NOTICE FOR APPOINTMENT OF RETAIL OUTLET DEALERS

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							                                                     HINDUSTAN PETROLEUM CORPORATION LIMITED
                                                     HINDUSTAN PETROLEUM CORPORATION
                                                                                                                                             (A Government of India Enterprise)

                                                                                               NOTICE FOR APPOINTMENT OF RETAIL OUTLET DEALERS
Hindustan Petroleum Corporation Limited proposes to appoint dealer for Retail Outlet dealership in West Bengal & Sikkim at the following Locations :
 State : West Bengal
  Sl.                  Location                        Revenue      Category Proposed Proposed     Mkt    Estimated       Minimum plot       Estimated Amount         Name FORMAT        Sl.                  Location                       Revenue     Category Proposed Proposed     Mkt    Estimated       Minimum plot        Estimated Amount          Name FORMAT
  No.                                                   district                to be    tobe      Plan       Sales      size. Area in Sq.   investment     of          of               No.                                                  district               to be    tobe      Plan       Sales      size. Area in Sq.    investment     of          of
                                                                                                                                                                                                                                                                  developed developed           potential      Mtr. Frontage         required  security     NH/SH
                                                                             developed developed           potential     Mtr. Frontage &       required  security     NH/SH                                                                                           on       on                   of        & Depth in Mtr.          from    deposit        in
                                                                                 on       on                   of          Depth in Mtr.         from    deposit        in                                                                                        Company Company                the site                           applicant (Rs. Lacs)    case of
                                                                             Company Company                the site                          applicant (Rs. Lacs)    case of                                                                                       leased   owned                in KL                             (Rs.Lacs)               Ros. on
                                                                               leased   owned                in KL                            (Rs.Lacs)              Ros. on                                                                                         basis    basis            per Month                                                   Highway
                                                                                basis    basis            per Month                                                  Highway              A                      B                              C           D          E        F        G          H                 I                J          K           L     M
   A                       B                              C            D         E         F        G         H                 I                J          K          L         M                                                                                                                           Area Frontage Depth
                                                                                                                       Area Frontage Depth                                               103 Patharchal on Harisingha Patharchal            BIRBHUM       OP(W)                YES      HPCL      76        1440 40         36        10           2         _      Hamara
                                                                                                                                                                                             Shaldanga Road
   1 KamaIpur between Belpukur to Hoglashi             Howrah       OP(W)                 YES      HPCL      120       1440    40      36       10          2                 Hamara
                                                                                                                                                                                         104 SULOCHANA ON MOYNA NIMTOURI                     PURBA         OP                  YES      HPCL      74        1440    40      36        10           2         _      Hamara
     either side
                                                                                                                                                                                             ROAD                                          MEDINIPUR
   2 Mograhat                                        24 Prgns (S) DEF(W)                  YES      HPCL      72        1440    40      36       10          2                 Hamara
                                                                                                                                                                                         105 BETWEEN DEBRA & MUNDUMARI ON                   PASCHIM       DEF                  YES      HPCL      92        1440    40      36        10           2         ---    Hamara
                                                                                                                                                                                             DEBRA MUNDUMARI ROAD                          MEDINIPUR
   3 On new Road connecting Belghoria and            24 Prgns (N)     OP                  YES      HPCL      72        1440    40      36       10          2                 Hamara
     Muraghacha
                                                                                                                                                                                         106 Within 6 kms from Sankarpur more              BURDWAN         OP                  YES      HPCL      80        1440    40      36        10           2         ---    Hamara
   4 Within 1 KM of Jiwantala BDO Office             24 Prgns (S)     OP                  YES      HPCL      84        1440    40      36       10          2                 Hamara
                                                                                                                                                                                              (Ukhra) towards Laudoha
     towards Bodhra
                                                                                                                                                                                          107 On kusumgram satgachia memari road           BURDWAN        OP(W)                YES      HPCL      80        1440    40      36        10           2         ---    Hamara
   5 2 KM on both sides of Nepal Ganj Hat            24 Prgns (S) OP(W)                   YES      HPCL      74        1440    40      36       10          2                 Hamara
                                                                                                                                                                                              - within 8 kms from Kusumgram Bus
     between Julpia - Kabardanga
                                                                                                                                                                                              stand
   6 Nilganj Road from Duttapukur to NH34            24 Prgns (N) PH(W)                   YES      HPCL      72        1440    40      36       10          2                 Hamara
                                                                                                                                                                                          108 Within 2 kms of Attagaur More on             BURDWAN        PMP                  YES      HPCL      80        1440    40      36        10           2         ---    Hamara
                                                                                                                                                                                              Burdwan Kalna Road
    7 Within 2 KM on either side of Julpia More      24 Prgns (S)     OP                  YES      HPCL      68        1440    40      36       10          2                 Hamara      109 On Shyamsunder Pohalanpur Road               BURDWAN         OP                  YES      HPCL      85        1440    40      36        10           2         ---    Hamara
      on Amtola-Baruipur Road                                                                                                                                                                 between lohaibajar & kalitala Near Chhota
    8 Charial More to Bakrahat More on Budge         24 Prgns (S)     OP                  YES      HPCL      68        1440    40      36       10          2                 Hamara          Bainan
       Budge Bakrahat Raipur More Road                                                                                                                                                    110 Suri Bypass (BETWEEN KM STONE                 BIRBHUM       DEF                  YES      HPCL      230       2000    40      40        25           3        NH 60   HIGHWAY
    9 Within 2 KMs of Champahati Railway             24 Prgns (S) PMP(W)                  YES      HPCL      72        1440    40      36       10          2                 Hamara          341-348 ON NH 60)
      crossing towards Baruipur on                                                                                                                                                        111 Panroi (WITHIN 5KM from Panroi Telephone      BIRBHUM        OP                  YES      HPCL      67        1225    35      35        10           2                HPRaja
      Champahati Baruipur Road                                                                                                                                                                Exchange On Bolpur-Suri Road)
   10 Within 2 KM from NH 117 near Akshya            24 Prgns (S) OP(W)                   YES      HPCL      84        1440    40      36       10          2                 Hamara      112 ON NH-60 BETWEEN KM STONE                     BIRBHUM       OP(W)                YES      HPCL      204       2000    40      40        20           3        NH 60   HIGHWAY
      Nagar nutan rasta more                                                                                                                                                                  397-407
       on the road to Gangadharpur                                                                                                                                                        113 Bhagwan Gola (ON SH-11,JIAGANJ               MURSHIDABAD    PMP                  YES      HPCL      90        1225    35      35        10           2        SH 11   HPRaja
   11 Krishnanagar to Mayapur                           Nadia         OP                  YES      HPCL      72        1440    40      36       10          2                 Hamara          -JANGIPUR ROAD,WITHIN 3
   12 Dattafulia Ranaghat road within 10 KMs            Nadia         OP                  YES      HPCL      72        1440    40      36       10          2                 Hamara          KM EITHER SIDE FROM BHAGWAN
      from Ranaghat towards Dattafulia                                                                                                                                                        GOLA NETAJI MORE)
   13 Jaguli - Nagarukhra                            24 Prgns (N) OSP(W)                  YES      HPCL      72        1440    40      36       10          2                 Hamara      114 Gangara More(Between KM Stone No.             PURULIA        OP                  YES      HPCL      260       3500    50      60        25           3       NH 60A MODEL
   14 Shantipur Town on Old NH 34                       Nadia     PMP(W)       YES                 HPCL       80       1225    35      35       25          2                 HP Raja         73 to 78 on NH 60A)
   15 Dankuni-NH2 mode to Chanditala on                Hooghly     OP(W)                  YES      HPCL      225       2000    40      40       20          3        SH15     Highway     115 ASANSOL TOWN( WITHIN 4 KMS                   BURDWAN         OP                  YES      HPCL      100       625     26      20        10           2         ---    URBAN
      SH15 ( upto mile stone no.4)                                                                                                                                                            FROM RAMBANDHU TALAB CHOWK
   16 Durgapur expressway to Tarkeswar road            Hooghly        OP                  YES      HPCL      200       2000    40      40       20          3         SH2     Highway         ON SB GORAI ROAD)
      on SH2,( Mile stone nos 10 to 12 )                                                                                                                                                  116 BETWEEN MECHOGRAM & PITPUR                    PURBA         OP(W)                YES      HPCL      100       1225    35      35        10           2        SH 4    HPRaja
   17 Connector between Survey Park Joda             24 Prgns (S)     OP                  YES      HPCL      160       625     26      20       15          3                                 ON SH 4                                      MEDINIPUR
      bridge and E M Byepass near Metro Cash                                                                                                                                              117 POABAGAN (BETWEEN KM STONE                   BANKURA         OP                  YES      HPCL      210       2000    40      40        20           3       NH 60 A HIGHWAY
       and Carry Shop                                                                                                                                                                         NO. 2 TO 6 ON NH60A)
   18 Within 1 Km of Sarberia on SH3                 24 Prgns (S) OSP(W)       YES                 HPCL      172       1225    35      35       30          3        SH 3     HPRaja      118 Banskopa more to Bamunara Industrial         BURDWAN         OP                  YES      HPCL      115       1225    35      35        15           2                HPRaja
   19 Within 5 KMs of Salap More on NH6                Howrah     OP(W)                   YES      HPCL      212       2000    40      45       20          3        NH6      Highway         estate road within 1 km from Banskopa More
   20 Barrackpore to Kankinara on Ghoshpara          24 Prgns (N) FF(W)                   YES      HPCL       80       1225    35      35       10          2                 HP Raja     119 Within 4KM FROM SAINTHIA BUS                  BIRBHUM       OP(W)                YES      HPCL      95        1225    35      35        10           2        SH 11   HPRaja
      Road                                                                                                                                                                                    STAND ON SH 11
   21 Bhojerhat between KM stone                     24 Prgns (S)     OP                  YES      HPCL      162       1225    35      35       15          3         SH3     HP Raja     120 BETWEEN KAKTIA & TAMLUK ON SH4                 PURBA        PMP                  YES      HPCL      82        1225    35      35        10           2        SH 4    HPRaja
      1 5 -17 on SH3                                                                                                                                                                                                                       MEDINIPUR
   22 Kankinara to Kachrapara on Ghoshpara Road          24          DEF       YES                 HPCL      80        1225    35      35       25          2                 HP Raja    121 Lalbagh Court Road (BETWEEN                   MURSHIDABAD    DEF                  YES      HPCL      80        1225    35      35        10           2         ---    HPRaja
                                                      Prgns (N)                                                                                                                              NARKEL BAGAN & TIR TALA)
   23 Bhadreswar to Baidyabati (Padmatala) on         Hooghly        PMP       YES                 HPCL      100       1225    35      35       25          2                 HP Raja    122 BETWEEN MECHEDA & KAKTIA                       PURBA          OP                  YES      HPCL      82        1225    35      35        10           2        SH 4    HPRaja
      GT road                                                                                                                                                                                ON SH4                                        MEDINIPUR
   24 Barasat - Barrackpore Road upto 4 Kms               24          OP                  YES      HPCL      200       2000    40      40       20          3         SH2     Highway
       from Barasat (NH 34 crossing)                  Prgns (N)                                                                                                                          123 Tarapith (4KM EITHER SIDE FROM T               BIRBHUM        FF                  YES      HPCL      75        1225    35      35        10           2         ---    HPRaja
   25 Barrackpore - Barasat Road upto 8 Kms          24 Prgns (N)   OP(W)                 YES      HPCL      150       1225    35      35       15          3         SH2     HP Raja        ARAPITH MORE (RAMPURHAT)
      from Barrackpore Railway crossing                                                                                                                                                      TOWARDS TARAPITH.)
