INDIAN OIL CORPORATION LTD BHARAT PETROLEUM CORPORATION by wiv15602

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									                                         INDIAN OIL CORPORATION LTD
                                         BHARAT PETROLEUM CORPORATION LTD
                                         HINDUSTAN PETROLEUM CORPORATION LTD

                                 NOTICE FOR APPOINTMENT OF LPG DISTRIBUTORS
     1.           INDIAN OIL CORPORATION LTD (IOCL), BHARAT PETROLEUM CORPORATION LTD(BPCL) and HINDUSTAN PETROLEUM CORPORATION LTD (HPCL)
                  propose to appoint LPG distributors under various categories at locations specified below from amongst the candidates belonging to different
                  categories mentioned therein in the State of Andhra Pradesh.
Sr.No     Oil           Location                       District   Category       Type of         Security    Marketing             Sr.No     Oil        Location                                   District    Category        Type of         Security    Marketing
        Company                                                                  Market          Deposit       Plan                        Company                                                                             Market          Deposit       Plan
                                                                               Urban(U)/Urban    (Amount                                                                                                                     Urban(U)/Urban    (Amount
                                                                             Rural(UR)/ Rural(R) in Lacs)                                                                                                                  Rural(UR)/ Rural(R) in Lacs)

INDIAN OIL CORPORATION LIMITED ( IOCL)                                                                                              19        BPCL    ADONI                                    KURNOOL           OP (W)          UR                2.5         2004-07
1         IOCL      BUKKARAYASAMUDRAM             ANANTAPUR        DC            R                 2.5      1999-2000               20        BPCL    KOTHAKOTA                                MAHABOOBNAGAR     OP              R                 2.5         2004-07
2         IOCL      ANANTAPUR                     ANANTAPUR        OP            UR                2.5        2004-07               21        BPCL    KANDUKOOR                                PRAKASAM          ST              UR                NIL         2004-07
3         IOCL      GOOTY                         ANANTAPUR        PMP           UR                2.5        2004-07               22        BPCL    MARKAPUR                                 PRAKASAM          PMP (W)         UR                2.5         2004-07
4         IOCL      KADIRI                        ANANTAPUR        OP            UR                2.5        2004-07               23        BPCL    KARAMCHEDU                               PRAKASAM          OP              R                 2.5         2004-07
5         IOCL      HYDERABAD I (KUSHAIGUDA)      HYDERABAD        OP            U                 5          2004-07               24        BPCL    CHAKARAYAPET MANDAL                      CUDDAPAH          PMP             R                 2.5       1996 - 1998
6         IOCL      HYDERABAD UA I                HYDERABAD        OP(W)         UR                2.5        2004-07               25        BPCL    MUDIGONDA MANDAL                         KHAMMAM           PMP (W)         UR                2.5       1999 - 2000
                    (CHINTAL/SHAPURNAGAR)                                                                                           26        BPCL    VISAKHAPATNAM                            VISAKHAPATNAM     ST              U                 NIL     AGAINST TERMINATION
7         IOCL      JAGTIAL                       KARIMNAGAR       OP            UR                2.5        2004-07               27        BPCL    RAJUPALAM MANDAL                         GUNTUR            OP              R                 2.5       1999 - 2000
8         IOCL      KORATLA                       KARIMNAGAR       DC            UR                2.5        2004-07               28        BPCL    GUNTUR                                   GUNTUR            SC              U                 NIL     AGAINST TERMINATION
9         IOCL      MEDIPALLE                     KARIMNAGAR       DC(W)         R                 2.5       1999-2000              29        BPCL    VATTICHERUKURU                           GUNTUR            PMP (W)         R                 2.5       1999 - 2000
10        IOCL      SARANGAPUR                    KARIMNAGAR       OP(W)         R                 2.5       1999-2000              30        BPCL    ATREYAPURAM                              EAST GODAVARI     FF (W)          R                 2.5         2004-07
11        IOCL      BEJJANKI MANDAL               KARIMNAGAR       PMP           R                 2.5       1999-2000              31        BPCL    PEDDAPURAM                               EAST GODAVARI     OP              UR                2.5         2004-07
12        IOCL      YELLAREDDIPETA MANDAL         KARIMNAGAR       OP            R                 2.5       1999-2000              32        BPCL    VINUKONDA                                GUNTUR            OP (W)          UR                2.5         2004-07
13        IOCL      KURNOOL - 2                   KURNOOL          OP(W)         UR                2.5        2004-07               33        BPCL    BANTUMILLI                               KRISHNA           OP              R                 2.5         2004-07
14        IOCL      YEMMIGANUR                    KURNOOL          SC(W)         UR                NIL        2004-07               34        BPCL    KHAMMAM (U)                              KHAMMAM           PMP             U                 5           2004-07
15        IOCL      KOSIGI                        KURNOOL          PMP           R                 2.5       1999-2000              35        BPCL    PATAPATNAM                               SRIKAKULAM        OP              R                 2.5         2004-07
16        IOCL      C.BELAGAL MANDAL              KURNOOL          OP            R                 2.5       1999-2000              36        BPCL    VISAKHAPATNAM                            VISAKHAPATNAM     ST (W)          UR                NIL         2004-07
17        IOCL      MAHABOOBNAGAR                 MAHABOOBNAGAR    OP(W)         UR                2.5        2004-07               37        BPCL    SABBAVARAM                               VISAKHAPATNAM     OP (W)          R                 2.5         2004-07
18        IOCL      ZAHEERABAD                    MEDAK            OP(W)         UR                2.5        2004-07               38        BPCL    ANAKAPALLI – R                           VISAKHAPATNAM     DC              R                 2.5         2004-07
19        IOCL      DOULATABAD                    MEDAK            OP(W)         R                 2.5       1999-2000              39        BPCL    CHEEPURUPALLI                            VIZIANAGARAM      OP              R                 2.5         2004-07
20        IOCL      HATHNOORA                     MEDAK            PMP           R                 2.5       1999-2000              40        BPCL    PARVATHIPURAM                            VIZIANAGARAM      SC              UR                NIL         2004-07
21        IOCL      KALHER                        MEDAK            OP            R                 2.5       1999-2000              41        BPCL    JANGAREDDYGUDEM                          WEST GODAVARI     SC              R                 NIL         2004-07
22        IOCL      MANOOR                        MEDAK            OP(W)         R                 2.5       1999-2000              42        BPCL    TADEPALLIGUDEM                           WEST GODAVARI     OP              UR                2.5         2004-07
23        IOCL      NYALKAL                       MEDAK            DC(W)         R                 2.5       1999-2000              43        BPCL    PEDDAMANIYAM MANDAL                      CHITTOOR          OP              R                 2.5       1996 - 1998
24        IOCL      PAPPANNAPET                   MEDAK            PMP           R                 2.5       1999-2000              44        BPCL    CHENUR                                   NELLORE           DC (W)          UR                2.5       1996 - 1998
25        IOCL      TUPRAN MANDAL                 MEDAK            OSP           R                 2.5       1999-2000              45        BPCL    SATYAVEEDU                               CHITTOOR          OP              R                 2.5         2004-07
26        IOCL      NIZAMABAD                     NIZAMABAD        OP            UR                2.5        2004-07               46        BPCL    GUDUR                                    NELLORE           OP (W)          UR                2.5         2004-07
27        IOCL      KOTGIRI                       NIZAMABAD        DC            R                 2.5       1999-2000
                                                                                                                                    HINDUSTAN PETROLEUM CORPORATION LIMITED ( HPCL )
28        IOCL      MADNUR                        NIZAMABAD        PMP(W)        R                 2.5       1999-2000
29        IOCL      TADWAI                        NIZAMABAD        OP            R                 2.5       1999-2000              1         HPCL    MANCHERIAL                               ADILABAD          SC              UR                NIL         2004-07

