *

Details of the business process

Type of fuel used

Contact Person *	Designation	Contact No. *

Fuel usage for applications / equipments to be switched over to natural gas

S.No.	Equipment / Application proposed to run on NG			Avg. running hrs. per day of the equipment	Avg. daily cosumption of existing fuel used in the equipment		Equipment running continuously or Stand by
S.No.	Type of equipemnt	Make of the equipemnt	Max rated of the equipemnt	Avg. running hrs. per day of the equipment	Fuel	Consumption/Day	Equipment running continuously or Stand by
1
2
3
4
5
6