BROCHURE

ON

GUIDELINES FOR SELECTION

OF

REGULAR LPG DISTRIBUTORS

AUGUST 2013
 Guidelines on Selection of Regular LPG Distributorship
(Applicable to all locations Advertised / Re-advertised from August’13
onwards )

1. IDENTIFICATION OF LOCATIONS

Locations for setting up of LPG Distributorship are identified based on available refill sale
potential, which can sustain economically viable operation of an LPG distributorship. The refill
sale potential is based on several factors including population, population growth rate, economic
prosperity of the location and the distance from the existing nearest distributor.

The setting up of LPG distributorships at the identified locations is a business proposition that
have business risk and does not guarantee any assured returns or profits.

2. RESERVATION

The percentage reservation for various categories in all the States except Arunachal Pradesh,
Meghalaya, Nagaland and Mizoram are as under: -

A Open Category (O) 50.5%

B Schedule Castes / Scheduled Tribes (SC/ST) 22.5%
C Other Backward Classes (OBC) 27.0%

In each of the above categories, there will be sub-categories as under:-

Sub-Category Reservation Categories (in %)
SC/ST OBC Open Total
Government Personnel category (GP) 2 2 4 8
consisting of Defence, Central/State Govt
and Central/State PSU employees
Combined Category (CC) consisting of 1 1 2 4
Physically Handicapped Personnel
(PH),Outstanding Sports Persons (OSP),
Freedom Fighter (FF)
Any person from the respective category 19.5 24 44.5 88
Total 22.5 27 50.5 100

The reservation under respective categories is SC/ST (GP)-2%, SC/ST (CC)-1%, SC/ST-19.5%,
OBC (GP)-2%, OBC (CC)-1%, OBC-24%, Open (GP) - 4%, Open (CC)-2%, Open-44.5%.

State-wise ‘200-point’ roster is maintained on Industry basis (i.e jointly by IOCL, BPCL and
HPCL) to ensure the percentage reservations as mentioned above is achieved. The Distribution
between SC and ST is as per the population ratio in the respective State.

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 Reservations in tribal areas in North Eastern States for Arunachal Pradesh, Meghalaya,
Nagaland and Mizoram are as under:

State Percentage of Regular Balance % to be

LPG Distributors to be awarded to open
awarded to ST category category

Arunachal Pradesh 70 30
Meghalaya 80 20
Nagaland 80 20
Mizoram 90 10

3. Rostering of Locations as per 200-point roster

Locations identified for setting up of regular LPG Distributorships are to be placed under
different categories of reservation as per ‘200 point’ roster for each State on Industry basis
(IOCL, BPCL and HPCL together) so as to ensure the percentage reservation as envisaged by
MOP&NG for each category is achieved.

In ‘200-point Roster’ allocation of a reservation category against a serial number is done such
that when 200 numbers of Distributors are planned, the percentage of each category is
achieved. Continuity is maintained in ‘200 point roster’. Once 200 roster serial numbers are
completed, it is started from roster serial number 1 again.

The Distribution between SC and ST shall be as per the population ratio in the respective State.

4. DE-CATEGORISATION

For LPG distributorships planned under the present guidelines, following norms for de-
categorisation will be applicable:

a) For reserved sub-category locations “GP” (Def+ Govt./PSU) and “CC (PH+OSP+FF)”, in
case of ‘Nil’ response to the advertisement or no eligible candidate is found or no candidate
qualifies or no selected candidate is able to commission the LPG Distributorship, then that
location would be re-advertised in the respective category without sub-category i.e. locations
will be advertised as SC/ST, OBC or Open category as applicable.

b) For the location advertised /re-advertised under ‘SC/ST’ or ‘OBC’ category, if there is ‘Nil’
response or no eligible candidate is found or no candidate qualifies or no selected candidate
is able to commission the LPG Distributorship, then that location would be re-advertised
under ‘Open’ category.

c) However, it is to be ensured that the reservation is maintained on overall basis by respective

OMCs while de-categorisation of the locations from earlier roster by converting
corresponding number of LPG Distributorship locations under ‘Open’ category from the new
roster to ‘SC/ST’ and ‘OBC’ category. In other words, shortfall in SC/ST and OBC category
has to be made good in the future marketing plans.

d) With regard to reserved categories ‘GP’ & ‘CC’, reservation percentages will be maintained
only at the time of initial categorisation. In other words, once the category of such locations
is changed after the first advertisement as no candidate has applied or no eligible candidate
is found or no candidate qualifies or no selected candidate is able to commission the LPG
Distributorship, no adjustment in the roster would be made under the future marketing plans.

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5. MODE OF SELECTION

Selection is done by inviting applications through advertisements published in two newspapers -

One English daily having widest circulation in the State and one vernacular daily - having widest
circulation in the district where the location is situated.

Selection of LPG distributor for an advertised location is done by draw from all the eligible
applicants for that location.

6. ELIGIBILITY CRITERIA FOR INDIVIDUAL APPLICANTS

All applicants fulfilling the eligibility criteria will become eligible for the draw for selection of the
LPG distributorship. The eligibility Criteria is as under: -

6.1. Common Eligibility Criteria for all Categories applying as Individual

The applicant should

i. Be an Indian citizen and be a resident of India.

ii. Have minimum any one of the following educational qualification awarded by any of the
Universities incorporated by an Act of the Central or State Legislature in India or any
other educational institutions established by an Act of Parliament or declared to be
deemed as a University under the UGC Act, 1956, or possess an equivalent qualification
recognized by the Ministry of HRD, Government of India as on the date of application:
a) Graduation in any field
b) Chartered Accountant
c) Company Secretary
d) Cost Accountant
e) Diploma in Engineering

For applicants applying under the category of ‘SKO dealers of OMCs’, educational
qualification shall be as under :

Should have passed minimum Xth standard examination or equivalent from a recognized
Board.

The criteria of Educational Qualification will not be applicable for applicants belonging to
Freedom Fighter (FF) category.

iii. Be not less than 21 years and not more than 45 years in age as on the date of
application for all categories except GP & FF category & applicants belonging to the
category of ‘SKO dealers of OMCs’.

For applicants applying for location reserved under GP category, age should not be less
than 21 years and not more than 60 years as on date of application.

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 For applicants belonging to the category of “SKO dealers of OMCs”, maximum upper age
limit shall be 60 years as on date of application. There is no age restriction for applicants
applying for locations reserved under FF category.

iv. Not be a family member of an employee of Oil Marketing Companies as on date of

application.

In relation to an OMC employee, definition of family is :-

a. The wife or husband as the case may be of the employee, whether residing
with him or not, but does not include a wife or husband as the case may be
separated from the employee by a decree or order of a competent Court.
b. Sons or daughters or step-sons or step-daughters of the employee and wholly
dependent on him, but does not include a child or step-child who is no longer
in any way dependent on the employee or of whose custody the employee
has been deprived by or under any law.
c. Any other person related whether by blood or marriage to the employee or to
such employee’s wife or husband and wholly dependent on such employee.

v. Fulfil Multiple dealership/distributorship norm as under: -

Multiple Dealership/Distributorship norms means that the applicant or any other member
of ‘family unit’ should not hold a dealership/distributorship/RGGLV or Letter of Intent
(LOI) for a dealership/distributorship/RGGLV of a PSU Oil Company i.e. only one Retail
Outlet / SKO-LDO dealership / LPG distributorship/RGGLV of PSU Oil Company will be
allowed to a ‘Family Unit’. However, existing SKO dealers of OMCs operating below an
average allocation of 75 KL of SKO per month during the immediate preceding 12
months prior to the month of advertisement will be eligible to apply under the category of
individual applicant only and if selected will have to surrender their Kerosene dealership
prior to issuance of letter of appointment for LPG Distributorship. The SKO dealer
applying for Regular LPG Distributorship will have to submit documentary proof of
Kerosene allocation issued by the allocating authority of the State
Govt./Divisional/Territory/Regional Office of the Oil Marketing Company, as the case may
be.