30        IOCL      MARIPEDA MANDAL               WARANGAL         PMP           R                 2.5       1999-2000              2         HPCL    HYDERABAD II                             HYDERABAD         OP              U                 5           2004-07
                                                                                                                                                      (Balanagar-Bowenpally Road,Vikasnagar)
31        IOCL      SANGAM MANDAL                 WARANGAL         OP(W)         R                 2.5       1999-2000
                                                                                                                                    3         HPCL    HYDERABAD ( Karkhana )                   HYDERABAD         OP              U                     5     AGAINST TERMINATION
32        IOCL      MAHABUBABAD                   WARANGAL         DC            R                 2.5       1999-2000
                                                                                                                                    4         HPCL    KODIMIAL MANDAL                          KARIMNAGAR        PMP             R                 2.5       1999-2000
33        IOCL      NELLIKUDUR                    WARANGAL         OP(W)         R                 2.5       1999-2000
                                                                                                                                    5         HPCL    KARIMNAGAR (MANDAL)                      KARIMNAGAR        DC              UR                2.5         2004-07
34        IOCL      CHENNARAOPET MANDAL           WARANGAL         PMP(W)        R                 2.5       1999-2000
                                                                                                                                    6         HPCL    PEDDAPALLY (MANDAL)                      KARIMNAGAR        OP              UR                2.5         2004-07
35        IOCL      REGONDA MANDAL                WARANGAL         PH            R                 2.5       1999-2000
                                                                                                                                    7         HPCL    SIRCILLA                                 KARIMNAGAR        PMP(W)          UR                2.5         2004-07
36        IOCL      BACHANNAPETA MANDAL           WARANGAL         OP            R                 2.5       1999-2000
                                                                                                                                    8         HPCL    AIZA                                     MAHABOOBNAGAR     OP              R                 2.5         2004-07
37        IOCL      PALAKURTI MANDAL              WARANGAL         OP            R                 2.5       1999-2000
                                                                                                                                    9         HPCL    ATMAKUR                                  MAHABOOBNAGAR     SC(W)           R                 NIL         2004-07
38        IOCL      NARSAMPET                     WARANGAL         PMP           UR                2.5        1996-98
                                                                                                                                    10        HPCL    MAKHTAL                                  MAHABOOBNAGAR     SC              R                 NIL         2004-07
39        IOCL      CHITTOOR                      CHITTOOR         OP            UR                2.5        2004-07
                                                                                                                                    11        HPCL    KOLLAPUR                                 MAHABOOBNAGAR     OSP             U                 5           1994-96
40        IOCL      KARVETINAGARAM                CHITTOOR         OP(W)         R                 2.5        2004-07
                                                                                                                                    12        HPCL    ISNAPUR(PATANCHERU)                      MEDAK             OP              UR                2.5         2004-07
41        IOCL      VENKATAGIRIKOTA               CHITTOOR         OP            R                 2.5        2004-07
                                                                                                                                    13        HPCL    MEDAK                                    MEDAK             FF              UR                2.5         2004-07
42        IOCL      TIRUPATHI                     CHITTOOR         DC(W)         UR                2.5        1996-98
                                                                                                                                    14        HPCL    SANGAREDDY                               MEDAK             OP              UR                2.5         2004-07
43        IOCL      MYLAVARAM                     CUDDAPAH         DC            R                 2.5        2004-07
                                                                                                                                    15        HPCL    CHOWTUPPAL                               NALGONDA          OP              U                 5           1994-96
44        IOCL      YERRAGUNTLA                   CUDDAPAH         SC            R                 NIL        2004-07
                                                                                                                                    16        HPCL    DEVARAKONDA                              NALGONDA          OP              U                 5           1994-96
45        IOCL      MANGALAGIRI                   GUNTUR           OP(W)         UR                2.5        2004-07
                                                                                                                                    17        HPCL    KODADA                                   NALGONDA          ST              UR                NIL         2004-07
46        IOCL      PIDUGURALLA                   GUNTUR           OP            UR                2.5        2004-07
                                                                                                                                    18        HPCL    BODHAN                                   NIZAMABAD         DC              R                 2.5         2004-07
47        IOCL      PRATTIPADU                    GUNTUR           OP            R                 2.5        2004-07
                                                                                                                                    19        HPCL    KEESARA                                  RANGAREDDY        OP              R                 2.5         2004-07
48        IOCL      IPUR MANDAL                   GUNTUR           DC            R                 2.5       1999-2000
                                                                                                                                    20        HPCL    SHANKARPALLE                             RANGAREDDY        OP(W)           R                 2.5         2004-07
49        IOCL      MUPPALLA                      GUNTUR           OP(W)         R                 2.5       1999-2000
                                                                                                                                    21        HPCL    HYDERABAD ( Malakpet )                   RANGAREDDY        OP              U                 5       AGAINST TERMINATION
50        IOCL      KAKUMANU                      GUNTUR           PMP           R                 2.5       1999-2000
                                                                                                                                    22        HPCL    BASHEERABAD                              RANGAREDDY        PH(W)           UR                2.5         2004-07
51        IOCL      MOVVA                         KRISHNA          PMP           R                 2.5       1999-2000
                                                                                                                                    23        HPCL    GHANPUR(STATION)                         WARANGAL          SC              R                 NIL         2004-07
52        IOCL      ANUMULA                       NALGONDA         PMP           R                 2.5        2004-07
                                                                                                                                    24        HPCL    BOLLAPALLE MANDAL                        GUNTUR            OP              R                 2.5       1999-2000
53        IOCL      THIRUMALAGIRI                 NALGONDA         DC            R                 2.5        2004-07
                                                                                                                                    25        HPCL    KARLAPALEM MANDAL                        GUNTUR            OP(W)           R                 2.5       1999-2000
54        IOCL      NALGONDA                      NALGONDA         OP            U                 5          1994-96
                                                                                                                                    26        HPCL    NAGARAM MANDAL                           GUNTUR            DC              R                 2.5       1999-2000
55        IOCL      THALLUR MANDAL                PRAKASAM         DC(W)         R                 2.5       1999-2000
                                                                                                                                    27        HPCL    YADLAPADU MANDAL                         GUNTUR            OP              R                 2.5       1999-2000
56        IOCL      KORISAPADU MANDAL             PRAKASAM         DC            R                 2.5        1996-98
                                                                                                                                    28        HPCL    MACHERLA                                 GUNTUR            OP              UR                2.5         2004-07
57        IOCL      ADDANKI                       PRAKASAM         OP            UR                2.5        2004-07
                                                                                                                                    29        HPCL    NARASARAOPETA                            GUNTUR            SC              UR                NIL         2004-07
58        IOCL      PEDDA CHERLAPALLY             PRAKASAM         ST            R                 NIL        2004-07
                                                                                                                                    30        HPCL    REPALLE                                  GUNTUR            PMP             UR                2.5         2004-07
59        IOCL      PONNALUR                      PRAKASAM         PH(W)         R                 2.5        2004-07
                                                                                                                                    31        HPCL    SATTENAPALLI                             GUNTUR            OP              UR                2.5         2004-07
60        IOCL      PRATHIPADU                    EAST GODAVARI    PMP           UR                2.5       1999-2000
                                                                                                                                    32        HPCL    PEDDANANDIPADU                           GUNTUR            OP              R                 2.5     AGAINST TERMINATION
61        IOCL      BICCAVOLU                     EAST GODAVARI    OP            R                 2.5        2004-07
                                                                                                                                    33        HPCL    THIRUMALAYAPALEM MANDAL                  KHAMMAM           OSP(W)          R                 2.5       1999-2000
62        IOCL      DRAKSHARAMAM                  EAST GODAVARI    ST            R                 NIL        2004-07
                                                                                                                                    34        HPCL    NAGAYALANKA                              KRISHNA           OP              R                 2.5         1996-98
63        IOCL      GOLLAPROLU                    EAST GODAVARI    PMP           R                 2.5        2004-07
                                                                                                                                    35        HPCL    GUDUR MANDAL                             KRISHNA           OP              R                 2.5       1999-2000
64        IOCL      KATRENIKONA                   EAST GODAVARI    ST            R                 NIL        2004-07
                                                                                                                                    36        HPCL    NUZUVID MANDAL                           KRISHNA           SC(W)           R                 NIL       1999-2000
65        IOCL      KUTUKULUR                     EAST GODAVARI    PMP           R                 2.5        2004-07
                                                                                                                                    37        HPCL    JAGGAIAHPETA                             KRISHNA           OP              UR                2.5         2004-07
66        IOCL      MALKIPURAM                    EAST GODAVARI    OP            R                 2.5        2004-07
                                                                                                                                    38        HPCL    VUYYUR                                   KRISHNA           OP              UR                2.5       1996-98(S)
67        IOCL      MANDAPETA                     EAST GODAVARI    OP            UR                2.5        2004-07
                                                                                                                                    39        HPCL    VIJAYAWADA                               KRISHNA           OP              UR                2.5     AGAINST TERMINATION
68        IOCL      MUMMIDIVARAM                  EAST GODAVARI    SC            R                 NIL        2004-07
                                                                                                                                    40        HPCL    KANIGIRI                                 PRAKASAM          SC(W)           R                 NIL         2004-07
69        IOCL      PITHAPURAM                    EAST GODAVARI    SC            UR                NIL        2004-07
                                                                                                                                    41        HPCL    NAGULUPPALAPADU MANDAL                   PRAKASAM          PMP             R                 2.5       1999-2000
70        IOCL      RAJAHAMUNDRY - R              EAST GODAVARI    OP(W)         R                 2.5        2004-07
                                                                                                                                    42        HPCL    YERRA GONDAPALEM MANDAL                  PRAKASAM          OP              R                 2.5       1999-2000
71        IOCL      RAMACHANDRAPURAM              EAST GODAVARI    OP(W)         UR                2.5        2004-07
                                                                                                                                    43        HPCL    ONGOLE                                   PRAKASAM          ST              U                 NIL     AGAINST TERMINATION
72        IOCL      RAVULAPALEM                   EAST GODAVARI    OP            R                 2.5        2004-07
                                                                                                                                    44        HPCL    VIDAPANAKAL MANDAL                       ANANTAPUR         OP (W)          R                 2.5       1999-2000
73        IOCL      RAZOLE                        EAST GODAVARI    OP(W)         R                 2.5        2004-07
                                                                                                                                    45        HPCL    AMARPURAM MANDAL                         ANANTAPUR         OP              R                 2.5       1999-2000
74        IOCL      SAMALKOT                      EAST GODAVARI    OP(W)         UR                2.5        2004-07
                                                                                                                                    46        HPCL    RAIDURG                                  ANANTAPUR         ST              UR                NIL         2004-07
75        IOCL      SANKHAVARAM                   EAST GODAVARI    SC            R                 NIL        2004-07
                                                                                                                                    47        HPCL    TADIPATRI                                ANANTAPUR         SC              UR                NIL         2004-07
76        IOCL      SITANAGARAM                   EAST GODAVARI    DC            R                 2.5        2004-07
                                                                                                                                    48        HPCL    DUVVURU                                  CUDDAPAH          OP              R                 2.5         2004-07
77        IOCL      NARASANNAPET                  SREEKAKULAM      SC(W)         UR                NIL        2004-07
                                                                                                                                    49        HPCL    VEMPALLY                                 CUDDAPAH          OP(W)           R                 2.5         2004-07
78        IOCL      BHEEMUNIPATNAM                VISAKHAPATNAM    OP            R                 2.5        2004-07
                                                                                                                                    50        HPCL    KODUMURU                                 KURNOOL           PH              R                 2.5         2004-07
79        IOCL      NARSIPATNAM                   VISAKHAPATNAM    SC            UR                NIL        2004-07
                                                                                                                                    51        HPCL    KOILAKUNTLA                              KURNOOL           DC(W)           R                 2.5         2004-07
80        IOCL      RAMABHADRAPURAM               VIZIANAGARAM     ST(W)         R                 NIL        2004-07
                                                                                                                                    52        HPCL    MANTRALAYAM                              KURNOOL           DC(W)           R                 2.5         2004-07
81        IOCL      CHINTALAPUDI                  WEST GODAVARI    PMP           R                 2.5        2004-07
                                                                                                                                    53        HPCL    NANDIKOTKUR                              KURNOOL           OP              R                 2.5         2004-07
82        IOCL      KOVVUR                        WEST GODAVARI    SC            UR                NIL        2004-07
                                                                                                                                    54        HPCL    PANYAM                                   KURNOOL           OP              R                 2.5         2004-07
83        IOCL      UNDI                          WEST GODAVARI    OP(W)         R                 2.5        2004-07
                                                                                                                                    55        HPCL    VELUGODU                                 KURNOOL           OP(W)           R                 2.5         2004-07
84        IOCL      PERAVALI                      WEST GODAVARI    PMP           R                 2.5        2004-07
                                                                                                                                    56        HPCL    KOLIMIGUNDLA MANDAL                      KURNOOL           OP              R                 2.5       1999-2000
BHARAT PETROLEUM CORPORATION LIMITED ( BPCL )                                                                                       57        HPCL    ASPARI MANDAL                            KURNOOL           DC              R                 2.5       1999-2000
                                                                                                                                    58        HPCL    DHONE                                    KURNOOL           OP              UR                2.5         2004-07
1         BPCL      JAGDEVPUR MANDAL              MEDAK            DC            R                 2.5      1999 - 2000
                                                                                                                                    59        HPCL    KURNOOL - 1                              KURNOOL           OP              UR                2.5         2004-07
2         BPCL      MAKLOOR MANDAL                NIZAMABAD        SC (W)        R                 NIL      1999 - 2000
                                                                                                                                    60        HPCL    TADA                                     NELLORE           SC(W)           R                 NIL         2004-07
3         BPCL      NARSIMHULAPET                 WARANGAL         OP            R                 2.5      1999 - 2000
                                                                                                                                    61        HPCL    KOTA MANDAL                              NELLORE           PMP             R                 2.5         1996-98
4         BPCL      NALLABALLI                    WARANGAL         OP (W)        R                 2.5       AGAINST TERMINATION
                                                                                                                                    62        HPCL    RAPUR (MANDAL)                           NELLORE           DC              R                 2.5         1996-98
5         BPCL      UTNOOR                        ADILABAD         ST (W)        R                 NIL        2004-07
                                                                                                                                    63        HPCL    NELLORE                                  NELLORE           SC(W)           UR                NIL         2004-07
6         BPCL      HYD UA II (CHANDRAYANGUTTA)   HYDERABAD        OP (W)        UR                2.5        2004-07
                                                                                                                                    64        HPCL    GUDUR                                    NELLORE           OP              UR                2.5     AGAINST TERMINATION
7         BPCL      IBRAHIMPATNAM                 RANGA REDDY      SC (W)        R                 NIL        2004-07
                                                                                                                                    65        HPCL    KADIYAM                                  EAST GODAVARI     SC              R                 NIL         2004-07
8         BPCL      QUTUBULLAPUR                  RANGA REDDY      SC            R                 NIL        2004-07
                                                                                                                                    66        HPCL    KARAPA                                   EAST GODAVARI     DC(W)           R                 2.5         2004-07
9         BPCL      NARPALA MANDAL                ANANTAPUR        PMP           R                 2.5      1999 - 2000
                                                                                                                                    67        HPCL    KORUKONDA                                EAST GODAVARI     FF              R                 2.5         2004-07
10        BPCL      TANAKAL MANDAL                ANANTAPUR        OP            R                 2.5      1999 - 2000
                                                                                                                                    68        HPCL    THONDANGI                                EAST GODAVARI     OP              R                 2.5         2004-07
11        BPCL      KONAKANAMITLA MANDAL          PRAKASAM         SC            R                 NIL      1999 - 2000
                                                                                                                                    69        HPCL    SEETAMPET                                SRIKAKULAM        OP              R                 2.5         2004-07
12        BPCL      MUNDLAMURU MANDAL             PRAKASAM         OP            R                 2.5      1999 - 2000
                                                                                                                                    70        HPCL    PUSAPATIREGA                             VIZIANAGARAM      OP              R                 2.5         2004-07
13        BPCL      ALUR MANDAL                   KURNOOL          FF (W)        R                 2.5      1999 - 2000
                                                                                                                                    71        HPCL    BOBBILI                                  VIZIANAGARAM      OP              UR                2.5         2004-07
14        BPCL      BUGGANIPALLE                  KURNOOL          OP            UR                2.5      1996 - 1998
                                                                                                                                    72        HPCL    GAJAPATHINAGARAM                         VIZIANAGARAM      DC              UR                2.5         2004-07
15        BPCL      DHARMAVARAM                   ANANTAPUR        OSP           UR                2.5        2004-07
                                                                                                                                    73        HPCL    BHIMADOLE                                WEST GODAVARI     PH              R                 2.5         2004-07
16        BPCL      HINDUPUR                      ANANTAPUR        PH            UR                2.5        2004-07
                                                                                                                                    74        HPCL    DEVARAPALLI                              WEST GODAVARI     OP              R                 2.5         2004-07
17        BPCL      PRODDUTUR                     CUDDAPAH         PMP           UR                2.5        2004-07
                                                                                                                                    75        HPCL    DWARAKA TIRUMALA                         WEST GODAVARI     OSP(W)          R                 2.5         2004-07
18        BPCL      NANDYAL                       KURNOOL          OP (W)        UR                2.5        2004-07
2 Common Eligibility for all categories:                                                                                                                                                11.     Selection Process and Evaluation criteria
                                                                                                                                                                                                                                                                                            If the candidate has expressed that he can arrange for the land for godown /
Applicant should                                                                             e) Freedom Fighter (FF):                                                                   The LPG distributor will be selected on the basis of evaluation of all eligible
                                                                                                                                                                                                                                                                                            showroom, then if selected, the same has to be arranged within two months
(a) be an Indian by Nationality (b) not be less than 21 years of age on the date             Freedom Fighter means the person who is a holder of Tamarapatra and receiving              applicants on the following parameters. .
                                                                                                                                                                                                                                                                                            from date of issue of LOI failing which the LOI may be cancelled.
of application (c) be Minimum Matriculate or recognised equivalent ( not                     pension sanctioned by the Ministry of Home Affairs, Government of India.                   a. Capability to provide infrastructure *                                    35 marks
applicable to FF/OSP category) (d) be Resident of India (e) fulfil Multiple                                                                                                             b. Capability to provide finance*                                            35 marks               15. SCHEME OF FINANCIAL ASSISTANCE TO SC/ST CATEGORY
dealership/distributorship norm (f) be having sound physical and mental health.                                                                                                         c. Educational qualifications **                                             15 marks                       DISTRIBUTORSHIPS UNDER ‘CORPUS FUND’ SCHEME:
                                                                                             Candidate applying under this category should produce a certificate or
                                                                                                                                                                                        d. Age**                                                                      4 marks               Financial Assistance under Corpus Fund Scheme will be given to Distributorships
                                                                                             Tamarapatra from the Ministry of Home Affairs, Govt of India or an attested copy
                                                                                                                                                                                        e. Experience                                                                 4 marks               reserved for SC/ST categories. Under Corpus Fund Scheme following financial
Multiple Dealer/Distributorship norm means that none of the individuals would                of the pension order issued by the Accountant General in pursuance of the
                                                                                                                                                                                        f. Business ability / acumen                                                  5 marks               assistance is provided:-
be entitled to a new dealership/distributorship if any other individual in a ‘ family        sanction letter from the Ministry of Home Affairs Government of India for the
                                                                                                                                                                                        g. Personality**                                                              2 marks                    (a) Respective Oil Company will provide – LPG Godown, Showroom with
unit’ already holds a dealership/distributorship or LOI for a dealership/                    grant of Swatantra Sainik Sanman Pension under ‘Freedom Fighter Pension
                                                                                                                                                                                                                       Total marks                                   100 marks                   toilet, delivery infrastructure and Telephone.
distributorship of a PSU oil company i.e Only one Retail Outlet / SKO-LDO                    Scheme’ as proof of his / her being a freedom fighter.                                                                                                                                              (b) Respective Oil Company will also provide adequate working capital
                                                                                                                                                                                        The evaluation on the parameters a to d above are document based and will be done on
dealership / LPG distributorship of PSU oil company will be allowed to a ‘family             The criteria of Educational Qualification will not be applicable for FF.                                                                                                                            loan at 11% interest per annum, for a full operation cycle of the operation of
                                                                                                                                                                                        the basis of information given in the application. The evaluation on the parameter e to
unit’.                                                                                                                                                                                  g will be done based on the interview. On verification if it is found that the information               the distributorship. Both the working capital as well as 11% per annum
                                                                                             f) Outstanding Sports Persons Category (OSP) :                                             given in application is incorrect / false / misrepresented then the applicant’s candidature              interest thereon will be recovered in 100 equal monthly instalments from
Family Unit in case of married person/ applicant, shall consist of individual                The following persons will be eligible :                                                   will stand cancelled and will not be eligible for distributorship.                                       the 13th month of commissioning of the Distributorship.
concerned, his/her Spouse and their unmarried son(s)/daughter(s). In case of                 (i) Arjuna / Khel Ratna Awardees.                                                                                                                                                                   (c) The allottees will have to pay a Licence Fee as per the policy of the
unmarried person/ applicant, ‘Family Unit’ shall consist of individual concerned,            (ii) Winners of Medals at Olympics/ Asian /Commonwealth Games and                                 *Scheduled caste/Scheduled tribe candidates for locations reserved for                            corporation.
his/her parents and his/her unmarried brother(s) and unmarried sister(s).                                                                                                               them will not be judged under the heads “Capability to provide infrastructure                       On application and subject to the satisfaction of the company, widows and
                                                                                                   Recognised World Champions/ World Championships.
                                                                                                                                                                                        and facilities” and “capability to provide Finance”.                                                unmarried women above 40 years of age without earning parents selected for
                                                                                             (iii) National Champions under the Recognised National
3 Specific conditions for eligibility under each category for which                                                                                                                            Everything being equal, preference will be given to unmarried women                          distributorship in all categories will be entitled to financial assistance under
                                                                                                   Championships.
advertised location is reserved:                                                                                                                                                        above 40 years of age without earning parents and Widows for LPG                                    Corpus Fund Scheme.
                                                                                             (iv) National Adventure Awardees
                                                                                                                                                                                        distributorship locations reserved for women.                                                       16. SECURITY DEPOSIT
a) Scheduled Caste/ Scheduled Tribe Category (SC/ST):                                                                                                                                          ** Registered Co-operative Societies, Corporations owned or Controlled                       The selected candidate before being issued the appointment letter will have to
