psu oil markeing company's manual for selection of dealers for regular & rural outlets

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`Restricted f or Internal Use Only’ PSU OIL MARKETING COMPANY’S MANUAL FOR SELECTION OF DEALERS FOR REGULAR & RURAL RETAIL OUTLETS 21st May 201 4

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Page 1: PSU Oil Markeing Company's Manual for Selection of Dealers for Regular & Rural Outlets

7/21/2019 PSU Oil Markeing Company's Manual for Selection of Dealers for Regular & Rural Outlets

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`Restricted for Internal Use Only’

PSU OIL MARKETING COMPANY’S MANUAL

FOR

SELECTION

OF

DEALERS FOR REGULAR & RURAL RETAIL OUTLETS

21st May 2014

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  1

Contents

Sr. No. Subject Page No. 

Introduction 21 Identification of Locations 2

2 State Retail Marketing Plan (SRMP) 3

3 Reservation 4

4 Rostering of locations and Type of RO sites 4

5 De-categorization 6

6 Eligibility Criteria for Individual Applicants 8

7 Eligibility Criteria for Non-Individual Applicants 15

8 Eligibility Criteria for locations where land is not required 16

9 Direct Award of Dealership 16

10 Retail Outlet Management 1711 Spouse as Co-owner 17

12 Basic facilities required for operation of RO dealership 18

13 Scheme of Financial Assistance to SC/ST Category

Dealership

19

14 Disqualification  19

15 Affidavit 21

16 Application Fee 22

17 Non refundable fixed fee / Bidding amount 22

18 Selection procedure 22

19 Information update on web site 3420 Field Verification of Credentials (FVC) 35

21 Letter of Intent 35

22 Cancellation of candidature and withdrawal of LOI 36

23 Re-advertisement of Locations 36

24 Grievance Redressal System 36

25 Retention of Files / Records 38

26 Time period for important activities 38

27 Commissioning of Dealership 38

28 Security Deposit / Fixed fee / Bid amount 38

29 Tenure of Dealership 39

30 False Information 39

List of Annexures 40

List of Appendices 42

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GUIDELINES ON SELECTION OF DEALERS FOR REGULAR & RURAL RETAIL OUTLETS

INTRODUCTION

Oil Marketing Companies (OMCs) have evolved new Dealer Selection Guidelines wherein theselection is carried out through a transparent system of draw of lots/bidding process.

The salient features of the new selection guidelines are:

(i) As per the eligibility criteria an applicant has to meet the minimum requirements onavailability of suitable land, age, educational qualification and finance. However, forCorpus fund locations, Finance is not an eligibility criterion.

(ii) There is neither marks-based evaluation nor interview for selection.

(iii) All applicants meeting the eligibility criteria will qualify for further selection process.

(iv) Different selection process for Corporation Owned Dealer Operated outlets, DealerOwned Dealer Operated outlets and Corporation Owned outlets under Corpus FundScheme.

1. IDENTIFICATION OF LOCATIONS

 A. Locations for setting up Retail Outlets are identified by the respective oil company basedon commercial / minimum volume considerations. Current volume norms are as under:-

(i)  A&B Class Cities : Expected combined sales volume – 150 Kl p.m.

(ii) National Highway : Expected combined sales volume – 150 Kl p.m.

(iii) C Class Towns (Other than Rural) / State Highway   – Expected combined salesvolume – 100 Kl p.m.

(iv) Rural ROs – Expected combined sales volume – 25 Kl p.m.

B. For the purpose of setting up Retail Outlets, the markets have been defined as under:-

(i)  A Class Markets   – “A” Class cities i.e. Metropolitan cities and other cities / townshaving population of more than 20 lakhs as per 2011 census.

(ii) B Class Markets  - Cities having a population of more than 4 lakhs and up to 20lakhs as per 2011 census.

(iii) C Class Markets  - All other Towns / Cities not covered under “A”, “B” and “E” classmarkets excluding locations on National / State Highways.

(iv) D Class Markets   - Retail Outlets on National (D1) / State (D2) Highways

(v) E Class Markets  - Areas not covered by National / State Highways and pockets ofconsumption having no retail outlet within 10 k.m. radius.

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C. Remote Area and Low Service Area locations to be developed as per Gazette notificationdated 5.8.2003.

(i) ‘Remote areas’  means the notified districts in the States of Himachal Pradesh, J&K,North Eastern States, Sikkim, Uttranchal, Union Territories of Andaman & NicobarIslands, Lakshadweep Islands and any other area notified as such by the CentralGovernment.

(ii) ‘Low service area’  means an area not covered by National Highway/State Highwayand not having any retail outlet within 10 KMs or as may be notified by the CentralGovernment from time to time.

D. Rural Markets  : Retail outlet locations falling under “C” and “E” Class of markets and

having minimum volume potential of 25 Kls as mentioned above. Rural RO cannot bedeveloped on National / State / Coastal Highways, Express ways, A&B Class markets, Areas covered under Municipal limits of a town.

E. Feasibility of the identified location would be prepared as  Annexure A1 & Annexure A2 by the concerned Divisional / Regional / Territory Office.

The identified location should be specifically defined/clearly identified. Some of theexamples are:-

  Name of village(s) as per Revenue record  Name of colony / Sector, etc. as per Urban Development Authority / Municipality, etc.  Between specified KM stones on identified road

  With reference to landmarks at specified locations etc.

The above will be indicated in the text of advertisement, which will also be hosted on theWeb site of OMCs. It should be ensured that there is no confusion/ambiguity inunderstanding of the boundary/stretch, etc. of the location by all concerned.

Locations under Rural Marketing Plan should meet the norms of Rural ROs on thedate of advertisement.

2. STATE RETAIL MARKETING PLAN (SRMP)

Based on the list of identified feasible locations, respective oil company at State Office /Zonal Office / Regional Office level will finalize the SRMP for individual state as per

reservation criteria and rostering method given below. The SRMP would be identified asSRMP: YYYY-YY (Financial Year).

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3. RESERVATION

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

Category SC/ST OBC Open TotalCombined Category 1 (CC1)

2% 2% 4% 8%

Comprising of :-

(i) Defence Personnel &

(ii) Para Military Personnel/Central/StateGovt. and Central/State PSU employees

Combined Category 2 (CC2) 

1% 1% 2% 4%

Comprising of :-

(i) Physically Handicapped Persons (PH)

(ii) Outstanding Sports Persons (OSP) &

(iii) Freedom Fighters (FF)

SC/ST 19.50% 19.50%

OBC 24% 24%

Open 44.50% 44.50%

Total 22.50% 27% 50.50% 100%

Standard distribution of locations in 200 point roster has been finalized covering all abovecategories ( Annexure B).  The Distribution between SC and ST will vary in each state

depending on the ratio of SC / ST in the state as given in Annexure C.