The aforementioned Multiple Dealership/Distributorship norms shall also be applicable

to retailers/distributors appointed by PSU Oil Marketing Companies for exclusive
marketing of NDNE (Non Domestic Non Essential) LPG cylinders.

‘Family Unit’ in case of married person/ applicant, shall consist of individual

concerned, his/her Spouse and their unmarried son(s)/daughter(s). In case of
unmarried person/ applicant, ‘Family Unit’ shall consist of individual concerned,
his/her parents and his/her unmarried brother(s) and unmarried sister(s). In case
of divorcee, ‘Family Unit’ shall consist of individual concerned, unmarried
son(s)/unmarried daughter(s) whose custody is given to him/her. In case of
widow/widower, ‘Family Unit’ shall consist of individual concerned, unmarried
son(s)/unmarried daughter(s).

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vi. Have minimum total amount of ` 15 lakhs for Urban Markets and ` 10 lakhs for Urban-
Rural & Rural Markets respectively as the closing balance on the last date for
submission of application as specified in the advertisement or corrigendum (if
any). This amount is to be arrived at by adding amount in Savings Bank accounts in
Scheduled Bank/ Post Office, free and un-encumbered Fixed Deposits in Scheduled
Banks, Post Office, Listed Companies / Government Organisation / Public Sector
Undertaking of State and Central Government, Kisan Vikas Patra, NSC, Bonds, Shares
of Listed Companies, Listed Mutual Funds, ULIP, PPF, Surrender Value of Life
Insurance policies in the name of Applicant or family members of the ‘Family Unit’ of the
Applicant as defined above. In case of locations reserved under ‘SC/ST’ category,
minimum total amount of ` 5 lakhs for Urban Markets and ` 2.5 lakhs for Urban-Rural &
Rural Markets respectively should be available as the closing balance on the last date
for submission of application as specified in the advertisement or corrigendum (if any).

vii Should own as on the last date for submission of application as specified in the
advertisement or corrigendum (if any) :

a plot of land of minimum dimensions 25 M x 30 M (within 15 km from

municipal/town/village limits of the location offered in the same State) for construction of
LPG Godown for storage of 8000 Kg of LPG in cylinders. The plot of land for construction
of godown not meeting the minimum dimensions of 25 M x 30 M will not be considered.

Or

a ready LPG cylinder storage godown (within 15 km from municipal/town/village limits of

the location offered in the same State) of 8000 Kg capacity.

In case there are any state specific requirements/norms applicable for construction of the
LPG Godown, then the same will be applicable for the respective Regular Distributorship
locations and revised minimum dimensions of plot of land will be required as specified in
the Advertisement of that respective State.

The plot of land or ready LPG cylinder storage godown should be freely accessible
through all weather motorable approach road (public road or private road
connectingroad connecting to the public road). In case of private road connecting to the
public road, the same should belong to the applicant/member of Family Unit (as per the
multiple dealership/distributorship norm of eligibility criteria) as per the ownership criteria
defined below. In case of ownership/co-ownership by family member(s) in respect of
such private road, consent letter from respective family member(s) will be required.

The land should also be plain, in one contiguous plot, free from live overhead power
transmission or telephone lines. Canals/Drainage/Nallahs should not be passing through
the plot. The land for construction of LPG godown should also meet the norms of various
statutory bodies such as PWD/Highway authorities/ Town and Country Planning
Department etc.

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 In case an applicant has more than one suitable plot for construction of godown for
storage of minimum 8000 Kg of LPG in cylinders or ready LPG cylinder storage godown
as on the last date for submission of application as specified in the advertisement
or corrigendum (if any), the details of the same can also be provided in the application.

(viii) Own a suitable shop of minimum size 3 metres by 4.5 metre in dimension or a plot of
land for construction of showroom of minimum size 3 metres by 4.5 metre as on the last
date for submission of application as specified in the advertisement or
corrigendum (if any) at the advertised location or locality mentioned in the
advertisement. It should be easily accessible to general public through a suitable
approach road.

In case an applicant has more than one shop of minimum size 3 metre by 4.5 metre in
dimension or a plot of land for construction of showroom of minimum size 3 metre by 4.5
metre as on the last date for submission of application as specified in the
advertisement or corrigendum (if any) at the advertised location or locality as
specified in the advertisement, the details of the same can also be provided in the
application.

Reference vii & viii above:

‘Own’ means having ownership title of the property or registered lease agreement for
minimum 15 yrs in the name of applicant / family member (as defined in multiple
distributorship norm of eligibility criteria) as on the last date for submission of
application as specified in the advertisement or corrigendum (if any). In case of
ownership/co-ownership by family member(s) as given above, consent in the form of a
Notarized Affidavit from the family member(s) will be required.

In case the land is jointly owned by the applicant / member of ‘Family Unit’ (as defined in
multiple dealership / distributorship norm) with any other person(s) and the share of the land
in the name of applicant / member of the ‘Family Unit’ meets the requirement of land
including the dimensions required, then that land for godown/showroom will also qualify
for eligibility as own land subject to submission of ‘No Objection Certificate’ in the form
of an Notarized Affidavit from other owner(s).

ix. Be physically and mentally sound to be able to run the business.

x. Neither have been convicted nor charges been framed by any Court of Law for any
criminal offence involving moral turpitude/ economic offences.

xi. Not be a signatory to distributorship/dealerships agreement, terminated on account of

proven cases of malpractice of any Oil Company or not having resigned from Sole
proprietorship of any dealership/distributorship of any oil company in order to transfer the
dealership/distributorship in favour of any of his/her family member(s) as defined in the
Dealer/Distributor Selection Guidelines.

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6.2. Specific Eligibility Criteria For Different Categories applying as Individual

6.2.1 Specific Eligibility Criteria For Main Reservation Categories

a) Open Category (O)

Candidate fulfilling common eligibility criteria can apply under ‘Open’ category.

b) Scheduled Caste/ Scheduled Tribe Category (SC/ST):

The candidates belonging to castes/tribes recognised as Scheduled Castes/ Scheduled

Tribes (SC/ST) under the Constitution of India will be eligible.

The candidates will be required to submit along with application a certificate issued by
the competent authority notified by the Government of India certifying that the candidate
belongs to Scheduled Caste /Scheduled Tribe.

The selected candidate belonging to SC/ST category would also be required to submit
within 90 days from the date of declaration of draw result, the original Caste Validity
Certificate granted by the competent authority of the respective state, wherever
applicable.

c) Other Backward Classes:

The candidates belonging to Other Backward Classes recognised as OBC by

Government of India (Central Government) under the Constitution of India will be
eligible.

The candidates will be required to submit along with application a certificate issued by the
competent authority notified by the Government of India certifying that the candidate
belongs to Other Backward Classes recognized as OBC by a Resolution/Gazette
Notification issued by GOI (Central Government). Along with the OBC certificate, the
candidate also has to submit an undertaking that he/she belongs to the OBC category
and fulfils the non-creamy layer status. 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.

6.2.2 Specific Eligibility Criteria for different Sub-categories :

a) Govt. (Central & State) and Public Sector Units (Central & State) – (GP)

Applicants eligible under ‘SC/ST’, ‘OBC’ and ‘Open’ category as specified in para 6.2.1
above can apply for Regular LPG distributorship under respective “GP’ sub-category on
fulfilling the following conditions:

I. Defence Personnel
Defence Personnel means personnel of armed forces (viz. Army, Navy, Air Force) and
will cover widows /dependents of those who died in war, war disabled/ disabled on duty,
widows / dependent of those members of Armed Forces who died in harness due to
attributable causes and disabled in peace due to attributable causes.

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 Candidate applying under this Category should attach in original the Eligibility Certificate
issued from Directorate General of Resettlement (DGR), Ministry of Defence, and
Government of India sponsoring the candidate for the Regular LPG Distributorship for
which he/she has applied. Certificate of eligibility issued for one LPG Distributorship
location is not valid for another LPG Distributorship location and therefore a candidate
can be considered to be eligible only if he/she has been sponsored for the particular
location with reference to current advertisement.

