SL. NO. | TIME | SHOPKEEPER NAME & ADDRESS | MOBILE NO. | USING LPG Y/N? IF YES, COMM. OR DOM.? | IF COMM | QTY. USED EVERY MTH.? | IF DOM. DO YOU KNOW DOM.CYL. IN COMM. USE IS AN OFFENCE? Y/N? | IF YES, THEN WHY USING DOM.? | DO YOU KNOW ABOUT PLL? Y/N? | IF YES, SOURCE OF INFORMA-TION? | CONN. REQ.? (Can use for comm. also) Y/N? | IF NO, WHY? | ||
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IN | OUT | NAME OF COMP | RATE | |||||||||||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 |