   26 Shekhpara between Vidyasagar Setu end            Howrah         OP                  YES      HPCL      200       625     26      20       20          3                            124 CONTAI BYPASS, NEAR CONTAI                      PURBA         OP                  YES      HPCL      230       625     26      20        25           3         ---    HPRaja
      to Bellepole More on right side from Kolkata                                                                                                                                           CENTRAL BUS STAND                             MEDINIPUR
      to Bellepole More                                                                                                                                                                  125 BETWEEN NANDKUMAR & MAHISADAL                   PURBA        OP(W)                YES      HPCL      82        1225    35      35        10           2        SH 4    HPRaja
   27 Aamdanga on NH 34 between KM stone             24 Prgns (N)     OP                  YES      HPCL      200       2000    40      40       20          3        NH34     Highway        ON SH4                                        MEDINIPUR
      32 - 42                                                                                                                                                                            126 Within 5 KMS from Raghunathpur on SH 8         PURULIA        OP                  YES      HPCL      125       1225    35      35        15           2        SH 8    HPRaja
   28 Within 4 KMs on either side of Kakdwip         24 Prgns (S)     PH       YES                 HPCL      212       2000    40      40       35          3        NH117 Highway
      Town on NH117                                                                                                                                                                      127 BETWEEN KM STONE NO. 95-105                    PASCHIM    OP                      YES      HPCL      210       2000    40      45        20           3        NH 6    HIGHWAY
   29 Within 2 KMs of DPS on Megacity Road           24 Prgns (N)   OP(W)                 YES      HPCL      150        625    26      20       15          3                                (RHS) ON NH6                                  MEDINIPUR
   30 On NH 34 between KM stone 1 35 - 150              Nadia        OP                   YES      HPCL      200       2000    40      40       20          3        NH34     Highway    128 Between Henria & Bajkul on SH-4                 PURBA   DEF(W)                    YES      HPCL      72        1225    35      35        10           2        SH 4    HPRaja
   31 Tarkeshwar                                       Hooghly       OP                   YES      HPCL      106       1225    35      35       10          2        SH2      HP Raja                                                      MEDINIPUR
   32 Uluberia KM Stone48-54                           Howrah       OP(W)                 YES      HPCL      270       2000    40      45       20          3        NH6      Highway    129 Within 4 KM from Nababhat More, Burdwan       BURDWAN    PMP                      YES      HPCL      92        1225    35      35        10           2         SH     HPRaja
   33 Bhabia Chowmatha                               24 Prgns (N)   OP(W)                 YES      HPCL      110       1440    40      36       10          2                 Hamara         ON Burdwan Bolpur Road
   34 Jagdishpur                                       Howrah        OP                   YES      HPCL      220       2000    40      45       20          3         NH6     Highway    130 Farakka(BETWEEN KM STONE 280-291              MURSHIDABAD    OP(W)                YES      HPCL      250       3500    50      60        25           3        NH 34   MODEL
   35 Nimta - Birati                                 24 Prgns (N)   OP(W)      YES                 HPCL      150        625    26      20       25          3                                ON NH 34)
   36 Kolkata KMC Area                                 Kolkata       OP                   YES      HPCL      200        625    26      20       20          3                            131 BETWEEN HENRIA & KALINAGAR                      PURBA        OSP                  YES      HPCL      72        1225    35      35        10           2        SH 4    HPRaja
   37 Baidyabati More - Jamirberia                     Hooghly      OP(W)                 YES      HPCL       87       1440    40      36       10          2                 Hamara         ON SH4                                        MEDINIPUR
   38 Murali                                         24 Prgns (N)    OP        YES                 HPCL      180       2000    40      40       30          3        NH35     Highway    132 BETWEEN CHANDRAKONA TOWN                       PASCHIM        OP                  YES      HPCL      92        1225    35      35        10           2        SH 7    HPRaja
   39 Kalihat - Bhatjangla                              Nadia        OP                   YES      HPCL      280       2000    40      40       20          3        NH34     Highway        AND RADHANAGAR ON SH7                         MEDINIPUR
   40 Bagnan KM 58 -65                                 Howrah       OP(W)                 YES      HPCL      270       2000    40      45       20          3        NH6      Higbway    133 HALDIA (BETWEEN DURGACHOWK &                    PURBA         OP                  YES      HPCL      120       1225    35      35        15           2        SH 4    HPRaja
   41 Mahadevpur - Gadamarahat                       24 Prgns (N)    OP                   YES      HPCL      270       2000    40      40       20          3        NH34     Highway        SUTAHATA)                                     MEDINIPUR
   42 Park Circus - Parama Island                      Kolkata       PH                   YES      HPCL      200        625    26      20       20          3                            134 MOREGRAM(BETWEEN KM STONE                     MURSHIDABAD     OP                  YES      HPCL      456       3500    50      60        30           5        NH 34   MODEL
   43 Kasba Connector (Gariahat - Ruby Connector)      Kolkata      OP(W)                 YES      HPCL      300        625    26      20       20          5                                NO. 233 & 243 ON NH34)
   44 Garia - Ruby Hospital on EM Bypass               Kolkata       OP                   YES      HPCL      300        625    26      20       20          5                            135 Simlapal (Between KM Stone 35 & 42 on          BANKURA       OP(W)                YES      HPCL      125       1225    35      35        15           2        SH 9    HPRaja
   45 Jadavpur Thana to Kalikapur Road (Prince       24 Prgns (S)   OP(W)                 YES      HPCL      200        625    26      20       20          3                                SH-9
      Anwarshah Road Connector)                                                                                                                                                          136 On ADB Highway within 8 kms from              BURDWAN         OP                  YES      HPCL      110       1225    35      35        15           2         ADB HPRaja
   46 Harwood Point lot no. 8 at Kakdwip.            24 Prgns (S)   OP(W)                 YES      HPCL      104       1440    40      36       10          2                 Hamara         Darjeeling more                                                                                                                                               Highway
   47 Lakshmikantpur - Dholahat                      24 Prgns (S)   OP(W)                 YES      HPCL      108       1440    40      36       10          2                 Hamara     137 ISLAMPUR(WITHIN 2KM EITHER SIDE               MURSHIDABAD    DEF                  YES      HPCL      90        1225    35      35        10           2        SH 11 HPRaja
   48 Shyambasurchawk                                24 Prgns (S)    SC                   YES      HPCL       70                                                     NH 117                  FROM NETAJI MORE ON SH-11)
   49 Namkhana                                       24 Prgns (S)    SC                   YES      HPCL       85                                                     NH 117              138 WITHIN 4 KMS FROM HIRA PARVAT                  BANKURA      PMP(W)                YES      HPCL      70        1225    35      35        10           2        SH 9    HPRaja
   50 11th Mile. Darjeeling                           Darjeelling    OP         NO        YES      HPCL       62        500    20      20        5          2         NH55    HPRaja         FOREST OFFICE TOWARDS
   51 Between Ghosh Pukur to Kalagach on              Darjeeling     OP         NO        YES      HPCL      254       3500    50      60        5          3         NH31    Model          BISHNUPUR ON SH9
      Left from Siliguri lo Kolkata)                                                                                                                                                     139 Galsi Town on service road of NH 2 on         BURDWAN        OP(W)                YES      HPCL      120       1225    35      35        15           2         ---    HPRaja
   52 Gaisal to Bhangapool on left From Siliguri      U Dinajpur    OP(W)      YES        NO       HPCL      258       2200    40      45       15          3        NH31     Highway        RHS
      to Kolkata                                                                                                                                                                         140 Between Sagrai More & Shera Bazaar on         BURDWAN         OP                  YES      HPCL      100       1225    35      35        10           2        SH 7    HPRaja
   53 Kanki to Asuragarh on right from Siliguri       U Dinajpur      OP        NO        YES      HPCL      208       2200    40      45        5          3        NH31     Highway        Burdwan Arambagh Road
                                                                                                                                                                                         141 NH 2 between KM Stone 520 & 532 on LHS         BURDWAN        OP                  YES      HPCL      265       3500    50      60        25           3        NH 2    MODEL
      to Kolkata
                                                                                                                                                                                         142 ON SH 11, 2 KM Either side from Domkal        MURSHIDABAD    OP(W)                YES      HPCL      210       1225    35      35        20           3        SH 11   HPRaja
   54 Kaliaganj                                      U Dinajpur      OP        YES        NO       HPCL       88       1400    35      35       15          2        SH10A HPRaja
                                                                                                                                                                                             Jama Masjid on Domkal Jalangi Road
   55 Between Kerseong and Sonada                     Darjeeling    OP(W)      YES        NO       HPCL       62        500    20      20       10          2         NH55 HPRaja
                                                                                                                                                                                         143 Between KM115-129(RHS) on NH6                  PASCHIM       PH(W)                YES      HPCL      212       2000    40      45        20           3        NH 6    HIGHWAY
   56 Falakata to Pundibari (RHS towards             Coochbehar      OSP       NO         YES      HPCL      208       1900    40      40        5          3         NH31 Highway
                                                                                                                                                                                                                                           MEDINIPUR
      Assam)
                                                                                                                                                                                         144 BET KM Stone 573 to Km 578 on LHS             BURDWAN         OP                  YES      HPCL      265       3500    50      60        25           3        NH 2    MODEL
   57 Merry Villa to Darjeeling                       Darjeeling   OP          YES        NO       HPCL       80        500    20      20       10          2         NH55    HPRaja
                                                                                                                                                                                             on NH 2
   58 Naxalbari to Panitanki                          Darjelling   OP          NO         YES      HPCL      205       1400    35      35        5          3        NH31C    Highway
                                                                                                                                                                                         145 Between DVC more & railway bridge on          BURDWAN         OP                  YES      HPCL      200       625     26      20        20           3         ---    URBAN
   59 Amaidighi (Fulbari)                             Jalpaiguri   OP          NO         YES      HPCL      210       2200    40      45        5          3        SH12A    Highway
                                                                                                                                                                                             Durgapur station road
   60 Between Dhupguri to Falakata                    Jalpaiguri  OP(W)        YES        NO       HPCL      100       1400    35      35       15          2        SH12A    HPRaja
                                                                                                                                                                                         146 Tamluk                                          PURBA        FF                   YES      HPCL      80        1225    35      35        10           2        SH 4    HPRaja
   61 Matigarah, opposite Jesu Asram                  Darjeeling   OP          NO         YES      HPCL      270       3500    50      60        5          3         NH31     Model
                                                                                                                                                                                                                                           MEDINIPUR
   62 Between Bagdogra and Naxalbari                  Darjeeling   DEF         YES        NO       HPCL      210       1900    40      40       15          3        NH31C    Highway
                                                                                                                                                                                         147 Chaitanyapur(Haldia)                            PURBA       OSP                   YES      HPCL      84        1225    35      35        10           2        SH 4    HPRaja
   63 Darjeeling More to Sukna                        Darjeeling PMP(W)        YES        NO       HPCL      174       1900    40      40       15          3         NH55    Highway
                                                                                                                                                                                                                                           MEDINIPUR
   64 Pundibari to Khagrabari                        Coochbehar OP(W)          YES        NO       HPCL      202       1900    40      40       15          3         NH31    Highway