B. Reservations in states of Arunachal Pradesh, Meghalaya, Nagaland and Mizoram wouldcontinue to be as under as approved by MOP & NG earlier: -

State Percentage of Regular & RuralRO Dealerships to be awarded

to ST category

Balance % to be awardedto ‘Open’ category

 ArunachalPradesh

70 30

Meghalaya 80 20Nagaland 80 20Mizoram 90 10

4. ROSTERING OF LOCATIONS & TYPE OF RO SITES:

 A. Separate Roster (State Retail Marketing Plan)

Regular ROs and Rural ROs should have separate rosters (SRMPs) duly approved byRetail head of State/Zonal/Regional office.

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B. Allocation of location under different categories & completion of Roster

Locations finalized for setting up of Retail Outlets are to be placed under differentcategories of reservation as per the slot allocated to each category under the ‘200 point’roster ( Annexure-B) for each State by the oil company so as to ensure the percentagereservation as envisaged by MOP&NG is achieved.

In the ‘200-point’ Roster, the allocation of a reserved category against a serial number isdone in such a way that when 200 numbers of Retail Outlets are planned in a state by anoil company, the percentage of each category as envisaged by MOP&NG is achieved.

In order to achieve % criteria under reservation for respective category, continuity is to bemaintained in ‘200 point roster’. For example at the time of preparation of the Roster, ifthere are say, only 50 locations, as and when fresh locations are identified for setting upof Retail Outlets, it will start from 51 no. in the roster and continue till 200 numbers are

completed in respect of the roster for the State. Once the roster serial numbers iscompleted at 200, the next round of roster serial number will start again from no. 1 for thestate, subject to the provisions contained in Clause 5 below.

In case an SRMP is closed at a number other than 200, the next SRMP should start fromthe next number where the earlier SRMP was closed.

The locations would be allotted to the Roster numbers based on Draw of Lots. The samewould be conducted, by a Committee comprising of 3 members, with at least one memberfrom an office other than the concerned Office / SBU / Department. The Committee to benominated by the Head of Retail in State/Zonal/Regional Office.

C. Type of Retail Outlet Sites

 After finalization of Roster, the type of sites will be decided by the Oil Companies and thesame would be:-

S.N. Type of Site Status of Land & Facil itiesi. Locations under Corpus

Fund Scheme (CFS sites)The offered land would be taken onlease/purchased and fully developed asCorporation owned site.

ii. Other Corporation OwnedSites (“A”/ “CC” sites)

The offered land would be taken onlease/purchased and fully developed asCorporation owned site.

iii. Company Leased The offered land along with super structuredeveloped by the dealer is taken on lease byCorporation.

iv. Dealer Owned sites (“B”,“DC” sites)

The offered land and the super structure will bedeveloped by the dealer. Pump, tank,automation, signages, etc. will be provided bythe Corporation.

Note: Offered land can either be taken from the applicant or the owner of the land directly.

 All locations rostered as SC/ST category will be developed as per (i) above.

Other locations will be developed as (ii), (iii), (iv) by the respective OMCs as per theirguidelines.

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  All new ROs with projected potential of 150 Kls and above shall be NANO (No AutomationNo Operation) Compliant.

D. Existing Roster of earlier SRMPs and advertisement of Back Log locations

The existing Roster of old SRMPs made under the earlier guidelines has been frozen andclosed in July 2012. The locations already advertised and which are at various stages ofcommissioning will be governed as per their advertisement conditions.

Industry will work out the backlog for locations under SC/ST category based on theoutlets commissioned / COCO’s divested and LOI’s issued against advertisementreleased after 1.4.2002, under prevailing Marketing Plans of OMCs and advertise thesame.

E. Simultaneous advertisement of locations under new SRMP

Backlog locations under SC/ST category, of earlier Marketing Plans (as mentioned inClause 4 D), will be placed before the locations as per new SRMP, in the advertisement

5. DE-CATEGORISATION

For RO dealerships planned under these guidelines, following will be applicable: -

(i) For locations reserved under combined category “CC1” and “CC2”, if any locationdoes not materialize with selection / commissioning due to either ‘Nil’ responseagainst the advertisement or No eligible candidate is found or No candidate qualifiesor No selected candidate is able to commission the Retail Outlet Dealership, then thatlocation would be re-advertised in the respective main category without its sub-

category i.e. locations will be advertised as “SC/ST”, “OBC” or “Open” category asapplicable.

(ii) For locations advertised / re-advertised under “SC/ST” or “OBC”’ category, if anylocation does not materialize with selection / commissioning due to either Nil responseor No eligible candidate is found or No candidate qualifies or No selected candidate isable to commission the Retail Outlet dealership, then that location will be re-advertised under “Open” category.

(iii) However, it is to be ensured that the reservation is maintained on overall basis underthe 3 main categories while doing de-categorization of the locations from the roster byconverting corresponding number of locations under “Open” category (either existinglocations which have not materialized or newly identified locations) to “SC/ST” and

“OBC” category. In other words, shortfall in “SC/ST” and “OBC” category has to bemade good in the SRMP so as to ensure the percentage reservation of SC/ST :22.5%, OBC : 27% and Open : 50.5% are maintained.

(iv) Replacement locations would be slotted in the vacant slot of the respective SC/ST andOBC category location of the existing SRMP. The location which is to be replaced ifdropped then no further action in the SRMP. However, if the location is advertised asOpen, then in that case that open category location would be rostered under opencategory slots of new roster or subsequent open category slots.

(v) With regard to reservation under combined categories “CC1” & “CC2”, reservationpercentages for each sub-category will be maintained only at the time of initial

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rostering. In other words, once the sub-category of such locations is changed to itsmain category after the first advertisement upon non-materialization, no adjustment /replacement in the roster would be required for such sub-category in the SRMP.

(vi) Once a location is de-categorized or re-advertised, the decision on type of RetailOutlet sites can again be reviewed by the respective Oil Companies.

(vii) At the time of de-categorization/re-advertisement, if any location is found unviable dueto any subsequent development, the location may be replaced with a new location withnecessary approval from Retail Head of State/Zonal/Regional office.

De-categorization as explained above is illustrated below:-

 Advert ised Advert ised / Re-advert isedUnder   Re-advertised  under

Under  

Note: a. “ ” indicates, non-materialization of location upon advertisement. Thelocation to be de-categorized from the sub-category to its respectivemain category and re-advertised.

b. “ ” indicates, de-categorization of location from “SC/ST” or “OBC” to“Open” category upon non-materialization, and furtherre-advertisement under “Open” category.

However the same to be replaced with a new location underthe respective de-categorized “SC/ST” or “OBC” category

c. “ ” indicates Dropped location. No further action required, location canbe either dropped or carried forward to next SRMP

d. “ ” indicates Replacement location. non-materialized & decategorized

SC/ST – CC1

SC/ST – CC2

Open – CC1

Open – CC2

OBC – CC1

OBC – CC2

SC/ST

Open

OBC

Open

Re-placementlocations (RL)

RL

DL

DL

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  locations of “Open” category or newly identified locations which willreplace the non-materialized & de-categorized locations of “SC/ST”or “OBC” category under the SRMP

6. ELIGIBILITY CRITERIA FOR INDIVIDUAL APPLICANTS – PROPRIETORSHIP /PARTNERSHIP

Common Eligibility Criteria for all Categories applying as Individual (as on date ofaffidavit ( Appendix XA ) unless mentioned otherwise)

(i) Citizenship : Indian Citizen.(ii) Residential status:

Regular ROs :

Resident of India (as per Income tax rules1) as on date of affidavit.