Note: The applicants under this category have the option to submit the original eligibility
certificate from DGR on the day of draw of lots also. However, only on submission of
such certificate they will be considered for draw of lots.

II. Government and Public Sector Personnel

The personnel serving in different Departments of Central/State Governments and

Public Sector undertakings of Central/State Government who are incapacitated or
disabled while performing their duties will be eligible under this category. In case of
death, while performing duties, their widows/ dependants will be eligible to apply under
this category.

Applicants under this category should attach a copy of relevant certificate from the
concerned Organisation/Govt Department signed by the Head of the Office or an Officer
not below the rank of Under Secretary to the Government.

b) Combined Category (CC)

Applicants eligible under ‘SC/ST’, ‘OBC’ and ‘Open’ category as specified in para 6.2.1
above can apply for Regular LPG Distributorship under respective ‘CC’ sub-category on
fulfilling the following conditions:

I. Physically Handicapped Category (PH) :

Candidates would be considered eligible under this category in case the candidates are
orthopaedically handicapped to the extent of minimum of 40% permanent (partial)
disability of either upper or lower limbs; or 50% permanent (partial) disability of both
upper and lower limbs together. For this purpose, the standards contained in the `Manual
for Orthopaedic Surgeon in evaluating Permanent Physically Impairment' brought out by
the American Academy of Orthopaedic Surgeons, USA and published on its behalf by
the Artificial Limbs Manufacturing Corporation of India, G.T. Road, Kanpur, shall apply.

Deaf, Dumb and Blind persons with minimum degree of 40% disability will also be
eligible to apply for LPG Distributorship under this category. However, totally blind
persons will not be eligible.

Candidate applying under this category should produce a certificate (as per the standard
format given in the application format) issued by a Medical Board duly constituted by the
Central / State Government as per the Gazette of India Extraordinary New Delhi, No 154
dated June 13, 2001 on Guidelines for evaluation of various disabilities and procedure
for certification.

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 II. Outstanding Sports Persons Category (OSP):

The following persons will be eligible:

a. Arjuna / Khel Ratna Awardees.

b. Winners of Medals at Olympics/ Asian /Commonwealth Games and Recognised
World Champions/ World Championships.
c. National Champions - first position holders in Senior Category (both Men &
Women) under the Recognised National Championships.
d. National Adventure Awardees.

Candidate applying under this category should produce a certificate from the Recognised
National Federation Organising National Championships (as recognised by Department
of Youth Affairs and Sports, Govt of India) or from the Dept of Youth Affairs and Sports,
Govt of India.

III. Freedom Fighters (FF):

Freedom Fighter means the person who is a holder of Tamrapatra and receiving pension
sanctioned by the Ministry of Home Affairs, Government of India.

Persons applying for distributorships under this category should attach a certificate or
Tamrapatra or an attested copy of the Pension Order issued by the Accountant General
in pursuance of the sanction letter from the Ministry of Home Affairs, Govt of India of their
having been Freedom Fighters.

The criteria of Educational Qualification and age as mentioned under common eligibility
criteria will not be applicable for FF category.

6.2.3 Specific Eligibility Criteria for existing SKO Dealers of OMCs:

Existing SKO dealers of OMCs who are eligible under categories as specified in para 6.2.1 &
6.2.2 above can apply for Regular LPG Distributorship on fulfilling the following conditions:

a. Existing SKO dealers of OMCs operating as a sole proprietor having an average allocation of
less than 75 KL of SKO per month during the immediate preceding 12 months prior to the
month of advertisement will be eligible to apply for LPG Distributorship. The applicants have
to submit along with the application the proof of such allocation from allocating authority of
the State Govt./Divisional/Territory/Regional Office of the Oil Company, as the case may be.
Multiple Dealership/Distributorship norm shall not be applicable for such applicants.

b. SKO Dealers operating as a Partnership Firm or Society or Company are not eligible to
apply.

c. In case of allotment, the SKO dealer will have to surrender their SKO dealership prior to
issuance of letter of appointment for LPG Distributorship.

d. Age & Educational Qualification :

Age: Maximum upper age limit – 60 years

Educational qualification: Should have passed minimum Xth Standard examination or

equivalent from a recognized Board.

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 e. To be eligible to apply for Regular LPG Distributorship, the SKO dealer should not have
been penalized for violation of Marketing Discipline Guidelines within last 5 years preceding
the date of advertisement or there should not be any proceedings pending against the
dealership under Marketing Discipline Guidelines/Dealership Agreement, Kerosene Control
Order or ESMA.

f. Common eligibility criteria as specified under para no. 6.1 above shall also be applicable to
SKO dealers.

7. ELIGIBILITY CRITERIA FOR NON-INDIVIDUAL APPLICANTS

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 and Companies formed under the Companies
Act, 1956.

7.1. Registered Co-Op Societies / Consumer Societies Applying for Categories Other
than ‘Open category (without sub category)’

Registered Co-Op Societies will be eligible to apply under reserved categories subject to
following conditions: -

i) They will apply as non-individual. The Society will have to operate the distributorship
through their own employees and not on contract basis.

ii) All members of the Society should belong to the same category for which LPG
distributorship has been advertised. A copy of certificate to this effect from Registrar of
Society and a list giving names of all the members of the Society will be required.

iii) The Society has to furnish appropriate resolution to show that person making the
application is empowered to make the same. In addition, the Society should furnish an
undertaking that it will observe the relevant guidelines, etc.

iv) Societies should have made a net profit for previous three consecutive financial years
duly certified by a Chartered Accountant.

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

vi) None of the members should 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.

vii) None of the members of the Society should have been 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.

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viii) The Registered Society should not have any criminal records nor 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.

ix) Should have a minimum total amount of ` 15 lakhs for Urban Markets and ` 10 lakhs
for Urban-Rural & Rural Markets respectively as the closing balance on the last
date for submission of application as specified in the advertisement or
corrigendum (if any). This amount is to be arrived at by adding amount in Bank
accounts in Scheduled Bank/ Post Office, free and un-encumbered Fixed Deposits in
Scheduled Banks, Post Office, Listed Companies / Government Organisation / Public
Sector Undertaking of State and Central Government, Kisan Vikas Patra, NSC, Bonds,
Shares of Listed Companies, Listed Mutual Funds in the name of the Organisation. In
case of locations reserved under ‘SC/ST’ category, minimum total amount of ` 5 lakhs
for Urban Markets and ` 2.5 lakhs for Urban-Rural & Rural Markets respectively
should be available as the closing balance on the last date for submission of
application as specified in the advertisement or corrigendum (if any).

x) Should own as on the last date for submission of application as specified in the
advertisement or corrigendum (if any) :

a plot of land of minimum dimensions 25 M x 30 M (within 15 km from

municipal/town/village limits of the location offered in the same State) for construction
of LPG Godown for storage of 8000 Kg of LPG in cylinders. The plot of land for
construction of godown not meeting the minimum dimensions of 25 M x 30 M will not
be considered.

Or

a ready LPG cylinder storage godown (within 15 km from municipal/town/village limits

of the location offered in the same State) of 8000 Kg capacity.

In case there are any state specific requirements/norms applicable for construction of
the LPG Godown, then the same will be applicable for the respective Regular
Distributorship locations and revised minimum dimensions of plot of land as required
will be required as specified in the Advertisement of that respective State.

The plot of land or ready LPG cylinder storage godown should be freely accessible
through all weather motorable approach road (public road or private road
connectingroad connecting to the public road). In case of private road connecting to
the public road, the same should belong to the applicant as per the ownership criteria
defined below.

The land should also be plain, in one contiguous plot, free from live overhead power
transmission or telephone lines. Canals/Drainage/Nallahs should not be passing
through the plot. The land for construction of LPG godown should also meet the norms
of various statutory bodies such as PWD/Highway authorities/ Town and Country
Planning Department etc.