                                                                                                                                                                                         148 KOLAGHAT- NANDKUMAR ON RHS                      PURBA      OP(W)                  YES      HPCL      262       3500    50      60        25           3        NH 41   MODEL
   65 Between KM Stone 493 to 494 , Dhantola         U Dinajpur    OP          NO         YES      HPCL      262       3500    50      60        5          3         NH31     Model
                                                                                                                                                                                                                                           MEDINIPUR
      (LHS from Siliguri to Kolkata)
                                                                                                                                                                                         149 Katwa                                          BURDWAN DEF(W)                     YES      HPCL      90        1225    35      35        10           2         --     HPRaja
   66 Coochbehar Town                                Coochbehar    OP          NO         YES      HPCL      180       500     20      20        5          3                  Urban     150 Bolpur Town 1                                   Birbhum    PH(W)                  YES      HPCL      80         625    26      20        10           2         --     HPRaja
   67 Islampur town                                   U Dinajpur OP(W)         YES        NO       HPCL      110        500    20      20       15          2                 HPRaja     151 Domkal (Within 3 Kms on DOMKAL SDO            MURSHIDABAD PMP(W)                  YES      HPCL      90        1225    35      35        10           2         --     HPRaja
   68 Between Daulatpur to Buniadpur                  D Dinajpur PH(W)         YES        NO       HPCL       68       1900    40      40       15          2         SH10    HPRaja         Office more to Godhanpara Road)
   69 8Th Mite. Dhumadighi                              MaIda      OP          NO         YES      HPCL      262       2200    40      45        5          3         NH34    Highway    152 REGINAGAR                                     MURSHIDABAD OSP(W)                  YES      HPCL      210       2000    40      45        20           3        NH 34 HIGHWAY
   70 Kaliachak                                         MaIda      OP          NO         YES      HPCL      210       2200    40      45        5          3         NH34    Highway    153 Bolpur Town 2                                   Birbhum   OP(W)                   YES      HPCL      120        625    26      20        15           2               HPRaja
   71 Diwanhat to Dinhata                            Coochbehar   DEF          YES        NO       HPCL       68       1400    35      35       15          2        SH12A    HPRaja     154 SAGARDIGHI                                    MURSHIDABAD FF(W)                   YES      HPCL       90       1440    40      36        10           2               Hamara
   72 Kumarganj                                         Malda     PMP          YES        NO       HPCL       78       1400    35      35       15          2          SH     HPRaja
   73 Gangarampur                                     D Dinajpur OP(W)         YES        NO       HPCL       68       1400    35      35       15          2        SH10A    HPRaja     155 IND-US                                        BANKURA   DEF                       YES      HPCL      100       1440    40      36        10           2                Hamara
   74 Harishchandrapur                                  Malda      PH          YES        NO       HPCL       74       1400    35      35       15          2                 HPRaja     156 SONAMUI                                        PASCHIM  PMP                       YES      HPCL       90       1225    35      35        10           2        SH 4    HPRaja
   75 Rajarhat More to Barokamat                      Jalpaiguri   OP          NO         YES      HPCL      100       1600    40      36        5          2        SH12A     Rural                                                       MEDINIPUR
   76 Gwalpukur                                       U Dinajpur   OP          YES        NO       HPCL       64       1400    35      35       10          2                 HP Raja    157 SHAKTIGARH BYPASS                             BURDWAN OP(W)                       YES      HPCL      200       2000    40      45        20           3        NH 2    Highway
   77 Malbajar                                        Jalpaiguri OP(W)         NO         YES      HPCL      200       1900    40      40        5          3        NH31     Highway    158 NAYA                                           PASCHIM  PMP                       YES      HPCL       90       1440    40      36        10           2                Hamara
   78 Kalijhora                                       Darjeeling   OP          YES        NO       HPCL       68        500    20      20       10          2        NH31A    HP Raja                                                      MEDINIPUR
   79 DM's office to NH junction, Jalpaiguri          Jalpaiguri  DEF          YES        NO       HPCL      120       1000    30      30       15          2                 HPRaja     159 HALDIA LINK ROAD                                PURBA    OP                       YES      HPCL      100       1225    35      35        10           2                HPRaja
   80 Trimohini                                       D.Dinajpur   PH          YES        NO       HPCL       64       1400    35      35       15          2                 HPRaja                                                       MEDINIPUR
   81 Mirik Town                                      Darjeeling   OP          NO         YES      HPCL       80        500    20      20        5          2                 HPRaja     160 UTTARSIMLA                                     PASCHIM  DEF                       YES      HPCL      200       2000    40      45        20           3        NH 6    HIGHWAY
   82 Salugarah Sevoke                                Jalpaiguri  PMP          YES        NO       HPCL      204       1900    40      40       15          3         NH31    Highway                                                      MEDINIPUR
   83 Fatepur to Kushmandi                            U Dinajpur OP(W)         YES        NO       HPCL       88       1400    35      35       15          2        SH10A    HPRaja     161 DURGAPUR A ZONE                               BURDWAN DEF(W)                      YES      HPCL      90        625     26      20        10           2                HPRaja
   84 Checkpost to Salugarah                          Darjeeling   OP          NO         YES      HPCL      280       3500    50      60        5          3         NH31     Model
   85 Champasari                                      Darjeeling OP(W)         NO         YES      HPCL       80        500    20      20        5          2                 HPRaja     162 PANDABESWAR                                   BURDWAN        PMP                  YES      HPCL      200       2000    40      45        20           3        NH 60   HIGHWAY
   86 Danavgram                                       D.Dinajpur DEF(W)        YES        NO       HPCL       65       1400    35      35       15          2                 HPRaja     163 BISHNUPUR                                     BANKURA         OP                  YES      HPCL      100       1225    35      35        10           2         SH     HPRaja
   87 Between Gurudwara to Dakshin Bania              Jalpaiguri   OP          NO         YES      HPCL      200       1900    40      40        5          3        NH31C    Highway
   88 Balurghat TOWN                                  D Dinajpur   OP          NO         YES      HPCL      110        500    20      20        5          2                 HPRaja     164 ILAM BAZAR                                      Birbhum       OP                  YES      HPCL      110       1225    35      35        15           2         SH     HPRaja
   89 Sonapur                                         U Dinajpur OP(W)         NO         YES      HPCL      258       2200    40      45        5          3        NH31     Highway
   90 Kunur                                           U Dinajpur PH(W)         YES        NO       HPCL       64       1400    35      35       15          2                 HPRaja     165 SANMANINATHPUR                                 PASCHIM       DEF                  YES      HPCL      200       2000    40      45        20           3        NH 60   HIGHWAY
   91 Ghora More to Checkpost ( Bypass),              Jalpaiguri   OP          NO         YES      HPCL       90        500    20      20        5          2                 HP Raja’                                                     MEDINIPUR
      Siliguri                                                                                                                                                                           166 NH 60 BET MOKHRAMPUR &                         PASCHIM        OP                  YES      HPCL      200       3500    50      60        20           3        NH 60   HIGHWAY
   92 Ghaksol                                          Malda         OP        YES        NO       HPCL      208       2200    40      45       15          3        NH34     Highway        RUPNARAYANPUR(LHS)                            MEDINIPUR
   93 Ganthla (Between Mandal Para Pathak            Murshidabad    OP(W)                 YES      HPCL       77       1440    40      36       10          2         _       Hamara     167 BETWEEN MUCHIPARA CROSSING &                  BURDWAN        OP(W)                YES      HPCL      212       3500    50      60        20           3        NH 2    HIGHWAY
      Vidyalaya (Maha Landi) & Ganthla Bridge                                                                                                                                                DARJEELING MORE ON NH 2
      on Udaichandpur - Ganthla Road)                                                                                                                                                        (NORTH CORRIDOR)
   94 On Memari Jamalpur Road at Ajharpur            BURDWAN        FF(W)                 YES      HPCL      85        1440    40      36       10          2          _      Hamara     168 WITHIN 20 KMS OF INTERSECTION OF              BURDWAN        OP(W)                YES      HPCL      230       3500    50      60        25           3        NH 2    HIGHWAY
                                                                                                                                                                                             NH 2 & BURDWAN TOWN ROAD
   95 Chelima (Within 3 KMS from Yatrik               PURULIA         OP                  YES      HPCL      100       1440    40      36       10          2          _      Hamara         (NAWABHAT) ON NH 2 (NORTH
      Pratishalya of Chelima Towards Purulia                                                                                                                                                 CORRIDOR) TOWARDS DURGAPUR
      on Chelima Jhapramore Road                                                                                                                                                         169 Durlavpur to Gangajalghati near                BANKURA       OP(W)                YES      HPCL      250       3500    50      60        25           3        NH 60   MODEL
   96 Between Nodra More & Joychandi Pahar            PURULIA        DEF                  YES      HPCL      80        1440    40      36       10          2          _      Hamara         Durlavpur More on NH 60
                                                                                                                                                                                         170 DOMOHANI BAZAR                                BURDWAN         OP                  YES      HPCL      92        1440    40      36        10           2                Hamara
   97 Radhanagar (Within 5 KMS from Radha             BANKURA        PMP                  YES      HPCL      95        1440    40      36       10          2          _      Hamara
      Nagar Hospital Towards Bishnupur)                                                                                                                                                  171 BETWEEN KM STONE 83 TO 87 ON                   PASCHIM OSP(W)                     YES      HPCL      210       2000    40      45        20           3        NH 60   HIGHWAY
   98 Within 6 KMS from IISCO Steel Plant            BURDWAN          OP                  YES      HPCL      82        1440    40      36       10          2          _      Hamara         NH 60                                         MEDINIPUR
      (Sangamara Gate) Towards Neyamatpur                                                                                                                                                172 BETWEEN PANDABESWAR BAZAR &                   BURDWAN   OP                        YES      HPCL      85        1440    40      36        10           2                Hamara
       on Burnpur Neyamatpur Road                                                                                                                                                            GOUR BAZAR
   99 Outside Municipal Limits of Midnapur            PASCHIM       OP(W)                 YES      HPCL      80        1440    40      36       10          2          _      Hamara         State: Sikkim
      Town on Midnapur DheruaRoad between            MIDNAPUR                                                                                                                             1 Namchi                                         South Sikkim OP(W)       YES        NO       HPCL       68       500     20      20        10           2             HP Raja
      Midnapur & Dherua                                                                                                                                                                   2 Rhenock                                        East Sikkim DEF(W)       YES        NO       HPCL       68       500     20      20        10           2             HP Raja
  100 Between Balaipanda & Moyna on                   PURBA           OP                  YES      HPCL      84        1440    40      36       10          2          _      Hamara      3 Indira By pass                                 East Sikkim   OP         NO         YES      HPCL      100       500     20      20         5           2             HP Raja
      Mundumari - Moyna Road                         MEDINIPUR                                                                                                                            4 MelIi                                          South Sikkim  OP         NO         YES      HPCL      100       500     20      20         5           2        SH   HP Raja
  101 Panchmura                                      BANKURA          OP                  YES      HPCL      80        1440    40      36       10          2          _      Hamara      5 Rangpo                                         East Sikkim OP(W)        YES        NO       HPCL      100       500     20      20        10           2       NH31A HP Raja
                                                                                                                                                                                          6 Between Singtam & Ranipool                     East Sikkim PH(W)        YES        NO       HPCL      100       500     20      20        10           2       NH31A HP Raja