                                                                                             Candidate applying under this category should produce a certificate from the
The castes/tribes recognised as Scheduled Castes/ Scheduled Tribes (SC/ST)                                                                                                              by the Central/State Governments, Central/State Public Sector Companies as                          deposit interest free security deposit of Rs. 2.5 or Rs. 5 lakhs as stated in the
                                                                                             Recognised National Federation organising National Championships (as                       well as any company incorporated under Companies Act 1956, will not be judged
under the Constitution of India will be eligible.                                                                                                                                                                                                                                           advertisement with the respective Oil Company. Oil Company also reserves
                                                                                             recognised by Department of Youth Affairs and Sports, Govt of India) or from the           under the parameters for Educational qualifications, Age and Personality. They                      right to adjust any dues to it from this amount at the time of resignation/
                                                                                             Dept of Youth Affairs and Sports, Govt of India.                                           will be given full marks.
A certificate in support of the candidate belonging to SC/ST category issued by the                                                                                                                                                                                                         termination. However, in case of termination of the distributorship on account of
                                                                                                                                                                                               In case of two or more applicants score same marks, the applicant who                        proven malpractice, the said security deposit will be forfeited.
competent authority notified by the Government of India will have to be furnished by the     The criteria of Educational Qualification will not be applicable for OSP categories.       has scored more marks based on documents shall be placed above the other
candidates along with their application, (as per the standard format given as                                                                                                           person in the merit panel. In case two or more applicants score same marks                          For LPG distributorships reserved under SC/ST category and Women availing
Annexure-E in the application format).                                                       g) Registered CO-OP SOCIETIES / CONSUMER SOCIETIES (Societies) shall                       based on documents and in interview, then the applicant who is younger in age                       corpus fund facility, no security deposit is payable.
                                                                                             be eligible to apply under reserved categories viz Scheduled Castes/ Scheduled             shall be placed above the other applicant in the merit panel.
b) Defence Personnel Category (DC):                                                                                                                                                                                                                                                         17. PERSONAL SUPERVISION BY DISTRIBUTORS
                                                                                             Tribes (SC/ST); Defence Personnel (DC); Freedom Fighter (FF); Outstanding                         A candidate has to get minimum 40% marks after interview. In case no
Defence Personnel means personnel of armed forces (viz. Army, Navy, Airforce)                                                                                                                                                                                                               A person selected for the distributorship shall be paying full attention towards
                                                                                             Sports Persons (OSP); Paramilitary /police / Government personnel (PMP);                   candidate gets minimum 40% marks, then the location will be re-advertised.
and will cover widows /dependents of those who died in war, war disabled/                                                                                                                                                                                                                   day to day working of the distributorship by personally managing the affairs of
                                                                                             Physically Handicapped Persons (PH) subject to following conditions:-                            Detailed guidelines including detail criteria for evaluation is given in the Brochure
                                                                                                                                                                                                                                                                                            the distributorship. He/she will not be eligible for taking up any other employment.
disabled on duty, widows / dependent of those members of Armed Forces who                                                                                                               which can be collected personally from the address mentioned at para 10 above at a cost
                                                                                                                                                                                                                                                                                            If the selected person is already employed he/she will have to resign from the
died in harness due to attributable causes and disabled in peace due to                                                                                                                 of Rs.50/-. It is also available on the website of respective oil companies – www.iocl.com
                                                                                             1) Each members of the Society should individually belong to the same category                                                                                                                 employment.
attributable causes.                                                                                                                                                                    ; www.bharatpetroleum.com and www.hindustanpetroleum.com
                                                                                             and fulfil the eligibility criteria regarding multiple distributorship/dealership norms,
                                                                                                                                                                                                                                                                                            18. DISTRIBUTORSHIP AGREEMENT
                                                                                             for which the distributorship has been advertised. An affidavit on appropriate             12 Grievance Redressal
Following is inter-se priority for DC category.                                                                                                                                                                                                                                             A person selected for distributorship after issuance of Letter of Appointment will
                                                                                             non-judicial stamp paper will have to be given by the chairmen or authorised               12.1 A representation / complaint shall be entertained only if it is received by the
                                                                                                                                                                                                                                                                                            have to execute distributorship agreement with the Oil Co., duration of which
(i)           Widows/ dependants of posthumous gallantry award winner.                       members of the society to the effect, i.e., each member (list to be attached along              office concerned within a month from the date of declaration of result.
                                                                                                                                                                                                                                                                                            will be initially for five years, renewable for every five years thereafter, subject
(ii)          War Widows / dependents of those who died in war.                              with affidavit duly certified by the society) belongs to the reserved category and         12.2 Efforts would be made to ensure that the representation/complaint is disposed
                                                                                                                                                                                                                                                                                            to the examination of the performance of the distributorship by the respective
(iii)         War disabled/ disabled on duty.                                                                                                                                                off within 3 months from the date of receipt of response of the complainant.
                                                                                             fulfil the eligibility criteria regarding multiple distributorship/dealership norms.                                                                                                           Oil Company.
(iv)          Widows / dependents of those who died in harness due to                                                                                                                   12.3 The disposal of complaint will be as per the grievance redressal system
                                                                                             2) The Society has to furnish appropriate resolution to show that person making
              attributable causes                                                                                                                                                            mentioned in the Brochure on Distributor Selection.                                            19. GENERAL
                                                                                             the application is empowered to make the same. In addition, the Society should
(v)           Disabled in peace due to attributable causes.                                                                                                                             12.4 Pending disposal of complaint, Letter of Intent if issued will be kept in abeyance                  (a)  The company reserves the right to cancel/withdraw/ amend this
                                                                                             furnish an undertaking that it will observe the relevant guidelines, etc.
                                                                                                                                                                                        13. BASIC INFRASTRUCTURE FACILITIES REQUIRED FOR OPERATION OF                                                        advertisement or extend the due date at its sole discretion without
                                                                                             3) Only the Societies making a net profit for previous three consecutive financial
Candidate applying under this Category should produce Eligibility Certificate                                                                                                           LPG DISTRIBUTORSHIP                                                                                                  assigning any reason.
                                                                                             years as certified by a Chartered Accountant are eligible to apply under the
issued from Directorate General of Resettlement (DGR), Ministry of Defence,                                                                                                                                                                                                                        (b)       Application for LPG distributorship can be submitted on a plain paper
                                                                                             respective reserved category.
and Government of India sponsoring the candidate for the distributorship for                                                                                                            13.1 GODOWN FOR STORAGE OF FILLED LPG CYLINDERS.                                                                     hand written or typed as per format given in the advertisement. No addition
                                                                                             4) A Society having criminal record is not eligible to apply for dealership/
which he/she has applied. Certificate of eligibility issued for one distributorship                                                                                                     Godown approved by Chief Controller of Explosives is required for storage of                                         /deletion/ alteration will be permitted in the application once it is submitted.
                                                                                             distributorship.
is not valid for another distributorship and therefore a candidate can be                                                                                                               filled cylinders.
                                                                                                                                                                                                                                                                                                             Applicant should serial number all pages of the application including
considered to be eligible only if he/she has been sponsored for the particular                                                                                                          Godown/ land for construction of Godown will be suitable, if it is located within
                                                                                             h) Open Category (OP)                                                                                                                                                                                           attachments and sign on each page alongwith the name of the location
                                                                                                                                                                                        15 kms or in the area of operation (trading area ) of the advertised location,
location with reference to current advertisement                                                                                                                                                                                                                                                             for which application is being submitted.
                                                                                                                                                                                        freely accessible through all weather motorable approach road. The plot should
                                                                                             Apart from any person, whether applying as individuals and/or in                           be plain, in one contiguous lot, free from overhead power transmission or                                  (c)       Applications received after the cut-off date including postal delay, and
 c) Paramilitary/ Police/ Government Personnel Category (PMP):                               partnership, the following are also eligible to apply under OP category:                                                                                                                                        those without accompanying valid documents including application fee
                                                                                                                                                                                        telephone lines. Pipelines / Canals / Drainage / Nallahs / Public Roads should
The personnel of Paramilitary/Police including persons having served in BSF,                 i)   Registered Co-operative Societies, Corporations owned or Controlled by                not pass through the plot.                                                                                           or incomplete in any respect will not be considered and no correspondence
CRPF, CISF, ITBP, Railway Protection Force, Special Reserved Police, Special                 the Central/State Governments, Central/State Public Sector Companies as well                              Minimum Dimensions of plot                  : 27 m X 26.15 m                                          will be entertained by respective Oil Company in such cases whatsoever.
Armed Police, Coast Guards, Assam Rifles etc. as designated by Central                       as any company incorporated under Companies Act 1956 are eligible to apply                 13.2 SHOWROOM                                                                                              (d)       All affidavits have to be submitted in original along with the application
Government and Police Forces of the States, Customs and Central Excise                       under OP Category. Parameters relating to multiple dealer distributorships norms,          Showroom as per the standard layout can be constructed in a shop / land located                            (e)       Except locations advertised under OP category, the eligibility certificate
Department, Narcotics Control Bureau, Enforcement Directorate, Economic                      age and education qualification will not be applicable for them.                           in the area of operation (trading area) of the advertised location for LPG
                                                                                                                                                                                                                                                                                                             for the respective categories viz – SC/ST, Defence Personnel (DC),
Intelligence Bureau, Directorate General of Anti-Evasion and Directorate of                                                                                                             distributorship and should be easily accessible to general public through a
                                                                                             ii) Registered Co-operative Societies / company incorporated under                                                                                                                                              PMP, Outstanding Sports Personnel (OSP), Freedom Fighter (FF) and
Revenue Intelligence and those serving in different Departments of Central/                                                                                                             suitable approach road.
                                                                                             Companies Act 1956 should be making a net profit for previous three                                                                                                                                             Physically Handicap (PH) has to be submitted.
State Governments who are incapacitated or disabled while performing their                                                                                                                            Minimum dimension of the showroom 3 m X 4.5 m
                                                                                             consecutive financial years as certified by a Chartered Accountant. It will have to
duties will be eligible under this category. In case of death, while performing                                                                                                                                                                                                                    (f)       Applicants willing to apply for more than one location can do so in separate
                                                                                             furnish appropriate resolution to show that person making the application on its           13.3 INFRASTRUCTURE FOR HOME DELIVERY OF LPG CYLINDERS
duties, their widows/ dependants will also be eligible under this category.                                                                                                             In addition to showroom and godown for storage of filled LPG cylinders, delivery                                     application form and should enclose separate Demand Draft /Pay Order
                                                                                             behalf is empowered to make the same and an undertaking that it will observe
                                                                                                                                                                                        vehicles will be required for effecting free home delivery of LPG cylinders in                                       as application fee.
                                                                                             the relevant guidelines. Any party having criminal record is not eligible to apply
Following is inter-se priority for PMP category:                                                                                                                                        their area of operation. Depending upon the need, delivery system will be advised                          (g)        If any statement made in the application or in the document enclosed
                                                                                             for LPG distributorship.
(i)           Widows/ dependents of posthumous gallantry award winner.                                                                                                                  before commissioning and subsequently from time to time by the respective                                            therewith or subsequently submitted in pursuance of the application by
(ii)          Widows / dependents of persons having died in action.                                                                                                                     Marketing office of the Oil Company.                                                                                 the candidate at any stage is found to be incorrect or false, the application
                                                                                             4. Candidates convicted or against whom charge has been framed by Court of
(iii)         Persons disabled on duty.                                                                                                                                                 14. CONSTRUCTION OF GODOWN/SHOWROOM ON THE SITE AS                                                                   is liable to be rejected without assigning any reason and in case the
                                                                                             Law for any criminal offence involving moral turpitude/ economic offences (other
(iv)          Widows / dependants of persons who died while in service                                                                                                                  MENTIONED IN APPLICATION FORM                                                                                        applicant has been appointed as a distributor, the distributorship is
                                                                                             than Freedom Struggle), are not eligible to apply.
(v)           Disabled in peace due to attributable causes                                                                                                                              The applicants who readily have suitable godown/ land for construction of godown                                     liable to be terminated. In such cases the candidate / distributor shall
                                                                                                                                                                                        for storage of filled LPG cylinders and shop/ land for construction of shop for                                      have no claim whatsoever against the respective Oil Company.
                                                                                             5. Signatory to distributorship/dealerships terminated on account of proven
Candidate applying under this category should attach a copy of relevant                                                                                                                 showroom for setting up of LPG distributorship or have a firm commitment from
                                                                                             malpractice/adulteration of any Oil Company are not eligible to apply.                                                                                                                                (h)       Applicants should provide only that information against various items of
certificate from the concerned Organisation/Govt Department signed by the Head                                                                                                          the land owner for purchase/lease or can arrange it are awarded marks. The
                                                                                                                                                                                                                                                                                                             application, for which they are in possession of supporting documents in
of the Office or an Officer not below the rank of Under Secretary to the                                                                                                                details given in the application alone will be considered for this purpose and the
                                                                                             6. Totally paralysed, mentally unsound and Totally Blind persons are not                   applicant will not be given any opportunity to offer any other land subsequently                                     original as on the date of submission of application. Failure to present
Government.
                                                                                             eligible to apply for any distributorship.                                                 (Even at the time of interview). For this purpose, the land owned by the family                                      these documents in original will result in cancellation of selection due to
                                                                                                                                                                                        members as defined in eligibility criteria would also be considered as belonging                                     submission of false/unsupported information in documents
d) Physically Handicapped Category (PH) :
                                                                                             7. In case of partnership, each partner should individually meet the specified             to the applicant. In case the land is owned by the family members, an affidavit                            (i)       The envelope containing the application, duly filled in, should be
Candidates would be considered under this category in case the candidates are
                                                                                             eligibility criteria and should also submit separate application forms along with          for giving consent has to be given by the family member(s) as per the format                                         superscripted as under
orthopaedically handicapped to the extent of minimum of 40% permanent ( partial)
                                                                                             separate application fee. However, the applications should be clubbed together.            given in the Application Form.
disability of either upper or lower limbs; or 50% permanent ( partial) disability of                                                                                                                                                                                                        “This application is for LPG Distributorship at _________________ (location)
                                                                                             If called for interview, all of them must appear for interview. They also have to          However after selection of the applicant, physical verification of the godown
both upper and lower limbs together. For this purpose, the standards contained                                                                                                                                                                                                                     of____________(Name of Oil Company)”.
                                                                                             submit a copy of the partnership deed along with the application.                          land/godown as well as the showroom will be undertaken. In the event it is
in the ‘Manual for Orthopaedic Surgeon in evaluating Permanent Physically                                                                                                               found that there is variance in the details submitted with the application form
Impairment’ brought out by the American Academy of Orthopaedic Surgeons,                                                                                                                and or the plot is not found suitable for construction of godown or the godown is                          (j)       This is purely a business proposition and not an application for job in the
                                                                                             8. Application should be made on plain paper (preferably typed) as per the
USA and published on its behalf by the Artificial Limbs Manufacturing Corporation                                                                                                       not approved by Chief Controller of Explosives the allotment of the distributorship
                                                                                             prescribed format given in this advertisement.                                                                                                                                                                  respective Oil Company and has normal business risks and also do not
of India, G.T. Road, Kanpur, shall apply.                                                                                                                                               will stand automatically cancelled.                                                                                  guarantee any assured returns or profits.
                                                                                                                                                                                        Or after selection, if applicant for any reason is unable to construct Godown
                                                                                             9. Application Fee : Application to be submitted along with non-refundable fee                                                                                                                        (k)       This is only an application and not an offer of distributorship.
Deaf, Dumb and Blind persons with minimum degree of 40% disability will also                                                                                                             duly approved by the Chief Controller of Explosives on the land/godown indicated in the
                                                                                             of Rs 1000 ( Rupees One thousand only) and in case of SC/ST candidates ( SC/                                                                                                                                                                  *******
be eligible to apply for all distributorships/dealership under this category.                                                                                                           application and or Showroom as per the oil company’s standard layout on the land/shop
                                                                                             ST certificate to be attached) Rs 500/- ( Rupees five hundred only).
However, totally blind persons will not be eligible.                                                                                                                                    indicated in the application, then the allotment of LPG distributorship made to the applicant
                                                                                                                                                                                        will automatically stand cancelled.
                                                                                             10. Application (AS PER FORMAT GIVEN IN THIS ADVERTISEMENT) for LPG
Candidate applying under this category should produce a certificate (as per the standard
                                                                                             Distributorship along with enclosures complete in all respect and Non-
format given as Annexure-F in the application format) issued by a Medical Board duly
                                                                                             refundable application fee by a Demand Draft/Pay Order drawn on any                                          (FORM TO BE FILLED UP IN CAPITAL LETTERS USING BLUE/BLACK BALL POINT PEN)
constituted by the Central / State Government as per the Gazette of India Extraordinary
                                                                                             Scheduled Bank must be submitted so as to reach the office address mentioned
New Delhi, No 154 dated June 13, 2001 on Guidelines for evaluation of various disabilities
                                                                                             below before the close of office on 31-10-2007.                                                For Office use                                                                                         D     D        -   M     M      -   Y      Y         Passport Size
and procedure for certification.                                                                                                                                                            Not to be filled by applicant                                                                                                                               Photograph
                                                                                                                                                                                                                                          Office Code                     Serial No                      Date of reciept of application
                                                                                                                                                                                                                                                                                                                                                        with specimen
      Advertised                    Demand          Payable at                                       Office Address for submitting                                                                         APPLICATION FOR LPG DISTRIBUTORSHIP OF                                                                                                       signature on
     locations Sr.                  Draft/Pay Order                                                  application along with enclosures                                                                                                                Please write name of Oil Company of the location (BPC or IOC or HPC)                              the photograph