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 In case an applicant has more than one suitable plot for construction of godown for
storage of minimum 8000 Kg of LPG in cylinders or ready LPG cylinder storage
godown as on the last date for submission of application as specified in the
advertisement or corrigendum (if any), the details of the same can also be provided
in the application.

xi) Own a suitable shop of minimum size 3 metres by 4.5 metre in dimension or a plot of
land for construction of showroom of minimum size 3 metres by 4.5 metre as on the
last date for submission of application as specified in the advertisement or
corrigendum (if any) at the advertised location or locality as specified in the
advertisement. It should be easily accessible to general public through a suitable
approach road.

In case an applicant has more than one shop of minimum size 3 metre by 4.5 metre in
dimension or a plot of land for construction of showroom of minimum size 3 metre by
4.5 metre as on the last date for submission of application as specified in the
advertisement or corrigendum (if any), at the advertised location or locality as
specified in the advertisement, the details of the same can also be provided in the
application.

Reference x & xi above:

‘Own’ means having ownership title of the property or on registered long lease
(minimum 15 yrs) in the name of the non-individual institution as on the last date
for submission of application as specified in the advertisement or corrigendum (if
any).

7.2. Non- Individual Applicants Applying Under ‘Open’ Category

Non-individuals applicants (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 Companies
Act, 1956) are eligible to apply under ‘Open’ category (without sub-category) subject to the
following: -

I. Applicability of multiple dealership norms to various non-individuals which will be as

follows:

A) For Companies Registered under Companies Act 1956:

i) The applicant company will not be eligible for RO dealership/LPG
distributorship/ RGGLV if any of the RO dealership/LPG distributorship/
RGGLV is held by the following;-

a) Any of the Director or his family members (family as defined in the case
of multiple dealership norms for individuals).

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 b) Holding company or Subsidiary Company.
c) Any other company or Firm where share holders (put together) of the
applicant company have controlling stake i.e. 51% or more.

ii) If any individual, partnership firm, company, organized body, trust or society
already holding RO dealership/LPG distributorship/ RGGLV acquire
controlling stake in a company having RO dealership/LPG distributorship
then the RO dealership /LPG distributorship /RGGLV of the acquirer would
be liable to be terminated

iii) Government owned Companies defined as major shareholding with the

Government, Public Sector & Joint Sector Units or Government
administered Organization are exempted from the above Multiple
Dealership Norms.

B) For the charitable trusts registered with the charity commissioner of the respective
State Government and Societies Registered under Societies Registration Act 1860:

Such entities will not be eligible for RO dealership/LPG distributorship if any of the
RO dealership/LPG distributorship is held by any of the Member of the Governing
Body/Managing Body/Any such other Body or his family members (family as
defined in the case of multiple dealership norms for individuals)

II. Registered Societies / Company incorporated under Companies Act 1956 should have
made a net profit for previous three consecutive financial years duly certified by a
Chartered Accountant.

III. Registered Societies / Company incorporated under Companies Act 1956 will have to
furnish appropriate resolution to show that person making the application on its behalf
is empowered to make the same. It will also have to furnish an undertaking that it will
observe the relevant guidelines.

IV. The Registered Societies / Company incorporated under Companies Act 1956 will
have to operate the distributorship through their own employees and not on contract
basis.

V. None of the members the Governing / Managing Committee of the Registered

Societies / Company incorporated under Companies Act 1956 should 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.

VI. None of the members of the Governing / Managing Committee of the Registered
Societies / Company incorporated under Companies Act 1956 should have been
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.

14
VII. The Registered Societies / Company incorporated under Companies Act 1956 should
not have any criminal records nor 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.

Note: Conditions mentioned in Para V, VI & VII above are not applicable to
Government owned Companies defined as major shareholding with the Government,
Public Sector & Joint Sector Units or Government administered Organization.

VIII. Non-individuals applicants should have minimum total amount of ` 15 lakhs for Urban
Markets and ` 10 lakhs for Urban-Rural & Rural Markets respectively as the closing
balance on the last date for submission of application as specified in the
advertisement or corrigendum (if any). This amount is to be arrived at by adding
amount in Bank accounts in Scheduled Bank/ Post Office, free and un-encumbered
Fixed Deposits in Scheduled Banks, Post Office, Listed Companies / Government
Organisation / Public Sector Undertaking of State and Central Government, Kisan
Vikas Patra, NSC, Bonds, Shares of Listed Companies, Listed Mutual Funds in the
name of the Organisation.

IX. Non individual applicants should own as on the last date for submission of
application as specified in the advertisement or corrigendum (if any) :

a plot of land of minimum dimensions 25 M x 30 M (within 15 km from

municipal/town/village limits of the location offered in the same State) for construction
of LPG Godown for storage of 8000 Kg of LPG in cylinders. The plot of land for
construction of godown not meeting the minimum dimensions of 25 M x 30 M will not
be considered.
Or

a ready LPG cylinder storage godown (within 15 km from municipal/town/village limits

of the location offered in the same State) of 8000 Kg capacity.

In case there are any state specific requirements/norms applicable for construction of
the LPG Godown, then the same will be applicable for the respective Regular
Distributorship locations and revised minimum dimensions of plot of land will be
required as specified in the Advertisement of that respective State.

The plot of land or ready LPG cylinder storage godown should be freely accessible
through all weather motorable approach road (public road or private road
connectingroad connecting to the public road). In case of private road connecting to
the public road, the same should belong to the applicant as per the ownership criteria
defined below.

The land should also be plain, in one contiguous plot, free from live overhead power
transmission or telephone lines. Canals/Drainage/Nallahs should not be passing
through the plot. The land for construction of LPG godown should also meet the norms
of various statutory bodies such as PWD/Highway authorities/ Town and Country
Planning Department etc.

15
 In case an applicant has more than one suitable plot for construction of godown for
storage of minimum 8000 Kg of LPG in cylinders or ready LPG cylinder storage
godown as on the last date for submission of application as specified in the
advertisement or corrigendum (if any), the details of the same can also be provided
in the application.

X. Non-individuals applicants should own a suitable shop of minimum size 3 metres by 4.5
metre in dimension or a plot of land for construction of showroom of minimum size 3
metres by 4.5 metre as on the last date for submission of application as specified
in the advertisement or corrigendum (if any) at the advertised location or locality
mentioned in the advertisement. It should be easily accessible to general public
through a suitable approach road.

In case an applicant has more than one shop of minimum size 3 metre by 4.5 metre in
dimension or a plot of land for construction of showroom of minimum size 3 metre by
4.5 metre as on the last date for submission of application as specified in the
advertisement or corrigendum (if any) at the advertised location or locality as
specified in the advertisement, the details of the same can also be provided in the
application.

Reference IX & X: ‘Own’ means having ownership title of the property or on

registered long lease (minimum 15 yrs) in the name of the non-individual institution
as on the last date for submission of application as specified in the advertisement or
corrigendum (if any).

8. APPLICATION:

The Individuals and Non-individuals, who fulfills the eligibility criteria, can submit
application for LPG Distributorship. Application format is given in Appendix-I. The
application format can also be downloaded free of cost from websites www.iocl.com,
www.ebharatgas.com, www.bharatpetroleum.in and www.hindustanpetroleum.com. Application
should be typed or neatly hand written as per the prescribed format.

8.1. Non Refundable Application Fee:

Applicant should submit the application along with a non-refundable application fee of `
1000/- (Rupees One thousand only). In case of SC/ST applicants, non-refundable
application fee of ` 500/- (Rupees five hundred) is payable provided a copy of SC/ST
certificate is attached.

8.2. Cut-off date for receipt of Applications:

Applications received after the specified closing date and time including postal delay will
not be entertained.

16
 8.3. One Application per Applicant for a Location

Applicants should submit only one application for one location. In case more than one
application is received from an individual, all the applications would be clubbed together
and treated as one application. In such cases, application fees received against all other
applications would be forfeited.

8.4. Person Applying for Multiple Locations

A candidate can apply for more than one location. However, in such cases, he/she will
have to submit separate application for each location. Each application should be
accompanied with the requisite application fee.