  102 Khandagosh                                     BURDWAN          PH                  YES      HPCL      135       1440    40      36       15          2          _      Hamara      7 Jorthang Namchi Road                           South Sikkim  OP         NO         YES      HPCL       68       500     20      20         5           2             HP Raja
                                                                                                                                                                                                                                                                                                                                                           Contd. on Page 2
(Page 2, continued from Page 1)                                                                           e. Multiple Dealership Norm (relationship clause):                                                                   ratify the displayed Merit Panel, which then only shall be considered to be final
Notes :                                                                                                          For Individuals including Partnerships                                                                    9. Otherterms and conditions:
     i. (W) indicated in category means reserved for WOMEN only.                                                  Persons desirous of applying should not be having either letter of Intent (LOI) or Dealership/          (a) The candidate selected for dealership shall be a working dealer and shall be paying attention
    ii. The locations indicated as ‘YES’ under the column ‘E’ are proposed to be developed on                     Distributorship of MS/HSD/SKO-LDO/LPG of any Oil Company in his/her own name or in the                       towards day to day working of the dealership by personally managing the affairs of the
        company leased basis. The superstructures are to be constructed by the applicant & Land                   name of family members in his/herfamily unit.                                                                dealership. He/she will not be eligible for taking up any other employment. If the selected
        along with the superstructures will be leased by the applicant to HPCL. The reasonable                    Family unit, in case of married applicant, for this purpose, would comprise of i) Spouse                     person is already employed, before issuance of Letter of Appointment by the oil company
        lease rental amounts in these cases will be paid to the landlord & the same amount will be                ii) unmarried Son (s)/ unmarried Daughter(s) and in case of unmarried applicant would                        should produce the proof of acceptance of his/her resignation by his/her employer.
        recovered as additional licence fee from the dealership. Beside this, Service Station                     comprise of (i) his/her unmarried brother(s) /unmarried sister(s) and (ii) parents.                     (b) On selection, the candidate will be required to deposit with the oil company a security
        Licence Fee (SSLF) at lower rate will be recovered from dealership, which is presently Rs.                For Non-Individual entities:                                                                                 deposit, ranging from Rs. 2 lakhs to Rs. 5 lakhs as mentioned in the advertisement as per
        13/- per KL for Petrol & Rs. 11/- per KLfor Diesel.                                                       For Companies registered under Companies Act 1956:                                                           the policy of HPCL. Such deposit will have to be made at the time of appointment as dealer.
   iii. The locations indicated as ‘YES’ under the column ‘F’ are proposed to be developed on                                                                                                                                  This amount called the security deposit is refundable at the time of resignation / termination
                                                                                                             i. The applicant company will not be eligible for RO/SKO/LPG dealership/distributorship,
        company owned basis. The applicant is required to lease only the land to HPCL.                                                                                                                                         and will not carry any interest. HPCL also reserves its right to adjust any dues to it from this
                                                                                                                  if any RO/SKO/LPG dealership/ distributorship or Letter of Intent (LOI) is held by the                       amount at the time of resignation/ termination. However, in case such termination is due to
        Superstructures on the land will be constructed by HPCL. The lease rental amounts for
        land in these cases will be paid to the landlord but will not be recovered from the dealership.           applicant Company or by any of the following :                                                               proven adulteration/malpractices then the deposit amount will be forfeited. SC/ST allottees,
        Service Station Licence Fee (SSLF) will be recovered at higher rate from dealership, which                a.     Any of the Director or his family members (family as defined in the case of multiple                  war widows and widows and women above 40 years of age without earning parents, availing
        is presently,Rs. 43/- per KLfor Petrol & Rs. 36/- per KLfor Diesel.                                               dealership norms for individuals)                                                                    facilities under corpus fund scheme will be exempted from payment of such security
   iv. The candidate should furnish along with the application, details of land, which he/she may                 b.     Holding company or Subsidiary company.                                                                deposit.
        make available for the Retail Outlet. Considering the location of the land from the point of              c. Any other company or Firm where share holders (put together) of the applicant company                (c) Other things being equal, Unmarried women above 40 years of age without earning parents
        view of feasibility and commercial angle and rates acceptable to the company, applicants                  have controlling stake i.e. 51 % or more.                                                                    and Widows will be given preference over others in all women categories. Widow has to
        willing to transfer the land on long lease to HPCL would be given preference. The selected                                                                                                                             submit death certificate of her husband and also an affidavit stating that she has not re-
                                                                                                             ii. If any individual, partnership firm, company, organized body, trust or society, already
        Candidates will be required to lease the plot of land and superstructure, as defined in sr. no.                                                                                                                        married as per Appendix A.
                                                                                                                  holding
        (ii) above or land as defined in sr. no. (iii) above for a period of minimum 15 years with                                                                                                                        10. Provision for Basic Facilities at the Retail Outlet:
                                                                                                                  RO dealership, SKO/LPG distributorship acquire controlling stake in a company having RO
        renewal option for another 15 years.                                                                                                                                                                              (a) The applicant on selection should be capable to raise necessary funds for effectively
                                                                                                                  dealership, SKO/LPG distributorship, then the RO dealership, SKO/LPG distributorship of
    v. If an applicant, after selection, is unable to provide the land indicated by him/her in the                the acquirer is liable to be terminated.                                                                     operating the dealership to the satisfaction of HPCL.
        application form within a period of TWO months from the date of Letter of Intent (LOI), the                                                                                                                       (b) Following basic facilities will be provided by each dealer at the Retail Outlet.
                                                                                                            iii. Government owned Companies defined as major shareholding with the Government, Public
        Corporation will have the right to cancel the allotment of dealership/distributorship made to                                                                                                                          Drinking Water, Free Air (@),First Aid kit with medicines , Toilet (@), Pollution under Control
                                                                                                                  Sector & Joint Sector Units or Government administered Organizations will be exempted
        him/her. The suitability of Land will be decided by HPCL. There is no commitment from                                                                                                                                  Equipment, viz., PUC, wherever it is mandatory, Telephone, Adequate illumination.
                                                                                                                  from the multiple dealership norms as per existing policy adopted by OMCs.
        HPCL for taking the offered Land from the applicant.                                                                                                                                                                   @ Facilities marked with @ will be provided by HPCL to those dealers who are
                                                                                                                  For organized bodies, charitable trusts registered with the Charity Commissioner of
  vi. The eligible candidates who have readily available site suitable for setting up of Retail                                                                                                                                entitled for financial assistance under ‘Corpus Fund Scheme” and outlets developed
                                                                                                                  the respective State Government and Societies registered under Societies Registration
        Outlet or have a firm commitment from the land owner for purchase/lease of site should                                                                                                                                 under Co-Owned category.
                                                                                                                  Act, 1860.
        furnish along with their application the details of such land. The candidate will not be given                                                                                                                    (c) In addition, candidates selected for locations against which YES has been marked under
        the opportunity to offer any other land subsequently. For this purpose, the land owned by                 Such entities will not be eligible for RO/SKO/LPG dealership/distributorship if any RO/
                                                                                                                  SKO/LPG dealership/distributorship or Letter of Intent (LOI) is held by it or by any Member                  col.(E) of the table, will be required to provide the following facilities also at the Retail
        member(s) of the family unit shall also be considered as belonging to applicant subject to                                                                                                                             Outlets as may be required by HPCL and as per layout & standards prescribed by HPCL
        consent in writing of the concerned member(s) of the family unit. The family unit in case                 of the Governing Body/Managing Body/any such other Body or his family members (family
                                                                                                                  as defined in the case of multiple dealership norms for individuals).                                        at his/ her own cost:
        of married applicant, for this purpose, would comprise of i) Spouse ii) unmarried Son (s)/
                                                                                                             f) Note for Candidates applying for locations classified as :                                                     Mandatory Facilities : Land & its development, Driveway, Compound wall, Sales Office,
        unmarried Daughter(s) and in case of unmarried applicant would comprise of (i) his/her
                                                                                                                                                                                                                               Show Room, Store, Toilets, Generator & Compressor Room, Yard lighting, Air & Water
        unmarried brother(s) /unmarried sister(s) and (ii) parents. The land on long term lease of a              The locations under Column M - Format - Hamara are advertised for award of dealership and
                                                                                                                                                                                                                               Facilities, Generator, Fire Fighting Facilities, etc.
        minimum of 15 years as on the date of application, will be treated as “owned” land for this               setting up retail outlets in Rural location called as Hamara Pump.
                                                                                                                                                                                                                               Additional Facilities (Site specific): All such facilities required for customer service such
        purpose.                                                                                                  In case of application for “Hamara Pumps” in rural locations, the applicant should be a                      as Staff Room cum Change Room, Canopy, Service Station, Rest Room, Restaurant,
  vii. In case the land offered is on National Highway, the same should meet the NHAI guidelines                  resident of the corcerned district. To qualify for such candaditure, a proof of residence                    Telephone Facilities, PUC facility (if mandatory) and/other Facilities as may be specified
        contained in Govt. of India, Ministry of Road Transport & Highways No.RW/NH-33023/19/                     certificate from the competent authority must be attached with the application as per                        by HPCL from time to time.
