SUI NORTHERN GAS PIPELINES LIMITED

APPLICATION FOR
EXTENSION OF GAS NETWORK
Annexure: (C)
(USE CAPITAL LETTERS)
Dear Sir,
Gas main is located near my “House/street/Mohallah/Locality” and, I am interested that gas facility should also
be extended to my house. Particulars are detailed below:-
(1) Name.

(2) S/O.D/O,W/O

(3) Address (where gas network is required):-

(3.0)-House No________________(3.1)Khasra No.__________________(3.2)-Street. No._______________________

(3.3)-Block/Ward. No.____________________(3.4)-Sector. No____________________________________________

(3.5)-Mohalla/Locality/Colony_______________________________________________________________________

(3.6)-Town/Village__________________________________(3.7)-City______________________________________

(3.8)-Nearest Place (Land Mark)._____________________________________________________________________

(3.9)-Tel. No.__________________________________(3.10)-Cell. No______________________________________

(3.10)-E-mail:______________________________________

(3.12) CNIC NO
- -
(4) Prospective Consumer(s)
(a) Constructed Houses (a-1) Open Plots

(5) Nearest gas connection’s consumer No._____________________________ (A copy of bill to be attached)

(6) In case the premises is not owned by the applicant:

(a)-Name of the owner of premises_______________________________________________________________

(b)-CNIC No. - -

(7) I hereby confirm further that:-

a) House is fully constructed on ____________ marlas/Kanals, and occupied and some responsible
person is
always available during the day time to facilitate SNGPL staff for survey.

b) I shall be thankful if gas network is extended for supply of gas. I understand that this application is only
meant for extension of gas network for my house/locality only and a separate application shall have to be
submitted for provision of gas connection after the network is laid. I also fully understand that if the
information given above is found to be contrary to the factual position at site, SNGPL is authorized to treat
my application as invalid for any further consideration.

Applicant’s Signature_____________________________

(FOR OFFICE USE)

(8) Application No ------------------------------------------------------------dated ---------------------------------------------
- Signature:-______________________________
Name: __________________________________
Designation:_____________________________
Empl. No. _______________________________