          No                        drawn on any                                                     and application fee.                                                                     Particular of application fee                         Rs
                                    Scheduled Bank                                                                                                                                        Demand Draft Number                                                                           Date       D     D        -   M     M      -       0 7
   From             To              Drawn in favour                                                                                                                                                         (name of the bank)
                                                                                                                                                                                           Drawn on                                                                                                  Payable At
                                    of                                                                                                                                                           In favour of       ( Full name of the oil company)

   INDIAN OIL CORPORATION LIMITED ( IOCL )
    01     38     Indian           Oil Hyderabad    Indian Oil Corporation Limited, Indane Area Office,                                                                                  (Enclose Application processing fee of Rs1000/ ( Rupees One thousand only) for all applicants except SC/ST candidates.
                  Corporation Limited               3-6-436 to 438, II Floor, Naspur House,                                                                                              Application processing fee for SC/ST candidates is Rs 500/- (Rupees Five hundred only) on enclosing SC/ST certificate.)
                                                    Himayatnagar, Hyderabad – 500 029.
                                                                                                                                                                                            1      Name of the Location
    39     59    Indian           Oil Vijayawada    Indian Oil Corporation Limited, Indane Area Office,
                 Corporation Limited                GVR Towers, II Floor, Bharati Nagar, Ring Road,                                                                                         2      Rev. Distt
                                                    Vijayawada – 520 008.                                                                                                                   3      State
    60     84    Indian           Oil Visakhapatnam Indian Oil Corporation Limited, Indane Area Office,                                                                                     4      Category
                 Corporation Limited                8th Floor, LIC Building, Jeevan Prakash, Jeevan                                                                                       (OP/ OP-W/ SC/SC-W/ ST/ ST-W/ PH/ PH-W/ PMP/ PMP-W/ DC/ DC-W/ FF/ FF-W/ OSP/ OSP-W). Please attach copy of certificates as
                                                    Bheema Road, Visakhapatnam – 530 004.
                                                                                                                                                                                                                proof from the respective competent authorities. Not Applicable for locations under 'Open' category.
   BHARAT PETROLEUM CORPORATION LIMITED ( BPCL )
   01      08    Bharat Petroleum Hyderabad          Territory Manager(LPG)                                                                                                                 5      Advertised on                   D     D      -   M     M      -   Y    Y    Y        Y     in         (Please write Name of Newspaper)
                 Corporation Limited                Bharat Petroleum Corporation Limited                                                                                                    6      Status : Individual/ Partnership/Regd. Co-operative Society/Organised body                                                                             (Tick as applicable)
                                                    LPG Plant & Territory Office, APIIC, IDA, Phase 3
                                                    HCL Post, Post Bag No. 9, Cherlapally,                                                                                                  7   Individual : ( Individuals to enclose Affidavit as per Annexure ‘A’)
                                                    Hyderabad - 500 051, Andhra Pradesh                                                                                                     7.1 Name
   09      24    Bharat Petroleum Kurnool           Territory Manager(LPG)                                                                                                                                                               First name                                     Middle name                                           Surname