        99- DO- llldt. 25.09.03/17.10.03 and further amendments if any, failing which the offered                 attached annexure C.
                                                                                                                                                                                                                          11. SCHEME OF FINANCIAL ASSITANCE TO SC/ST CATEGORY DEALERSHIP UNDER
        land will not be considered for evaluation as above and the candidate will be treated at par              The locations under Column M - Format - HP Raja are advertised for award of small format                     CORPUS FUND SCHEME
        with those candidates who have not offered land. The offered site should also meet IRC-                   outlets on State Highway/Urban area/NH on hilly terrain called as HP Raja.
        12/2009 and norms of statutory bodies like forest, explosive etc. and land should be                                                                                                                                   For those selected under Scheduled Caste / Schedule Tribe CategoryHPCL shall make the
                                                                                                                  The land offered by the applicant for Rural locations (Hamara Pump)/HP Raja would be                         provision for the following facilities as per corpus fund scheme :-
        convertible for commercial and petrol pump use.                                                           evaluated in line with the land evaluation criteria as given in our brochure for dealer selection
 viii. Applicants offering agricultural land shall convert the same to Non Agricultural purposes                                                                                                                           (i) RETAIL OUTLET : Land and its development, (b) Sales Room, (c) Drive Way, (d) Compund
                                                                                                                  guidelines. However the selected candidate for Hamara Pump/HP Raja category of
        more particularly for use of petrol pump & other allied purposes at their own expense and                                                                                                                              wall / barbed wire fencing, (e) Culverts / Hume Pipes, (f) Air facility, (g) Storage tank and
                                                                                                                  outlets,under company owned category after placement of LOI, would be required to fill the
        cost before offering the same to HPCL. The Land must be suitable for development of                                                                                                                                    pump, (h) Toilet, (i) Telephone without STD/ISD (Rental and call charges to be borne by
                                                                                                                  land to the satisfaction of HPCL upto plinth level including the retaining wall and offer the
        petrol pump & other commercial activities. Impact charges, if any need to be paid to the                                                                                                                               dealer), (j) PUC Facility (Where mandatory). In addition, HPCL will also provide adequate
                                                                                                                  same to HPCL for setting up the facilities.
        local development authorities right now or in future also, the same shall be paid by the                                                                                                                               working capital LOAN for a full operation cycle for operation of the dealership. Both, the
                                                                                                            3. Disqualification                                                                                                working capital loan as well as 11% per annum interest thereon will be recovered in 100
        applicant and the same shall never be recoverable from HPCL.
                                                                                                           (a) Person who has been convicted or against whom charges have been framed by a Court of                            (hundred) equal monthly instalments commencing from the 13th month of commissioning of
   ix. There is no requirement of land and superstructure for locations at Sr. No. 48 and 49, where               Law for any criminal offence involving moral turpitude/economic offences (other than                         the dealership.
        complete facilities of the Retail outlet shall be provided and developed by the Corporation.              Freedom Struggle), would not be eligible to apply.                                                      12. CORPUS FUND SCHEME FOR WAR WIDOWS & WIDOWS AND UNMARRIED WOMEN
    x. This is to advise that other locations reserved for SC/ST, as per 100 point roster, could not       (b) Totally paralysed or mentally unsound persons (Who suffer from insanity) are not eligible to                    ABOVE 40 YEARS OF AGE AND WITHOUT EARNING PARENTS
        be advertised as land for retail outlets are yet to be obtained and that these locations will             apply under any category.
        be advertised as and when land is obtained and in compliance with guidelines issued by the                                                                                                                             On their application and subject to satisfaction of HPCL, unmarried women above 40 years
                                                                                                           (c) Signatories of dealership/distributorship agreements which were terminated by any oil company                   of age without earning parents and widows, selected for dealership in all categories will be
        Ministry of Petroleum & Natural Gas vide letter dated 17.11.2005
                                                                                                                  for proven malpractices / adulteration are not eligible to apply.                                            entitled to a retail outlet developed by the Corporation and also the financial assistance
  xi. The Dealer selection guidelines of HPCL including evaluation criteria can be
                                                                                                           (d) Guilty of wilfully giving wrong information.                                                                    under the corpus fund scheme. War widows will also be eligible for the Corpus Fund
        accessed by the applicants at our website www.hindustanpetroleum.com. The
                                                                                                                  The applicant will have to furnish an affidavit covering point nos. 2 (a), 2 (e), 3(a) and 3(c)              facilities, in case dealership is allotted to them.
        application format can also be downloaded from our website
        www.hindustanpetroleum.com. These guidelines including the application form,                              in this regard as per Appendix A.                                                                       13. Applications should be submitted on plain paper in the prescribed format given in
        all the applicable guidelines on dealer selection and the drafts of affidavits/                           Married Women applicant with change of name after marriage should submit a copy of the                       the advertisement, along with a non-refundable application fee of Rs.1000/- (Rupees
        declarations to be submitted along with the application forms are also available in                       marriage certificate or an affidavit in support of the maiden name and name after marriage.                  One Thousand Only), by a Crossed Account Payee Demand Draft/Pay order (Rs. 500/
        the form of a Brochure also which can be procured at a cost of Rs.50/- from our                     4. Partnerships : In case of partnership, each partner should individually meet the specified                      - in case of SC/ST candidates along with proper documentary evidence of caste/
        office at the address mentioned below . All the candidates proposing to apply for                         eligibility criteria and also should submit separate application forms along with separate                   tribe) for regular ROs and Rs.100/- (Rs.50/- in respect of SC/ST candidates) in case
        dealership for any of the locations mentioned above must access our above                                 application fee. However, the applications should be clubbed together. If called for interview,              of Hamara Pumps (in Rural areas) drawn on any Scheduled Bank in favour of
        mentioned website and/or procure the brochure on dealership selection guidelines                          all of them must appear for interview. They also have to submit a copy of the proposed                       Hindustan Petroleum Corporation Ltd., payable at,
        applicable for advertisements effective 01.04.2009, for complete and detailed                             partnership deed.                                                                                             For Location              Payable at                      Application to be
        information on dealer selection.                                                                    5. Registered Co-operative Societies/ Consumer Co-operative Societies are eligible to apply                          at Sl. Nos.                                                 submitted to
    2. Eligibility Criteria:                                                                                      under any category provided all the members of the society belong to the category for                         For Sl. Nos.             Kolkata               Senior Regional Manager - Retail
    a. Applicant should be Indian Nationals (Affidavit to be furnished as per Appendix                            which the location has been advertised for and also provided that the individual members                        1 to 49                                      Kolkata Regional Office Hindustan
        A&A1 as applicable)                                                                                       should meet the non conviction clause including the society as an entity. Moreover, the                                                                      Petroleum Corporation Limited, 8th
   b. Category:-                                                                                                  society should be making net profit for the last 3 financial years. For any society applying
                                                                                                                                                                                                                                                                               Floor, Industry House 10, Camac
                                                                                                                  for location reserved for women category, all the members should be women. The members
        While only persons belonging to the following categories can apply against specific                                                                                                                                                                                    Street Kolkata - 700 017 (W.B.)
                                                                                                                  individually and the society as an entity also should not have been a signatory to dealership/
        locations reserved /advertised for the respective category, any eligible person can apply                                                                                                                               For Sl. Nos.            Guwahati               Senior Regional Manager - Retail
                                                                                                                  distributorship terminated by any oil company for proven adulteration/malpractice. The
        against Open category. (Copy of certificate from the competent authority to be furnished
                                                                                                                  Society has to furnish appropriate resolution to show that the person making the application                    50 to 92                                     Guwahati Regional Office Hindustan
        as proof of belonging to the category as applicable)
                                                                                                                  is empowered to make the same. Parameters relating to educational qualification and                            & Sikkim                                      Petroleum Corporation Limited, H.D.
        Scheduled Caste/ Scheduled Tribe Category (SC/ST):                                                        personality would not be applicable to such societies                                                                                                        Complex, 2nd Floor Janapath, Uluberia
        Persons belonging to SC/ST category recognized under Constitution of India, should                  6. Organised bodies : Organised Bodies such as registered bus/truck associations etc.,
        submit a caste certificate of ‘Scheduled Caste/Scheduled Tribe’ category issued by a                                                                                                                                                                                   Guwahati - 781 007, Assam.
                                                                                                                  Charitable Trust and corporate houses i.e. Government Organisations/Bodies, PSUs, Public
        competent authority.                                                                                                                                                                                                    For 93 To 172           Durgapur               Senior Regional Manager - Retail Durgapur
                                                                                                                  Limited Companies incorporated under Companies Act, 1956 are eligible to apply under
    (i) District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/Additional               OPEN category. Parameters relating to educational qualification and personality will not be                                                                  Regional Office Hindustan Petroleum
        Deputy Commissioner/Deputy Collector/1st Class Stipendiary Magistrate/City Magistrate(Not                 applicable in their cases. Pvt Ltd Companies are not eligible to apply.                                                                                      Corporation Limited, Rajbandh Chatty, NH-2
        below the rank of 1st Class Stipendiary Magistrate/Sub-Divisional Magistrate/Taluka                 7. Scrutiny of application form: The valid application received up to the time/ date specified                                                                     Durgapur - 713 212 (W.B.)
        Magistrate/Executive Magistrate/Extra Assistance Commissioner. Chief Presidency                           in the advertisement will be scrutinised by a team of officers and the candidate found                        GENERAL TERMS AND CONDITIONS:
        Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.                                  eligible as per the eligibility criteria and other terms and conditions will be called for a personal    (a) While any individual meeting the eligibility criteria as mentioned above can apply under
        Revenue Officer not below the rank of Tehsildar.                                                          interview. The document submitted by the applicant along with the application form will be                    Open Category, for any location reserved for a particular category the individual meeting
        Sub-Divisional Officer of the area where the candidate and/or his family normally resides                 scrutinised and the land details/ document will be evaluated by a team, including the site                    all the eligibility criteria specified forthat category only can apply.
        Administrator/Secretary to Administrator/Development Officer (Lakshadweep)                                visit as may be necessary to establish the suitability of the offered land, if any, for setting
                                                                                                                                                                                                                           (b) Filled application along with relevant enclosures complete in all respects to be submitted so
        Any other competent authority notified by the Government of India.                                        up of a retail outlet. Ineligible applicants will not be called for the interview and will be advised
                                                                                                                                                                                                                                as to reach the office address mentioned above on or before 4 p.m. (1600 hrs) on 21.10.09.
        Physically Handicapped Category (PH):                                                                     in writing along with reason for the rejection of their application.