Rural ROs :

Resident of India (as per Income tax rules1) as on date of affidavit.andResident of the concerned Revenue District (Residence certificate issued withinprevious six months of the date of affidavit will be treated as valid residence certificate

 – Appendix I).

(iii) Age: Not less than 21 years and not more than 55 years (as on date of affidavit - Appendix XA) except for Freedom Fighter under CC2 category.

Proof of age should be supported by copy of 10th Standard Board Certificate /

Secondary School Leaving Certificate / Birth Certificate / Passport / Affidavit for age /Identity card issued by Election Commission.

(iv) Educational qualification:

For educational qualification from overseas universities / boards, equivalent certificateissued by competent authority / State Government / Government of India should beattached by the applicants.

a) In respect of applicants belonging to CC1 & CC2 categories:-

For Rural ROs: Passed Minimum 10 th (examination conducted by a Board/School).

For Regular ROs: Passed Minimum 10+2 level of examination conducted by aBoard/University.

b) In respect of applicants belonging to other categories:-

For Rural ROs: Passed Minimum 10+2 level of examination conducted by aBoard/University.

1  If an individual stayed in India for 182 days or more in the previous Financial year, he is treated as resident of India as per

Income Tax Rules irrespective of his citizenship. If the stay is less than 182 days he is a non-resident.

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For Regular ROs: Have minimum any one of the following educational qualificationawarded by any of the universities incorporated by an Act of the Central or StateLegislature in India or any other educational institution established by an Act ofParliament or declared to be deemed as a University under UGC Act 1956, orpossess an equivalent qualification recognized by the Ministry of HRD, Govt. OfIndia as on the date of application.

  Graduation in any field  Chartered Accountant  Company Secretary  Cost Accountant  Diploma in Engineering

Minimum Educational qualification is not applicable to Freedom Fighters under

CC2 category.

(v) Finance :

For Regular ROs the fund requirement for eligibility will be Rs. 25 lakhs and in respectof Rural ROs the fund requirement for eligibility will be Rs. 12 lakhs. The funds can bein the following forms:-

  Funds in savings accounts, Deposits with Bank/RegisteredCompanies/Postal Schemes : Copy of Pass book/account statement/deposit

receipts to be provided.

  National Savings Certificates, etc : Redemption value - Valuation certificatesalong with copy of NSC to be provided.

  Bonds : Redemption value  : Valuation Certificates along with copy of bonds tobe provided.

  Shares of listed Companies in Demat form : Valuation certificates along withcopy of Demat statement to be provided.

  Mutual Funds : Valuation certificates along with copy of mutual fund certificatesor Demat statements to be provided.

 All valuation certificates should be for the assets held on any date after the date ofadvertisement. The valuation certificate is to be obtained either from a Chartered

 Accountant or Depository Participant, as applicable.

Only 60% of the certified value (for Shares, Mutual funds & Bonds) will be considered

for the purpose of eligibility.

The above details are to be given in the application form by the applicant supportedby copies of relevant documents. The eligibility would be determined based on thedeclaration given in the application and relevant Clause of the affidavit (Appendix XA /XB as applicable) regarding the same.

The funds mentioned in the application form should be available with the applicant ason the date of affidavit.

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During field verification availability of fund as on cut-off date of submission ofapplication will be verified.

Wherever available funds as closing balance on the cut-off date of submissionof application are found to be less than the funds required for eligibility,candidature of the applicant will be cancelled.

a) The amounts of Rs. 12 lacs and 25 lacs as mentioned above are only for decidingeligibility criteria. The actual funds to be arranged would vary from case to casebasis as determined by the respective Oil Company, as indicated in theadvertisement. The fund requirement given in the advertisement does not includecost of development of land being offered as detailed in Clause 6, (vi), item no. (e)of Note.

b) In case of SC/ST locations, Finance will not be eligibility criteria.

c) Cash/Jewelry/Instruments, etc. where the ownership cannot be established will notbe considered.

d) Balance in current account will not be considered.

In respect of “Finance” parameter as indicated above the ownership of finance by anymember of the “family unit” (as defined under Multiple dealership norms in Clause 14- “Disqualification”) will be considered as belonging to the applicant subject toproducing consent letter(s) in the form of affidavit ( Appendix – IV)  from theconcerned member of the “family unit” for funds availability as mentioned in Clause 10of the Application form ( Appendix – XI A).

(vi) Land (Applicable to all categories):

The applicants would be classified into two groups as mentioned below based on theland offered by them in the application form:-

Group 1: Applicants having suitable piece of land in the advertised location/area eitherby way of ownership / long term lease for a period of minimum XX years as advertisedby the Oil Company.

Group 2: Applicants having Firm Offer for a suitable piece of land for purchase or longterm lease for a period of minimum XX years as advertised by the Oil Company.

The other conditions with respect to offering of land are as under:-

a) The land should be available with the applicant as on the date of affidavit andshould have minimum lease of XX years from the date or after the date ofadvertisement but not later than the date of affidavit ( Appendix XA/XB).

b) If the offered land is on Long term lease, then the Lease agreement should have aprovision to sub-lease the land wherever the locations are advertised underCorpus Fund Scheme (CFS), Other Corporation Owned Sites (“A”/ “CC” sites) andCompany Leased sites.

For Dealer owned sites (“B”/“DC” sites), the applicant should ensure that the landarranged by the applicant is either registered in the applicant’s name or leased infavour of the applicant for a minimum period of XX years.

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 c) The applicant(s) under Group-1 should furnish at least one of the following

documents in support of ownership of land offered for the Dealership:-

  Khasra / Khatauni or any equivalent revenue document or certificate fromrevenue official confirming status of the ownership of the land

  Registered Sale deed/Registered Gift deed  Registered Lease deed for a minimum period of XX years  Any other type of ownership / transfer deed document  Lease agreement or firm allotment letter issued by Government / Semi

Government bodies

d) The land owned by the family members (the family will comprise of the “FamilyUnit” as defined in Multiple dealership norm under clause 14 “Disqualification”) willalso be considered as belonging to the applicant subject to producing the consentletter in the form of affidavit ( Appendix – V A) from the concerned member(s) ofthe “family unit”.

e) The eligibility of the Land will be decided by Oil Company with reference to aconfirmatory letter from an advocate ( Appendix V B) to be arranged by theapplicant.

f) In case the applicant or member(s) of “family unit” own the land jointly with thirdperson, the consent letter in the form of an Affidavit (Appendix – V A) or Power Of

 Attorney clearly authorizing the applicant for such use of land from third person isalso required.

g) The “firm offer” of land will include land offer from third party based on Agreementto purchase/long term lease (as per terms and conditions advertised by theOMCs). Offer letter should be in the form of an Affidavit (Appendix – V A)  or

Power of Attorney for this purpose.

h) Various situations of ownership for defining owned / firm offer are as under:-

S.No.

