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NOTICE FOR APPOINTMENT OF LPG DISTRIBUTORS

INDIAN OIL CORPORATION LTD (IOCL), BHARAT PETROLEUM CORPORATION LTD (BPCL) and HINDUSTAN PETROLEUM CORPORATION LTD (HPCL) proposes to appoint LPG distributors under various categories at locations specified below from amongst the candidates belonging to different categories mentioned therein in the State of Rajasthan:

Sr.

Oil

Location

District

Category*

Type of

Security

Marketing

 

1

2

3

4

5

6

7

8

No.

Company

Market

Deposit

Plan

88

IOCL

Bhiwadi-2

Alwar

ST

UR

2.5

2012-13

 

 

 

 

 

 

 

 

(urban (U)/

(Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

89

IOCL

Bayana

Bharatpur

SC

UR

2.5

2012-13

 

 

 

 

 

Urban

In Lacs)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

90

IOCL

Bharatpur-3

Bharatpur

O

UR

2.5

2012-13

 

 

 

 

 

Rural(UR)/

 

 

 

 

 

 

 

 

 

 

 

 

 

91

IOCL

Asind

Bhilwara

OBC

UR

2.5

2012-13

 

 

 

 

 

Rural (R)

 

 

 

 

 

 

 

 

 

 

 

 

 

92

IOCL

Gangapur

Bhilwara

ST

UR

2.5

2012-13

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

 

 

 

 

93

IOCL

Gulabpura

Bhilwara

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

94

IOCL

Mandal

Bhilwara

O

UR

2.5

2012-13

1

BPCL

Ajmer (Adarsh Nagar Area)-1

Ajmer

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

95

IOCL

Bhilwara (Subhash Nagar Area)-2

Bhilwara

OBC (CC)

UR

2.5

2012-13

2

BPCL

Ajmer (Hari Bhau Upadyay

 

 

 

 

 

 

 

 

 

Nagar Area)

Ajmer

OBC

U

5.0

2012-13

 

 

96

IOCL

Bhilwara (Shastri Nagar Area)-1

Bhilwara

SC

UR

2.5

2012-13

3

BPCL

Ajmer (Shastri Nagar Area)

Ajmer

SC

U

5.0

2012-13

 

 

97

IOCL

Bari

Dholpur

O

UR

2.5

2012-13

4

BPCL

Kekri

Ajmer

O

UR

2.5

2012-13

 

 

98

IOCL

Bassi-1

Jaipur

O

UR

2.5

2012-13

5

BPCL

Ajmer (Ajay Nagar Area)

Ajmer

O

U

5.0

2012-13

 

 

99

IOCL

Bassi-2

Jaipur

O

UR

2.5

2012-13

6

BPCL

Bhilwara (R.C. Vyas Colony Area)

Bhilwara

OBC

U

5.0

2012-13

 

 

100

IOCL

Jaipur (Vaishali Nagar Area)-1

Jaipur

OBC

U

5.0

2012-13

7

BPCL

Bhilwara (Subhash Nagar Area)-1

Bhilwara

OBC

U

5.0

2012-13

 

 

101

IOCL

Jaipur (Sushilpura Area)

Jaipur

OBC

U

5.0

2012-13

8

BPCL

Bhilwara (Chandra Shekhar

 

 

 

 

 

 

 

102

IOCL

Jaipur (Chitrakoot Nagar)

Jaipur

O (GP)

U

5.0

2012-13

 

 

Azad Nagar Area)

Bhilwara

O

U

5.0

2012-13

 

 

103

IOCL

Jaipur (Ghat Gate Area)

Jaipur

OBC

U

5.0

2012-13

9

BPCL

Bhilwara (Bapu Nagar Area)

Bhilwara

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

104

IOCL

Jaipur (Vidhyadhar Nagar Area)

Jaipur

O

U

5.0

2012-13

10

BPCL

Shahpura

Bhilwara

OBC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

105

IOCL

Jaipur (Raja Park Area)

Jaipur

OBC

U

5.0

2012-13

11

BPCL

Kachola

Bhilwara

O

R

2.5

2004-07

 

 

 

 

 

 

 

 

 

 

 

106

IOCL

Jaipur (Muralipura Area)

Jaipur

O

U

5.0

2012-13

12

BPCL

Bundi

Bundi

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

107

IOCL

Jaipur (Gangori Bazzar Area)

Jaipur

O

U

5.0

2012-13

13

BPCL

Bhawani Mandi

Jhalawar

SC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

108

IOCL

Jaipur (Brahampuri Area)-1

Jaipur

O

U

5.0

2012-13

14

BPCL

Jodhpur (Pratap Nagar Area)

Jodhpur

OBC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

109

IOCL

Jaipur (Durgapura Area)

Jaipur

O

U

5.0

2012-13

15

BPCL

Jodhpur (Kudi Bhagtsani Area)-1

Jodhpur

O(GP)

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

110

IOCL

Jaipur (Chandpole Area)

Jaipur

O

U

5.0

2012-13

16

BPCL

Jodhpur (BJS Colony Area)-1

Jodhpur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

111

IOCL

Jaipur (Hasanpura Area)-2

Jaipur

OBC (GP)

U

5.0

2012-13

17

BPCL

Jodhpur (Subhash Nagar Area)-1

Jodhpur

O(CC)

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

112

IOCL

Jaipur (Mahesh Nagar Area)

Jaipur

O

U

5.0

2012-13

18

BPCL

Jodhpur (Ratanada Area)-1

Jodhpur

OBC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

113

IOCL

Jaipur (C-scheme Area)

Jaipur

O (CC)

U

5.0

2012-13

19

BPCL

Kota (Kunari Area)-1

Kota

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

114

IOCL

Jaipur (Malviya Nagar Area)-1

Jaipur

SC

U

5.0

2012-13

20

BPCL

Kota (Borkhera Area)

Kota

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

115

IOCL

Jaipur (Malpura Gate

 

 

 

 

 

21

BPCL

Kota (MahatmaGandhiColonyArea)

Kota

SC

U

5.0

2012-13

 

 

 

 

-Sanganer Area)

Jaipur

OBC

U

5.0

2012-13

22

BPCL

Kota (Vigyan Nagar Area)-1

Kota

OBC

U

5.0

2012-13

 

 

116

IOCL

Jaipur (Ambabari Area)

Jaipur

O

U

5.0

2012-13

23

BPCL

Kota (Bhimgunj Mandi Area)

Kota

O

U

5.0

2012-13

 

 

117

IOCL

Jaipur (Nirman Nagar Area)-1

Jaipur

OBC

U

5.0

2012-13

24

BPCL

Deoli

Tonk

SC

UR

2.5

2012-13

 

 

118

IOCL

Mukandgarh

Jhunjhunu

OBC (CC)

UR

2.5

2012-13

25

BPCL

Dhorimanna

Barmer

O

R

2.5

1999-2000

 

 

119

IOCL

Nawalgarh (Nansa Gate Area)

Jhunjhunu

O

UR

2.5

2012-13

26

BPCL

Bikaner-1

Bikaner

OBC (GP)

U

5.0

2012-13

 

 

120

IOCL

Pilani

Jhunjhunu

O

UR

2.5

2012-13

27

BPCL

Churu

Churu

SC (GP)

U

5.0

2012-13

 

 

121

IOCL

Jhunjhunu-1

Jhunjhunu

O

UR

2.5

2012-13

28

BPCL

Sriganganagar-1

Sriganganagar

O

U

5.0

2012-13

 

 

122

IOCL

Jhunjhunu-2

Jhunjhunu

OBC

UR

2.5

2012-13

29

BPCL

Sribijaynagar

Sriganganagar

O

R

2.5

2012-13

 

 

123

IOCL

Hindaun City-1

Karauli

SC

UR

2.5

2012-13

30

BPCL

Padampur

Sriganganagar

OBC

R

2.5

2012-13

 

 

124

IOCL

Hindaun City-2

Karauli

O

UR

2.5

2012-13

31

BPCL

Hanumangarh (Junction)

Hanumangarh

O

U

5.0

2012-13

 

 

125

IOCL

Karauli-1

Karauli

ST

UR

2.5

2012-13

32

BPCL

Rawatsar

Hanumangarh

O

R

2.5

2012-13

 

 

126

IOCL

Karauli-2

Karauli

ST

UR

2.5

2012-13

33

BPCL

Nohar

Hanumangarh

O

R

2.5

2012-13

 

 

127

IOCL

Kota (Kansuwa Area)

Kota

ST

U

5.0

2012-13

34

BPCL

Bhadra

Hanumangarh

OBC

R

2.5

2012-13

 

 

128

IOCL

Kota (Kunari Area)-3

Kota

O

U

5.0

2012-13

35

BPCL

Nagaur-1

Nagaur

O

U

5.0

2012-13

 

 

129

IOCL

Kota (Mahavir Nagar Area)-1

Kota

OBC

U

5.0

2012-13

36*

BPCL

Kheenvsar

Nagaur

O

R

2.5

2008-10

 

 

130

IOCL

Kota (Talwandi Area)

Kota

O

U

5.0

2012-13

37

BPCL

Alwar-1

Alwar

SC

U

5.0

2012-13

 

 

131

IOCL

Kota (Kherli Phatak Area)

Kota

OBC

U

5.0

2012-13

38*

BPCL

Tijara

Alwar

SC

R

2.5

AT

132

IOCL

Kota (Dadwara Area )

Kota

SC

U

5.0

2012-13

39

BPCL

Khairthal-1

Alwar

O

R

2.5

AT

133

IOCL

Kota (VigyanNagarExtensionArea)

Kota

OBC

U

5.0

2012-13

40

BPCL

Bharatpur-1

Bharatpur

O

U

5.0

2012-13

 

 

134

IOCL

Itwa DB

Kota

O

R

2.5

1999-2000

41

BPCL

Bharatpur-2

Bharatpur

OBC

U

5.0

2012-13

 

 

135

IOCL

Kuchaman

Nagaur

O

UR

2.5

2012-13

42

BPCL

Deeg

Bharatpur

O (GP)

R

2.5

2012-13

 

 

136

IOCL

Kuchera

Nagaur

O

UR

2.5

2012-13

43

BPCL

Dausa-1

Dausa

SC

U

5.0

2012-13

 

 

137

IOCL

Ladnu

Nagaur

SC

UR

2.5

2012-13

44

BPCL

Bandikui

Dausa

OBC

UR

2.5

2012-13

 

 

138

IOCL

Nawan

Nagaur

OBC

UR

2.5

2012-13

45

BPCL

Dausa-2

Dausa

O

U

5.0

2012-13

 

 

139

IOCL

Makrana-1

Nagaur

O

UR

2.5

2012-13

46

BPCL

Jaipur (Jagatpura Area)

Jaipur

O

U

5.0

2012-13

 

 

140

IOCL

Makrana-2

Nagaur

O

UR

2.5

2012-13

47

BPCL

Jaipur (Hasanpura Area)-1

Jaipur

OBC

U

5.0

2012-13

 

 

141

IOCL

Merta City-1

Nagaur

OBC

UR

2.5

2012-13

48

BPCL

Chaksu

Jaipur

O

UR

2.5

2012-13

 

 

142

IOCL

Merta City-2

Nagaur

SC

UR

2.5

2012-13

49

BPCL

Amber

Jaipur

O

UR

2.5

2012-13

 

 

143

IOCL

Gangapur City-1

Sawai Madhopur

O

UR

2.5

2012-13

50

BPCL

Jaipur (Walled City Area)

Jaipur

O

U

5.0

2012-13

 