                 Corporation Limited                Bharat Petroleum Corporation Limited
                                                                                                                                                                                            7.2         Father’s /  S H R I
                                                    LPG Bottling Plant, NH-7, 217/6 km stone, PB                                                                                                                    Title                                      First name                     Middle name                              Surname
                                                    No.10, B Camp P.O, Kurnool – 518 002, Andhra                                                                                                     Husband’s Name
                                                    Pradesh                                                                                                                                 7.3 Address
   25      42    Bharat Petroleum Vijayawada        Territory Manager(LPG)
                 Corporation Limited                Bharat Petroleum Corporation Limited
                                                                                                                                                                                                                                                                                                                              Pin code :
                                                    Vijayawada LPG Territory, Kattubadipalem PO
                                                    Pinapaka Village, Kondapalli , Vijayawada –                                                                                                    Telephone No                                            -                                                    email:
                                                                                                                                                                                                                              STD code                               Telephone Number
                                                    521 228, Andhra Pradesh
   43      46    Bharat Petroleum Chennai           Territory Manager(LPG)                                                                                                                  7.4 Nationality                                                          Resident of
                 Corporation Limited                Bharat Petroleum Corporation Limited                                                                                                                Persons other than Indian Nationals are not eligible                                             Name of town
                                                    J 1 & J 6, SIPCOT Industrial Complex,
                                                    NEW GUMMIDIPOONDI – 601 201¸ Tamil Nadu                                                                                                 7.5 Gender                                                               Revenue District
                                                                                                                                                                                                                                             Male / Female
   HINDUSTAN PETROLEUM CORPORATION LIMITED ( HPCL )                                                                                                                                                                                                                  State
    01     23    Hindustan            Hyderabad     Sr. Regional Manager                                                                                                                    7.6 Date of Birth                      D     D      -   M     M      -   Y    Y    Y        Y       Age                   Years                   Months                       Days
                 Petroleum                          Hyderabad LPG Regional Office                                                                                                                                  Attach copy of proof of date of birth                                                               Age as on the date of advertisement

                 Corporation Limited                HINDUSTAN PETROLEUM CORPN LTD,                                                                                                                                                                                                                                                                Strike off what is not applicable.
                                                                                                                                                                                            7.7 Marital Status           Single    / Married / Widow             / Divorcee
                                                    HCL Post Office, PB No. 2,
                                                    Cherlapally,                                                                                                                            7.8 For being eligible, applicant should have sound Physical / Mental health. Are you                                                                     Yes                     No
                                                    Hyderabad – 500 051.                                                                                                                        having sound Physical / Mental health ?                                                                                                              if no, applicant is not eligible

    24     64    Hindustan            Vijayawada    Sr. Regional Manager,                                                                                                                   7.9 Are you interested in availing Facilities under Corpus Fund Scheme                                                                                    Yes         No            N.A
                 Petroleum                          Vijayawada LPG Regional Office,                                                                                                                Widows and unmarried woman above the age of 40 years without earning parents are eligible for corpus fund scheme.

                 Corporation Limited                HINDUSTAN PETROLEUM CORPN LTD,                                                                                                                 However, evaluation will be done on capability to provide infrastructure and finance                                                              Yes /No / N.A( not applicable)
                                                    IDA, Kondapally – 521 228,
                                                                                                                                                                                            8      Does any of the member (including yourself) of your ‘Family Unit’ is dealer/ distributor or                                                        Yes         No
                                                    Via Vijayawada, Krishna Dist. AP
                                                                                                                                                                                                   LOI holder of any MS-HSD/ SKO-LDO dealership or LPG distributorship of any oil                                                                     If yes, then you are not eligible
    65     75    Hindustan            Visakhapatnam Ch. Regional Manager,                                                                                                                          company
                 Petroleum                          Visakh LPG Regional Office,
                                                    HINDUSTAN PETROLEUM CORPN LTD,                                                                                                       Note : (‘Family Unit’ of a married applicant, shall consist of self, applicant's spouse and unmarried son(s)/daughter(s)
                 Corporation Limited
                                                    Malkapuram,                                                                                                                          and ‘Family Unit’ of a unmarried Applicant , shall consist of self, applicant's parents and applicant's unmarried
                                                    Visakhapatnam – 530 011.                                                                                                             brother(s) / sister(s) for the purpose of this entire application)
                                                                                                                                                                                                   notarised
                                                                                                                                              If Yes to 13B1, Provide the following details and notorised affidavit as per Annexure - C.
  9   Educational Qualification* (s):      ( Attach copy of proof of Educational Qualifications.)                                               Land for showroom / showroom is Relationship with Date of registration of sale Address of the land for Dimension
      (*) –Not applicable in case of Registered Societies, Corporates, Govt Organisations etc.                                                            in the name of            applicant     deed/mutation/gift / lease   showroom / showroom L& B in M

                Qualification                 Certificate/Degree              Board/University           Year of Passing

        SSC/Matric or Equivalent

        Graduate                                                                                                                              If No to 13B1 then
                                                                                                                                        13B2 Do you have a Firm offer of sale/ Lease ( 15 yrs minimum) from any owner of the suitable                                              Yes /             No
        Post-Graduate
                                                                                                                                              land in the location advertised for showroom or showroom                                                                            Please strike off what is

        Professional Degree                                                                                                                                                                                                                                                            not applicable


        Additional Qualifications                                                                                                             If Yes 13B2, Provide the following details.
                                                                                                                                               Land for showroom / showroom Date of agreement to sale or lease                           Address of the land for showroom                 Dimension
Note :Marks will be awarded based on the information given by the applicant on the educational qualification. On
                                                                                                                                                      is in the name of              on stamp paper.                                                /showroom                             L& B in M
verification if it is found that the information given above is incorrect/ false / misrepresented then the applicant's
candidature will stand cancelled and will not be eligible for distributorship..
 10 In case of partnership, please give name of each of the partners and attach Proposed Partnership Deed.
      Application of all the partner(s) should be attached together while submission: (Please note each partner                               If No to 13B2 then
      will have to pay separate application fee and all the partners will have to appear for interview.)
                                                                                                                                        13B3 If you do not have a suitable showroom and do not have firm offer, can you arrange the                                                Yes /             No
                                                                                                                                             same in the location advertised, if selected?                                                                                        Please strike off what is

                                                                                                                                                                                                                                                                                       not applicable
      S.No                           Names and addressess                                       Percentage Share
                                                                                                                                        Note : Marks will be awarded to applicant either on ownership or firm offer or can arrange for showroom/land for
                                                                                                                                        showroom based on the information given by the applicant. On verification if it is found that the information given
                                                                                                                                        above is incorrect/ false/ misrepresented then the applicant's candidature will stand cancelled and will not be eligible
 11 Registered Society/ Government Organisations / Corporations / Undertakings, Public Ltd. Companies,                                  for distributorship.
      and Companies incorporated under Companies Act 1956                                                                              14   Capability to Arrange Finance
                                                                                                                                            Please note that marks will be awarded to applicant on capability to arrange finance based on the information given by the applicant on the Gross
      (Enclose affidavit as per Annexure ‘A1’ )                                                                                              Annual Income, Amount in Savings Bank Account, Value of investments in FD/Shares/MF etc, value of assets and ability to get loan from Banks/Financial
                                                                                                                                            Institution. On verification if it is found that the information given by the applicant is incorrect/ false/ misrepresented then the applicant’s
      Name                                                                                                                                  candidature will stand cancelled and will be ineligible for this LPG distributorship.