Situation ofownership

Share ofapplicant inland

 Add it ional documentsrequired

Evaluationas

GROUP 1

1 Self Full Nil Owned

2 Self with

members offamily unit orownedexclusively byfamily members

Part / Nil Consent letter in the form of

affidavit from members offamily unit - Appendix V A

Owned

3  Self with otherowners

 Familymembers withother owner(s)

 Self with family

Part

Nil

Part

If the share of the applicantand/or family members ismore than or equal to landrequired by the company. Consent letter on stamppaper or an affidavit or Powerof Attorney from all Co-

Owned

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members &other owners

owners(s) should be provided – Appendix-V A. 

4 Land owned byGovernment/

Semi-Governmentbodies

Full Allotment Letter from theGovernment/ Semi-

Government bodies in thename of Self with specificmention for use of petrolpump.

Owned

GROUP 2

5Land owned bythird party in partor full

Part/Nil Consent letter in the form ofaffidavit / Power of Attorneyfrom other owner(s) - 

 Appendix V A

Firm Offer

i) Each applicant will have to declare, in the application form, the category under

which offered land falls. Supporting the above, a confirmatory letter from anadvocate (Appendix V B)  giving details of the current ownership, documentsrelied upon and the category under which the land falls (Group 1 or Group 2) alsois to be submitted. The eligibility and the Group under which the applicant’s landfalls, would be determined based on the declaration given in the application,confirmatory letter from the advocate and relevant Clause of the affidavit( Appendix XA/XB as applicable) regarding the same.

 j) Verification of the supporting documents submitted by the applicant will be carriedout for the selected candidate at the time of Field Verification of Credentials.

Note :

a. ‘Own’ means having ownership by way of Registered Sale deed, Registered Giftdeed, etc. or title of the property or registered long lease (as per individual OMCnorms) in the name of applicant / ‘family unit’ as defined in multiple dealershipnorm under clause 14 (Disqualification).

b. Only one piece of suitable land to be offered by the applicant.

c. In-spite of above if an applicant offers more than one land then, a confirmation inwriting is to be obtained by Land Evaluation Committee (LEC) from the applicantwith regard to the plot of land to be considered.

d. The same piece of land cannot be offered by more than one applicant for a

particular RO location against an advertisement. In case more than oneapplication is received offering the same piece of land all such applications wouldbe rejected.

e. The selected candidate has to make available the offered land duly developed upto the road level by cutting/filling (as applicable), with good earth/murrum, layer-wise compacted as per standard engineering practices to the satisfaction of theconcerned OMC. The selected candidate is also required to provide retaining walland compound wall of min. height 1.5 meters, designed as per site conditions asper approval of OMC.

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f. There is no commitment by the Oil Company for taking the offered land from theapplicant. If an applicant, after selection, is unable to provide the land indicated inthe application within a period of 2 months (for Group 1) and 4 months (for Group2) from the date of Letter of Intent (LOI), Oil Company will have the right to cancel/ withdraw the LOI issued in favour of the selected candidate for allotment ofdealership.

(vii)Specific Eligibility Criteria for applying in different reserved categories is asunder:

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

The candidates belonging to Scheduled Castes/ Scheduled Tribes (SC/ST)recognized under the Constitution of India will be eligible. The applicants will berequired to submit along with the application a copy of the certificate issued by thecompetent authority, notified by Govt. of India, certifying that the candidate belongs toSchedule Caste / Schedule Tribe as per Appendix – VI. 

b) Other Backward Classes (OBC)

The candidates belonging to Other Backward Classes recognised as OBC byGovernment of India (Central Government) under the Constitution of India and / orrecognized by the concerned State as OBC in which the location has been advertisedwill be eligible.

The candidates will be required to submit along with application a certificate issued bythe competent authority notified by the Government of India and/or by the concernedState in which the location has been advertised certifying that the candidate belongsto Other Backward Classes recognized as OBC by a Resolution/Gazette Notificationissued by GOI (Central Government)/State Government. Along with the OBCcertificate ( Appendix – VII A), the candidate also has to submit an undertaking( Append ix – VII B)  that he/she belongs to the OBC category and fulfils the non-creamy layer status. The date of undertaking ( Appendix VII B) will be treated as thedate of reckoning for OBC status of the candidate and also for determining that thecandidate does not fall in the creamy layer.

c) Defence Personnel (DEF)

Defence Personnel means personnel of armed forces (viz. Army, Navy, Air Force) andwill cover:

(i) Widows/dependents of those members of Armed Forces who died in war or in

harness due to attributable causes(ii) Ex-service men who are war disabled / disabled in peace due to attributable

causes(iii) Able bodied Ex-service men

Candidate applying under this Category covered under (i) & (ii) above   shouldattach in original the Eligibility Certificate issued from Directorate General ofResettlement (DGR), Ministry of Defence, Government of India sponsoring thecandidate for the RO Dealership for which he/she has applied. Certificate of eligibilityissued for one RO Dealership is not valid for another RO Dealership and therefore acandidate can be considered to be eligible only if he/she has been sponsored for theparticular location with reference to current advertisement.

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 Note: The applicants under this category can also submit the original eligibilitycertificate from DGR on the day of draw of lots. However, only on submissionof such certificate they will be considered for draw of lots. (The Call letterinforming the date & time for draw of lots (Annexure X) should specify theabove requirement also). DGR certificate can be submitted along with theapplication or at the time of draw of lots. Certificate should not be sent by postafter submission of application.

Candidate applying under this Category covered under (iii) above should submitcopy of Discharge Order or Pension order.

d) Government (including PMP) and Public Sector Personnel

The personnel serving in different Departments of Central/State Governments andPublic Sector undertakings of Central/State Government who are incapacitated ordisabled while performing their duties will be eligible under this category. In case of

death, while performing duties, their widows/ dependants will be eligible under thiscategory.

 Applicants under this category should attach a copy of relevant certificate from theconcerned Organisation/Govt Department signed by the Head of the Office or anOfficer not below the rank of Under Secretary to the Government – Appendix VIII. 

e) Physically Handicapped Category (PH):

Candidates would be considered eligible under this category in case the candidatesare orthopaedically handicapped to the extent of minimum of 40% permanent (partial)disability of either upper or lower limbs; or 50% permanent (partial) disability of bothupper and lower limbs together. For this purpose, the standards contained in the

`Manual for Orthopaedic Surgeon in evaluating Permanent Physically Impairment'brought out by the American Academy of Orthopaedic Surgeons, USA and publishedon its behalf by the Artificial Limbs Manufacturing Corporation of India, G.T. Road,Kanpur, shall apply.

Deaf, Dumb and blind persons with minimum 40% disability (speech, hearing andvisual impairment) will be eligible to apply for RO dealership under this category.However, totally blind persons will not be eligible.