 

144

IOCL

Gangapur City-2

Sawai Madhopur

O

UR

2.5

2012-13

51

BPCL

Jaipur (Banipark Area)-1

Jaipur

OBC

U

5.0

2012-13

 

 

145

IOCL

Sawai Madhopur-1

Sawai Madhopur

ST (CC)

UR

2.5

2012-13

52

BPCL

Jaipur (Shastri Nagar Area)

Jaipur

SC

U

5.0

2012-13

 

 

146

IOCL

Sawai Madhopur-2

Sawai Madhopur

ST

UR

2.5

2012-13

53

BPCL

Jaipur (Harmada Area)

Jaipur

ST

U

5.0

2012-13

 

 

147

IOCL

Dantaramgarh

Sikar

O

UR

2.5

2012-13

54

BPCL

Jaipur (Mansarowar Area)

Jaipur

O

U

5.0

2012-13

 

 

148

IOCL

Lachhmangarh

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Chopper Bazar Area)

Sikar

O

UR

2.5

2012-13

55

BPCL

Jaipur (Shyam Nagar Area)

Jaipur

O

U

5.0

2008-10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

149

IOCL

Neem Ka Thana-1

Sikar

OBC

UR

2.5

2012-13

56*

BPCL

Phulera

Jaipur

O

R

2.5

AT

 

 

 

 

 

 

 

 

 

 

150

IOCL

Neem Ka Thana-2

Sikar

O

UR

2.5

2012-13

57

BPCL

Sikar (Todi Nagar Area)

Sikar

OBC (CC)

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

151

IOCL

Neem Ka Thana-3

Sikar

SC

UR

2.5

2012-13

58

BPCL

Sikar (Subhash Chouk Area)

Sikar

SC (CC)

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

152

IOCL

Tonk

Tonk

SC

UR

2.5

2012-13

59

BPCL

Losal

Sikar

O

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

153

IOCL

Barmer-1

Barmer

O (GP)

UR

2.5

2012-13

60

BPCL

Khandela

Sikar

O

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

154

IOCL

Barmer-2

Barmer

O

UR

2.5

2012-13

61

BPCL

Piprali

Sikar

OBC

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

155

IOCL

Bikaner-2

Bikaner

O (GP)

UR

2.5

2012-13

62

BPCL

Reengus

Sikar

O

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

156

IOCL

Bikaner-3

Bikaner

OBC

U

5.0

2012-13

63

BPCL

Banswara-1

Banswara

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

157

IOCL

Bikaner-4

Bikaner

O

U

5.0

2012-13

64

BPCL

Chittorgarh

Chittorgarh

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

158

IOCL

Bikaner-5

Bikaner

O

U

5.0

2012-13

65

BPCL

Nimbahera (Atal Nagar Area)

Chittorgarh

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

159

IOCL

Bikaner-6

Bikaner

SC

U

5.0

2012-13

66

BPCL

Nimbahera (Paich Talai Area)

Chittorgarh

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

160

IOCL

Bikaner-7

Bikaner

OBC

U

5.0

2012-13

67

BPCL

Rawatbhata

Chittorgarh

OBC

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

161

IOCL

Bikaner-8

Bikaner

O

U

5.0

2012-13

68

BPCL

Ahore

Jalore

SC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

162

IOCL

Bikaner-9

Bikaner

O (CC)

U

5.0

2012-13

69

BPCL

Jalore (Godigi Area)

Jalore

OBC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

163

IOCL

Nimbahera

Chittorgarh

O

UR

2.5

1996-98 (s)

70

BPCL

Jalore (FCI Colony Area)

Jalore

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

164

IOCL

Rajgarh-1

Churu

OBC (GP)

UR

2.5

2012-13

71

BPCL

Jalore (RIICO Phase-III Area)

Jalore

O (GP)

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

165

IOCL

Ratangarh

Churu

SC (GP)

UR

2.5

2012-13

72

BPCL

Phalna

Pali

OBC

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

166

IOCL

Ratannagar

Churu

O

R

2.5

2008-10

73

BPCL

Kankroli

Rajsamand

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

167

IOCL

Rajgarh

Churu

O

U

5.0

AT

74

BPCL

Fatehnagar

Udaipur

ST

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

168

IOCL

Sriganganagar-2

Sriganganagar

O

U

5.0

2012-13

75

BPCL

Udaipur (Hiran Mangari Area)-1

Udaipur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

169

IOCL

Suratgarh

Sriganganagar

O

UR

2.5

2012-13

76

IOCL

Beawar-1

Ajmer

O (GP)

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

170

IOCL

Hanumangarh-1

Hanumangarh

OBC

U

5.0

2012-13

77

IOCL

Beawar-2

Ajmer

OBC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

171

IOCL

Hanumangarh-2

Hanumangarh

OBC

UR

2.5

2012-13

78

IOCL

Ajmer (Adarsh Nagar Area)-2

Ajmer

OBC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

172

IOCL

Mohangarh

Jaisalmer

O

R

2.5

2008-10

79

IOCL

Ajmer (Kesarganj Area)

Ajmer

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

173

IOCL

Bhinmal

Jalore

ST (GP)

UR

2.5

2012-13

80

IOCL

Ajmer (Kotra-Haribhauu-

 

 

 

 

 

 

 

 

 

padhayay Nagar Area)

Ajmer

O

U

5.0

2012-13

 

 

174

IOCL

Sanchore

Jalore

O

UR

2.5

2012-13

81

IOCL

Ajmer (Foysagar Road Area)

Ajmer

OBC

U

5.0

2012-13

 

 

175

IOCL

Phalodi

Jodhpur

OBC

UR

2.5

2012-13

82

IOCL

Ajmer (Vaishali Nagar Area)

Ajmer

O

U

5.0

2012-13

 

 

176

IOCL

Jodhpur (Chopasani Housing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Board Area)-1

Jodhpur

O

U

5.0

2012-13

83

IOCL

Ajmer (Civil Lines Area)

Ajmer

SC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

177

IOCL

Jodhpur (Bhadwasiya Area).

Jodhpur

SC

U

5.0

2012-13

84

IOCL

Alwar-2

Alwar

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

178

IOCL

Jodhpur (Subhash Nagar-opp.

 

 

 

 

 

85

IOCL

Behror-1

Alwar

OBC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Police Lines Area).

Jodhpur

O

U

5.0

2012-13

86

IOCL

Khairthal-2

Alwar

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

87

IOCL

Bhiwadi-1

Alwar

OBC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contd. on next page...

Contd. on next page...

...Contd. from previous page

 

 

 

 

 

1

 

2

3

 

 

4

 

 

5

 

6

7

 

8

1

2

3

4

5

6

7

8

238

 

HPCL

Niwai

 

Tonk

 

ST

 

UR

2.5

 

2012-13

179

IOCL

Jodhpur (Shadabdi Circle-New

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

239

 

HPCL

Banswara (Housing Board Area)

Banswara

 

ST (GP)

 

U

5.0

 

2012-13

 

 

High Court Area).

Jodhpur

OBC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

240

 

HPCL

Banswara (Nai Abadi Area )

Banswara

 

O

 

U

5.0

 

2012-13

180

IOCL

Jodhpur (Boranada Area)-1

Jodhpur

O (GP)

U

5.0

2012-13

 

 

 

 

241*

 

HPCL

Banswara

 

Banswara

 

ST

 

U

5.0

 

AT

181

IOCL

Bilara

Jodhpur

SC

UR

2.5

2012-13

 

 

 

 

 

242

 

HPCL

Balotra

 

Barmer

 

O

 

U

5.0

 

2012-13

182

IOCL

Sojat

Pali

OBC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

243

 

HPCL

Bikaner

 

 

 

 

 

 

 

 

 

 

183

IOCL

Pali-1

Pali

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Jai Narain Vyas Colony Area)

Bikaner

 

SC

 

U

5.0

 

2012-13

184

IOCL

Pali-2

Pali

O

UR

2.5

2012-13

 

 

 

 

 

 

244

 

HPCL

Bikaner (Rampura Basti-

 

 

 

 

 

 

 

 

 

185

IOCL

Sojat Road

Pali

OBC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

Lalgrah Road Area)

 

Bikaner

 

OBC

 

U

5.0

 

2012-13

186

IOCL

Pali-3

Pali

SC (CC)

UR

2.5

2012-13

 

 

 

 

 

 

 

245

 

HPCL

Nokha

 

Bikaner

 

O

 

U

5.0

 

2012-13

187

IOCL

Pali-4

Pali

O

UR

2.5

2012-13

 

 

 

 

 

246

 

HPCL

Sujangarh (Naya Bas

 

 

 

 

 

 

 

 

 

188

IOCL

Chandawal

Pali

O

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

Sujangarh City)

 

Churu

 

O (GP)

 

U

5.0

 

2012-13

189

IOCL

Pratapgarh

Pratapgarh

O

UR

2.5

2012-13

 

 

 

 

 

 

 

247

 

HPCL

Dungarpur

 

Dungarpur

 

ST

 

U

5.0

 

2012-13

190

IOCL

Nathdwara

Rajsamand

ST

UR

2.5

2012-13

 

 

 

 

 

248

 

HPCL

Sriganganagar

 

 

 

 

 

 

 

 

 

 

191*

IOCL

Railmagra

Rajsamand

O

UR

2.5

2004-07

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Purani Abadi Area)

 

Sriganganagar

 

OBC

 

U

5.0

 

2012-13

192

IOCL

Abu Road

Sirohi

SC

UR

2.5

2012-13

 

 

 

 

 

 

 

249

 

HPCL

Sriganganagar

 

 

 

 

 

 

 

 

 

 

193

IOCL

Mandar

Sirohi

OBC

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Housing Board Area)

Sriganganagar

 

SC (GP)

 

U

5.0

 

2012-13

194

IOCL

Udaipur (Pratap Nagar Area)

Udaipur

O

U

5.0

2012-13

 

 

 

 

 

 

250

 

HPCL

Raisinghnagar

 

Sriganganagar

 

O

 

UR

2.5

 

2012-13

195

IOCL

Udaipur (Hiran Magri Sector

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

251

 

HPCL

Jaisalmer-1

 

Jaisalmer

 

OBC

 

U

5.0

 

2012-13

 

 

14 Area)

Udaipur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

252

 

HPCL

Jodhpur (Chopasani Housing

 

 

 

 

 

 

 

 

 

196

IOCL

Udaipur (Hathi Pole Area)

Udaipur

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Board Area)-2

 

Jodhpur

 

SC

 

U

5.0

 

2012-13

197

IOCL

Udaipur (Suraj Pole Area)

Udaipur

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

253

 

HPCL

Jodhpur (Masooriya Area)

Jodhpur

 

O

 

U

5.0

 

2012-13

198

IOCL

Udaipur (University Road Area)

Udaipur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

254

 

HPCL

Jodhpur (Mandore Area)

Jodhpur

 

O

 

U

5.0

 

2012-13

199

IOCL

Udaipur (Madhuban Area)

Udaipur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

255

 

HPCL

Jodhpur (Ratanada Area)-2

Jodhpur

 

OBC

 

U

5.0

 

2012-13

200

HPCL

Kishangarh-(Madan Ganj Area)

Ajmer

OBC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

256

 

HPCL

Jodhpur (BJS Colony Area)-2

Jodhpur

 

O

 

U

5.0

 

2012-13

201

HPCL

Kishangarh-(Chamra HouseArea)

Ajmer

O

U

5.0

2012-13

 

 

 

 

202

HPCL

Ajmer (Adarsh Nagar Area)-3

Ajmer

O

U

5.0

2012-13

257

 