                                                                                                                                                                                                                                All the pages of application along with enclosures should be serial numbered and
        Persons belonging to this category should be orthopaedically handicapped to the extent of           8. Evaluation of candidates                                                                                         total number of pages to be indicated on top of the application.
        minimum of 40% permanent/ partial disability of either upper or lower limbs or 50%                        For Individual candidates including partnerships:                                                        (c) The company reserves the right to cancel/withdraw/ amend this advertisement or extend
        permanent/partial disability of both upper and lower limbs together. For this purpose, the                Each candidate will be assessed under the following parameters:                                               the due date at its sole discretion without assigning any reason.
        standards contained in the ‘Manual for Orthopaedic Surgeon in evaluating Permanent                        a) Capability to provide land and infrastructure/ facilities*                      35 marks              (d) No addition /deletion/ alteration will be permitted in the application once it is submitted.
        Physically Impairment’ brought out by the American Academy of Orthopaedic Surgeons,                       b) Capability to provide finance*                                                  25 marks              (e) No additional documents whatsoever will be accepted or considered after the cut off date
        USA and published on its behalf by the Artificial Limbs Manufacturing Corporation of India,
                                                                                                                  c) Educational qualification                                                       15 marks                   of the application.
        G.T. Road, Kanpur, shall apply. In this connection the Govt. notification no. 154 published
        on 13.06.2001 by Ministry of Social Justice & Empowerment will be applicable. Totally                     d) Capability to generate business                                                 10 marks              (f) Applications received after the cut-off date including postal delay, and those without
        Deaf, Dumb or Blind persons are also eligible.                                                            e) Age                                                                              4 marks                   accompanying valid documents including application fee or incomplete in any respect will
                                                                                                                  f ) Experience                                                                      4 marks                   not be considered and no correspondence will be entertained by HPCL in such cases
        Please attach a copy of certificate from the Civil Surgeon/ Chief Medical Officer or Supdt.
                                                                                                                                                                                                                                whatsoever.
        of                                                                                                        g) Business ability /acumen                                                         5 marks
                                                                                                                                                                                                                           (g) All affidavits have to be submitted in original along with the application.
        Government Hospital in the format enclosed as Appendix B.                                                 h) Personality                                                                      2 marks
                                                                                                                                                                                                                                      Individual applicants & partnerships (individually)..... As per Appendix A
        Defence Personnel Category (DEF):                                                                           Total                                                                        100 marks
                                                                                                                                                                                                                                       Co-op societies/organized bodies.........as per Appendix A1
        Persons belonging to this category should be sponsored by Director General of Resettlement              * In respect of Land/Finance parameters as indicated in Dealer selection guidelines the
        (DGR), Ministry of Defence, Govt. of India, as per the following inter-se priority.                                                                                                                                            Banker’s certificate as per Appendix A2 (except by candidates applying for locations
                                                                                                                ownership of Land/Finance by the members(s) of the family unit is also considered as                                  reserved for SC/ST)
  (a) Widows/ dependants of posthumous gallantry award winners.                                                 owned/belonging to the applicant subject to consent in writing of the concerned member(s)                              Affidavit with regard to tapping of sales potential from prospective customers as per
  (b) War Widows / dependants of those who died in war.                                                         of the family unit. The family unit in case of married applicant, for this purpose, would                             Appendix A3
  (c) War disabled.                                                                                             comprise of i) Spouse ii) unmarried Son (s)/ unmarried Daughter(s) and in case of unmarried                           PH category persons have to submit certificate as per Appendix B.
  (d) Widows / dependants of those who died in harness due to attributable causes                               applicant would comprise of (i) his/her unmarried brother(s) /unmarried sister(s) and (ii)
                                                                                                                                                                                                                                      Residency certificate of candidates applying for “Hamara Pumps” in rural markets as
  (e) Disabled in peace due to attributable causes                                                              parents Minimum qualifying marks:                                                                                     per Appendix C
        Please attach a copy of certificate from Directorate General of Resettlement (DGR),                     Open category:                                    60 % of the total applicable marks                                  Death certificate in case of war widows/ widows.
        Ministry of Defence, Govt. of India sponsoring the candidate for the dealership for which               Reserved category including Open (W): 50 % of the total applicable marks                                   (h) In respect of all documents /certificates, only attested copies are to be attached along with
        he/she has
                                                                                                             i. Scheduled caste/Scheduled tribe candidates for locations reserved for them and war widows                       the application. Originals of such documents / certificates will have to be brought at the time
        applied.                                                                                                applying for dealerships will not be judged under the heads “Capability to provide infrastructure               of interview, if called for.
Certificate of Eligibility issued for one particular location/dealership will not be valid for another          and facilities” and “Capability to provide Finance”.                                                        (i) Applicants willing to apply for more than one location can do so in separate application form
location/dealership. The certificate can be submitted by (21.12.2009), in case presently                                                                                                                                        and also enclosing separate Demand Draft/Pay Order as application fee. Each
                                                                                                            ii. Subject to their application and request, widows and unmarried women above 40 years of
not available.                                                                                                                                                                                                                  application should be complete in all respects, (j) If any statement made in the application
                                                                                                                age, without earning parents, for locations reserved for women will not be judged under the
Outstanding Sports Persons Category (OSP):                                                                                                                                                                                      or in the document enclosed therewith or subsequently submitted in pursuance of the
                                                                                                                heads “Capability to provide infrastructure and facilities” and “capability to provide Finance”.
The following persons will be eligible:                                                                                                                                                                                         application by the candidate at any stage is found to be incorrect or false, the application
                                                                                                                These applicants will be required to indicate in the application form itself whether they would
  (a) ArjunaAwardees.                                                                                                                                                                                                           is liable to be rejected without assigning any reason and in case the applicant has been
                                                                                                                like to avail the facilities. In case, this is not indicated in the application form, it will be
  (b) Winners of Medals at Olympics/ Asian /Commonwealth Games and Recognised                                                                                                                                                   appointed as a dealer, the dealership is liable to be terminated. In such cases the candidate
                                                                                                                construed that these applicants would like to get evaluated in line with other applicants i.e                   / dealer shall have no claim whatsoever against HPCL.
        World Champions.                                                                                        they should also be assessed under the Heads - “Capability to provide infrastructure and
  (c) National Champions underthe Recognised National Championships.                                                                                                                                                       (k) The envelope containing the application, duly filled in, should be superscribed as under:
                                                                                                                facilities” and “capability to provide Finance”. For determining the priority to be given to such
                                                                                                                                                                                                                                “This application is for a dealership of a new retail outlet at________ (location)”.
  (d) National Adventure Awardees.                                                                              candidates over other women candidates, the marks secured by other women under these
                                                                                                                                                                                                                            (I) All applicants should submit a fresh affidavit in Appendix Aor Appendix A1 as the case may
Candidates should attach a copy of certificate from the Recognised National Federation Organising               two parameters will be excluded by the total marks secured by them.
                                                                                                                                                                                                                                be, at the time of interview.
National Championships (as recognised by Department of Youth Affairs and Sports, Govt of                   iii. Candidates, other than those mentioned under i & ii above and applying for locations ear
India) or from the Dept of Youth Affairs and Sports, Govt of India.                                                                                                                                                       (m) Applications not submitted strictly in accordance with the terms and conditions of this
                                                                                                                marked under 1(ix) shall not be judged under the heads of capability to provide land and                        advertisement will be liable to be rejected witout assigning any reason,
Paramilitary/ Police/ Government Personnel Category (PMP):                                                      infrastructure/facilities.                                                                                (n) The applicant would carefully go through the brochure available on our web site and available
The following persons will be eligible:                                                                         For Non-Individual Applicants (viz., for Companies Registered under Companies                                   at a cost of Rs.50/- at the address of our Regional Office as given under clause no. 13
The personnel of Paramilitary/Police Personnel including persons having served in                               Act 1956, for Organized Bodies, Charitable Trusts registered with the Charity                                   before submitting their applications.
BSF,CRPF,CISF, ITBP, Railway Protection Force, Special Reserved Police, Special Armed                           Commissioner of the respective State Govt and Socities Registered under Societies                          (o) A person selected for dealership after issuance of letter of appointment will have to execute
Police, Coast Guards, Assam Rifles etc. as designated by Central Government and Police                          Registration Act 1960)                                                                                          a dealership agreement with HPCLasper the terms of HPCL.
Forces of the States, Customs and Central Excise Department, Narcotics Control Bureau,
                                                                                                                a) Capability to provide land and infrastructure/ facilities                    35 marks                   (p) This is purely a business proposition and not an application for job in HPCL and has normal
Enforcement Directorate, Economic Intelligence Bureau, Directorate General of Anti-Evasion and
Directorate of Revenue Intelligence and those serving in different Departments ofCentral/State                  b) Capability to provide finance                                                25 marks                        business risks and also do not guarantee any assured returns or profits.
Governments who are incapacitated OR disabled while performing their duties and their widows/                   c) Educational qualification                                                     0 marks                   (q) This is only an application and not an offer of dealership.
dependants in case of their death while performing duties.                                                      d) Capability to generate business                                              25 marks                    (r) Complaints against dealer selection received after one month from the date of publication
Inter-se priority for PMP category:                                                                             e) Age                                                                          4 marks*                        of the result of interview will not be entertained. Efforts will be made to ensure that the
                                                                                                                                                                                                                                complaints are disposed off within 3 months from the date of receipt of response of the
(a) Widows/ dependents of Posthumous gallantry award winners.                                                   f ) Experience                                                                 4 marks**
                                                                                                                                                                                                                                complainant. The disposal of complaints will be done by way of speaking order by the
(b) Widows / dependents of persons having died in action.                                                       g) Business ability /acumen                                                      7 marks                        appropriate authority. The complainant will be advised in writing about disposal of the
(c) Persons disabled on duty.                                                                                   h) Personality                                                                   0 marks                        complaint.
(d) Widows / dependants of persons who died while in service                                                         Total                                                                    100 marks                    (s) Pending disposal of complaints, LOI will be kept in abeyance.
(e) Disabled in peace due to attributable causes                                                                * Evaluation of Age for Non-Individual candidates will be done as follows :                                 (t) Disposal of complaints will be as per the established complaint redressal system as
Please attach a copy of certificate from the concerned organization/ Govt Department signed by                                                                                                                                  specified in the dealer selection guidelines.