Candidate applying under this category should produce a certificate (as per thestandard format) issued by a Medical Board duly constituted by the Central / StateGovernment as per the Gazette of India Extraordinary New Delhi, No 154 dated June13, 2001 on Guidelines for evaluation of various disabilities and procedure for

certification.

The applicants will be required to submit along with the application a copy of thecertificate ( Appendix_IX).

f) Outstanding Sports Persons (OSP):

The following persons will be eligible:

  Arjuna Awardees / Khel Ratna Awardees.  Winners of Medals at Olympics/ Asian /Commonwealth Games and Recognised

World Champions.

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  First position holders of recognized National Championships held for senior level(men & women)

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

 Affairs and Sports, Govt of India.

g) Freedom Fighter (FF) :

The applicant should produce a certificate or Tamrapatra or an attested copy of thePension order issued by the Accountant General in pursuance of the sanction letterfrom the Ministry of Home Affairs, GOI of their having been Freedom Fighters.

Note :  In case certificates submitted by the applicants issued by various GovtOfficials are not as per the given formats, the applicants would not be made ineligibleif the contents are as per Corporation’s requirements.

(viii) Specific Requirement of applicants apply ing under Partnership:

In case of partnership, each partner should individually meet the parameters on Ageand Education for applying as an individual. The land and finance owned bypartner(s) will be treated as owned by the proposed firm as a whole for the purpose ofeligibility.

Each partner should submit separate application form along with separate non-refundable application fee. However, the applications should be clubbed together.They also have to submit a copy of the proposed partnership deed along with theapplication.

However, the applicants should submit only one Financial bid and Initial DownPayment (IDP) for their application.

7. ELIGIBILITY CRITERIA FOR NON-INDIVIDUAL APPLICANTS (ENTITY)

Non-individual entity applicant means Government Bodies/Agencies, Societies registeredunder Societies Registration Act 1860 / Societies registered under Co- operative Societies

 Act, 1912 or Co-operative Societies Act as enacted by concerned States, CharitableTrusts registered with Charity Commissioner of respective State Government, Companiesformed under the Companies Act, 1956 / 2013 (except Pvt. Ltd. companies).

Non- Individual Appl icants (Entity) Applying Under different Category :

 A. Open category :

Non-individuals applicants are eligible to apply under ‘Open’ category subject to thefollowing: -

(i) Residential status: The entity should be registered in India. In case of Registered Co-operative society/Consumer Co-operative society, it should be registered in the districtconcerned for applying for Rural ROs.

(ii) Age: The date of Registration / Incorporation of the firm / entity should be a least 3years prior to the date of affidavit ( Appendix – XB).

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(iii) Land : With regard to land, all conditions covered for individuals would applyexcepting clauses given for land owned by family unit. In other words, the offered landshould either be owned or on long lease in the name of entity for Group 1 and a firmoffer in the name of the entity for Group 2.

(iv) Finance : All conditions covered for individuals would apply excepting finance offeredby family unit. In other words, the offered finance should be in the name of the entityitself.

Registered Societies / Companies should have made a net profit for previous 3consecutive financial years duly certified by a Chartered Accountant.

B. Other than Open Category:

Only Registered Co-operative Societies can apply under “Other than Open Category”. Incase of Registered Co-operative Societies applying under Reserved categories, allmembers of the society should belong to the same category for which the RO dealership

has been advertised. A copy of the certificate to this effect from Registrar of Societies andlist giving names of all members of the society will be required. They would also have tomeet the eligibility criteria as mentioned above. 

Note:

a. All Non-individual entities applying for the dealership should meet the Land andFinance requirements as specified under Individual applicants to become eligible forthe draw. The land and finance should be in the name of the organization and not inindividual names. They also should meet the applicable multiple dealerships normsand also do not have any disqualification criteria specified under Clause“ DISQUALIFICATION” . 

b. Non-Individual entities other than Registered Co-operative Societies are not eligible toapply for Rural ROs.

c. Pvt. Ltd. companies will not be eligib le to apply for any RO dealership.

d. Registered Societies / Charitable Trusts/ Companies will have to furnish appropriateresolution to show that person making the application on its behalf is empowered tomake the same. Authorized signatory on behalf of the entity will also have to furnishan undertaking that it will observe the relevant guidelines. 

8. ELIGIBILITY CRITERIA FOR LOCATIONS WHERE APPLICANTS ARE NOTEXPECTED TO ARRANGE LAND :

This will include cases of divestment of COCOs, locations where land is available withOMCs or OMCs propose to procure the land.

In all such cases, the eligibility criteria will not include parameter of land.

9. DIRECT AWARD OF DEALERSHIPS

Govt. agencies / Departments / PSUs can be considered for award of dealerships directlywithout advertisement in addition to their eligibility to apply under OPEN category.

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In addition, Policies approved by OMCs for direct allotment of dealerships underCorporate tie ups as advised by MOP&NG vide letter No. P-38012/3/2008-IOC (Pt.) dated15.9.2008 would continue.

Multiple dealership norms will be not be applicable for both the above categories.

10. RETAIL OUTLET MANAGEMENT

 A person selected for the dealership shall be paying attention towards day to day workingof the dealership by personally managing the affairs of the dealership. He/She will not beeligible for taking up any employment. If the selected person is already employed he/shewill have to resign from the employment and produce the letter of acceptance ofresignation by the employer before the issuance of Letter of Appointment by the OilCompany.

Further at the time of issuance of letter of appointment, the LOI holder will have to givenotarized affidavit stating that he/she is not employed in Private Sector or is not drawing

any salary/perks/emoluments from State / Central Government ( Appendix - III). The LOIholder will also affirm that during the tenure of the Dealership he/she will not take up anyemployment in Private Sector or will not draw any salary/perks/emoluments from State /Central Government.

 A Non - Individual applicant (entity) selected for the dealership will have to manage day today working / affairs of the dealership under control/supervision of their own employee(s)and in line with the provisions of dealership agreement.

11. SPOUSE AS CO-OWNER

In case of individual applicants, applying as Sole proprietor, his/her spouse (i.ewife/husband) will be made a partner with a share of 50%, after the issuance of LOI,

unless the spouse is already gainfully employed and/or do not wish to be made a partner.If the applicant is unmarried/divorcee/widow/widower at the time of issuance of LOI,he/she will be required to give an undertaking that as and when he/she gets married,his/her spouse will be made a partner unless the spouse is already gainfully employedand/or do not wish to be made a partner. Spouses will be considered for partnershipirrespective of any need to satisfy the eligibility criteria for dealer selection. However, theyshould fulfil the provisions on multiple dealership norms, conviction clause and thecondition that they were not a signatory to a terminated dealership/distributorship forproven malpractices etc. In case the spouse is being made partner, then a separate

 Affidavit (as per  Appendix XA) from the Spouse, proposed partnership deed and othernecessary documents be taken before induction as partner / issuance of LOA. Provisionsof Reconstitution policy are not applicable for induction of Spouse as Co-owner (a) beforeissue of Letter of Appointment for married applicants/allottees or (b) within one year of

marriage in other cases.