HPCL

Jodhpur (Basni Area)

Jodhpur

 

O

 

U

5.0

 

2012-13

203

HPCL

Naseerabad

Ajmer

O

UR

2.5

2012-13

258

 

HPCL

Jodhpur (Soorsagar Area)

Jodhpur

 

O (CC)

 

U

5.0

 

2012-13

204

HPCL

Beawar (Shahpura Nagar Area)

Ajmer

OBC (GP)

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

259

 

HPCL

Jodhpur (Milkman Colony-

 

 

 

 

 

 

 

 

 

205

HPCL

Alwar-3

Alwar

OBC

U

5.0

2012-13

 

 

 

Kheme Ka Kua Area)

Jodhpur

 

OBC (GP)

 

U

5.0

 

2012-13

206

HPCL

Behror-2

Alwar

O (CC)

UR

2.5

2012-13

260

 

HPCL

Jodhpur (Sardarpura Area)

Jodhpur

 

O

 

U

5.0

 

2012-13

207

HPCL

Baran (Nagarpalika Colony Area)

Baran

ST

U

5.0

2012-13

261

 

HPCL

Jodhpur (Shikargarh Area)

Jodhpur

 

OBC

 

U

5.0

 

2012-13

208

HPCL

Baran (Shreeji Chowk Area)

Baran

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

262

 

HPCL

Jodhpur (Nai Sarak-Nagauri

 

 

 

 

 

 

 

 

 

209

HPCL

Nadbai

Bharatpur

O

UR

2.5

1996-98

 

 

 

Gate Area)

 

Jodhpur

 

OBC

 

U

5.0

 

2012-13

210

HPCL

Dholpur-1

Dholpur

SC

UR

2.5

2012-13

263

 

HPCL

Pipar-1

 

Jodhpur

 

O

 

U

5.0

 

2012-13

211

HPCL

Jaipur (Banipark Area)-2

Jaipur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

264

 

HPCL

Deedwana (Deedwana City Area)

Nagaur

 

O

 

U

5.0

 

2012-13

212

HPCL

Jaipur (Bapu Nagar Area)

Jaipur

OBC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

265

 

HPCL

Nagaur-2

 

Nagaur

 

SC

 

U

5.0

 

2012-13

213

HPCL

Jaipur (Agra Road Area)

Jaipur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

266

 

HPCL

Sumerpur

 

Pali

 

SC

 

U

5.0

 

2012-13

214

HPCL

Jaipur (Vidyadhar Nagar Area)

Jaipur

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

267

 

HPCL

Pali-5

 

Pali

 

O

 

U

5.0

 

2012-13

215

HPCL

Jaipur (Malviya Nagar Area)-3

Jaipur

OBC

U

5.0

2012-13

 

 

 

 

 

268

 

HPCL

Nana

 

Pali

 

O

 

R

2.5

 

2012-13

216

HPCL

Jaipur (Brahmpuri Area)-2

Jaipur

OBC

U

5.0

2012-13

 

 

 

 

 

269

 

HPCL

Udaipur (Bedla Area)

Udaipur

 

O

 

U

5.0

 

2012-13

217

HPCL

Jaipur (Ajmer Road Area)

Jaipur

O

U

5.0

2012-13

 

 

 

 

270

 

HPCL

Udaipur (Chitrakoot Nagar)

Udaipur

 

OBC

 

U

5.0

 

2012-13

218

HPCL

Jaipur (Vaishali Nagar Area)-2

Jaipur

O (GP)

U

5.0

2012-13

 

 

 

 

271

 

HPCL

Udaipur (Goverdhan Vilas Area)

Udaipur

 

OBC

 

U

5.0

 

2012-13

219

HPCL

Jaipur (Nirman Nagar Area)-2

Jaipur

SC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

220

HPCL

Jaipur (Sanganer Area)-1

Jaipur

OBC

U

5.0

2012-13

Sr. No.

Oil Co.

 

Location

 

District

Old Category

 

 

Mkt. Plan

Remarks

 

 

 

221

HPCL

Viratnagar-1

Jaipur

O

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36*

BPCL

 

KHEENVSAR

 

NAGAUR

ST

 

2008-10

 

“There is court proceeding, however

222

HPCL

Chomu

Jaipur

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

the selection against this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

advertisement shall be subject

 

223

HPCL

Manoharpur-1

Jaipur

OBC

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to final decision of the court”

 

224

HPCL

Bagru-1

Jaipur

O

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

38*

BPCL

 

TIJARA

 

ALWAR

SC

 

Against Termination

“There is court proceeding, however the

225

HPCL

Kotputli-1

Jaipur

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

(AT)

selection against this advertisement shall

226

HPCL

Jhalawar (Nalla Mohalla Area)

Jhalawar

O

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

be subject to final decision of the court”

 

 

 

 

 

 

 

 

56*

BPCL

 

PHULERA

 

JAIPUR

O

 

Against Termination

“Mr. Ramesh Chand Trivedi S/O

 

227

HPCL

Jhalawar (Bhoi Mohalla Area)

Jhalawar

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(AT)

Shri Kalyan Sahai R/O Phulera is also

228

HPCL

Chirawa

Jhunjhunu

SC

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

allowed to participate in terms of

 

229

HPCL

Khetri

Jhunjhunu

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

Supreme Court Order dated 04.10.2010”

230

HPCL

Kota (Kunari Area)-2

Kota

O

U

5.0

2012-13

191*

IOCL

 

RAILMAGRA

 

RAJSAMAND

SC

 

2004-07

 

“There is court proceeding against the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cancellation of candidature done in

231

HPCL

Kota (Vigyan Nagar Area)-2

Kota

ST

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

previous advertisement . The selection

232

HPCL

Kota (Dadabari Area)

Kota

SC

U

5.0

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

against this advertisement shall be

233

HPCL

Khandar

Sawai Madhopur

O

UR

2.5

2004-07

 

 

 

 

 

 

 

 

 

 

 

 

subject to final decision of the Hon’ble

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

court in the subject matter”

 

234

HPCL

Sawai Madhopur

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Housing Board Area)

Sawai Madhopur

ST

U

5.0

2012-13

241*

HPCL

 

BANSWARA

 

BANSWARA

ST

 

Against Termination

“There is court proceeding against the

 

 

 

 

 

 

 

 

 

 

 

 

(AT)

termination . The selection against this

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

235

HPCL

Ramgarh Shekhawati

Sikar

OBC

R

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

advertisement shall be subject to final

236

HPCL

Fatehpur Shekhawati

Sikar

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

decision of the Hon’ble court in the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

subject matter”

 

 

 

237

HPCL

Sikar

Sikar

O

UR

2.5

2012-13

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Nomenclature used is as under:-

O

- Open Category

SC/ST

- Scheduled Caste/ Scheduled Tribe Category

OBC

- Other Backward Classes Category

O (GP)

- Government Personnel category consists of Defence Personnel, Central/State Government Employees and Central/State

 

PSU employees, belonging to Open category

O(CC)

- Combined Category consists of Physically Handicapped (PH), Outstanding Sports Persons (OSP) and Freedom Fighter (FF)

 

belonging to Open category

SC/ST (GP)

- Government Personnel category consists of Defence Personnel, Central/State Government Employees and Central/State

 

PSU employees, belonging to SC/ST category

SC/ST (CC)

- Combined Category consists of Physically Handicapped (PH), Outstanding Sports Persons (OSP) and Freedom Fighter (FF)

 

belonging to SC/ST Category

OBC (GP)

- Government Personnel category consists of Defence Personnel, Central/State Government Employees and Central/State

 

PSU employees, belonging to OBC category.

OBC (CC)

- Combined Category consists of Physically Handicapped (PH), Outstanding Sports Persons (OSP) and Freedom Fighter (FF)

 

belonging to OBC Category.

1.Individuals and Non-Individuals can apply for LPG distributorship

In case of Individual applicant, on appointment, the LPG distributorship will be jointly in the names of applicant and his/her spouse (i.e wife/husband will be co-owner). In case, the applicant is unmarried/divorcee/widow/widower, an undertaking will be required to be given that after marriage/re-marriage, spouse will be made co-owner. Co-owner means spouse will be 50% partner irrespective of age, qualification and employment. Individual applicants are not permitted to enter into partnership with anyone other than their spouse.

Non-individual applicant means Government Bodies/Agencies, Organized Bodies, Societies registered under Societies RegistrationAct 1860, Charitable Trusts registered with Charity Commissioner of respective State Government, Companies formed under the CompaniesAct, 1956.

2Selection for LPG Distributor will be done by draw amongst all eligible applicants. All applicants satisfying the eligibility criteria will be eligible for the draw.

3Detailed guidelines on eligibility and selection process are given in the Brochure, which can be collected personally from the address mentioned at para 8 below at a cost of ` 50/-. It can also be downloaded free of cost from the websites - www.iocl.com, www.ebharatgas.com, www.bharatpetroleum.in and www.hindustanpetroleum.com of IOCL, BPCLand HPCL.

4The application format can be collected personally from the address mentioned at Para 8 below along with Brochure. It is also hosted on the Oil Company's website and can be downloaded free of cost.

5All persons fulfilling the eligibility criteria can submit the application as per the format. Application should be made on plain paper preferably typed or neatly handwritten as per the prescribed format.

6While application by a candidate can be made for different locations, the same should be done in separate application forms in respect of each location along with applicable application fee in each case.

7Application should be submitted along with non-refundable fee of ` 1000 (Rupees One thousand only) and in case of SC/ST candidates (SC/ST certificate to be attached) `500/-(Rupees five hundred).

8Application for LPG Distributorship along with enclosures complete in all respect and Non-refundable application fee by a Demand Draft/Pay Order drawn on any Scheduled Bank must be submitted so as to reach the office address mentioned below before the close of office on 31/01/2013.

Advertised locations

Demand Draft/Pay Order

Payable at

Office Address for submitting

 

Sr. No

drawn on any Scheduled Bank

 

application along with enclosures

 

 

 

Drawn in favour of

 

and application fee.

From

 

To

 

 

 

1

 

25

Bharat Petroleum Corporation Limited

Ajmer

Bharat Petroleum Corporation Limited, Ajmer LPG Territory

 

 

 

 

 

Office & LPG Plant, NH-79A, Kishangarh-Nasirabad Bye

 

 

 

 

 

Pass, Village- Lavera, Tehsil- Nasirabad, District Ajmer

 

 

 

 

 

(Rajasthan) Pin-305601

26

 

36

Bharat Petroleum Corporation Limited

Bikaner

Bharat Petroleum Corporation Limited, Territory Office &

 

 

 

 

 

LPG Plant, SPL-308, RIICO I.G.C., Khara,

 

 

 

 

 

District Bikaner-334006 (Rajasthan)

37

 

63

Bharat Petroleum Corporation Limited

Jaipur

Bharat Petroleum Corporation Limited, Territory Office &

 

 

 

 

 

LPG Plant, Plot No. SP-II, Road No. 14, VKI Area,

 

 

 

 

 

Jaipur 302013 (Rajasthan)

64

 

75

Bharat Petroleum Corporation Limited

Udaipur

Bharat Petroleum Corporation Limited, Territory Office &

 

 

 

 

 

LPG Plant, Via- HZL Debari, Village Sakroda, Teh- Girwa,

 

 

 

 

 

District Udaipur - 313024 (Rajasthan)

Advertised locations

Demand Draft/Pay Order

Payable at

Office Address for submitting

 

Sr. No

drawn on any Scheduled Bank

 

application along with enclosures

 

 

 

Drawn in favour of

 

and application fee.