8.5. Procedure For Receipt of Application

Application would be received in sealed envelope only. After application is received, serial
number would be put on the envelope and also recorded in a ‘Register’. Acknowledgement
for applications received will be sent to the applicants.

In case deficiencies are found in the application, a letter would be sent to the applicant to
rectify the deficiencies within a specified period of time.

9. PROCEDURE FOR DRAW

9.1. The scrutiny of the application will be carried out based on the information given in the
application by the Committee appointed by the concerned Oil Company.

9.2. Selection will be done by draw of lot out of all eligible applicants. All applicants satisfying
the eligibility criteria will be eligible for the draw.

9.3. All the applicants will be individually informed about the status of their application. The list of
ineligible applicants & applicants eligible for draw of lot will be made available on the notice
board of the concerned office of the Oil Company as well as on the website of the
concerned Oil Company.

9.4. In case, complaints are received about any applicant with regard to their eligibility before
the draw, the complaint would be dealt as mentioned below in Para 13 ‘Grievance
/Complaint Redressal System’.

9.5. In case for a location there is only one eligible applicant, no draw is required. The lone
eligible applicant would be declared as selected. The result would be displayed and hosted
on the website. Field Verification of Credentials (FVC) would be conducted in line with
procedure.

9.6. In case of two or more eligible applicants, draw for selection of LPG Distributor would be
conducted. All the eligible applicants would be sent a written communication by Registered
Post AD / Speed Post to report for a draw for selection of LPG Distributor at a specified
place on specified date and time. The notice with regard to the draw would be published
before the date of draw in the same newspapers in which the advertisement for
appointment of LPG Distributor was initially published.

17
 9.7. Attendance of all the applicants who have reported for draw would be taken and Applicants
should sign the attendance sheet.

9.8. Serial Number of the application along with name of applicant would be printed on a “paper
token” and officers nominated for the draw would sign on each “paper token” with date of
draw.

9.9. Two officials of the company will conduct the draw in the presence of the candidates and
the invited guest. However, the Quorum will comprise of at least 50% of the eligible
applicants for the 1st draw (whose names are there in the draw). If Quorum is not fulfilled
during the 1st draw, then draw would not be held on that day. Subsequent date for the draw
shall be fixed and announced as per the laid down procedure.

9.10. In case draw is required to be conducted for the second and subsequent times including
with reasons of Quorum not being available in the 1st draw, then the draw will be held in
the presence of two company officials, the invited guest and the number of applicants who
choose to remain present during the draw.

9.11. The entire proceedings of the draw will be video graphed.

9.12. Folded paper tokens of all eligible applicants will be put in an empty box. The invited guest
would be requested to draw out one ‘paper token’, unfold and show it to the video camera
for it to capture the serial number and name of the applicant mentioned in the ‘paper
token’. The application serial number and name of the candidate would be announced and
declared as selected candidate for LPG distributorship for that location.

9.13. The result of the draw would be displayed on the notice board of the venue immediately
and at Company office. It would also be hosted on the website of the Company within 7
days from the date of draw.

9.14. Candidate Selected in the draw will have to submit a Demand Draft of Rs. 50000/- (Fifty
Thousand) i.e. 10% of the security deposit of Rs. 5 lakhs for LPG distributorship in Urban
market or submit a Demand Draft of Rs. 25000/- (Twenty five thousand) i.e. 10% of the
security deposit of Rs. 2.5 lakhs for LPG distributorship in Urban-Rural/Rural market within
3 working days from the date of receipt of letter issued by the concerned office of the OMC
in this regard.

9.15. Field Verification of Credentials (FVC) of selected candidate will be undertaken only after
DD of Rs. 50000/- or Rs. 25000/- as applicable is deposited with the concerned office of
OMC. The candidature of the selected candidate will be cancelled in case he/she fails to
deposit the said amount.

10. FIELD VERIFICATION OF CREDENTIALS (FVC)

a. Verification of the information given in the application by the applicant with the original
documents and with the issuing authorities wherever required is called Field Verification
of Credentials (FVC).

b. Field verification will be carried out for the selected candidate as per laid down
procedure. If in the FVC, the information given in the application by the applicant is
found to be correct. Letter of Intent (LOI) will be issued with the approval of competent
authority.

18
 c. If in the FVC it is found that information given in the application is at variance with the
original documents and that information affects the eligibility of the candidate, then a
letter would be sent by Registered Post AD / Speed Post pointing out the discrepancy.
Candidature of selected candidate in such a case will be cancelled and 10% of
applicable security deposit remitted by the selected candidate before FVC will be
forfeited if false/incorrect/misrepresented information has been given in the application.

11. LETTER OF INTENT:

The distributor select, after receipt of LOI should fulfill the conditions specified in the LOI
within a period of four months from the date of LOI, failing which the LOI is liable to be
withdrawn along with forfeiture of the amount remitted by the selected candidate before
FVC.

2. CONDITION FOR RE - DRAW

Draw for selection would be held again from the remaining eligible applicants in the following
cases:

a) Rejection of selected candidate due to findings in the Field Verification

b) LOI is withdrawn from the selected candidate
c) The distributor is terminated within one year of commissioning.

Re-draw would be carried out by following the procedure for Draw outlined in Para 9 above.

3. GRIEVANCE /COMPLAINT REDRESSAL SYSTEM

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

13.1 Complainants will have to deposit Rs.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 Rs. 1000/- will not be investigated.

13.2 Anonymous complaints will normally not be investigated.

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

13.4 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.

13.5 On receipt of the complaint, a letter will be sent to the complainant asking him to submit
details of allegation within a period of 15 days with a view to prima facie substantiate
the allegations along with supporting documents, if any.

13.6 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.

19
 13.7 Complaints not substantiated:
The complaint will be filed and the complainant would be sent a reply accordingly.

13.8 Established complaint

In case of established complaint, suitable action would be taken as per the decision and
the complainant would be sent a reply accordingly. Complaint fees of Rs. 1000/-
remitted by the complainant shall be refunded only in case if such particular complaint
leads to cancellation of candidature of the selected candidate.

4. BASIC FACILITIES REQUIRED FOR OPERATION OF LPG DISTRIBUTORSHIP

a. Godown for Storage of LPG in Cylinders

LPG Distributor would require a Storage Godown duly approved and licensed by Chief
Controller of Explosives of Petroleum and Explosives Safety Organisation (PESO) for
storage of 8000 kg LPG in cylinders.

The applicant should own (as per ownership criteria defined in clause No. 6.1 (vii) & (viii),
7.1 (x) & (xi) & 7.2 (IX) & (X) as applicable) :

a plot of land of minimum dimensions 25 M x 30 M (within 15 km from

municipal/town/village limits of the location offered in the same State) for construction of
LPG Godown for storage of 8000 Kg of LPG in cylinders. The plot of land for construction
of godown not meeting the minimum dimensions of 25 M x 30 M will not be considered.

Or

a ready LPG cylinder storage godown (within 15 km from municipal/town/village limits of

the location offered in the same State) of 8000 Kg capacity.

In case there are any state specific requirements/norms applicable for construction of the
LPG Godown, then the same will be applicable for the respective Regular Distributorship
locations and revised minimum dimensions of the plot of land will be required as
specified in the advertisement of that respective state:

The plot of land or ready LPG cylinder storage godown should be freely accessible
through all weather motorable approach road (public road or private road
connectingroad connecting to the public road). It should also be plain, in one contiguous
plot, free from live overhead power transmission or telephone lines.
Canals/Drainage/Nallahs should not be passing through the plot. The land for
construction of LPG godown should also meet the norms of various statutory bodies
such as PWD/Highway authorities/ Town and Country Planning Department etc.

20
 b. Showroom

A Showroom of minimum dimensions 3 metre by 4.5 metre as per the standard layout is
to be made in a shop / land located in the advertised location or locality as specified in
the advertisement for LPG distributorship and it should be easily accessible to general
public through a suitable approach road.

c. Infrastructure For Home Delivery Of LPG Cylinders

In addition to the Godown for storage of LPG cylinders and Showroom, Delivery Vehicles
will be required for effecting home delivery of LPG cylinders in the authorized area of
operation. Based on the assessment of the market, the Corporation will advise the LOI
holder the requirement of the delivery system to be put in place before commissioning of
the distributorship and subsequently any additional requirement with the growth in
business from time to time.