For making spouse as partner a letter as per  Appendix II  A along with an Affidavit fromthe Spouse as per  Appendix II B  will be taken after award of LOI and necessarydocumentation with respect to Registration of Partnership deed, etc. will be completed bythe applicant(s) prior to issuance of LOA. LOA will be issued and dealership agreementwill be signed with both the partners.

In case the spouse does not wish to become a partner for any reason including she/hebeing gainfully employed, Affidavit as per Appendix II B should be obtained for records.

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 Applicants are not permitted to enter into partnership with anyone other than their spouseunder the above mentioned clause.

12. BASIC FACILITIES REQUIRED FOR OPERATION OF RO DEALERSHIPS

The following facilities are required to be provided at the retail outlet. Depending upon onthe type of site the facilities are to be made available by the Dealer (as specified by theCorporation) / Corporation as mentioned against each type of facility:

C. Site specific additional facilities  required for customer service such as Staff cumChange Room, Service Station, Rest Room, Restaurant, PUC facility and/other Facilitiesas may be specified by Oil Company from time to time will be provided by OilCompany/Dealer Select as applicable.

D. Fire fighting & Safety Equipments

Dealer will provide Fire fighting/Safety equipments at Retail Outlet as per the statutoryrequirements and maintain them in good working condition at his/her own cost. Trainedstaff should be available to handle and operate the same.

E. Investment Required:

S.N. Type of Facil ity TYPE OF SITE

“ A” / “ CC”site

includingCFS

locations

“ B”/ “ DC”Site /

CompanyLeased

siteProvision of Facility by:

 A Infrastructural Facil it ies :

i. Developed land with boundary /compoundwall as per Corpn. Specification

Dealer Dealer

ii. Tanks, Dispensing Units, Signages, Automation, etc.

Corpn. Corpn.

iii. Sales Office, Store Room, Toilet, ElectricalRoom, Water Connection, Yard Lighting,etc.

Corpn. Dealer

iv. Generator / Invertor Dealer Dealer

v. Compressor with Electronic Gauge for AirFilling (As decided by OMC)

Corpn. Dealer

vi. Driveway Corpn. Dealer

vii. Canopy (as per Corpn. requirement) Corpn. Dealer

B Customer Convenience Facilities:

i. Clean Drinking Water, Maintenance of Neat& Clean Toilet, Telephone, etc.

Dealer Dealer

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The approximate investments required for development of infrastructure and facilities atNew Retail Outlets will be indicated in the advertisement.

F. Statutory Approvals / Licences:

Dealer select will obtain all statutory approvals / licences for operation of dealership asrequired.

G. Licence Fee:

In case of Corporation owned “A” / “CC” site ROs including ROs developed under CorpusFund Scheme for SC/ST category dealerships, a Licence Fee payable on per KL basiswould be recovered from the dealer as applicable from time to time. The same at presentis Rs. 48/KL for MS and Rs. 41/KL for HSD.

For Dealer owned “B” / “DC” site ROs, this Licence Fee would be recovered at a lower

rate from the dealer. The same at present is Rs. 18/KL for MS and Rs. 16/KL for HSD.

In certain cases, the land and super structure (constructed by the dealer), will be taken onlease from the selected candidate. The rentals as mutually agreed will be paid by the OilCompany and the same amount will be recovered from the dealership as additionallicence fee. In such cases licence fee will be recovered at the lower rate which at presentis Rs. 18/KL for MS and Rs. 16/KL for HSD.

13. SCHEME OF FINANCIAL ASSISTANCE TO SC/ST CATEGORY DEALERSHIPSUNDER “ CORPUS FUND SCHEME”

Financial assistance will be given to persons belonging to Scheduled Castes andScheduled Tribes on award of dealerships by the Oil company as under:

  In respect of locations reserved for SC/ST categories, the Oil Company will makeavailable the ready Retail Outlet with required facilities at its cost on the land offeredby the candidate and procured by the Company on mutually agreed terms andconditions.

  Oil Company will also provide adequate working capital loan for a full operation cycleof the operation of the Dealerships. Both the working capital as well as 11% perannum interest thereon will be recovered in 100 equal monthly installmentscommencing from the 13th month of commissioning of the Dealership.

14. DISQUALIFICATION

 A. Indiv idual Applicants :

The persons while meeting the above mentioned eligibility criteria if do not satisfy any ofthe following requirements will be considered as ineligible for applying for the dealership:-

(i) Fulfill Multiple dealership norms : Multiple Dealership/Distributorship norms meansthat the applicant or any other member of ‘family unit’ should not hold a dealership/distributorship or Letter of Intent (LOI) for a dealership/distributorship of any OilCompany i.e. only one Retail Outlet / SKO-LDO dealership / LPG distributorship or anLOI of an Oil Company will be allowed to a ‘Family Unit’.

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‘Family Unit’ in case of married applicant, shall consist of individual concerned, his/herSpouse and unmarried son(s)/daughter(s). In case of unmarried person/ applicant,‘Family Unit’ shall consist of individual concerned, his/her parents and his/herunmarried brother(s) and unmarried sister(s). In case of divorcee, ‘Family Unit’ shallconsist of individual concerned, unmarried son(s)/unmarried daughter(s) whosecustody is given to him/her. In case of widow/widower, ‘Family Unit’ shall consist ofindividual concerned, unmarried son(s)/unmarried daughter(s).

Oil Company for this purpose would also include Private sector Oil MarketingCompanies as per Gazette notification of 2002.

In addition they should :

(ii) Not have been convicted for any criminal offence involving moral turpitude/ economicoffences (other than freedom struggle).

(iii) Not have been a signatory to a dealership / distributorship terminated on account of

proven malpractices.

(iv) Not be Mentally unsound / totally paralyzed.

(v) Not have resigned as sole proprietor of RO dealership / LPG Distributorship/SKO-LDOdealership in favour of his/her “Family” members.

In addition,

(vi) The family members (as per definition under multiple dealership norm) of theemployees of Oil Marketing Companies (who are employed at the time of application)would not be permitted to apply for RO dealership.

Partnership firms

The conditions spelt out above for individuals would be applicable to each partner of thepartnership firm individually.

B. Non-Individual applicants (Entity)

The entity while meeting the eligibility criteria if do not satisfy any of the followingrequirements will be considered as ineligible for applying for the dealership:-

(i) Multiple dealership norms: Applicability of multiple dealership norms to various non-individuals (entities) which will be as follows:

For Companies Registered under Companies Act 1956 or 2013 : The applicantcompany will not be eligible for RO / SKO-LDO dealership if any of the ROdealership/SKO-LDO Dealership /LPG distributorship is held by the following:-

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

  Holding company or Subsidiary Company.  Any other company or Firm where share holders (put together) of the applicant

company have controlling stake i.e. 51% or more.

(ii) If any individual, partnership firm, company, trust or society already holding RO / SKO-LDO dealership/LPG distributorship acquire controlling stake in a company having RO

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/ SKO-LDO dealership/LPG distributorship then the RO/ SKO-LDO dealership /LPGdistributorship of the acquirer would be liable to be terminated.