From

 

To

 

 

 

76

 

152

Indian Oil Corporation Ltd. (MD)

Jaipur

Indian Oil Corporation Limited, Jaipur Area Office

 

 

 

 

 

SPL-1297, Sitapura Industrial Area, Goner Road,

 

 

 

 

 

Jaipur-302022 (Rajasthan)

153

 

199

Indian Oil Corporation Ltd. (MD)

Jodhpur

Indian Oil Corporation Ltd. (MD), Jodhpur Area Office,

 

 

 

 

 

Sector-12, Chopasni Housing Board,

 

 

 

 

 

Jodhpur-342008 (Rajsthan)

200

 

238

Hindustan Petroleum Corporation

Jaipur

Hindustan Petroleum Corporation Limited, Jaipur LPG

 

 

 

Limited

 

Regional Office, D-77, Lal Bahadur Nagar (E),

 

 

 

 

 

Malviya Nagar, Jaipur-302022 (Rajasthan)

239

 

271

Hindustan Petroleum Corporation

Jodhpur

Hindustan Petroleum Corporation Limited., Jodhpur

 

 

 

Limited

 

LPG Regional Office, Loco Shed Road, Bhagat Ki

 

 

 

 

 

Kothi, Jodhpur – 342 005 (Rajasthan)

 

 

 

 

 

 

9. GRIEVANCE /COMPLAINT REDRESSAL SYSTEM

Any complaints received against an applicant will be disposed off as under:

a.Complainants will have to deposit ` 1000/- as complaint fees through a demand draft in favour of concerned OMC along with the complaint. Complaints which are not accompanied with the deposit of `1000/- will not be investigated.

b.Anonymous complaints will normally not be investigated.

c.Complaints received against the applicants will be investigated only if the applicant is selected in the draw.

d.Complaints will be entertained only if it is received by the office of the OMC within 30 days from the date of declaration of draw result.

e.In case the complaint is received against the selected candidate but within 30 days from the date of declaration of result, the same will be examined and action taken as appropriate.

10. GENERAL

a.The company reserves the right to cancel/withdraw/ amend this advertisement or extend the due date at its sole discretion without assigning any reason.

b.Applicants can submit only one application for one location. In case more than one application is received from an individual, they will be clubbed together and treated as one application and application fee of all the other applications will be forfeited.

c.Applicant should number all pages of the application including affidavits attached therewith and sign on each page. All affidavits/undertaking have to be submitted in original along with the application.

d.Only those documents that are sought in the Application format should be submitted along with the application. Any other document(s) attached with the application will not be considered.

e.Applications received after the cut-off date including postal delay will not be considered. No correspondence will be entertained by respective Oil Company in such cases.

f.Except for locations advertised under 'Open' category, the eligibility certificate(s) for the other categories has to be submitted along with the application. However, applicants applying under Defence Personal category have the option to submit the original eligibility certificate from DGR on the day of draw of lots also.

g.If any statement made in the application or in the documents enclosed therewith or subsequently submitted in pursuance of the application by the candidate at any stage is found to have been suppressed / misrepresented / incorrect or false affecting eligibility, then the application is liable to be rejected without assigning any reason and in case the applicant has been appointed as a distributor, the distributorship is liable to be terminated. In such cases the candidate / distributor shall have no claim whatsoever against the respective Oil Company

h.The selected candidate will be required to deposit an amount of ` 25000/- or ` 50000/- as applicable with the concerned Oil Company before Field Verification of Credential (FVC) is undertaken. Selection of the candidate is liable for cancellation along with forfeiture of the amount deposited by the selected candidate before FVC if false/incorrect/misrepresented information has been given in the application.

i.Applicant must provide all information sought against various items mentioned in the Application form. If selected, at the time of verification, the applicant will have to provide all documents in original in support of the information furnished in the application. Failure to present these documents in original at the time of verification will result in cancellation of selection along with forfeiture of the amount deposited by the selected candidate before the Field Verification of Credentials (FVC).

j.The envelope containing the application, duly filled in, should be super scribed as under: "This application is for LPG Distributor at

_________________ (location) of____________(Name of Oil Company)".

k.This is purely a business proposition and not an application for job in the respective Oil Company and has normal business risks and also does not guarantee any assured returns or profits.

l. This is only an application and not an offer of LPG Distributorship.

Average KL/month

...Contd. from previous page

 

 

APPLICATION FORMAT FOR INDIVIDUAL APPLICANTS

 

 

 

Appendix-I

For office use

 

 

 

_

 

 

_

 

 

 

 

 

D D

M

M

Y

 

Passport Size

Not to be filled by applicant

Office Code

Serial No.

Date of receipt of application

 

 

Photograph

 

 

with specimen

 

 

 

 

 

 

 

 

 

 

APPLICANT FOR LPG DISTRIBUTORSHIP OF

 

 

 

 

 

 

 

signature

 

 

 

Please write name of Oil Company of the location (BPC or IOC or HPC)

 

 

partially across

 

 

 

 

 

the photograph

 

 

 

 

 

 

 

 

 

 

Particular of application fee

`

Date

D

D

-

M

M

-

Y

Y

Demand Draft Number

 

Draw on

(name of the bank)

 

Payable At

 

 

 

 

 

 

 

In favour of

(Full name of the oil company)

 

 

 

 

 

 

 

 

 

(Enclose Application processing fee of Rs. 1000/- (one thousand only) for all applicants except SC/ST candidate. Application processing fee for SC/ST candidates is ` 500/- (Five hundred) on enclosing SC/ST certificate.)

1 Name of the Location

2 Rev. Distt

3 State

4 Category

Please attach copy of eligibility Certificate(s) as proof for the respective categories {SC/ST, SC/ST(GP), SC/ST(CC), OBC, OBC(GP), OBC(CC), OPEN(GP), OPEN(CC)} from the competent authorities, as mentioned in the eligibility criteria. Not Applicable for locations under 'Open' category.

5

Advertised on

D

D

-

M

M

-

Y

Y

Y

Y

In

 

(Please write Name of Newspaper)

6

Status of applicant:

 

Individual

 

YES

/

NO

 

If 'NO' please use the format for non-individual applicant

7

Applicant should enclose Affidavit as per the format given in Appendix-1

 

 

 

 

 

 

 

7.1

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

Middle Name

 

Surname

 

 

7.2

Father's /

S

H

R

I

 

 

 

 

 

 

 

 

 

 

 

 

Husband's Name

Title

 

 

 

 

First Name

 

 

Middle Name

 

Surname

 

 

 

 

 

 

 

 

 

 

 

7.3

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pin code:

 

 

 

Telephone No.

 

 

 

 

 

 

 

 

 

 

 

E-mail:

 

 

 

 

 

STD code

 

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.4

Indian Citizen

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

If 'NO' applicant is not eligible

 

 

 

 

Resident of

 

 

 

 

 

 

 

7.5

Gender

 

 

 

 

Revenue District

 

 

 

 

 

 

 

 

 

Male / Female

 

State

 

 

 

 

 

 

 

 

7.6

Date of Birth

D

D

-

M

M

-

Y

Y Y

Y

 

Age

Years

Months

Days

 

Attach copy of proof of date of birth

 

 

 

 

 

 

 

Age as on the date of application

 

 

 

 

7.7

Marital Status

 

Single

 

Married

 

Widow

Widower

Divorcee

Strike off what is not applicable

7.8

Name of Spouse,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

if married

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

Educational Qualification

 

 

 

 

 

Qualification

 

 

University / Institution

 

 

 

Degree

 

 

Year of Passing

i)

Graduation in any field

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ii)

Chartered Accountant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

iii)

Cost Accountant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

iv)

Company Secretary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

v)

Diploma in Engineering

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For SKO Dealers of OMCs:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qualification

 

 

 

 

 

 

Board / University

 

 

Year of Passing

 

Matriculation, i.e. Xth Standard examination or equivalent from recognized Board

Please read Item No. 9 & 10 of General Instruction before providing information on 9 & 10 below.

9Provide the following details of land for construction of LPG godown or constructed LPG godown (within 15 km from municipal/town/village limits of the advertised location in the same State) owned or leased for minmum 15 years in the name of applicant / member of 'Family Unit'. In case land belongs to member of 'Family Unit', attach notorised affidavit as per Appendix - 2. In case land is jointly owned by the applicant/members of the family unit with any other person(s) or jointly leased in the names of the applicant/member(s) of the family unit & any other person(s) and the share of such land in the name of the applicant/member(s) of the Family Unit meets the requirement of land for godown then an NOC from the joint owner(s)/ joint lessee in the form of a Notarised affidavit is to be provided as per Appendix-4.

Name(s) of the

Relationship

Date of registration of sale

Address of the location of the

Khasra No./

Dimension of land*

Distance from

owner of Land/

with applicant

deed/gift deed/lease deed/

land for LPG Godown

Survey No.

Length in

Breadth

location

Lease Holder(s)

 

date of mutation

 

 

metre

in metre

in KM

* Give the dimensions of the plot that will be used for proposed godown out of the total land owned.

Note : Date of documents of land for Godown/Godown should be on or before the last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

10Provide the following details of land for Showroom or showroom at the advertised location (owned or leased for minimum 15 years). In case land belongs to member of 'Family Unit', attach notorised affidavit as per Appendix - 2. In case land is jointly owned by the applicant/members of the family unit with any other person(s) or Jointly Leased in the names of the applicant/member(s) of the family unit & any other person(s) and the share of such land in the name of the applicant/member(s) of the Family Unit meets the requirement of land for showroom then an NOC from the joint owner(s)/joint lessee in the form of a Notarised affidavit is to be provided as per Appendix-4.

Name(s) of the owner

Relationship

Date of registration of sale

Address of the location of

Khasra No./

Dimensions#

of Land/ Showroom or

with applicant

deed/gift deed/lease deed/

the land for showroom /

Survey No.

Length in

Breadth

leaseholder(s)

 

date of mutation

showroom

 

 

 

metre

in metre

 

 

 

 

 

# Give the dimensions of the plot that will be used for proposed showroom out of the total land owned.

Note : Date of documents of land for Showroom/Showroom should be on or before the last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

Please read Item No. 11 & 12 of General Instruction before providing information on 11 & 12 below.

11AMOUNT IN SAVINGS BANK ACCOUNT in Scheduled Bank/Post Office in the name of applicant and member(s) of 'Family Unit'**. Notarised affidavit as per format given in Appendix - 2 from member(s) of 'Family Unit'** has to be submitted.

S.N.

Name of Bank

S.B. A/c. No.

Name of account

Relation with

 

 

 

 

 

Amount

 

 

 

holder (s)

applicant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

2.

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

3.

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

4.

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

 

 

 

 

Total

`

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total amount in words __________________________________________________________________________________________

Note: The amount declared above in each case must be available as closing balance on the last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

12FIXED DEPOSIT/NSC/SHARES/MF ETC in the name of applicant and members of 'family unit'. Attach affidavit as per format given in Appendix - 2 from member(s) of 'family unit'.

S.N.

Type of Investment

Reference Number

Name(s) of

Relation with

Initial investment

 

 

 

Value (Amount) as on the

 

FD/NSC/Sh areas/MF etc

with date

the holder

applicant

Amount

 

 

 

date of application

1.

 

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

2.

 

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

3.

 

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

4.

 

 

 

 

 

`

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

Total

`

 

 

 

 

 

 

 

.

 

 

Total amount in words __________________________________________________________________________________________

Note :

(1)The above declared investments should be available on the last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

(2)The value (Amount) shown above should be as on Date of Application.