5. SPOUSE AS CO-OWNER

In each case where an individual gets selected, his/her spouse (i.e wife/husband) would be
made 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.

6. PERSONAL SUPERVISION

A person selected for the distributorship will have to personally manage the operation of the
LPG Distributorship. He/she will not be eligible for taking up any other employment. If the
selected person is already employed he/she will have to resign from the employment and
produce the letter of acceptance of resignation by the employer before the issuance of Letter of
Appointment (LOA) by the Oil Company. Before issuance of LOA by the OMC, the selected
candidate would also be required to submit a Notarized Affidavit certifying that they are not
employed in private sector or are not drawing any salary/perks/emoluments (other than pension)
from the State/Central Government.

A Non - Individual applicant selected for the distributorship will have to manage the operation of
the LPG distributorship through its own employees and not on contract basis.

7. SCHEME OF FINANCIAL ASSISTANCE TO SC/ST CATEGORY DISTRIBUTORSHIPS

The Selected Candidate for the location reserved under SC/ST category has the option to avail
the following Financial Assistance Scheme :

21
 OMCs shall facilitate the selected candidate in obtaining the loan from scheduled commercial
bank for providing the LPG Godown, Showroom and LPG cylinder delivery infrastructure. In
this regard, if the banks require any margin money to be invested by the candidate in providing
the above mentioned facilities, OMCs shall extend Financial assistance by way of a secured
loan towards such margin money. The margin money shall however be limited to ` 1 Lakh for
Urban market Distributorships and ` 0.60 lakh for Urban-Rural & Rural market Distributorship
or 20% of the total project cost against which the loan has been sanctioned by Bank, whichever
is lower.

The secured loan towards the margin money will be provided to Distributorships reserved for
SC/ST categories at (SBI PLR + 1 %) interest per annum. This loan as well as interest will be
recovered at the rate of 20% of distributor’s commission.

Adequate working capital loan at (SBI PLR + 1 %) interest per annum, for a full operation cycle
of the operation of the distributorship will also be provided. Both the working capital as well as
interest thereon will be recovered in 100 equal monthly installments from the 13th month of
commissioning of the Distributorship.

8. SECURITY DEPOSIT

The selected candidate before being issued the appointment letter will have to deposit interest
free refundable security deposit to the respective OMC of ` 5 lakhs for distributorship in Urban
(U) area or ` 2.5 lakhs in Urban-Rural (UR) and Rural (R) area as applicable and stated in the
advertisement. The amount deposited before FVC will be adjusted against the applicable
security deposit.

OMCs will reserve the right to adjust any dues to it from the Security Deposit amount at the time
of resignation/ termination. However, in case of termination of the distributorship is on account of
proven malpractice, the said security deposit shall be forfeited.

9. COMMISSIONING OF THE DISTRIBUTORSHIP

A candidate who has been given the ‘Letter of Intent’ (LOI) would be required to fulfil the terms
and conditions as contained therein, so as to commission the distributorship within the stipulated
time period.

The selected candidate would be given training and has to clear pre-commissioning quiz/test by
scoring qualifying marks that is 80%.

In case selected candidate secures less than 80% marks, re-training would be given and re-test
conducted.

Before commissioning, Letter of Appointment would be issued to the selected candidate and an
agreement shall be executed as per the standard LPG Distributorship agreement.

22
10. TENURE OF DISTRIBUTORSHIP

The tenure of the HP Gas & Bharatgas distributorship shall be for an initial period of 10 years
and renewable for every 5 years thereafter, subject to the examination of the performance of the
distributorship by the respective OMC and decision thereon.

The tenure of the INDANE distributorship shall remain in force for an initial period of 5 years
from the date of execution of Distributorship Agreement and continue thereafter until determined
as per rights mentioned in the Distributorship agreement.

11. FURNISHING OF FALSE INFORMATION

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/candidature is liable to be rejected without assigning any reason.

In case the selection of the candidate is rejected after the FVC or after issuance of LOI but
before issue of Letter of Appointment, then the 10% of the security deposit deposited by the
selected candidate before FVC will be forfeited.

In case the selected candidate has been appointed as a distributor and the allotment is liable to
be cancelled, then the distributorship will be terminated along with forfeiture of security deposit
remitted by the candidate.

In such cases, the selected candidate / distributor will have no claim whatsoever against the
respective Oil Company.

**********

23
 Appendix- I
APPLICATION FORMAT FOR INDIVIDUAL APPLICANTS
For Office use D D - M M - Y Y
Not to be filled by applicant Of f ice Code Serial No Date of receipt of application Passport Size
APPLICATION FOR LPG DISTRIBUTORSHIP OF Photograph
Please write name of Oil Company of the location (BPC or IOC or HPC) with specimen
signature partially
Particular of application fee ` across the photograph
Demand Draft Number Date D D - M M - y y
(name of the bank)
Drawn on Payable At
( Full name of the oil company )
In favour of
(Enclose Application processing fee of Rs1000/ ( one thousand only) for all applicants except SC/ST candidate. Application
processing fee for SC/ST candidates is Rs 500/- (Five hundred) on enclosing SC/ST certificate.)
1 Name of the Location
2 District
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)
if 'No', please use the format
6 Status of applicant : Individual YES / NO
for non-individual applicant
7 Applicant should enclose Affidavit as per the format given in Appendix - 1
Name
7.1 First name Middle name Surname

Father’s / S H R I
7.2
Husband’s Name Title First name Middle name Surname

Address

7.3 Pin code :

Mobile No.
Telephone No - email:
Indian Citizen Yes No
7.4 Resident of
if 'No' applicant is not eligible
Revenue District
7.5 Gender Male / Female State
Date of Birth D D - M M - Y Y Y Y Age Years Months Days
7.6 Age as on the date of application

Strike off what is not applicable.

7.7 Marital Status Single Married Widow Widower Divorcee
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

24
Please read Item No. 9 & 10 of General Instruction before providing information on 9 & 10 below.
9 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 applicant / member(s) of 'Family Unit'. In case land belongs to
member(s) of 'Family Unit', attach notorised affidavit as per Appendix - 2. In case land is jointly owned
by the applicant/member(s) 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 ow ner Relationship Date of registration of Address of the Khasra Distance of
of Land / Lease w ith applicant sale deed /gift deed/ location of the land for No/Survey
Dimensions of land * the land for
holder(s) lease deed / date of LPG Godow n No Length in Breadth in LPG
mutation. metre metre Godow n/
Godow n from
location 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.

10 Provide the following details of land for Showroom or showroom at the advertised location or locality as
specified in the advertisement (owned or leased for minimum 15 years). In case land belongs to member(s)
of 'Family Unit', attach notorised affidavit as per Appendix - 2. In case land is jointly owned by the
applicant/member(s) 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 ow ner of Land Relationship Date of registration of Address of the Khasra No Dimensions
/show room or leaseholders w ith applicant sale deed /gift deed/ location of the land for / Survey
lease deed / date of show room/show room No Length in Breadth in
mutation. metre 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.
AMOUNT IN SAVINGS BANK ACCOUNT in Scheduled Bank/Post Office in the name of applicant
11 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.
Name of Relation
S.N Name of Bank S. B. A/C No. Account 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.

25
 12 FIXED DEPOSIT/NSC/SHARES/MF ETC in the name of applicant and member(s) of 'family unit'. Attach
affidavit as per format given in Appendix - 2 from member(s) of 'family unit'.