      Address
                                                                                                                                       14.1 Gross Annual Income of Last Financial Year:                                 Rs
                                                                                                                                             Amount in words
                                                                                      Pin code :
                                                                                                                                                                                              notarised
                                                                                                                                             Income pertaining to last Financial Year. Attach notorized affidavit as per Annexure B
    Telephone No                      -                             email:
 12 Experience                                                                                                                         14.2 AMOUNT IN THE BANK (in case of married applicant family is - self, spouse unmarried son(s)/daughter(s);
    Do you have experience of running or working in any of the establishment dealing in the following for                                    in case of unmarried applicant family is - self , parents and unmarried brother(s)/unmarried sister(s).)* Attach
    minimum one year? Please give full details chronologically.                                                                              affidavit as per format given in Annexure-c. The amount mentioned should remain in the bank for minimum
                                                                                                                                             period of three months from the date of application or the interview date which ever is earlier.
                 Type of Experience                    Name and address of the                     Period             Number
                                                      establishment/Institution etc                (d )               of years
                                                                                               from       To                                  S.N     Name of Bank             S. B. A/C No.            Name of account          Relation with        Amount as on date of application.
      Direct Sale / Home Delivered products                                                                                                                                                                holder                 applicant

      (including LPG distributorship)
                                                                                                                                               1                                                                                                   Rs                                     .
      Other Petroleum products                                                                                                                 2                                                                                                   Rs                                     .
                                                                                                                                               3                                                                                                   Rs                                     .
      Any other Trade                                                                                                                          4                                                                                                   Rs                                     .
Note :Marks will be awarded based on the information given in the application and on answers to leading
                                                                                                                                                                                          TOTAL                                                    Rs                                     .
                                                                                                                                            Total amount in words.
questions in connection with experience claimed during interview. On verification if it is found that the information                  14.3 FIXED DEPOSIT/NSC/SHARES/MF ETC OF FAMILY (in case of married applicant family is- self, spouse
given is incorrect/ false / misrepresented then the applicant's candidature will stand cancelled and will not be                             unmarried son(s)/daughter(s); in case of unmarried applicant family is - self, parents and unmarried
eligible for distributorship..                                                                                                               brother(s)/unmarried sister(s).)* Attach affidavit as per format given in Annexure - C
NOTE: Candidates applying for LPG distributorships reserved for 'SC/ ST' category, need not provide                                           S.N       Type of              Document        Name of the         Relation            Initial Value ( Amount ) as on the date of
details under Item 13 - Capability to arrange Infrasturucture and Item 14 - capability to arrange funds .                                             Investment -           Reference         holder              with           investment          advertisement.
                                                                                                                                                     FD/NSC/Shares/           Number                             applicant          Amount
                                                                                                                                               1
                                                                                                                                                         MF etc
                                                                                                                                                                                                                                                   Rs                                     .
 13 Capability to Provide Infrastructure as on the Date of Application.                                                                        2                                                                                                   Rs                                     .
13(A) GODOWN FOR STORAGE OF LPG CYLINDERS                                                                                                      3                                                                                                   Rs                                     .
       Specifications of Land for LPG godown               Minimum Dimensions of plot           : 27 m X 26.15 m                               4                                                                                                   Rs                                     .
The land should be suitable, in contiguous plot, freely accessible through all weather motorable approach road. The
                                                                                                                                                                                           Total                                                   Rs                                     .
                                                                                                                                             Total amount in words.
plot should be free from overhead power transmission and telephone lines. Pipelines / Canals / Drainage / Nullahs /                    14.4 OTHER ASSETS / PROPERTY OF FAMILY(in case of married applicant family is - self, spouse unmarried
Public Roads should not pass through the plot.                                                                                               son(s)/daughter(s); in case of unmarried applicant family is - self , parents and unmarried brother(s)/unmarried
                                                                                                                                             sister(s).) *( Value as per Valuation certificate from Govt approved Valuer ). The valuation of assets with regard
13A1 Do you have a suitable land at or within 15 km from the advertised location for LPG godown             Yes /            No              to Land for godown/ godown mentioned in item 13A1 and land offered for showroom/showroom mentioned in
      or LPG godown readily available Owned/Leased (15 yrs minimum) in your own name or in                  Please strike off what           item 13B1 should not be included..
      name of any member of your ‘Family Unit’.                                                               is not applicable
                                                                                                                                             S.No Details of the Property                    Name of holder              Relation with the Value as on date of Advertisement
                                                                                                                                                                                                                            applicant
      Note :(‘Family Unit’ in case of married applicant, shall consist of applicant, his/her Spouse and their unmarried
      son(s)/daughter(s). In case of unmarried applicant, ‘Family Unit’ shall consist of Applicant, his/her parents and
      his/her unmarried brother(s) / sister(s))                                                                                                1                                                                                                   Rs
                                                                                                                                               2                                                                                                   Rs
      If Yes to 13A1, Provide the following details and notorised affidavit as per Annexure - C                                                3                                                                                                   Rs
         Land is in the Relationship   Date of registration   Address of the     Khasra Dimensions Distance from                               4                                                                                                   Rs
                        with applicant                                                                                                                                                     Total                                                   Rs
           name of                           of sale        location of the land  No/   L&B in M     advertised
                                       deed/mutation/gift/ for LPG Godown        Survey            location ( in                            Total amount in words.
                                              lease                                No                   Km)                            14.5 Details of the loan which can be obtained from Scheduled Banks / Financial Institutions based on Bankers /
                                                                                                                                            Financial Institution certificate to extend loan as per Annexure D

                                                                                                                                                   Name and address of the Bank / Financial institution                                Date of certificate                Amount of Loan
      If No to 13A1 then                                                                                                                                                                                                         d d       - m m         -    0 7
                                                                                                                                        15 Have you ever been convicted or charges have been framed by Court of Law for any criminal                                            Yes /            No
13A2 Do you have a Firm offer of sale/ Lease ( minimum 15 yrs) from any owner of a suitable land Yes /                       No              offence involving moral turpitude and / or economic offence (other than freedom struggle)?                                        Please strike off what is
      at or within 15 km from the advertised location for LPG godown or LPG godown                         Please strike off what is
                                                                                                                                                                                                                                                                                    not applicable
                                                                                                                not applicable
                                                                                                                                              (If yes you are not eligible to apply.)
      If Yes to 13A2, Provide the following details.                                                                                   16      DECLARATION BY THE APPLICANT.
          Land is in the Date of agreement to sale Address of the location       Khasra       Dimensions     Distance from
                                                                                                                                       I am aware that inter se suitability of candidates will be decided by evaluation of candidates on the document based marks and
            name of      or lease on stamp paper. of the land for LPG           No/Survey     L & B in M       advertised              interaction ( interview). Evaluation on document based marks will be done based on the information given by me/us in this
                                                         Godown                    No                        location ( in             application. On verification by the Oil Company if it is found that the information given by me/us is incorrect/ false/ misrepresented
                                                                                                                                       then my/our candidature will stand cancelled and I/We will be declared ineligible for LPG Distributorship. I also confirm that I am in
                                                                                                                  Km)                  possession of the supporting documents in original for the information given by me in this application and if selected, failure to
                                                                                                                                       present these documents in original will result in cancellation of selection due to submission of false/unsupported information in
                                                                                                                                       documents.
                                                                                                                                       I am fully aware that if I am unable to make Godown duly approved by the Chief Controller of Explosives on the land/godown
                                                                                                                                       indicated in the application and or Showroom as per the oil company’s standard layout on the land/shop indicated in the application
                                                                                                                                       herein above after selection then the allotment of distributorship made to me will automatically stand cancelled.
      If No to 13A2 then                                                                                                               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.
13A3 If you do not have a suitable piece of land for Godown and do not have firm offer, can you     Yes /            No                That, if selected, I undertake that I will be depositing an interest free Security deposit as per the policy of the Corporation.
     arrange the same in the location advertised or within 15 kms from the advertised location, if Please strike off what is           ( Not applicable for distributorships reserved for SC/ST category )
                                                                                                                                       I have read the condition for the distributorship mentioned in the advertisement and confirm that I fulfil the eligibility criteria for
     selected within two months from the date of issue of LOI ?                                        not applicable
                                                                                                                                       the LPG distributorship I have applied in this application.