13

Have you ever been convicted or charges have been framed by Court of Law for any criminal offence involving moral turpitude and / or economic YES

/

NO

 

offence (other than freedom struggle)? (If yes you are not eligible to apply.)

 

 

 

 

Please strike off

 

 

 

 

 

 

 

what is not applicable

14

Additional Information to be furnished by existing SKO (Kerosene) Dealers of OMCs

 

 

 

 

 

i

Name of SKD Dealership

 

 

 

 

 

 

 

 

ii

Location of SKO Dealership

 

 

 

 

 

 

 

 

iii

District

 

 

 

 

 

 

 

 

iv

State

 

 

 

 

 

 

 

 

v

Category of Dealership

 

 

 

 

 

 

 

 

vi

Name of Oil Company of the SKO

IOC

BPC

HPC

 

Strike out whichever is not applicable

 

 

vii

Constitution of Dealership

Proprietorship

Partnership

Society

Company

Strike out whichever

 

 

(SKO dealership with Sole Proprietor only is eligible to apply)

 

 

 

 

is not applicable

 

 

 

 

 

 

 

 

 

 

viii Average monthly SKO allocation during the preceding 12 months prior to month of advertisement for this LPG Distributorship.

(SKO dealership with SKO monthly allocation of 75 KL or more are not eligible to apply)

Please attach copy of month-wise allocation for preceding 12 months from the month of advertisement for this LPG Distributorship, issued by the allocating authority of the State Government / Divisional / Territory / Regional Office of the concerned Oil Marketing Company.

15.DECLARATION BY THEAPPLICANT:

I am aware that eligibility for LPG distributorship will be decided based on the information given in the application above. On verification

by the Oil Company if it is found that the information given by me is incorrect/ false/ misrepresented then my candidature will stand cancelled and I will be declared ineligible for LPG Distributorship.

I also confirm that, if selected, I will present all the supporting documents in original in respect of the information given by me in this application and failure to present these documents in original will result in cancellation of selection.

I am fully aware that if I am unable to provide duly approved LPG Godown by the Office of Chief Controller of Explosives ( PESO) and / or Showroom as per the Oil Company’s standard layout , then the allotment of distributorship made to me will be cancelled.

I am fully aware that I will not be appointed as LPG distributor if I am employed. I shall have to resign from the service and produce proof of acceptance of my resignation from my employer before issuance of Letter of Appointment. Failure to do so shall lead to cancellation of my selection.

I am also aware that I cannot draw any salary / perks /emoluments (other than the pension received) from the State/Central Government and I have to forgo these benefits at the time of appointment as LPG Distributor. Failure to comply to this condition will lead to cancellation of my selection.

I am fully aware that I have to personally manage the operation of LPG Distributorship.

I am aware that if married, my spouse will be co-owner i.e. 50% partner of LPG distributorship with me and I am not permitted to enter into partnership with anyone other than my spouse.

I am aware that if selected I have to deposit 10% of the applicable security deposit before the FVC is carried out. In case if it is found that the information given by me is incorrect/ false/ misrepresented then my candidature will liable to be cancelled along with forfeiture of the amount deposited before FVC.

That, if selected, I undertake that I will be depositing an interest free Security deposit as per the policy of the Corporation.

I have read the terms and conditions applicable for the LPG Distributorship mentioned in the advertisement/ Brochure and confirm that I fulfill the eligibility criteria for the LPG Distributorship I have applied for in this application.

Undertaking

I, ___________________________daughter of /son of/ wife of Shri__________________________________ hereby confirm that the information given above is true and correct. Any wrong information /misrepresentation/ suppression of facts will make me ineligible for this LPG distributorship.

Place: ______________________________

Signature of applicant _____________________________________

Date :

D

D

-

M

M

-

Y

Y

Y

Y

 

Name of applicant ________________________________________

List of Enclosures

(Name in block letters)

 

1.Copies of Eligibility Certificate(s) for the category applied.

2.Demand Draft No_______________________ dated ________________

3.Notarised Affidavit in original as per the format in Appendix 1

4.Notarised Affidavit in original as per the format in Appendix 2

5.Notarised Affidavit in original for Joint ownership of land as per the format in Appendix 4

6.For OBC candidates, Notarised Affidavit in original as per the format in Appendix 3c

 

Total number of pages of the application including attachments

__________________

 

 

 

 

 

(NOTORISED AFFIDAVIT)

Appendix - 1

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________________________ son/daughter/wife of ________________________________ Age

_________ years residing at ________________________________ do hereby solemnly affirm and say as under :

1.

That I am an Indian Citizen and residing in India.

 

 

 

 

2.

That my date of birth is

D

D

-

M

M

-

Y

Y

Y

Y

(in words_______________________________)

 

 

 

 

3.

That I passed Graduation examination from recognised University / Institution in the year*

Y

Y

Y

Y

 

 

 

 

 

 

and / or

 

 

 

 

 

That I have passed & completed the course of CharteredAccountant in the year*

Y

Y

Y

Y

 

 

 

 

 

 

and / or

 

 

 

 

 

That I have passed & completed the course of Company Seceratary in the year*

Y

Y

Y

Y

 

 

 

 

 

 

and / or

 

 

 

 

 

That I have passed & completed CostAccountant examination in the year *

Y

Y

Y

Y

 

 

 

 

 

 

and / or

 

 

 

 

 

That I have passed & completed Engineeering Diploma examination in the year *

Y

Y

Y

Y

4. That I am unmarried. That neither I, nor my Father, Mother, unmarried brother(s), unmarried sister(s) have dealership/distributorship or hold Letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship or RGGLV of any Oil Company.

OR

That I am married and name of my spouse is __________________. That neither I nor my spouse, unmarried son(s)/unmarried daughter(s) have dealership/ distributorship or hold letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship or RGGLV of any Oil Company:

OR

That I am widow/widower . That neither I nor my unmarried son(s)/unmarried daughter(s) have dealership/ distributorship or hold letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship or RGGLV of any Oil Company:

OR

That I am divorcee. That neither I, nor unmarried son(s)/unmarried daughter(s) (whose custody is given to me) have dealership/ distributorship or hold letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship or RGGLV of any Oil Company:

5.That I hereby confirm that none of my family members (as defined in clause 6.1 (iv) of the Brochure) are employees of Oil Marketing Companies.

6.That I am of sound physical and mental health.

7.That I have never been convicted nor charges have ever been framed against me by any Court of Law for any criminal offences involving moral turpitude and/or economic offences (other than freedom struggle).

8.That I hereby confirm that I was never a signatory to dealership/distributorship agreement of any Oil Company, which was terminated for proven malpractices and / or for violations of provisions of the Marketing Discipline Guidelines.

9.For Applicants applying under the category of SKO dealers :

(a)That I am the sole proprietor of SKO dealership of _________ (OMC name) in the Name & Style of ____________________ at

_______________ (location) operating below an average allocation of 75 KL of SKO per month during the immediate preceding 12 months prior to the month of advertisement for the LPG Distributorship.

(b)That I have not been penalized for violation of Marketing Discipline Guidelines within last 5 years preceding the date of advertisement and/or there are no proceedings pending against my Dealership under Marketing Discipline Guidelines, DealershipAgreement, Kerosene Control Order or ESMA.

(c)I am aware that if I am selected for the LPG distributorship, I will have to surrender my SKO Dealership before being appointed as LPG Distributor by IOC/BPC/HPC .

10.That if any information/declaration given by me in my application or in any document submitted by me in support of application for the award of the LPG Distributorship or in this affidavit shall be found to be untrue or incorrect or false, the Indian Oil Corporation*/ Bharat Petroleum Corporation* /Hindustan Petroleum Corporation* would be within its rights to withdraw the letter of intent / terminate the distributorship (if already appointed) and that I would have no claim, whatsoever, against the Corporation for such withdrawal / termination.

* Strike off whatever is no t applicable.

I hereby verify that what has been stated above is true and correct to the best of my knowledge and nothing material has been concealed therefrom.

Solemnly affirmed and declared before me This ___________day of ________________

Signature and Seal of

Signature of person making affidavit

Magistrate/Judge/Notary public

(Name in block letters)

 

 

(NOTORISED AFFIDAVIT)

Appendix - 2

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

(To be given by the family member as defined in eligibility criteria other than applicant)

I __________________________________________ Son/wife of______________________________________ Age_________years resident of _____________________do hereby solemnly affirm and say as under:-

1. That I am unmarried and my father*/mother*/unmarried brother* / unmarried sister* (Mr/Ms)_____________________________(name) has applied for LPG distributorship of IOC*/BPC*/HPC* at _______________(location) under '__________' category against the advertisement made in __________________news paper dated__________________.

OR

That I am married and my unmarried son*/ unmarried daughter*/wife*/husband* (Mr/Ms)_______________________________(name) has applied for LPG distributorship of IOC*/BPC*/HPC* at _______________(location) under '__________' category against the advertisement made in __________________news paper dated__________________.

*Strike off whichever is not applicable.

2.That in case he/she is selected for LPG distributorship I will provide financial assistance to the extent of amount which is mentioned at Item no.11 & 12 under my name in the application submitted by (Mr/Ms)___________________________.for LPG distributorship of IOC*/BPC*/HPC* at ____________________________.

3.That in case he/she is selected for LPG distributorship I have no objection for construction of godown / showroom on the land specified in item no 9 & 10 in my name.

I hereby verify that what has been stated above is true and correct to the best of my knowledge, and nothing has been concealed there from Solemnly affirmed and declared before me

This ___________day of ________________

 

Signature of person making affidavit

 

Signature and Seal of

Name of Deponent

 

Magistrate/Judge/Notary public

Relationship with applicant

 

STANDARD FORMAT FOR SC/ST CATEGORY CERTIFICATE

Appendix - 3A

Note: A candidate who claims to belong to one of the Scheduled Castes / Scheduled Tribes should submit in support of his / her claim, a certificate in original, with a copy thereof in the form given below, issued at any time by a competent authority # notified by the Government of India, of the district in which his parents (or surviving parents) ordinarily reside who has been designated by the State Government concerned as competent to issue such a certificate. If both his parents are dead, the officer signing the certificate should be of the District in which the candidate himself ordinarily resides otherwise than for the purpose of his own education. In case of any doubt about the genuineness of the certificate, the same may be got verified through the concerned District Magistrate / Deputy Commissioner.

The form of the certificate to be produced by Scheduled Castes / Scheduled Tribes candidates.

This is to certify that Shri / Smt. / Kum* ______________ son / daughter* of ________________ of village / town * ______________ in District / Division* _______ of the State / Union / Territory* of ___________ belongs to the ________Caste / Tribes and his / her religion is

___________ which is recognised as a Scheduled Castes / Scheduled Tribes under the Scheduled Castes / Scheduled Tribes lists (modification) order 1956* read with the Bombay Re-organisationAct, 1960 and the Punjab ReorganisationAct 1956*.

The Constitution (Jammu & Kashmir) Scheduled Castes Order, 1956*

The Constitution (Andaman & Nicobar Islands) Scheduled Tribes Order, 1956*

Contd. on next page...

...Contd. from previous page

The Constitution (Dadra & Nagar Haveli) Scheduled Castes Order, 1962*

The Constitution (Pondicherry) Scheduled Castes Order, 1964*

The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967*

The Constitution (Nagaland) Scheduled Tribes Order, 1970*

Place : ____________

Signature : ______________

Date : ____________

Designation : _____________________ (with seal of office)

State / Union Territory*_______________________

* Please delete the words which are not applicable.