Type of
Reference Relation Initial
Investment - Name(s) of Value ( Amount ) as on the date
S.N Number with investment
FD/NSC/Sh the holder of application
with date applicant Amount
ares/MF etc
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.
Have you ever been convicted or charges have been framed by Court of Law for any Yes / No
13 criminal offence involving moral turpitude and / or economic offence (other than freedom Please strike of f what is
struggle)? (If yes you are not eligible to apply.) not applicable

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

i Name of SKO Dealership
ii Location of SKO Dealership
iii District
iv State
v Category of Dealership
Strike out whichever is not applicable
Name of Oil Company of the SKO
vi IOC BPC HPC
Dealership
vii Constitution of Dealership Proprietorship Partnershi Society Company Strike out w hichever is
(SKO dealership with Sole Proprietor only is eligible to apply) not applicable
viii Average monthly SKO allocation during the preceding 12 months prior to month Average KL/month
of advertisement for this LPG Distributorship.
(SKO dealership with average 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 THE APPLICANT.

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.

26
 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 failing which my candidature will be cancelled. 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.

The check list at Point No. 16 which is a part of this application has been verified by me before the
submission of this application form and the same is true and correct.

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

(Name in block letters)

27
16. Check list for Applicants
(Note : Check Box against all the items in the checklist has to be compulsorily filled)
Check box #
S.No Document / Activity to be checked
(P / X)
I have enclosed DD No. ______________ dated ____________attached - verify amount,
1
drawn in favour of concerned company and payable at
2 I have pasted my recent photograph and signed across the photograph
3 I have enclosed Copy(ies) of eligibility certificate(s) for the category as applicable
4 I have enclosed Notorised Affidavit in original as per format given in Appendix 1
5 I have enclosed Notorised Affidavit in original as per Appendix 2 as applicable
I have enclosed Notorised Affidavit in original for Joint Owners/Joint Lessee of Land as
6
per Appendix 4 as applicable
I have enclosed Notorised Affidavit in original - Declaration/Undertaking as applicable for
7
OBC applicants as per Appendix - 3c.
8 I confirm my Age as on date of application is as per the eligibility criteria
9 I confirm that I am having minimum education qualification as per the eligibility criteria
I confirm that I am having own or leased land for Godown/Godown in my name/member
of the Family Unit** and the same meets the eligibility conditions including the
10 ownership criteria as per clause No. 3a of the advertisement and clause No. 6.1 (vii) &
6.1 (viii) of the Brochure (Please also refer to item No. 9 of "General Instructions to the
Candidates applying for LPG Distributorship")

Having own or leased Land for Showroom/Showroom in my name/member of the Family

Unit** and the same meets the eligibility conditions including the ownership criteria as
11 per clause No. 3b of the advertisement and clause No. 6.1 (vii) & 6.1 (viii) of the
Brochure (Please also refer to item No. 10 of "General Instructions to the Candidates
applying for LPG Distributorship")

I confirm that I am having the required minimum funds of Rs. 15.0 lakhs for Urban & Rs.
10.0 Lakhs for Urban-Rural & Rural (Rs. 5.0 Lakhs for Urban & Rs. 2.5 lakhs for Urban-
Rural & Rural in case of SC/ST category) as per the eligibility criteria given at Clause
12 No. 6.1 (vi) of the Brochure.(Please also refer to item No. 11 & 12 of "General
Instructions to the Candidates applying for LPG Distributorship") I also confirm that
amount maintained in the joint account with members outside the "Family Unit"** are
not mentioned in my application
I confirm that I have signed the Undertaking at the end of application (Point No. 15) with
13
name, date and place.
14 I confirm that I have numbered and signed all pages of application.
15 Total Number of pages of the application including attachments __________ Nos
I confirm that the Application is complete in all respect and the requisite documents
16
have been enclosed.

Date Place Name of Applicant Signature

# Wherever any of the items in the check list are not applicable, the applicant should mention in the check box as
'Not Applicable"
'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.

28
 (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 Chartered Accountant 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 Cost Accountant 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. I also confirm that I have not resigned from Sole proprietorship of any
dealership/distributorship of any oil company in order to transfer the dealership/distributorship in favour of
my family member/s (as defined in the Dealer/Distributor Selection 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, Dealership Agreement, 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 .
29
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 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 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)

30
 (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
____________________________ .

* Strike off whichever is not applicable.

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 therefrom

Solemnly affirmed and declared before me

This_________________________ day of _______________________________

Signature
Signature and Seal of Magistrate/Judge/Notary public Name of Deponent
Relationship with applicant.

31
 Appendix - 3a
STANDARD FORMAT FOR SC/ST CATEGORY CERTIFICATE
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-organisation Act, 1960 and the Punjab Reorganisation Act 1956*.
The Constitution (Jammu & Kashmir) Scheduled Castes Order, 1956*
The Constitution (Andaman & Nicobar Islands) Scheduled Tribes Order, 1956*
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

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 People Act, 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 to Administrator / Development Officer (Lakshadweep).

32
 Appendix - 3b
STANDARD FORMAT FOR OBC CATEGORY CERTIFICATE

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 by Government of
India (Central Government) under:

Dt. of Gazette
Resolution No. Issued by
Notification issued
Sl.No. Government of India Concerned State / UT
by GOI
(Central Govt.)
(Central Govt.)

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 and and any other subsequent amendments promulgated in this regard.

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
People Act, 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.

33
 Appendix - 3c

Declaration/undertaking as a Notarized affidavit - for OBC Candidates

(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 and any other subsequent amendments issued in this
regard.

(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.

34
 Appendix - 3d
STANDARD FORMAT FOR PH CATEGORY CERTIFICATE

NAME & ADDRESS OF THE INSTITUTE/HOSPITAL ISSUING 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)

Recent Attested Photograph

Showing the disability affixed here.

35
 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 :

Name :
Date : ____________ Designation :

Office Seal :

36
 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 :

Date of
Relationship of
registration of Dimension of Land
the member of
Sale Deed / Khasra no./ offered as per
Names of the Joint Family Unit
Gift Deed / Gatta Demarcated Plan
owner(s)/Joint Lessee with Applicant
Lease Deed / No./Survey No. (____metres X
(Not Applicable
Date of ______metres)
for Third Party)
Mutation

* Land for Showroom :

Date of
Relationship of
registration of Dimension of Land
the member of
Sale Deed / Khasra no./ offered as per
Names of the Joint Family Unit
Gift Deed / Gatta Demarcated Plan
owner(s)/Joint Lessee with Applicant
Lease Deed / No./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

37
 General Instructions to the candidates applying for LPG Distributorship.
Item Supporting Documents to be
Instructions
No provided by applicant at the time
Write the name of the location for which application is made as per
1
advertisement.
Write the name of the district of the location for which application is
2
made as per advertisement.
Write the name of the State of the location for which application is
3
made as per advertisement.

Eligibility certificates issued by the

competent authorities as applicable.
Caste validity certificate as
applicable. For example, if the
category of location is SC (CC), the
applicant has to provide eligibility
Write the name of the category of the location as per the
4 certificate for both SC & CC
advertisement
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 & non-creamy layer status.

