Hello sir I am here as I want to get the Application form for BPCL Retail Outlet (Petrol Pump) Dealership with Affidavit for Individuals & Partners so will you please provide me the form??

Hey!! As per your demand here I am providing you the Application form for BPCL Retail Outlet (Petrol Pump) Dealership with Affidavit for Individuals & Partners

Application form for BPCL Retail Outlet (Petrol Pump) Dealership









Details to be filled in this Application are:
1. Individual: (Individuals & partners of the partnership firm to enclose Affidavit as per Appendix ‘A’)
(a) Name (in Block Letters)
(b) Father’s/ Husband’s Name
(c) Address
Tel.No._E-Mail ID
(d) Nationality
(e) Date of Birth_
(f) Educational Qualification (s)
(g) Resident of ______________Revenue Village, in Village Panchayat of _, in District _____________ of State _____(Permanent Residence Proof to be attached in case of application for Rural ROs as per Appendix ‘C’)
(h) Gender _____________ (Male / Female)
(i) Marital Status_______ (Unmarried / Married / Widow /Widower / Divorcee)
(j) In case of unmarried woman above 40 years of age: Are your parents (Mother/ Father) earning? YES/NO
(If NO) I am interested / not interested in availing Corpus Fund Scheme facilities (Please tick as applicable)
(k) In case of widows, please attach death certificate of your husband & also affidavit that you are not remarried.
(l) I am interested / not interested in availing Corpus Fund Scheme facilities (Please tick as applicable)
(m) Married Women applicant with change of name after marriage should submit a copy of the marriage certificate or an affidavit in support of the maiden name and name after marriage.

2. Are you or any of the members of the “Family Unit” is dealer or LOI holder of any MS-HSD / SKO-LDO dealership or LPG distributorship of any oil company? YES/ NO
In case of married applicant, the Family Unit means Self, Spouse, Unmarried sons and Unmarried daughters.
In case of unmarried applicant the Family Unit means Self, Father/Mother, Unmarried brother(s) and Unmarried sister(s).
In case of widow applicant who has not re-married, the Family Unit means Self, Unmarried sons and Unmarried daughters.

3. Gross Income during last financial year ended 31.03.__ ` (Attach proof)

4. Present occupation _________

5. In case you are an Income Tax Assessee, please furnish PAN NO

6. Do you have business / selling experience? If yes, give full details:

7. Do you have experience of supervision of personnel? If yes, give full details.

8. Please attach a separate sheet giving your detailed plans to run the dealership, if allotted.

9. In case of partnership, please give name of each of the partners and attach Registered / Proposed Partnership Deed.
Application of all the partner(s) should be bunched together while submission

10. Non Individual Entity Applicants like Registered Co-op. Society / Organised body / Corporate House/Fleet Operator/Charitable
Trust etc.
(a) Name of the Non Individual Entity Applicant
(b) Address
Telephone No.
E-Mail ID
(a) Name and Designation of the competent authority making the Application