Note : The terms “Ordinarily reside(s)” used here will have the same meaning as in Section-20 of the Representation of the PeopleAct, 1950.

# Officers competent to issue Caste / Tribe certificates.

i.District Magistrate /Additional District Magistrate / Collector / Deputy Commissioner /Additional Deputy Commissioner / Deputy Collector, 1st Class Stipendiary Magistrate / City Magistrate *** Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner.

*** (Not below the rank of 1st Class Stipendiary Magistrate)

ii.Chief Presidency Magistrate /Additional Chief Presidency Magistrate, Presidency Magistrate.

iii.Revenue Officers not below the rank of Tehsildar.

iv.Sub-divisional officer of the area where the candidate and / or his family normally resides.

v.Administrative / Secretary toAdministrator / Development Officer (Lakshadweep).

STANDARD FORMAT FOR OBC CATEGORY CERTIFICATE

Appendix - 3B

Note: A candidate who claims to belong to one of the Other Backward Classes should submit in support of his / her claim, a certificate in original, with a copy thereof in the form given below, issued by a competent authority notified by the Government of India.

The form of the certificate to be produced by “ Other Backward Classes” candidates.

This is to certify that Shri / Smt. / Kum.* __________________________________ son/daughter* of ______________________________ of Village/Town*__________________________ District/Division*________________________of the State/Union Territory* of

__________________________________ belongs to the_________________________________Community which is recognized as a backward class under:

Sl. No.

Resolution No.

Dt. of Gazette Notification

Concerned State / UT

 

 

 

 

Shri / Smt. / Kum*. __________________________________________________ and / or his/her family ordinarily reside(s) in village/town*

__________________________________of _________________________________ District / Division* of the State/Union Territory* of

_________________________________.

This is also to certify that he/she does not belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93-Estt.(SCT) dated 08/09/93 which is modified vide Government of India, Department of Personnel & Training OM No. 36033/3/2004-Estt(Res) dated 14.10.2008.

Place : ____________

Signature : ______________________

Date : ____________

Designation : _____________________ (with seal of office)

State / Union Territory*_______________________

* Please delete the words which are not applicable.

Note :

(a)The term ‘Ordinarily’used here will have the same meaning as in Section 20 of the Representation of the PeopleAct, 1950.

(b)The authorities competent to issue Caste Certificates for Other Backward Classes are given below:

(i)District Magistrate / Additional Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner/Deputy Collector / Ist Class Stipendiary Magistrate /Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner (not below the rank of Ist Class Stipendiary Magistrate).

(ii)Chief Presidency Magistrate /Additional Chief Presidency Magistrate / Presidency Magistrate.

(iii)Revenue Officer not below the rank of Tehsildar and

(iv)Sub-Divisional Officer of the area where the candidate and / or his/her family resides.

(c)The last date for submission of application mentioned in the notice of advertisement or corrigendum (if any) will be treated as the date of reckoning for OBC status of the candidate and also for determining that the candidate does not fall in the creamy layer. The candidate should furnish the relevant OBC Certificate in the format prescribed above issued by the competent authority.

DECLARATION/UNDERTAKING AS A NOTARIZED AFFIDAVIT - FOR OBC CANDIDATES Appendix - 3C (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I, ____________________________________________ son/daughter of Shri __________________________________ resident of village/town/city ____________________________________ in the District __________________________ of State / Union Territory of

________________________ hereby declare that I belong to the __________________________________________ community which is recognized as a backward class by the Government of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training Office Memorandum No.36012/22/93- Estt.(SCT), dated 8/9/1993. It is also declared that I do not belong to persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above referred Office Memorandum, dated 8/9/1993, which is modified vide Department of Personnel and Training Office Memorandum No. OM No. 36033/3/2004-Estt(Res) dated 14.10.2008.

(Signature of the Candidate)

 

Place : ____________

Date : ____________________

Declaration/undertaking not signed by Candidate will be rejected.

False declaration will render the applicant liable for rejection of application/candidature at any time.

STANDARD FORMAT FOR PH CATEGORY CERTIFICATE Appendix - 3D

NAME &ADDRESS OF THE INSTITUTE/HOSPITALISSUING THE CERTIFICATE Certificate No.:

Date:

CERTIFICATE FOR THE PERSONS WITH DISABILITIES

This is to certify that Shri/Smt./Kum.----------------------wife/daughter/son of Shri ___________________________________________ Age

______________old male/female, Registration No. _____________________ is a case of physically disabled/visual disabled/speech & hearing disabled and has ____________ % (____________________) permanent (physical impairment/visual impairment/speech & hearing impairment) in relation to his/her ___________________________________________________.

Note: -

1.This condition is progressive/non-progressive/likely to improve/not likely to improve. *

2.Re-assessment is not recommended/is recommended after a period of ____________________

months/years.

*Strike out which is not applicable.

Sd/-

Sd/-

Sd/-

(DOCTOR)

(DOCTOR)

(DOCTOR)

Seal

Seal

Seal

Signature/Thumb impression of the patient

 

 

Countersigned by the

Medical Superintendent/CMO/Head of

Hospital (with seal)

RecentAttested Photograph Showing the disability affixed here.

Appendix - 3E

STANDARD FORMAT FOR PARAMILITARY/POLICE/GOVERNMENT/PSU PERSONNEL CATEGORY

Certificate is to be given by Head of the Office or an Officer not below the rank of Under Secretary to the Government on Official Letter-Head of the Organization / Government Office issuing the Certificate.

Reference No.: Date:

Eligibility Certificate for Paramilitary/Police/Government/PSU Personnel Category

I# This is to certify that Mr/Ms ________ who was working in this office as ________ had passed away on (date) _______ at (Place)___________. Mr/Ms ________ has been awarded ( name of gallantry award)________in recognition of the supreme scarifice

made while__________________, Mr/Ms ( name of applicant) _________________ ( relationship ___________ ) was dependent on Mr/Ms ____________ as per our records.

OR

II# This is to certify that Mr /Mrs ________________________________who was working in this office as __________ had passed away on (date) ________________ while in action at (Place)______________ Mr/Ms ( name of applicant) _________________ ( relationship

___________ ) was dependent on Mr/Ms ____________ as per our records.

OR

III # This is to certify that Mr/Ms ( name of applicant)__________________________ was working in our organization ________ and has been disabled on ( date) -----------while performing duties at (place)________.

OR

IV # This is to certify that Mr /Mrs ________________________________who was working in this office as _____________ had passed away on (date) ________________ while on duty at (Place)______________ Mr/Ms ( name of applicant) _________________

(relationship ___________ ) was dependent on Mr/Ms ____________ as per our records. OR

V # This is to certify that Mr/Ms _________ was working in our organization ________ and has been disabled in peace on (date)

__________ due to attributable causes.

# Delete if not applicable.

Attested Signatures of applicant

Place : _______________

Signature :

Date: ________________

Name:

 

Designation:

 

Office Seal:

 

Appendix - 4

Notarized Affidavit for offer of land from applicant/member of the family unit and third party – All the joint owners/Joint Lessee of the land (except the applicant) have to submit this affidavit individually including the member of the family unit.

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I _____________________________________ Son/Daughter/wife of________________________________ age______years resident of

_____________________do hereby solemnly affirm and say as under:-

1. That I, Shri/Smt _____________________, own a piece of land jointly or Jointly Leased, bearing Gatta/ Khasra/Survey No.

_____________ at ___________________ (village/town), Taluka/Tehsil __________, Dist _____________________ and measuring area of _____ sq. mts. (Dimensions ______metres X ______metres) in the State of _____________ as per the following details :

*Land for Godown :

 

 

Relationship of

Date of

 

Dimension of Land

 

 

registration of

 

 

 

the member of

 

 

 

Sale Deed /

Khasra no./

offered as per

Names of the Joint

 

Family Unit

 

Gift Deed /

GattaNo./

Demarcated Plan

owner(s) / Joint Lessee

 

with Applicant

 

Lease Deed /

Survey No.

(____metres X

 

 

(Not Applicable

 

 

Date of

 

______metres)

 

 

for Third Party)

 

 

 

Mutation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Land for Showroom:

 

 

 

 

 

 

Relationship of

Date of

 

Dimension of Land

 

 

registration of

 

 

 

the member of

 

 

 

Sale Deed /

Khasra no./

offered as per

Names of the Joint

 

Family Unit

 

Gift Deed /

GattaNo./

Demarcated Plan

owner(s) / Joint Lessee

 

with Applicant

 

Lease Deed /

Survey No.

(____metres X

 

 

(Not Applicable

 

 

Date of

 

______metres)

 

 

for Third Party)

 

 

 

Mutation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Strike out whichever is not applicable

 

 

 

 

2.That Shri/Smt ______________________ has applied for LPG Distributorship of IOC*/BPC*/HPC* at _______________(location) under '__________' category against the advertisement appeared in __________________news paper dated__________________ .

3.That in case he/she is selected for LPG Distributorship, I confirm that I do not have any objection for the construction of the LPG godown and/or showroom (as required by OMC) at the above mentioned location, as per the demarcation on the site plan enclosed.

I hereby verify that what has been stated above is true and correct to the best of my knowledge, and nothing has been concealed there from. I also confirm that I have not offered this piece of land to any other person for the above purpose.

Solemnly affirmed and declared before me.

This_________________________ day of ______________(month)________________(year)

Signature and Seal of

Signature

Magistrate/Judge/Notary Public

Name of Deponent

 

General Instructions to the candidates applying for LPG Distributorship.

 

 

Item

Instructions

Supporting Documents to be provided by

 

 

No

 

applicant at the time of verification.

 

 

1

Write the name of the location for which application is made as per

 

 

 

 

 

advertisement.

 

 

 

 

2

Write the name of the district of the location for which application is made as

 

 

 

 

 

per advertisement.

 

 

 

 

3

Write the name of the State of the location for which application is made as

 

 

 

 

 

per advertisement.

 

 

 

 

4

Write the name of the category of the location as per the advertisement

Eligibility certificates issued by the competent

 

 

 

authorities as applicable. For example, if the category of

 

 

 

location is SC (CC), the applicant has to provide

 

 

 

eligibility certificate for both SC & CC categories.

 

 

 

Similarly, in case of OBC, the applicant has to provide

 

 

 

eligibility certificate of OBC along with

 

 

 

Declaration/Undertaking

(Notarized affidavit)

for

 

 

 

belonging to both the OBC & noncreamy layer status.

 

 

5

Write the date and name of the news paper in which advertisement has appeared for the location mentioned in item 1.

 

 

6

Tick the status ofApplicant: whether applicant is individual Yes or No. If No, use the application format of Non-IndividualApplicant

 

 

 

 

 

 

7

Personal Details are to be filled and Notorised Affidavit as per format given

Proof of Date of Birth like School Leaving Certificate /

 

 

in Appendix -1 to be submitted

Birth Certificate/Passport / PAN Card.

 

 

 

 

 

 

 

8

Education : - Information in chronological order

Original certificate for each qualification

 

 

9

Details of the plot of Land for godown or ready made godown which meets

Documents pertaining to land / Godown in the name of

 

 

the following requirement:-

applicant or member of 'family unit' Registered Sale

 

 

The plot of land should be of adequate size (within 15 km from

Deed/ Gift Deed / Lease Deed (15yrs minimum) /

 

 

municipal/town/village limits of the location offered in the same State) for

Mutation and government record etc.