Note : Marks will be awarded to applicant either on ownership or firm offer or can arrange for LPG Godown/land for                     17      UNDERTAKING
LPG godown based on the information given by the applicant . On verification if it is found that the information given                 I,    _____________________________________________________daughter                              of     /son of/ wife of
above is incorrect/ false/ misrepresented then the applicant's candidature will stand cancelled and will not be eligible               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.
for distributorship.
                                                                                                                                       Place : ___________________________________Signature of applicant____________________________________
13B SHOWROOM FOR LPG DISTRIBUTORSHIP
                                                                                                                                       Date : d d - m m - y y y y                                      Name of applicant ________________________________________
      Specification for LPG Show Room                         Minimum dimension of the showroom 3 m X 4.5 m                                                                                               (Name in block letters)
          Showroom should be located in the location advertised and should have suitable approach road.                                        List of Enclosures
13B1 Do you have a suitable land in the location advertised for construction of showroom or        Yes /          No                           1     Certificate from competent authority for the eligibility of the Category
     showroom is readily available Owned/Leased ( 15 yrs minimum) in your own name or in Please strike off what is                             2     Demand Draft No_______________________ dated ________________
                                                                                                                                               3     Proof of age
     the name of any member of your ‘Family Unit’ .                                                  not applicable                            4     Proof of Education qualification
                                                                                                                                               5     Affidavit as per the format in Annexure A or A1
      Note :(‘Family Unit’ in case of married applicant, shall consist of applicant, his/her Spouse and their                                  6     Affidavit as per the format in Annexure B
                                                                                                                                               7     Affidavit as per the format in Annexure C
      unmarried son(s)/daughter(s). In case of unmarried applicant, ‘Family Unit’ shall consist of Applicant,                                  8     Letter from Bank/Financial Institution as per format in Annexure - D
      his/her parents and his/her unmarried brother(s) / sister(s))                                                                            9     Draft of Partnership Deed - as applicable.
                                             ( NOTARISED AFFIDAVIT )                    Annexure - A                                                                                                      Annexure - E
                          (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)                                                                                            STANDARD FORMAT FOR SC/ST CATEGORY
                                     (Affidavit to be submitted by individuals and partners of partnerships)
                                                                                                                                                         A candidate who claims to belong to one of the Scheduled Castes / Scheduled Tribes should submit in support of
I,____________________________________ son/daughter/wife of _________________________________________ Age______ years
residing at ___________________________ do hereby solemnly affirm and say as under :
                                                                                                                                                         his / her claim, a certificate in original, with a copy thereof in the form given below, issued at any time by a
That I am an Indian National.                                                                                                                            competent authority # notified by the Government of India, of the district in which his parents (or surviving parents)
1        That I am unmarried. That neither I, nor my Father, Mother, unmarried brother(s), unmarried sister(s) have dealership/distributorship           ordinarily reside who has been designated by the State Government concerned as competent to issue such a
or hold Letter of Intent for Retail Oulet or SKO-LDO dealership or LPG distributorship of any Oil Company.                                               certificate. If both his parents are dead, the officer signing the certificate should be of the District in which the
                                                                                OR                                                                       candidate himself ordinarily resides otherwise than for the purpose of his own education. In case of any doubt
          That I am married . That neither I nor my spouse, unmarried son(s)/unmarried daughter(s) have dealership/ distributorship or hold              about the genuineness of the certificate, the same may be got verified through the concerned District Magistrate /
letter of Intent for Retail Oulet or SKO-LDO dealership or LPG distributorship of any Oil Company:                                                       Deputy Commissioner.
2.           @.That I am an unmarried woman above 40 years of age without earning parents
3            @.That I am a widow and not re-married
4        That I have never been convicted nor charges have ever been framed against me by any Court of Law for any criminal offences                     The form of the certificate to be produced by Scheduled Castes / Scheduled Tribes candidates.
involving moral turpitude and/or economic offences (other than freedom struggle).
5        That I hereby confirm that I was never a signatory to dealership/distributorship agreement of any oil company, which was terminated             This is to certify that Shri / Smt. / Kum* ______________ son / daughter* of ________________ of village / town *
for proven malpractices and / or for violations of provisions of the Marketing Discipline Guidelines.                                                    ______________ in District / Division* _______ of the State / Union / Territory* of ___________ belongs to the
6        @ That against item No.14 of my application form details of various sources of funds required for setting up and operation of the               ________Caste / Tribes and his / her religion is ___________ which is recognised as a Scheduled Castes /
distributorship has been furnished. I under take that these funds will be made available for the purpose of setting up and operation of
distributorship. In case it is found that the same is not made available as and when required, the offer of distributorship, at any stage, can be        Scheduled Tribes under the Scheduled Castes / Scheduled Tribes lists (modification) order 1956* read with the
withdrawn and that I will have no claim/damages whatsoever against the oil company.                                                                      Bombay Re-organisation Act, 1960 and the Punjab Reorganisation Act 1956*.
7         That if any information/declaration given by me in my/our application or in any document submitted by me/us 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     The Constitution (Jammu & Kashmir) Scheduled Castes Order, 1956*
(if already appointed) and that I would have no claim, whatsoever, against the Corporation for such withdrawal / termination.                            The Constitution (Andaman & Nicobar Islands) Scheduled Tribes Order, 1956*
             * Strike off whatever is not applicable.                                  (@ Delete these if not applicable)                                The Constitution (Dadra & Nagar Haveli) Scheduled Castes Order, 1962*
                                                                                                                                                         The Constitution (Pondicherry) Scheduled Castes Order, 1964*
        I hereby verify that what has been stated above is true to the best of my knowledge and correct. and nothing material has been
concealed therefrom.                                                                                                                                     The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967*
Solemnly affirmed and declared before me                                                                                                                 The Constitution (Nagaland) Scheduled Tribes Order, 1970*
This ___________day of ________________
                                                                                                                                                         Place : ____________ Signature    : ______________
Signature and Seal of                                                                      Signature of person making affidavit                          Date : ____________ Designation : ______________
Magistrate/Judge/Notary public                                                                      (Name in block letters)
                                                                                                                                                             (with seal of office)
                                            ( NOTARISED AFFIDAVIT )                     Annexure - A 1
                          (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)                                                        State / Union Territory*
(To be submitted by Registered Co-operative Societies and Organised bodies like Government Organisations / Corporations / Undertakings,                  * Please delete the words which are not applicable.
Public Ltd. Companies, and Companies incorporated under Companies Act 1956)
In the matter of LPG distributorship of Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation*                       Note : The terms “Ordinarily reside(s)” used here will have the same meaning as in Section-20 of the
at___________ (Location) whereas _______________(Name of the Registered Co-operative Society*/Corporate Houses*) ________________
(Location) has applied for LPG distributorship of ________(name of the oil company) Ltd., at ___________.
                                                                                                                                                         Representation of the People Act, 1950.
I,_____________________________                  son / daughter / wife of ________________________________ Age _____ years resident of                   # Officers competent to issue Caste / Tribe certificates.
_________in the capacity of ___________ do hereby solemnly declare :
                                                                                                                                                         i. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy
1 That through a resolution passed by the Co-operative society*/Corporate House*, I have been authorised to apply for the said distributorship.
A copy of the resolution/authorisation is enclosed herewith forming part and parcel of this affidavit.                                                   Commissioner / Deputy Collector, 1st Class Stipendiary Magistrate / City Magistrate *** Sub-Divisional Magistrate /
2 That the said Co-operative Society*/Corporate House * is duly registered and a photocopy of the registration certificate is enclosed                   Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner.
herewith forming part and parcel of this affidavit.
3 That on behalf of the Co-operative Society*/Corporate House*, I undertake that we will observe all the relevant guidelines with regard to              *** (Not below the rank of 1st Class Stipendiary Magistrate)
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
4 *That all members of the registered Co-operative Society belong to the same category for which LPG distributorship has been                            ii. Chief Presidency Magistrate / Additional Chief Presidency Magistrate, Presidency Magistrate.
advertised. A copy of certificate to this effect from Registrar of Co-operative society and a list giving names of all the members of the co-            iii. Revenue Officers not below the rank of Tehsildar.
operative society is enclosed herewith forming part and parcel of this affidavit. None of the members of the society hold dealership/
                                                                                                                                                         iv. Sub-divisional officer of the area where the candidate and / or his family normally resides.
distributorship of any Oil company for MS/HSD/SKO-LDO/LPG in India nor has/have been issued a letter of intent or appointment letter, and
none of the members have either been convicted or charges have been framed against them by court of law for criminal offences involving                  v. Administrative / Secretary to Administrator / Development Officer (Lakshadweep).
moral turpitude and / or economic offences (other than freedom struggle) punishable under Law. (Applicable for registered co-operative
societies applying for LPG distributorships under reserved category only)
5 *That there are no charges framed against any member by any Court of Law, and / or no member of the registered Co-operative Society                                                                 Annexure - F
has ever been convicted for any criminal offence involving moral turpitude and/or economic offences (other than freedom struggle) punishable
under Law.                                                                                                                                                                       STANDARD FORMAT OF THE CERTIFICATE FOR PH CATEGORY
6 That the registered Co-operative Society*/Corporate House* 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.
7 I hereby confirm that I was never a signatory to dealership/distributorship agreement of any oil company, which was terminated for                     NAME & ADDRESS OF THE INSTITUTE/HOSPITAL ISSUING THE CERTIFICATE
malpractices and / or for violations of provisions of the Marketing Discipline Guidelines.                                                               Certificate No.
8 That If any information/declaration given by me in my/our 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*   Date
/ Hindustan Petroleum Corporation* would be within its rights to withdraw the letter of intent / terminate the distributorship (if already appointed)                       CERTIFICATE FOR THE PERSONS WITH DISABILITIES
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 to the best of my knowledge and correct. and nothing material has been
concealed therefrom.
                                                                                                                                                         This is to certify that Shri/Smt./Kum.----------------------wife/daughter/son of Shri __________________________
Solemnly affirmed and declared before me                                                                                                                 Age ______________old male/female, Registration No. ______________________________ is a case of
This ___________day of ________________
                                                                                                                                                         physically disabled/visual disabled/speech & hearing disabled and has ____________ %
Signature and Seal of                                                                      Signature of person making affidavit                          (____________________) permanent (physical impairment/visual impairment/speech & hearing impairment) in
Magistrate/Judge/Notary public                                                                      (Name in block letters)
                                                                                                                                                         relation to his/her ____________________________________________________
                                             ( NOTARISED AFFIDAVIT )                     Annexure - B                                                    Note: -
                          (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)                                                        1. This condition is progressive/non-progressive/likely to improve/not likely to improve. *
                                                        DECLARATION OF ANNUAL INCOME                                                                     2. Re-assessment is not recommended/is recommended after a period of ____________________
Please give details of income of the last financial year (2006/07)                                                                                       months/years.
Gross income should be indicated and not net income
                                                        Details of Gross Annual Income in Rupees
                                                                                                                                                         *Strike out which is not applicable.
         Relationship       Gross        Property     Interest/        Business       Professional Income    Income             Total
                            Salary         ( net      Dividend        ( net profit)     Income       from      from           (I+II+III+                 Sd/-                                 Sd/-                              Sd/-
                                         income)                                        ( Net of  Agricultur  other           IV+V+VI
                                                                                      expenses ) e ( net of sources             +VII)                    (DOCTOR)                           (DOCTOR)                           (DOCTOR)
                                                                                                   espense      e.g.
                                                                                                       s)    pension,                                    Seal                               Seal                               Seal
                                                                                                                etc.
                               I             II           III              IV              V             VI          VII         VIII
            1. Self                                                                                                                                      Signature/Thumb impression of the patient
           2 Spouse
         3. Dependent
            children(                                                                                                                                    Countersigned by the
           Unmarried
         son/daughter)                                                                                                                                   Medical Superintendent/CMO/Head of
          In case Applicant is unmarried, parents income can be given subject to enclosing
                             affidavit as per format given in Annexure-C.
            Father
            Mother
                                                                                                                                                         Recent Attested Photograph
Solemnly affirmed and declared before me
This __________________________ day of __________________________.
                                                                                                                                                         Showing the disability affixed here.