                                                                                                                   No of years of existence                                          Marks to be awarded
the Head of Office or an Officer not below the rank of Under Secretary to the Govt. indicating that
                                                                                                                1. Less than 3 years of existence                                         0 marks                                                 APPLIC ATION FOR HPCL R ETAI L OUTLET                Passport Size
the applicant belongs to any of the above:
                                                                                                                2. Equal to or More than 3 years but less than 5 years                    2 marks                                             (PE T ROL PU M P)/ SK O-L D O DE AL E RS HI P             Photograph
Freedom Fighter Category (FF):
                                                                                                                3. Equal to or more than 5 years                                          4 marks                                               (Please go through the “Brochure” available on our      signature on
Persons belonging to this category should produce a copy of certificate or Tamrapatra from the                                                                                                                                                                                                              the
                                                                                                               **Evaluation of Non-Individual candidates under Experience will be as follows                                                    website or at our Regional Offices carefully before
Ministry of Home Affairs, Govt. of India or an attested copy of the pension order issued by the                                                                                                                                                          filling in this application format)            Photograph
Accountant General in pursuance of the sanction letterfrom the Ministry of Home Affairs for the                      Sector                                                      Marks to be awarded                      Location(at) _______________Rev. Distt.________________ State___________
grant of Swatantrata Sainik Samman Pension under ‘Freedom Fighter Pension Scheme’ as proof                     1. Petroleum Sector                                                      4 marks                           Category _________ (OP/ OP-W/ SC/SC-W/ ST/ ST-W/ PH/ PH-W/ PMP/ PMP-W/ DEF/DEF-
of his / her being a freedom fighter.                                                                          2. Automobile/Transport service                                          2 marks                           W/FF/ FF-W/ OSP/ OSP-W): (Please attach copy of certificates as proof from the respective
c. Age:                                                                                                        3. Any sector other than mentioned above                                  1 mark                           competent authorities).
                                                                                                               Note: At least one year of experience of providing services in a particular sector will                    Advertised on _____________ in ________________ by HINDUSTAN PETROLEUM
        As on the date of Application (in completed years): Not less than 21 years. Enclose an
                                                                                                               entitle the candidate for full marks. No marks will be awarded for service/experience                      (Date)        (Name of Newspaper)                                 CORPORATION LTD.
        attested copy of either Matriculation or Secondary School Leaving Certificate indicating
                                                                                                                                                                                                                          Status : Individual/Partnership/Regd. Co-operative Society/Organised body/Corporate
        date of birth, identity card issued by election commission or an affidavit as proof of age.            of less than 1 year
                                                                                                                                                                                                                          House/Fleet Operator/Charitable Trust
d. Educational Qualification:                                                                              iv. Locations reserved under DEF and PMP category:- In respect of the candidates securing                      (Tick as applicable)
        Minimum Matriculation or recognised equivalent. Enclose an attested copy of either                     minimum qualifying marks, the inter-se-priority marks given by the competent authority                      1. Individual : ( Individuals to enclose Affidavit as per Appendix ‘A’)
        matriculation or equivalent and other qualification certificates as proof. The eligibility             (max. 40) will be added to the above and accordingly the final merit position decided.                         (a) Name (in Block Letters) : Mr / Ms. __________________________________________
        criterion on educational qualification is not applicable in respect of applicants applying for      v. The marks awarded to the candidates placed in the merit panel, displayed on the notice-                        (b) Father’s/ Husband’s Name: _______________________________________________
        dealerships reserved for FF, OSP, PMP & Defence categories. However persons applying                   board by the selection committee after their interview shall be subject to scrutiny, subsequently              (c) Address: ______________________________________________________________
        for these categories would be assessed for educational qualification.                                  by a Senior officer of the Corporation on whose satisfactory report, the Head Zone shall                                                                                                       Contd. on Page 3
(Page 3, continued from Page 2)                                                                           belief.                                                                                                 given by me in my application or in any document submitted by me in support of my
      (d) Nationality: ___________________                                                                Any wrong information / suppression of facts will disqualify me from being considered for               application for the award of the dealership or in this affidavit shall be found to be untrue or
      (e) Date of Birth : ____________Completed Age as on date of application:____________                the dealership.                                                                                         incorrect or false, Hindustan Petroleum Corporation Ltd would be within its rights to
      (f) Educational Qualification (s) : _____________________                                           Place :                                                                  Signature                      withdraw the letter of intent / terminate the dealership (if already appointed) and that I would
           (Proof to be attached for e & f)                                                               Date :                                                             (Name in block letters)              have no claim, whatsoever, against , Hindustan Petroleum Corporation Ltd. for such
      (g) Resident of : _______________Town:_______________District_____________State                     Encl : Total of _____ no. of documents with this application,                                           withdrawal/termination.
           (Residence Proof to be attached in case of “Hamara Pumps” in Rural Market)                     Encl : Checklist for supporting documents/affidavits                                               *Strike out whatever is not applicable.
      (h) Gender :___________________ (Male / Female)                                                                                                                                                        Solemnly affirmed and declared before me
                                                                                                                                                                        APPENDIX-A
      (i) Marital Status:_________________(Unmarried/Married/Widow/Widower/Divorcee)                                (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER                                     This _______day of ___________________
      (j) In case of married applicant please give:                                                                                  OF REQUIRED VALUE)
           Full Name of Spouse: ___________________________
                                                                                                                                                                                                                   ____________________________                             ____________________________
           Full Name of Unmarried Children_________________                                                                    AFFIDAVIT FOR INDIVIDUALS & PARTNERS
           1.___________________________________________________                                      I, ___________________________ son/daughter/wife of_________________ Age ________                                Signature and Seal of                             Signature of person making affidavit
           2.___________________________________________________                                      years residing at___________________ do hereby solemnly affirm and say as under:                             Magistrate/Judge/Notary public                        (Name & Designation in block letters)
      (k) In case of unmarried applicant please give:                                                  1. That I am an Indian National.                                                                                                                                                           APPENDIX-A2
           1. Full name of Father: _________________________________                                   2. That I am unmarried. That neither I nor my Father, Mother, unmarried brother(s), unmarried
           2. Full name of Mother: _________________________________                                       sister(s) have dealerships/distributorships or hold Letter of Intent for Retail Outlet or               (to be submitted by all applicants except those applying under category reserved
           3. Full name(s) of unmarried brother(s) /unmarried sister(s) _____________                      SKO-LDO dealership or LPG distributorship of any Oil Company                                                                    for SC/ST and War Widows applicants)
               ______________________________________                                                                                                OR                                                                                       To whomsoever it may concern
      In case of unmarried woman above 40 years of age :                                                                                                                                                     Shri /Ms /M/s. ________________________________ is a customer of this bank / institution for
                                                                                                           That I am married. That neither I nor my spouse, unmarried son(s) / unmarried daughter(s)
           Are your parents (Mother/ Father) earning?                           YES / NO                                                                                                                     last _______ years and he / she / they, is/are enjoying the following facilities of our bank /
                                                                                                           have dealerships / distributorships or hold Letter of Intent for Retail Outlet or SKO-LDO
           Do you wish to avail the Corpus Fund facilities                      YES / NO                                                                                                                     institution:
                                                                                                           dealership or LPG distributorship of any Oil Company.
      In case of widows,                                                                                                                                                                                      a.
           Please advise the date of expiry of your husband (DD/MM/YY)                                 3. @ That I am a unmarried woman above 40 years of age without earning parents
                                                                                                       4. @ That I am a widow and not re-married.                                                             b.
           Do you wish to avail the Corpus Fund facilities                      YES / NO
                                                                                                           [ @ DELETE THESE IF NOT APPLICABLE ]                                                               c.
      Please attach death certificate of your husband & also affidavit that you are not remarried.
      Married Women applicant with change of name after marriage should submit a copy of the           5. I have never been convicted and / or no charges have been framed by a Court of law                 During the above period, the dealing of Shri / Ms/ M/s__________________________ with the
      marriage certificate or an affidavit in support of the maiden name and name after                    against me for any criminal offence involving moral turpitude / economic offences (other          bank and he /her / their conduct has been satisfactory. In case, a dealership is allotted to him
      marriage.                                                                                            than freedom struggle).                                                                           / her / them, we will be willing to extend a loan of Rs. ______ (Rupees_________(in words).
        In case of War widows, please attach supporting documents issued by competent                  6. I hereby confirm that I was never a signatory to a dealership/distributorship agreement of         Signature
      authority.                                                                                           any oil company, which was terminated for proven adulteration/malpractices.                       Name and Designation:
 2.   Are you or any of your following close relatives is dealer or LOI holder of any MS-HSD/          7. That against item no. 13 of my application form details of various sources of funds                Office Seal:
      SKO-LDO dealership or LPG distributorship of any oil company ?                                       required for setting up and operation of the dealership has been furnished. I undertake           Date:
      In case of married applicant :                                                                       that these funds will be made available for the purpose stated above. In case it is found
      (i) Spouse (ii) Unmarried sons/unmarried daughters:                       YES / NO                   that the same is not made available as and when required, the offer of dealership, at any                                                                              APPENDIX-A3
      In case of unmarried applicant                                                                       stage, can be withdrawn and that I will have no claim/damages whatsoever against the oil          (to be obtained from the prospective customers and to be submitted by the applicant
      (i) Parent (ii) unmarried brothers/unmarried sisters:                     YES / NO                   company.                                                                                                                       along with the application)
      If yes, please furnish details: __________________________________________________               8. I hereby verify that what has been stated above is true to the best of my knowledge and            (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)
 3.   Gross Income during last financial year ended (state year)_____________Gross Income                  belief and nothing material has been concealed thereof. If any information/declaration                                                     AFFIDAVIT
        in Rs _____ Attach Certificate                                                                     given by me in my /our application or in any document submitted by me/us in support of
 4.   Present occupation: _______________________________________________________                                                                                                                                I, ___________________________________________________son / daughter / wife of
                                                                                                           application for the award of Retail Outlet dealership or in this affidavit shall be found to
 5.   In case you are an income Tax Assesse, please furnish PAN No:______________________                  be untrue or incorrect or false, Hindustan Petroleum Corporation Ltd would be within its              ____________________________________________ Age _________years residing at
 6.   Do you have business / selling experience? if yes, give full details ____________________            rights to withdraw the letter of intent / terminate the dealership (if already appointed)             _________________do hereby solemnly affirm and say as under:
      ________________________________________________________(attach addl sheets)                         and that we would have no claim, whatsoever, against Hindustan Petroleum Corporation               1. ________________________________________ (Name of applicant), son / daughter of
 7.   Do you have experience of supervision of personnel? if Yes, give full details                        Ltd for such withdrawal/termination.                                                                  __________________, resident of __________________________________________
      __________________________________________________ (attach addl sheets)                              Solemnly affirmed and declared before me                                                              (address) has applied for Retail Outlet dealership at____________________(location) of
 8.   Please attach a separate sheet giving your detailed plans to run the dealership.                     This _______day of ___________                                                                        ________________________(name of Oil Co.).