(iii) Government owned Companies defined as major shareholding with the Government,Public Sector & Joint Sector Units or Government administered Organization areexempted from the above Multiple Dealership Norms.

(iv) For the charitable trusts registered with the charity commissioner of the respectiveState Government and Societies Registered under Societies Registration Act 1860 /Societies Registered under Cooperative Societies Act 1912 or Co-operative Societies

 Act as enacted by concerned states:

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

(v) None of the members of the Governing / Managing Committee of the RegisteredSocieties /Trusts/ Company incorporated under Companies Act 1956/2013 shouldhave been convicted for any criminal offence involving moral turpitude and / oreconomic offences (other than freedom struggle) punishable under Law.

(vi) The Registered Societies / Trusts/ Company incorporated under Companies Act1956/2013 should not have been convicted for any criminal offence involving moralturpitude and / or economic offences (other than freedom struggle) punishable underLaw.

(vii) None of the members of the Governing / Managing Committee of the RegisteredSocieties / Trusts/ Company incorporated under Companies Act 1956/2013 shouldhave been signatory to dealership/distributorship agreement of any Oil Company,

which was terminated for malpractices and / or for violations of provisions of theMarketing Discipline Guidelines.

(viii) The Registered Societies / Trusts/ Company incorporated under Companies Act1956/2013 should not have been signatory to dealership/distributorship agreement ofany Oil Company, which was terminated for malpractices and / or for violations ofprovisions of the Marketing Discipline Guidelines.

Note: Conditions mentioned above are not applicable to Government owned Companiesdefined as major shareholding with the Government, Public Sector & Joint Sector Units orGovernment administered Organization.

15. AFFIDAVIT

The applicants should submit an affidavit in the standard format confirming facts as per Appendix – XA  (for individual) and  APPENDIX XB  (for Non-individual) along withapplication.

Note :

  All affidavits should be submitted in original on stamp paper of appropriate value asapplicable in the concerned State.

  All Stamp papers should be purchased in the name of the deponent.  All affidavits should be made after the date of advertisement.

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16. APPLICATION FEE

Non refundable application fee of Rs.100/- in respect of Rural ROs (Rs.50/- for SC/STcategory locations) and Rs. 1000/- in respect of Regular ROs.(Rs.500/- for SC/STcategory locations) in the form of demand draft of schedule bank only in favour of the OilCompany as per the details given in the advertisement.

One applicant can submit only one application for one location. In case more than oneapplication is received from one applicant, only one application would finally beconsidered for Draw of Lots / Bidding process. The non-refundable Application feesubmitted by the applicant along with all other applications will not be refunded.

17. NON-REFUNDABLE FIXED FEE / BIDDING AMOUNT

(i) In case of Dealer Owned / Company leased sites as defined in Clause 4 C, a Non-refundable fixed fee of Rs. 5 lakhs for Rural ROs and Rs. 15 lakhs for other ROswould be payable before issuance of LOA.

(ii) In case of Corporation owned sites (other than CFS) involving bidding for allotment,the minimum non-refundable bidding amount of Rs. 10 lakhs for Rural ROs and Rs.30 lakhs for Regular ROs would be applicable. Applicant would be required to depositRs. 50,000/- for Rural ROs and Rs. 1.5 lakhs for Regular ROs along with applicationas Initial Down Payment (IDP). The IDP from successful candidates would beadjusted against the bid amount payable before issuance of LOA.

(iii) IDP would be refunded to ineligible/unsuccessful applicants within 60 days ofrejection or within 15 days of opening of bids, whichever is earlier.

(iv) In case the highest bidder is unable to submit the total bidding amount within thestipulated time or he withdraws for any reason, his selection would be treated ascancelled and IDP would be forfeited.

18. SELECTION PROCEDURE

Selection will be basically made through draw of lots or bidding process depending uponthe type of Retail outlet site as defined in Clause 4 C. This will also be indicated againsteach location in the advertisement.

 A. Draw of Lots

Selection through draw of lots amongst eligible candidates and as per process detailed infollowing paragraphs will be made for :

  Corporation Owned outlets under Corpus Fund Scheme.  Company Leased  Dealer Owned Dealer Operated outlets (“B” / “DC” sites)

B. Bidding Process

Selection through Bidding process will be made for Corporation Owned Dealer OperatedSites (“A” / “CC” sites) except for Corpus fund locations mentioned above. However, in

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case of tie in bid amount, selection will be made through Draw of Lots amongst tied upbidders.

C. Advert isement :

Selection will be done by inviting applications through advertisements under appropriatecategory in two newspapers ( Annexure - D) - One English daily and one RegionalVernacular news paper having highest circulation in the State in respect of RegularROs. In case of Rural ROs advertisement is to be given in one English daily havinghighest circulation in the State and one vernacular daily having highest circulation in the district where the location falls. The details of highest circulation are to be takenfrom the Corporate Communication department of the Oil Company.

The advertisement published in News Paper will also be hosted in the Web sites ofconcerned OMCs simultaneously.

D. Cut-off date for receipt of Applications:

The advertisement should specify the last date and time on or before which theapplication should reach the designated office of OMC. The cut-off date should beminimum 30 days from the date of publication of the advertisement in the newspapers i.e.it should be ensured that the applicants get a minimum of 30 days’ time for submission ofcompleted application. It should be ensured that the last date for submission ofapplication as specified in the advertisement is a working day for the OMCs. The sameprinciple applies for release of corrigendum, if any.

For candidates applying on-line the last date for filing application will remain the same.Further, 7 days’ additional time will be given only for submission of hard copy of the on-line application with signature and copies of relevant documents at the designated office

of OMC.

 Applications received after the specified closing date and time including postal delay willnot be considered and no correspondence shall be entertained in such cases whatsoever.In case of on line application, if the applicant fails to submit his/her on-line application onthe due date and time due to any technical reasons, whatsoever, the company shall notbe held responsible and no request for subsequent submission of the application shall beentertained.

Brochure for Selection of Retail Outlet dealerships given in  Annexure - E  along withapplication format can be down loaded from the website free of cost. The Brochure willalso be made available at the office of the OMCs at a nominal charge of Rs 100/ (Onehundred only) per copy. The details of OMCs office where this information is available will

also be a part of the advertisement and copy of the advertisement will also be displayedat OMC’s concerned office.

E. Publicity:

Copy of advertisement should be forwarded by Registered Post / Speed Post to RajyaSainik Board (RSB) of the concerned State and Directorate General Resettlement,Ministry of Defence, West Block –IV, Wing No.1, R.K.Puram, New Delhi 110 066( Annexure - F)

 Additionally, in order to ensure maximum response to the advertisements under variouscategories, copies of advertisements may be forwarded to the respective District 

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Collectors / District Magistrates  office with a request to give wide publicity in theconcerned Districts ( Annexure – G).

F. Application Form:

 Application format for RO dealership ( Appendix – XI-A &  Appendix XI-B) will be hostedon the website of OMCs as part of brochure and can be downloaded free of cost from thewebsite of OMCs or purchased from the OMC Offices mentioned in the advertisement onpayment of Rs. 100/- per copy.