 

 

 

construction of godown for storage of minimum 8000 Kg of LPG in cylinders

The Date of the documents have to be on or before the

 

 

or ready LPG cylinder storage godown. As per Gas Cylinder Rules 2004,

last date for submission of application as mentioned in

 

 

the floor area of the storage shed for storing 8000 kg LPG in cylinders

the advertisement or corrigendum, if any.

 

 

 

should be 80 sq metres. The length of the storage shed should not be more

In case land is in the name of member of 'family unit',

 

 

than 1.5 times of width of storage shed. There should be clear minimum

consent from the family member in form of Notorized

 

 

safety distance of 7 meters between storage shed and the boundary wall/

Affidavit (Appendix 2) is required to be attached with the

 

 

fencing.

application.

 

 

 

 

A plot of land with minimum dimension of 26.15 metre by 27 metre is

In case land is jointly owned by the applicant/ member

 

 

adequate. It should be freely accessible through all weather motorable

of the Family Unit with any other person(s) or jointly

 

 

approach road (public road or private road connecting to the public road). It

leased in the name of the applicant/member of the

 

 

should also be plain, in one contiguous plot, free from live overhead power

Family Unit & any other person(s) and the share of such

 

 

transmission or telephone lines. Canals / Drainage / Nallahs should not be

land in the name of the applicant/member of the Family

 

 

passing through the plot. The land for construction of LPG godown should

Unit meets the requirement of land for godown then an

 

 

also meet the norms of various statutory bodies such as PWD/Highway

NOC in the form of an affidavit from the joint

 

 

authorities/ Town and Country Planning Department etc.

owner(s)/joint lessee is to be provided as per

 

 

 

Appendix-4.

 

 

 

 

 

'Family Unit' is defined below in Important Note.

 

 

10

Details of the Land for Showroom / Showroom which meets the following

Documents pertaining to land / showroom in the name

 

 

requirements:-

of applicant or member of 'family unit'. Same as

 

 

Own a suitable shop of minimum size 3 meters by 4.5 meter in dimension or

mentioned in the item 9 above.

 

 

 

a plot of land for construction of shop of minimum size 3 meters by 4.5

 

 

 

 

 

meter at the advertised location or locality as specified in the

 

 

 

 

 

advertisement. It should be easily accessible to general public through a

 

 

 

 

 

suitable approach road.

 

 

 

 

11

Amount in the Saving Account in Scheduled bank / Post Office in the name

Savings Bank Accounts Statement/ Pass Book from

 

 

of self & the member(s) of the "Family Unit" should be available as closing

which the amount mentioned in the application to be

 

 

balance as on the last date for submisson of application as mentioned in the

available as closing balance on the last date for

 

 

advertisement or corrigendum (if any) and only such closing balance will be

submission of application as mentioned in the

 

 

considered.

advertisement or corrigendum (if

 

 

 

Amount maintained in the joint account with member(s) outside the "Family

any) can be verified.

 

 

 

 

Unit" should not be mentioned and will not be considered.

 

 

 

 

12

Investment in Bonds/NSC in the name of self and member of the "Family

All supporting documents based on which the amount

 

 

unit" - value (amount) as on date of application.

has been declared as on the date of application in Point

 

 

Fixed Deposit/Term Deposit/PPF in Scheduled Bank/Post Office/listed

No. 12 needs to be made available.

 

 

 

Companies/Government organisation/PSU in the name of self and

Declared Value (amount) as on the date of application

 

 

member of the Family Unit - value (amount) as on date of application.

for the investment instruments as certified by the

 

 

The investments as declared in the application must be available as on last

Bank/Post Office or the concerned financial

 

 

date of submission of application as specified in the advertisement or

institution/issuing organisation.

 

 

 

corrigendum (if any), for verification.

In case fixed deposit(s)/PPF/Term Deposit/

 

 

Attach NotarizedAffidavit as per format given in Appendix - 2, if applicable.

Bonds/NSCs etc have matured between the date of

 

 

Amount maintained in the joint account with member(s) outside the "Family

application and the last date for submission of

 

 

application as mentioned

in the advertisement

or

 

 

Unit" should not be mentioned and will not be considered.

corrigendum (if any), then the applicant should present

 

 

 

any other instrument as mentioned in Item 11 & 12 of the

 

 

 

application as a proof of having re-invested the

 

 

 

declared amount. Date of such investment should be on

 

 

 

or before the last date for submission of application as

 

 

 

given in the advertisement or corrigendum (if any).

 

 

 

Investments in listed Mutual Funds/listed company shares/ULIP based on

Value on the date of application as certified by the

 

 

the NAV on the date of application.

Government Approved Valuer or the concerned

 

 

 

financial institution/ certified by CharteredAccountant.

 

 

Amount of money which applicant can get on surrender of Insurance policy.

Certificate from the Insurance Company

 

 

13

Conviction or charges have been framed by Court of Law for any criminal

Notorised Affidavit as per format given in

 

 

offence involving moral turpitude and / or economic offence (other than

Appendix - 1 to be submitted

 

 

 

freedom struggle).

 

 

 

 

14

Additional Information to be furnished by SKO (Kerosene) dealers for item

Notarised Affidavit as per format given in

 

 

No.i to viii.

Appendix - 1 to be submitted.

 

 

 

 

Month-wise Allocation letter(s) for preceding 12 months

 

 

 

from the month of advertisement for this LPG

 

 

 

Distributorship, issued by the allocating authority of the

 

 

 

State Government or Divisional/ Territory/Regional

 

 

 

 

Contd. on next page

...

...Contd. from previous page

Item

 

Instructions

Supporting Documents to be provided by

No

 

 

applicant at the time of verification.

 

 

 

office of the concerned OMC to be submitted. Copy of

 

 

 

the SKO Dealership Agreement with the concerned

 

 

 

OMC.

Important Notes :

 

1.

'Family Unit’** of a married applicant, shall consist of self, applicant's spouse and unmarried son(s)/daughter(s) and ‘Family

 

Unit’ of a unmarried applicant, shall consist of self, applicant's parents and applicant's unmarried brother(s) / sister(s) for the

 

purpose of this entire application.

 

2. Applicant must provide all information sought against various items mentioned in the Application form. If selected, at the

 

time of verification, the applicant will have to provide documents in original in support of the information furnished in the

 

application. Failure to present these documents in original at the time of verification will result in cancellation of selection

 

along with forfeiture of the amount deposited by the selected candidate before the FVC.

3.

In case, applicant requires extra space for providing details on any point, the details can be provided by adding extra rows or

 

by adding extra sheets. However, details should be given in the same format as mentioned in that particular point.

 

 

Check list for Applicants

 

 

 

 

 

 

S.No.

Document / Activity to be checked

 

 

 

 

 

 

Check box

 

 

 

 

 

 

 

1

DD attached -verify amount, drawn in favour of concerned company and payable at

 

 

 

 

 

2

Photograph pasted and signature across photograph

 

 

 

 

 

 

 

3

Copy(ies) of eligibility certificate(s) for the category attached as applicable

 

 

 

 

 

 

4

NotorisedAffidavit in original as per format given inAppendix 1 attached.

 

 

 

 

 

 

5

NotorisedAffidavit in original as perAnnexure 2 as applicable

 

 

 

 

 

 

6

NotorisedAffidavit in original as perAnnexure 4 as applicable

 

 

 

 

 

 

7

NotorisedAffidavit in original -Declaration/Undertaking as appicable for OBC applicants as perAppendix -3c.

 

8

Undertaking at the end of application duly signed with name, date and place.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

All pages of apllication are numbered and signed.

 

 

 

 

 

 

 

10

Total Number of pages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

TheApplication is complete in all respect.

 

 

 

 

 

 

 

 

 

APPLICATION FORMAT FOR NON-INDIVIDUAL APPLICANTS

 

 

Appendix - I

 

(FORM TO BE FILLED UP IN CAPITAL LETTERS USING BLUE/BLACK BALL POINT PEN)

 

For office use

 

D

D

_

M M

_

Y

Y

Not to be filled by applicant

Office Code

Serial No.

Date of receipt of application

 

 

APPLICANT FOR LPG DISTRIBUTORSHIP OF

Please write name of Oil Company of the location (BPC or IOC or HPC)

Particular of application fee

`

 

 

-

 

 

-

 

 

Demand Draft Number

Date

D

D

M

M

Y

Y

Draw on

 

(name of the bank)

Payable At

 

 

 

 

 

 

 

 

In favour of

(Full name of the oil company)

 

 

 

 

 

 

 

 

1

Name of the Location

 

 

 

 

 

 

 

 

 

2

Rev. Distt

 

 

 

 

 

 

 

 

 

3

State

 

 

 

 

 

 

 

 

 

 

4

Category

 

 

 

 

 

 

 

 

 

Non-individual applicant means Government Bodies/Agencies, Organized Bodies, Societies registered under Societies Registration Act 1860, Charitable Trusts registered with Charity Commissioner of respective State Government, Companies formed under the CompaniesAct, 1956.

5

Advertised on

D

D

-

M M

-

Y Y

Y Y

In

(Please write Name of Newspaper)

6

Status of applicant:

 

Non - Individual

YES

/

NO

If 'NO' please use the format for Individual applicant

7

Name of authorized person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

Middle Name

Surname

7.1

Father's /

S

H

R

I

 

 

 

 

 

 

 

Husband's Name

 

Title

 

 

First Name

 

Middle Name

Surname

 

 

 

 

 

 

7.2

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pin code:

 

 

Telephone No.

 

 

 

 

 

 

 

E-mail:

 

 

 

 

STD code

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

8A

Registered Societies applying under Reserved Categories should encloseAffidavit as per format given in Appendix - Ia

 

a)Name of the Registered Society

b)

Address of Registered Office

 

 

 

 

 

 

 

Pin code:

 

 

 

Telephone No.

 

E-mail:

 

 

c)

Date of Registration/Incorporation

 

D D -

M M

- Y Y Y Y

d)

Profit/ loss made during the last 3 financial years

Profit After Tax

 

Loss

 

 

as certified by C.A

 

 

 

 

Only Registered Societies making a profit for previous three consecutive financial years as certified by a Chartered Accountant are eligible to apply under the respective reserved category.

e)

Whether all members of the Registered Society belong to the same category for which LPG distributorship has been advertised? (If 'No', you

YES

/

NO

 

are not eligible to apply')

 

 

 

 

Strike off what is not applicable

 

 

 

f)

Whether any of the members of the society or their family members (family as defined in the case of multiple dealership norms for individuals)

YES

/

NO

 

hold dealership/ distributorship of any Oil company for MS/HSD/SKO-LDO/LPG in India or has/have been issued a letter of intent or

Strike off what

 

appointment letter? (If 'Yes', you are not eligible to apply)

 

is not applicable

 

 

g)

Whether any of the members of the Society were signatory to dealership/distributorship agreement of any oil company, which was terminated

YES

/

NO

 

for malpractices and / or for violations of provisions of the Marketing Discipline Guidelines? (If 'Yes', you are not eligible to apply)

Strike off what

 

 

is not applicable

h)

Whether any of the members of the Society have either been convicted or charges have been framed against them by court of law for criminal

YES

/

NO

 

offences involving moral turpitude and / or economic offences (other than freedom struggle) punishable under Law. (If 'Yes', you are not eligible

Strike off what

to apply)

is not applicable

OR

8B Societies registered under Societies Registration Act 1860, Charitable Trusts registered with Charity Commissioner of respective State Government and Companies formed under the CompaniesAct, 1956 applying for ‘Open’category distributorship should encloseAffidavit as per format given in Appendix - Ib

a) Name of the Registered Society/Trust Comapny

b) Address of Registered Office

 

 

 

Pin code:

 

 

Telephone No.