     Signature and Seal of Magistrate / Judge / Notary Public                                      Signature of Person making affidavit                            General Instructions to the applicant for making LPG Distributorship Application.
                                                                                                           (Name in Block letters)
                                                                                                                                                         Item No                                 Instructions                                   Supporting Documents :-
     1     It is important to give precise information under each head i.e. I to VII, if income under any head is NIL, then it should be
            indicated specifically as NIL and not left blank.                                                                                                                                                                                   Applicants to provide them at
     2     If the applicant is payee of Income Tax, a copy of Income Tax Return should be attached                                                                                                                                              the time of verification.
                                                                                                                                                            1      Write the name of the location for which application is made                 As per advertisement
                                             ( NOTARISED AFFIDAVIT )                     Annexure - C                                                       2      Write the name of the district of the location for which application is      As per advertisement
                      (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)                                                                      made
     (To be given by the family member as defined in eligibility criteria other than applicant)                                                             3      Write the name of the State of the location for which application is made As per advertisement
           I _____________________________________ Son/wife of______________________________________ Age______years resident
     of _____________________do hereby solemnly affirm and say as under:-                                                                                   4      Write the name of the category of the location as per the advertisement Certificate issued by the competent
                                                                                                                                                                                                                                           authority.
     1      That I am unmarrried and my father*/mother* / unmarried brother* / unmarried sister* (Mr/ Ms)________________________________
                                                                                                                                                            5      Write the dated and name of the news paper in which advertisement            As per advertisement
     (name) has applied for LPG distributorship of IOC*/BPC*/HPC* at _______________(location) under ‘__________’ category against the
                                                                                                                                                                   has appeared for the location mentioned in item 1.
     advertisement made in __________________news paper dated__________________
                                                                                                                                                            6      Write the status whether application is by individual or made in             Notarised Affidavit - A or A1 as
                                                                OR                                                                                                 partnership or registered Cooperative Society or Company.                    applicable

               That I am married & my unmarried son*/ unmarried daughter*/wife*/husband* (Mr/Ms) ______________________(name)                               7      To be filled by individual applicants or applications made in partnership. SSC / Matric or equivalent certificate.
     has applied for LPG distributorship of IOC*/BPC*/HPC* at _______________(location) under ‘__________’ category against the
     advertisement made in __________________news paper dated__________________                                                                             8      Information is on multiple dealership/distributors norm. if answer is yes.   Notarised Affidavit - A
                                                                                                                                                                   Applicant is not eligible for LPG distributorship
                  * Strike off whichever is not applicable.
                                                                                                                                                            9      Education : - Information in chronological order                         Original certificate of each
     2     That in case he/she is selected for LPG distributorship I will provide financial assistance to the extent of Rs_______________which                                                                                              qualification
     is mentioned at Item no.14 under my name in the application submitted by (Mr/Ms)___________________________.for LPG distributorship                    10     For Partnership Applications only. Separate individual application to be Draft patnership deed
     of IOC*/BPC*/HPC* at ____________________________                                                                                                             made by all the partners along with separate application fee. ( Not
                                                                                                                                                                   applicable for others).
     3      That in case he/she is selected for LPG distributorship I have no objection for construction of godown / showroom on the land                   11     Registered Cooperative Societies/Companies:                                  Notarised Affidavit - A1 alongwith its
     specified in item no 13A1/13B1.                                                                                                                                                                                                            enclosures
     I hereby verify that what has been stated above is true and correct to the best of my knowledge, and nothing has been concealed
                                                                                                                                                            12     Experience: Minimum one year experience in the capacity of                   Experience certificate should be
     therefrom
                                                                                                                                                                   supervisor/Manager / proprietor / partner involved in running a              supported by Salary slips/
                                                                                                                                                                   busines/organisation will be considered. Provide information based on        appointment letter etc.
     Solemnly affirmed and declared before me
     This_________________________ day of _______________________________                                                                                          the type of experience.
                                                                                                                                                                   I - Direct Sales / Home delivered product in case experience is in the
     Signature and Seal of Magistrate/Judge/Notary public                                          Signature of persons making affidavit                           products or services which are delivered at residence of customer like
                                                                                                         (Name in block letters)                                   LPG cylinders.
                                                                     Annexure - D                                                                                  II - Other Petroleum Products
                                                                                                                                                                   III - Any Other trade.
     (To be submitted by all applicants: Credit worthiness certificate from the Bankers, from a Scheduled bank /           Financial institution to
     be obtained in their Letter Head in the following format and enclosed with the application)
                                                                                                                                                           13A     Capability to Provide Godown for Storage of LPG cylinders: In case applicant does not
                                                         TO WHOMSOEVER IT MAY CONCERN
                                                                                                                                                                   provide any information from 13A1 to 13A3, then response to all will be taken as 'No"
     Shri / Smt / Kum / M/s- ………………………………… is a customer of this bank for last …. Years and he / she / they is / are enjoying
     the following facilities from our bank / institution:
                 a)                                                                                                                                       13A1     In case applicant has suitable land for construction of godown or ready      Registered Sale Deed/ Mutation/ gift
                                                                                                                                                                   made godown for storage of filled LPG cylinders in his name or in the        deed / lease ( 15yrs minimum)
                  b)                                                                                                                                               name of member of his 'familiy unit', then response should be 'Yes' so       agreement and government record
                                                                                                                                                                   strike off 'No' and provide details.                                         etc. and their Date has to be before
                  c)                                                                                                                                               In case the applicant does not have suitable land in own or in the name      or on the date of application. Consent
                                                                                                                                                                   of member of family unit, then response should be "No" so strike off         from the family member in form of
During the above period, the dealings of Shri / Smt / Kum / M/s- ………………………..with the bank and his / her / their conduct has been                                   "Yes" and move to 13A2                                                       Notarised affidavit is required
satisfactory. In case, a distributorship is allotted to him / her /them, we will be willing to extend a loan of Rs…………
                                                                                                                                                          13A2     In case 13A1 is "No", then only 13A2 should be filled. In case applicant     Notarised Agreement to sale or lease
Name and Designation                                                                                       Signature                                               has a Firm offer of Sale / lease from any owner of a suitable land or        ( 15 yrs minmum) from the owner .
Office seal                                                                                                                                                        godown, then response should be "Yes" so strike off " No" and provide        Date of agreement has to be on or
Date                                                                                                                                                               the details. In case the appicant does not have firm offer then response     before the date of application. Proof of
                                                                                                                                                                   should be "No" so strike off 'Yes" and move to 13A3                          ownership etc.
  13A3   In case applicant 13A1 and 13A2 is "No" then only 13A3 should be filled.
         In case applicant has identified a suitable land but has not entered into
         sale agreement with the owner or is confident of arranging it within 2
         months, then response should be "Yes" so stike off 'No'. Incase
         applicant has not identified suitable land and feels that he cannot
         arrange it within 2 months then response should be "No" so strike off
         "Yes"
  13B    Capability to Provide showroom for LPG distributorship: In case applicant does not provide any
         information from 13B1 to 13B3, then response to all will be taken as 'No"

  13B1   In case applicant has suitable land for construction of showroom or          Registered Sale Deed/ Mutation/ gift/
         showroom in his name or in the name of member of his 'familiy unit',         lease ( 15yrs minimum) agreement
         then response should be 'Yes' so strike off 'No' and provide details. In     and government record etc. Date of
         case the applicant does not have suitable land in own or in the name of      agreement/mutation has to be before
         member of family unit, then response should be "No" so strike off "Yes"      or on the date of application. Consent
         and move to 13B2                                                             from the family member in form of
                                                                                      Notarised affidavit is required

  13B2   In case13B1 is "No", then only 13B2 should be filled. In case applicant      Notarised Agreement to sale or lease
         has a Firm offer of Sale / lease from any owner of a suitable land for       ( 15 yrs minmum)from the owner .
         showroom or showroom, then response should be "Yes" so strike off "          Date of agreement has to be on or
         No" and provide the details. In case the applicant does not have firm        before the date of application. Proof of
         offer then response should be "No" so strike off 'Yes" and move to           ownership etc.
         13B3

  13B3   In case applicant 13B1 and 13B2 is "No" then only13B3 should be filled.
         In case applicant has identified a suitable land/ showroom but has not
         entered into sale agreement with the owner or is confident of arranging
         it within 2 months, then response should be "Yes" so stike off 'No'. In
         case applicant has not identified suitable land nor feels that he cannot
         arrange it within 2 months then response should be "No" so strike off
         "Yes"
   14    Capability to Arrange Finance
  14.1   Gross Annual Income of the "Family Unit" of the last financial year. The
         income will include income from all sources such as salary, property,
         interest, dividend, business/ profession/ vocation, agriculture and other
         sources, if any.
         If the applicant is an Income Tax Assessee, the details of income as
         shown in the Annual Income Declaration should conform to those
         indicated in the income tax return for the relevant financial year and the
         Assessment Order of the Income Tax Officer thereon.

         If, however, the applicant is not an Income Tax Assessee then the
         details are required to be supported with other relevant documents,                Notarised Affidavit as per
         some of which are mentioned below by way of illustration:                                Annexure - B
         a) Gross Salary :- A certificate from the employer(s) indicating the total
         emoluments paid
         b) Income from property:- Rent as declared and assessed for the
         purpose of tax.
         c) Interest on Bank Deposits - Letter issued by competent authority
         from Bank(s) showing the actual amount paid/credited as interest.
         d) Income from business/profession/vocation/shares and other
         investment/other sources: Certificate from Chartered Accountant in
         support of the income indicated under each of these heads will be
         required. The applicant may also be required to produce any other
         documentary proof in support of the income indicated.
         e) Income from agriculture: A certificate from Mamlatdar/ Tehsildar
         stating out clearly the location of the agricultural land the income there
         from


    14.2 Amount in the Saving Account in the name of self & the member of the         Notarised Affidavit as per Annexure -
         "Family Unit" as on the date of application. Amount in the name of joint     C and Statement of Account from
         account of the member(s) outside the "Family Unit" should not be             which amount as on the date of
         mentioned.                                                                   application can be verified.
    14.3 Investment in Fix Deposit/Bonds/NSCs/Mutual Funds/Shares/ULIP                Notarised Affidavit as per Annexure -
         value as on Date of Advertisement in the name of self and member of          C
         the "Family unit".
         Amount in the name of joint account of the member(s) outside the
         "Family Unit" should not be mentioned.

         Fix Deposit/Term Deposit etc in Bank- amount as on the date of               Bank Statement or letter from the
         advertisement should be taken from the Bank                                  Bankers certifying the amount.. .

         Investments in Mutual Funds/listed shares/ULIP based on the NAV on           Value on the date of advertisement
         the date of advertisement.                                                   as certified by the Government
                                                                                      Approved Valuer or the concerned
                                                                                      financial institution/ certified by
                                                                                      Chartered Accountant.
         Amount of money which applicant can get on surrender of Insurance            Certificate from the Insurance
         policy or as loan against the policy as on the date of advertisement.        Company


Please note that amount mentioned in the application at item 14.2 and 14.3 should be retained till the
date of interview or three months from the date of application, whichever is earlier.
    14.4 Value of other assests / Property( immovable) in the name of the      Value on the date of advertisement
         member of the "Family Unit" as on the date of advertisement.          as certified by the Government
         Assets/Property in the name of joint account of the member(s) outside Approved Valuer
         the "Family Unit" should not be mentioned.( Note: Gold should not be
         included). The valuation of assets with regard to Land for godown/
         godown mentioned in item 13A1 and land offered for
         showroom/showroom mentioned in item 13B1 should not be included..

    14.5 Amount based on the certificate / letter from a Scheduled Bank /             As per Annexure - D
         Financial Institutions to extend loan as per Annexure D. In case no
         amount is mentioned then it shall be taken as nil and no marks will be
         awarded.


Note :
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 should provide only that information in the application against various items, for which
applicant is in possession of supporting documents in original as on the date of submission of
application. Failure to present these documents in original will result in cancellation of selection due
to submission of false/unsupported information.

3. In case applicant requires extra space on any point, the same can be given by adding more rows
or add extra sheets but details should be given in the same format as mentioned in that particular
point.

								
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