Write the date and name of the news paper in which advertisement has appeared for the location
5
mentioned in item 1.
Tick the status of Applicant: whether applicant is individual Yes or No. If No, use the application format of
6
Non-Individual Applicant

Proof of Date of Birth like School

Personal Details are to be filled and Notorised Affidavit as per format
7 Leaving Certificate/Birth
given in Appendix -1 to be submitted
Certificate/Passport / PAN Card.
Original certificate for each
8 Education : - Information in chronological order
qualification
Details of the plot of Land for godow n or ready made godow n w hich meets the Documents pertaining to land / Godow n in the
follow ing requirement:- name of applicant or member of 'family unit'
Registered Sale Deed/ Gift Deed / Lease
The applicant should ow n (as per ow nership criteria defined in clause No. 6.1 Deed (15yrs minimum )/Mutation and
(vii) & (viii), 7.1 (x) & (xi) & 7.2 (IX) & (X) of the Brochure as applicable) : government record etc.

a plot of land of minimum dimensions 25 M x 30 M (w ithin 15 km from The Date of the documents have to be on or
municipal/tow n/village limits of the location offered in the same State) for before the last date for submission of
construction of LPG Godow n for storage of 8000 Kg of LPG in cylinders. The plot application as mentioned in the advertisement
of land for construction of godow n not meeting the minimum dimensions of 25 M or corrigendum, if any.
x 30 M w ill not be considered.
Or In case land is in the name of member of
a ready LPG cylinder storage godow n (w ithin 15 km from municipal/tow n/village 'family unit', consent from the family member
limits of the location offered in the same State) of 8000 Kg capacity. in form of Notorized Affidavit (Appendix 2) is
required to be attached w ith the application.
(Note : In case there are any state specific requirements/norms applicable for
9 construction of the LPG Godow n, then the same w ill be applicable for the In case land is jointly ow ned by the
respective Regular Distributorship locations and revised minimum dimensions of applicant/member of the Family Unit w ith any
the plot of land w ill be required as specified in the advertisement of that other person(s) or jointly leased in the name
respective State). of the applicant/member of the Family Unit &
any other person(s) and the share of such
The plot of land or ready LPG cylinder storage godow n should be freely land in the name of the applicant/member of
accessible through all w eather motorable approach road (public road or private the Family Unit meets the requirement of land
road connecting to the public road). It should also be plain, in one contiguous plot, for godow n then an NOC in the form of an
free from live overhead pow er transmission or telephone lines. affidavit from the joint ow ner(s)/joint lessee
Canals/Drainage/Nallahs should not be passing through the plot. The land for is to be provided as per Appendix-4
construction of LPG godow n should also meet the norms of various statutory
bodies such as PWD/Highw ay authorities/ Tow n and Country Planning 'Family Unit' is defined below in Important
Department etc. Note.

Regular Distributor w ould require a storage Godow n approved and licensed by

Chief Controller of Explosives of Petroleum and Explosives Safety Organisation
(PESO) for storage of 8000 Kg LPG in cylinders

38
 Details of the Land for Showroom / Showroom which meets the Documents pertaining to land /
following requirements:- showroom in the name of applicant or
member of 'family unit'. Same as
Own a suitable shop of minimum size 3 meters by 4.5 meter in mentioned in the item 9 above.
10
dimension or 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.
Amount in the Saving Account in Scheduled bank / Post Office in Savings Bank Accounts Statement/
the name of self & the member(s) of the "Family Unit" should be Pass Book from which the amount
available as closing balance as on the last date for submisson of mentioned in the application to be
application as mentioned in the advertisement or corrigendum (if available as closing balance on the
any) and only such closing balance will be considered. last date for submission of application
11.0 as mentioned in the advertisement or
Amount maintained in the joint account with member(s) outside the corrigendum (if any) can be verified.
"Family Unit" should not be mentioned and will not be considered.

Attach Notorized Affidavit as per format given in Appendix - 2

Investment in Bonds/NSC in the name of self and member of the All supporting documents based on
"Family unit" - value (amount) as on date of application. which the amount has been declared
as on the date of application in Point
Fixed Deposit/Term Deposit/PPF in Scheduled Bank/Post No. 12 needs to be made available.
Office/listed Companies/Government organisation/PSU in the name
of self and member of the Family Unit - value (amount) as on date of Declared Value (amount) as on the
application. date of application for the investment
instruments as certified by the
The investments as declared in the application must be available as Bank/Post Office or the concerned
on last date of submission of application as specified in the financial institution/issuing
advertisement or corrigendum (if any), for verification. organisation.

Attach Notarized Affidavit as per format given in Appendix - 2, if In case fixed deposit(s)/PPF/Term
applicable. Deposit/Bonds/NSCs etc have
matured between the date of
Amount maintained in the joint account with member(s) outside the application and the last date for
"Family Unit" should not be mentioned and will not be considered. submission of application as
mentioned in the advertisement or
12.0 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).
Value on the date of application as
certified by the Government Approved
Investments in listed Mutual Funds/listed company shares/ULIP Valuer or the concerned financial
based on the NAV on the date of application. institution/ certified by Chartered
Accountant.
Certificate from the Insurance
Amount of money which applicant can get on surrender of Insurance Company
policy.

Notorised Affidavit as per format given

Conviction or charges have been framed by Court of Law for any
in Appendix - 1 to be submitted
13 criminal offence involving moral turpitude and / or economic offence
(other than freedom struggle).

39
 14 Additional Information to be furnished by SKO (Kerosene) dealers for Notarised Affidavit as per format given
item No.i to viii. in 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 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.

40
 Appendix I 1

Application Format for Non-Individual Applicants

(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

APPLICATION 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
(name of the bank)
Drawn on Payable At

In favour of (Full name of the Oil Company)

1 Name of the Location
2 Rev. District
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 Companies Act, 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:
Mobile No
Telephone No - email:
8A Registered Societies applying under Reserved Categories should enclose Affidavit as per format given in
Appendix - Ia
a) Name of the Registered Society

b) Address of Registered Office

Pin code :
Telephone No - email:
c) Date of Registration/Incorporation D D - M M - Y Y Y Y

d) Profit/ loss made during the last 3 Profit After tax Loss
financial years 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.

41
 e) Whether all members of the Registered Society belong to the same category for Y e s / N o
which LPG distributorship has been advertised? (If 'No', you 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 Y e s / N o
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 Strike off what is not
been issued a letter of intent or appointment letter? (If 'Yes', you are not eligible to applicable.
apply)
g) Whether any of the members of the Society were signatory to dealership/ Y e s / N o
distributorship agreement of any oil company, which was terminated for Strike off what is not
malpractices and / or for violations of provisions of the Marketing Discipline applicable.
Guidelines? (If 'Yes', you are not eligible to apply)

h) Whether any of the members of the Society have either been convicted or charges Y e s / N o
have been framed against them by court of law for criminal offences involving moral Strike off what is not
turpitude and / or economic offences (other than freedom struggle) punishable applicable.
under Law. (If 'Yes', you are not eligible to apply)

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

a) Name of the Registered Society/Trust/Company

b) Address of Registered Office

Pin code :
Mobile No
Telephone No - email
:
c) Date of Registration/Incorporation D D - M M - Y Y Y Y

d) Profit/ loss made during the last 3 Profit After tax # Loss
financial years 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 Yes / No
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 Strike off what is not applicable.
dealership or LPG distributorship of any Oil Company? (If 'Yes', then not eligible)
OR
Whether any of the members of the Governing Body / Managing Body/ Any such Yes / No
other Body of the Registered Society/ Charitable Trust or their family members
(family as defined in the case of multiple dealership norms for individuals) is having Strike off what is not applicable.
RO/SKO-LDO dealership/LPG Distributorship? (If 'Yes', then not eligible)
9 Details Of Land For Godown For Storage Of LPG Cylinders or Godown

42
 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 Khasra Dimensions* Distance of land from
deed/ date of acquisition in the name of location of the No/Survey No Length in Breath advertised location ( in
Organisation. land for LPG metres in Kms)
Godown metres

* 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 Dimension#
deed/ date of acquisition in the name of land for
Length in metres Breadth in metres
Organisation showroom
/showroom

# 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.

11 Capability to Arrange Finance

AMOUNT IN THE SCHEDULED BANK ACCOUNT /POST OFFICE
S.N Name of Bank/Post Account Number of the Amount
Office organization
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.

43
 12 Fixed Deposit/NSC/Shares/MF/ Kisan Vikas Patra in the Name of Organisation
S.N Type of Document Reference Initial investment Value (Amount) as on the date of
Investment Number with date Amount (Rs) Application.

1 ` .

2 ` .
3 ` .
4 ` .
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

(If yes you are not eligible to apply.) Please strike off what 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

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

at______________.
2. Notarized Affidavit in original as per the format given in Appendix - Ia or Appendix –Ib as applicable.
3. Certificate from CA and copy of balance sheet of last three years.
4. Total number of pages of the application including attachments ______________. Nos

44
 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 Chartered Accountant
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. A copy 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

45
 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)

46
 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. A copy 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 Chartered Accountant.
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.
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

47
 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)

48