 

E-mail:

 

c)

Date of Registration/Incorporation

 

D D -

M M - Y Y Y Y

d)

Profit/ loss made during the last 3 financial years

Profit After Tax

 

Loss

 

as certified by C.A

 

 

 

Only Registered Societies / Company incorporated under Companies Act 1956 making a profit for previous three consecutive financial years as certified by a Chartered Accountant are eligible to apply under 'Open' category.

( # incase of Charitable Trust receipts should be more than expenditure and the (positive) difference between receipts and expenditure as certified by CA should be mentioned under profit after tax)

e)

Whether any of the Directors of this company or his family members (family as defined in the case of multiple dealership norms for individuals)

YES

/

NO

 

or Holding company or Subsidiary company or any other company or firm where share holders (put together) of this applicant company have

Strike off what

 

controlling stake i.e. 51% or more, have dealership/distributorship or hold Letter of Intent for Retail Outlet or SKO-LDO dealership or LPG

 

distributorship of any Oil Company? (If 'Yes', then not eligible)

is not applicable

 

OR

 

 

 

 

Whether any of the members of the Governing Body / Managing Body/ Any such other Body of the Registered Society/ Charitable Trust or their

YES

/

NO

 

family members (family as defined in the case of multiple dealership norms for individuals) is having RO/SKO-LDO dealership/LPG

Strike off what

 

Distributorship? (If 'Yes', then not eligible)

 

 

is not applicable

9

Details Of Land For Godown For Storage Of LPG Cylinders or Godown

 

 

 

Provide the following details of land for construction of LPG Godown or constructed LPG Godown (within 15 Km from municipal/town/village limits of the advertised location in the same State) owned or leased for minimum 15 years in the name of the applicant.

Date of registration of sale deed / Lease

Address of the location

Khasra No./

Dimensions*

Distance of land from

deed/ date of acquisition in the name of

of the land for LPG

Survey No.

Length in

Breath in

advertised location

Organisation.

Godown

 

metres

metres

(in Kms)

 

 

 

 

* Give the dimensions of the plot that will be used for proposed godown out of the total land owned.

Note : Date of documents for land for Godown/Godown should be on or before the last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

10 Details of Land for Showroom or Showroom

Provide the following details of land for construction of Showroom or Showroom at the advertised location, owned or leased for minimum 15 years in the name of the applicant.

Date of registration of sale deed / Lease

Address of the land for

 

Dimension#

deed/ date of acquisition in the name of Organisation

showroom/ showroom

Length in metres

 

Breadth in metres

 

 

 

 

 

# Give the dimensions of the plot that will be used for proposed showroom out of the total land owned.

Note : Date of documents of land for Showroom or Showroom should be on or before the last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

11Capability to Arrange Finance

AMOUNT IN THE SCHEDULED BANK ACCOUNT / POST OFFICE

S.No.

Name of Bank/ Post Office

Account Number of the organization

 

 

 

 

Amount

1

 

 

`

 

 

 

 

 

 

.

 

 

2

 

 

`

 

 

 

 

 

 

.

 

 

3

 

 

`

 

 

 

 

 

 

.

 

 

4

 

 

`

 

 

 

 

 

 

.

 

 

5

 

 

`

 

 

 

 

 

 

.

 

 

TOTAL

 

 

`

 

 

 

 

 

 

.

 

 

Total amount in words.

Note: The amount declared above in each case must be available as closing balance on the last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

12

Fixed Deposit/NSC/Shares/MF/ Kisan Vikas Patra in the Name of Organisation

 

 

 

 

 

 

 

 

 

 

 

S.No. Type of Investment

Document Reference

Initial investment

Value (Amount) as on the date of Application.

 

Number with date

Amount (Rs)

 

1

 

 

`

 

 

 

 

 

 

.

 

 

 

2

 

 

`

 

 

 

 

 

 

.

 

 

 

3

 

 

`

 

 

 

 

 

 

.

 

 

 

4

 

 

`

 

 

 

 

 

 

.

 

 

 

5

 

 

`

 

 

 

 

 

 

.

 

 

 

TOTAL

 

 

`

 

 

 

 

 

 

.

 

 

 

Total amount in words.

 

 

 

 

 

 

 

 

 

 

 

 

Note :

(1)The above declared investments should be available on last date for submission of application as specified in the advertisement or corrigendum (if any) and the same will be verified during Field Verification.

(2)The value (Amount) shown above should be as on date of Application.

13

Whether any LPG Distributorship/Retail Outlet of OMCs have been terminated?

YES

/

NO

 

 

Strike off what

 

(If yes you are not eligible to apply.)

is not applicable

Undertaking

I, __________________________________________daughter of /son of/ wife of Shri______________________ hereby confirm that I have been authorized to submit this application on behalf of M/s____________________ and the information given above is true and correct. . I also confirm on behalf of M/s ______________, that my Organisation will operate the distributorship through its own employees and not on contract basis.

Place: ______________________________

Signature of applicant _____________________________________

Date :

Name of applicant

List of Enclosures

(Name in block letters)

 

1.Demand Draft No_____________________ dated _____________ drawn in favour of ____________________ payable at______________.

2.NotarizedAffidavit in original as per the format given inAppendix - Ia orAppendix –Ib as applicable.

3.Certificate from CAand copy of balance sheet of last three years.

4.Total number of pages of the application including attachments.

Appendix - Ia

Notarized Affidavit

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE) (To be submitted by Registered Societies applying under other than ‘Open’ Categories)

In the matter of LPG distributorship of Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* at___________ (Location) whereas _______________(Name of the Registered Society) herein after called the Society ________________

(Location) has applied for LPG distributorship of ________(name of the Oil Company) Ltd., at ___________.

I,____________________________________ son / daughter / wife of ________________________________ Age _____ years resident of

_________in the capacity of ___________ do hereby solemnly declare :

1.That through a resolution passed by the Society; I have been authorized to apply for the said distributorship. A copy of the resolution/authorization is enclosed herewith forming part and parcel of this affidavit.

2.That the Society is duly registered on ___________at ____________. A photocopy of the registration certificate is enclosed herewith forming part and parcel of this affidavit.

3.That the Society had made profit during the previous consecutive 3 financial Years as certified by CharteredAccountant

4.That on behalf of the Society I undertake that we will observe all the relevant guidelines with regard to award/operation of the said distributorship issued by Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* /Government of India or any other statutory body from time to time.

5.That on behalf of the Society I undertake that we will operate the distributorship through our own employees and not on contract basis.

6.That all members of the Society belong to the same category for which LPG distributorship has been advertised.Acopy of certificate to this effect from Registrar of Society and a list giving names of all the members of the Society is enclosed herewith forming part and parcel of this affidavit.

7.That none of the members of the Society or his family members (family as defined in the case of multiple dealership norms for individuals) hold dealership/ distributorship of any Oil company for MS/HSD/SKO-LDO/LPG in India or has/have been issued a letter of intent or appointment letter.

8.That none of the members have either been convicted or charges have been framed against them by court of law for criminal offences involving moral turpitude and / or economic offences (other than freedom struggle) punishable under Law.

9.That none of the members of the Society were signatory to dealership/distributorship agreement of any oil company, which was terminated for malpractices and / or for violations of provisions of the Marketing Discipline Guidelines.

10.That the Registered Society does not have any criminal records nor does it have any criminal charges framed against it by court of law involving moral turpitude and/or economic offences (other than freedom struggle) punishable under Law.

11.That If any information/declaration given in the application or in any document submitted in support of application for the award of the distributorship or in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* would be within its rights to withdraw the letter of intent / terminate the distributorship (if already appointed) and that the society would have no claim, whatsoever, against Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* for such withdrawal/termination.

*Strike out whatever is not applicable.

I hereby verify that what has been stated above is true and correct to the best of my knowledge and nothing material has been concealed there from Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of

Signature of Deponent

Magistrate/Judge/Notary public

(Name in block letters)

 

Appendix - Ib

 

Notarized Affidavit

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE) (To be submitted by non-individual applicants applying under ‘Open’ Category)

In the matter of LPG distributorship of Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* at___________ (Location) whereas _______________ (Name of the Registered Society*/Company*/Charitable Trust*) ________________

(Location) has applied for LPG distributorship of ________(name of the Oil Company) Ltd., at ___________.

I, _____________________________son / daughter / wife of ________________________________ Age _____ years resident of

_________in the capacity of ___________ do hereby solemnly declare:

1.That through a resolution passed by the Registered Society*/Company*/Charitable Trust* I have been authorized to apply for the said distributorship.Acopy of the resolution/authorization is enclosed herewith forming part and parcel of this affidavit.

2.That the said Registered Society is duly registered under Societies Registration Act 1860* /Company formed under the companies act 1956 * /Charitable Trust* is registered with Charity Commissioner of State Government of ______________* (name of the State) on

________(date of registration/ incorporation) and a photocopy of the certificate of registration is enclosed herewith forming part and parcel of this affidavit.

3.That our Registered Society*/Charitable trust*/Company* had made profit during the previous consecutive 3 financial Years as certified by CharteredAccountant.

4.That on behalf of the Registered Society*/Company*/Charitable Trust*, I undertake that we will observe all the relevant guidelines with regard to award/operation of the said distributorship issued by Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* / Government of India or any other statutory body from time to time.

5.That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that we will operate the distributorship through our own employees and not on contract basis.

6.That our Registered Society*/Company*/Charitable Trust* does not have any criminal records nor does it have any criminal charges framed against it nor against Member of the Governing Body/Managing Body/Any such other Body of this Registered Society*/ Charitable Trust*/ Directors of company* by any court of law involving moral turpitude and/or economic offences (other than freedom struggle) punishable under Law.

Contd. on next page...

...Contd. from previous page

7.That none of the Member of the Governing Body/Managing Body/Any such other Body of this Registered Society*/ Charitable Trust*/ Directors of company* was never a signatory to dealership/distributorship agreement of any Oil Company, which was terminated for malpractice and/or for violation of Marketing Discipline Guidelines.

8.*That none of the Directors of this company or his family members (family as defined in the case of multiple dealership norms for individuals) or Holding company or Subsidiary company or any other company or firm where share holders (put together) of this applicant company have controlling stake i.e. 51% or more, have dealership/distributorship or hold Letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship of any Oil Company

OR

*That none of the Members of the Governing Body/Managing Body/Any such other Body of this Charitable Trust*/Registered Society* or his family members (family as defined in the case of multiple dealership norms for individuals) have dealership/distributorship or hold Letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship of any Oil Company

9.That our registered society*/Charitable trust*/Company* was never a signatory to dealership/ distributorship agreement of any oil company, which was terminated for malpractices and / or for violations of provisions of the Marketing Discipline Guidelines.

(Clauses No. 6, 7, 8 & 9 given above are not applicable to Government owned Companies defined as major shareholding with the Government, Public Sector & Joint Sector Units or Government administered Organization)

10.That If any information/declaration given in this application or in any document submitted in support of application for the award of the distributorship or in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* would be within its rights to withdraw the letter of intent / terminate the distributorship (if already appointed) and that we would have no claim, whatsoever, against Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* for such withdrawal/termination.

*Strike out whatever is not applicable.

I hereby verify that what has been stated above is true and correct to the best of my knowledge and nothing material has been concealed there from.

Solemnly affirmed and declared before me This ___________day of ________________

Signature and Seal of

Signature of Deponent

Magistrate/Judge/Notary public

(Name in block letters)

"Note: In the event of any dispute the English version of the advertised text shall be relied upon"