 9.   In case of partnership, please give name of each of the partners and attach proposed.
                                                                                                                                                                                                              2. I am having approx. consumption of ________ KL per month of ______ (name of product)
      Partnership Deed. Application of all the partner(s) should be attached together while
                                                                                                           ___________________________                           _______________________________                 required for______ (purpose).
      submiting : _____________________________________________________________
10.   Were you a signatory to a retail outlet / SKO-LDO dealership / LPG distributorship of any                 Signature and Seal of                            Signature of person making affidavit         3. I hereby confirm that in case the dealership is awarded to above applicant, I will be taking
      Oil company terminated for proven adulteration / malpractice? If yes, give details.                  Magistrate/Judge/Notary public                                 (Name in block letters)                my supplies through him to the extent of __ KL per month subject to the commercial terms
      Otherwise submit an affidavit as per Appendix ‘A’                                                                                                                                                          and conditions agreed mutually
11.   Registered Co-op. Society/ Organised body: (Organised bodies can apply under                                                                                         APPENDIX-A1                        4. I hereby confirm that this type of commitment has not been given to any other candidate
      ‘OPEN’ category only)                                                                                 (To be submitted by Registered Co-operative Societies, Organised bodies,                             applied forthe above location.
      (a) Name of the Society/organized body:_______________________________________                                Fleet Operators, Charitable Trusts and Corporate Houses)                                  5. I hereby verify that what has been stated above is true to the best of my knowledge and
      (b) Address : ______________________________________________ PIN:__________                                                                                                                                belief and nothing material has been concealed there from.
           Telephone No.:_________________ E-Mail Address:__________________                                      (TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF                                        Solemnly affirmed and declared before me
           (Enclose affidavit as per Appendix ‘A1’)                                                                                           REQUIRED VALUE)                                                    This _______day of ___________
           Copies of audited Profit & Loss account statement for the previous 3 financial years                                                    AFFIDAVIT                                                     _______________________                                 ____________________________
           to be enclosed                                                                             In the matter of____________________ dealership of, Hindustan Petroleum Corporation Ltd,                       Signature and Seal of                            Signature of person making affidavit
12.   Land details (to be provided by all applicants):                                                at_________________(Location) Whereas _________________(Name of the Co-operative
                                                                                                                                                                                                                 Magistrate/Judge/Notary public                                     (Name in block letters)
      (a) Do you have a suitable site readily available at the location where the dealership has      Society/organised body*) _________________ (Location) has applied for RO dealership of ,
           been advertised ?                                                            Yes / No      Hindustan Petroleum Corporation Ltd at_______.                                                                                        CERTIFICATE OF MEDICAL OFFICER FOR                   APPENDIX ‘B’
           If yes City/Town/Village_____________District_____________State:_____________              I,______________________ son/daughter/wife of ______________ Age __________ years                                                  PHYSICALLY HANDICAPPED CANDIDATES
           Survey No : ______Hissa No./Patwari Halka No. : _______Name of the Road: _____             resident of ______in the capacity of _______do hereby solemnly declare:                                      Certified that I, Dr_______________________ Registration No_____________ have, this
           NH No. / SH No. / Other Road :_______________Nearest Km Stones : _____________              1. That through a resolution passed by the Co-operative society/organised body* I have                      _______ day of______________ examined the candidate, whose particulars are given
           Total land area : (Acre/Sq.m) _________ (Site map with dimensions to be attached)               been authorised to apply for the said dealership. A copy of the resolution/authorisation is             below :
      (b) Name of the owner of the land :_______________________ (proof to be attached)                    enclosed herewith forming part and parcel of this affidavit.                                       1.   Name:___________________________________________________
      (c) Relationship of land owner with the applicant :_______________________                       2. That the said Co-operative Society*/organised body* is duly registered and a photocopy              2.   Identification Marks:__________________________________________________
      (d) Are you willing to transfer the land on sale/long lease to the Oil Co.? Yes / No                 of the registration certificate is enclosed herewith forming part and parcel of this affidavit.    3.   Sex :___________
           If yes, at what rate/ terms._____________________________________________                   3. That the said Co-operative Society*/ organised body* is a profit making body during last            4.   Father’s / Husband’s Name:__________________________________________________
           (In case the applicant is not the land owner, consent letter/ Legal documents                   3 consecutive Financial years. (Delete if not applicable). A copy of certificate from              5.   Approximate Age:___________
           from the Land owner to be enclosed)                                                             chartered accountant is enclosed herewith forming part and parcel of this affidavit.               6.   (A) Orthopaedically Handicapped
13.   Give details of source of funds: (to be provided by all applicants)                              4. That on behalf of the Co-operative Society*/organised body*, I undertake that I will                     i) Nature of disability (tick the relevant from the following) : Post Polio Paralysis,
      The details to cover free & unencumbered Bank accounts/ Govt. Securities/ fixed deposits,            observe all the relevant guidelines with regard to award/operation of the said dealership                    Hemiplegia, Quadriplegia, Congenital, Hemipelvectomy, Cheopats Wrist.
      bankers/financial institution certificate for credit worthiness (in the enclosed Appendix A2)        issued by the, Hindustan Petroleum Corporation Ltd /Government of India or any other                    ii) Extent of disability
      loans, UTI, NSC, Bonds, Shares of public limited companies etc., details of other assets             statutory body from time to time.                                                                       iii) Estimate percentages
      like immovable property (land, building etc.). Movable properties like vehicle etc., any                                                                                                                     iv) Use of appliance (if any)
                                                                                                       5. That all members of the Co-operative Society* belong to the reserved category for which
      other sources of income like from interest, rent, business etc. (please attach proof in all                                                                                                                  v ) Any operation done or indicated
                                                                                                           the location has been advertised including for women and none of the members have
      cases).                                                                                                                                                                                                      (B) Handicapped by way of “being blind”
                                                                                                           been convicted and / or no charges have been framed by a Court of law against them for
      The details under “Finance” may be provided in the following format : (Attach Separate                                                                                                                       (C) Handicapped by way of “being dumb”
                                                                                                           criminal offences involving moral turpitude and / or economic offences (other than
      sheet as required)                                                                                                                                                                                           (D) Handicapped by way of “being deaf”
                                                                                                           freedom struggle). Moreover, none of the member was ever signatory to a dealership/
  Type     Details of a/c No. Etc.     Name of the holder        Relationship      Amount (Rs.)            distributorship of any oil company, which was terminated for proven adulteration /                 7.   Any other particulars to clarify : The nature and extent of disability that the surgeon might
                                                                                                           malpractices. A copy of the certificate to this effect from the Registrar of Co-operative               like to point out :
                                                                                                           Societies is enclosed herewith forming part and parcel of this affidavit, (applicable for               Place : _______________________
 NOTE : Candidates applying under Category reserved for SC/ST and War                                      cooperative societies/consumer societies only).
 widows need not provide details under para 12 & 13. Widows and Unmarried                              6. That the Co-operative Society/organised body* does not have any criminal records nor                     Signature of Orthopaedic Surgeon
 women above 40 years of age without earning parents applying against                                      does it have any criminal charges framed against it by court of law involving moral                     / Eye Surgeon / ENT Surgeon                                 __ __ _ __ _ __ __ _ __ __ _ _
 locations reserved for Women Category and proposing to avail Corpus Fund                                  turpitude and/or economic offences.                                                                                                                                           Designation
 Scheme Facilities also need not provide details under 12 & 13 and above.                              7. That the Co-operative Society*/organised body* was never a signatory to a dealership/                    Date : __________________                                                (Seal)
14. Wherever applicants state that they would be having tie up on sales volume with prospective            distributorship agreement of any oil company, which was terminated for proven adulteration              Counter signed by Civil Surgeon /
     customers they would be required to submit an affidavit along with application, from such             /malpractices.                                                                                          Chief Medical Officer / Supt. Govt. Hospital
     prospective customers in the prescribed format as per Appendix A 3.                               8. That the applicant company hereby confirms that the applicant company or any of the
15. Have you ever been convicted by a court of law for any criminal offence involving moral                following do not hold RO/SKO/LPG dealership/distributorship or Letter of Intent (LOI) :                                                                                              APPENDIX ‘C’
     turpitude and / or economic offence (other than freedom struggle)? (Applicable to individuals,
                                                                                                       a. Any of the Director or his family members (family as defined in the case of multiple
     partners, members of Co-op. society, Co-op. society as an entity and also organized                                                                                                                                                         RESIDENCE CERTIFICATE
                                                                                                           dealership norms for individuals)
     body asan entity) Please state YES or NO ___________________________________                                                                                                                             Ref No. __________________                         Date ________________________
                                                                                                       b. Holding company or Subsidiary company.
16. Demand Draft/ Pay order No. ________dated.________for Rs. ______drawn on                                                                                                                                  This is to Certify that Shri/Smt/Kum _________________Son/Wife/Daughter
     ______________(Bank’s name) in favour of Hindustan Petroleum Corporation Limited                  c. Any other company or Firm where share holders (put together) of the applicant company               of______________
     payable at _______________ is enclosed.                                                               have controlling stake i.e. 51 % or more.                                                          at is a resident of_____________________________________________________________
 NOTE : Affidavits are be enclosed in original. In respect of all other certificates /                                                                OR                                                      District____________________________________State____________________________________
 documents, duly attested Photo copy/ True copy ONLY need be attached along with the                       Organized bodies, charitable trusts registered with the Charity Commissioner of the
 application. However, originals of all these will have to be brought at the time of                       respective State Government and Societies registered under Societies Registration Act,                  _____________________
 interview, if called for.                                                                                 1860, hereby confirm that no RO/SKO/LPG dealership/distributorship or Letter of Intent(LOI)
17. Any other information :                                                                                is held by it or by any Member of the Governing Body/Managing Body/any such other                             Signature of
18. UNDERTAKING : I undertake to produce Originals of all the attachments enclosed with                    Body or his family members (family as defined in the case of multiple dealership norms                  Dy. Tehsildar/Tehsildar
      this application at the time of interview, if called and is aware that in the event I fail to        for individuals).                                                                                       Dy. Mamlatdar/Mamlatdar
      produce theOriginals, my application for dealership will be disqualified. I am fully aware       9. That against item no. 13 of my application form details of various sources of funds                           (Seal of Office)
      that M/s Hindustan Petroleum Corporation Ltd. under its policy will not appoint me as their          required for setting up and operation of the dealership has been furnished. I undertake
      dealer if I am employed. I shall have to resign from the service and produce proof of                that these funds will be made available for the purpose stated above. In case it is found               _____________________
      acceptance of my resignation by my employer to HPCL before issuance of Letter of                     that the same is not made available as and when required, the offer of dealership, at any                    Signature of
      Appointment for the dealership. That, if selected, I undertake that i will be required to            stage, can be withdrawn and that I will have no claim/damages whatsoever against the,                   Dy. Commissioner/
      deposit an interest free security deposit as per the policy of HPCL.                                 Hindustan Petroleum Corporation Ltd.                                                                    Commissioner of Police
     I, _______________________________________________________________________                       10. I hereby verify that what has been stated above is true to the best of my knowledge and
     hereby certify that the information given above is true to the best of my knowledge and               belief and nothing material has been concealed therefrom. If any information/declaration

						
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