The applicants are required to fill in Check list as per  Appendix XII-A  (for Individualapplicants) / Appendix XII-B (for non-Individual applicants) and attach the same on top ofthe application form.

G. On-line Application :

Facility to submit application on-line is also provided in our Web site. The prospectiveapplicant can fill up the on-line application form. Such candidates will have to take printout of the filled in application form on plain paper, affix the photograph, sign and attachthe relevant documents and submit the same along with the non-refundable fee and IDP,if applicable, at the designated office mentioned below.

For candidates applying on-line, the last date for filing application will remain the same.Further, 7 days’ additional time will be given for submission of hard copy of the on-lineapplication with relevant documents. The facility for submission of on-line application willbe withdrawn immediately after the cut-off time and date. If the applicant fails to submithis/her on-line application on the due date and time due to any technical reasonswhatsoever the company shall not be responsible and no request for subsequent

submission of the application will be entertained.

In case the On-line applicant is unable to submit the hard copy of the on-line applicationat the designated office of OMCs within the cut-off date and time, such applicants will betreated as ineligible.

H. Person Applying For Different Locations

While application by a candidate can be made for different locations, the same should bedone in separate application forms in respect of each location along with applicableapplication fee and IDP (if applicable) in each case. In such cases, all affidavits should besubmitted in original separately for each application.

I. Submission of application

Filled in application should be submitted in a sealed envelope with name & Sr. no of thelocation (as per the advertisement) superscribed on the envelop.

In case of locations involving bidding process, the Application along with enclosures(including IDP) should be put in a separate sealed envelope and Financial bid (Filled inas per  Appendix XI C) should be put in another separate sealed envelope. Theseenvelopes should be clearly marked as – “Application form with enclosures” and“Financial Bid” and both these envelops should be put inside another sealed envelopewith name & Sr. no of the location (as per the advertisement) superscribed on theenvelope and submitted.

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  App lications with open Financial bids or Fin ancial bids not superscribed on theenvelop would be rejected and candidates advised accordingly.

J. Procedure For Receipt of Application

The date of receipt of application should be stamped on the envelope containing theapplication. In case applications are received late or in case of on-line application the hardcopy is not received within given time, it should be recorded and application returned tothe applicant by Registered Post / Speed Post with a covering letter as per format given in

 Annexure – H. In case of late receipt of applications received in open condition, the samealso will be returned advising the date of receipt. The proof of late receipt of theapplication in the form of photo copy of the envelope/acknowledgement receipt of theopen application being returned should be kept.

Details of application received should be maintained location wise at concernedDivisional/Regional/Territory office as per the format given in  Annexure – I-1  by Application Opening Committee. List of applicants whose applications have been receivedwithin cut off date and time should be entered first in the list and list of applicants whoseapplications have been received after the cut off date and time should be enteredsubsequently. List of applications received within due date should also be hosted on website as per Annexure I-2 

 Applications received by hand to be acknowledged as per Annexure – J.

K. Procedure for Opening of Applications  

 A committee (Application Opening Committee), comprising of two officers, shall be

constituted by the Head of Divisional/Regional/Territory Office. Application OpeningCommittee should open all the applications received before cut-off date and time. 

 Application Opening Committee (AOC) will do the following:

(i) The Application Opening Committee (AOC) will open all the applications, including theOn-line applications. Application Form No. should be assigned to each application.This No. will be defined as “A/B” wherein “A” will denote the Sr. No. of the location inthe advertisement and “B” will denote the sr. no. of applicant for the location asrecorded in the Register. This No. i.e. “A/B” will be clearly mentioned on the Mainenvelop, Financial Bid envelop, if applicable, and on the application in the spaceprovided on the first page. The sealed envelopes containing Financial bid shouldnot be opened. The Application Opening Committee will take a print out of the On-

line applications (without any attachment) and club them along with hard copy of theapplication / documents submitted by the On-line applicant. In case the On-lineapplicant has not submitted hard copy of the application with applicant’s signaturenecessary remarks will be made on the print out of the relevant On-line application bythe AOC with signature.

(ii) Hard copy of the application / documents submitted (used for filling up on line form) bythe On-line applicant will only be considered for processing. In case the hard copy ofthe on-line application is not received in time, the application will be rejected.

(iii) The committee will check the eligibility with respect to application fee.

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(iv) In case of locations involving bidding, the committee will check the payment ofapplicable IDP.

(v) Take out the payment instruments (Demand Draft / Pay Order). Record the serialnumber on the application at the specified place (serial number).

(vi) AOC will put serial number on all the pages (for e.g. 1/xx, 2/xx, 3/xx, … where xx isthe last page number) initial each page and if any cutting, overwriting is observed inthe application then the same should be circled and initialed.

(vii) The details of the payment instrument towards application fee and IDP (for locationswhere bidding is applicable) should be entered against the applicant’s name as perthe format given in Annexure – I1.

(viii) In case it is found that more than one application has been submitted for the samelocation by the same applicant, then remarks “Multiple Application” should be put onthese applications and clubbed together. Only one Application Form no. would be

given in such case. However, each different application would be assigned a sub-number relating to the application form number as A/B(i), A/B(ii)….. If applicant hassubmitted fees/IDP (wherever applicable) with each application, then the fee/IDPamount for all the applications should be retained and details of the same enteredagainst the applicant’s name in the register. The same is to be brought to the notice ofthe applicant while acknowledgement is sent by Registered Post / Speed Post videletter as per format given in  Annexure – K, advising that only one application will beconsidered. All the applications would be scrutinized and only one application fromamong the eligible applications would be considered. However, all piece of landsoffered along with different applications will be recorded for carrying out Landevaluation.

(ix) All the application should be kept in the same serial order as entered in Annexure I1 

in the Safe custody of designated officer of Divisional Office/ Regional Office/ TerritoryOffice.

L. Scrutiny of Applications

 Application Scrutiny Committee (ASC) The Application Scrutiny Committee, comprisingof 2 officers, shall be constituted by Divisional Head / Regional Head / Territory Head.

 ASC should scrutinize the applications based on the information furnished by theapplicant in the application as per the format given in Annexure - L.

 ASC will scrutinize each application for eligibility as under:-

  Land – based on claim of the applicant and affidavit supported by Advocate’s report ASC will segregate the applicants under GROUP 1 & GROUP 2 and prepare 2separate lists ( Annexure - M  &  Annexure - N).  In case no eligible applicant isfound under GROUP 1 based on the process mentioned above, scrut iny forapplicants falling under GROUP 2 will be under taken.

Further, scrutiny is to be carried out for applicants falling under GROUP 1 as per thesteps mentioned below.

   Age - based on documents  Educational qualification – based on documents  Finance - based on claim of the applicant and affidavit

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  Residence status (for Rural ROs) – based on documents  Reservation Category – based on documents  Eligibility on Citizenship, multiple dealership norm, etc. - based on affidavit   Other requirements - like photograph, application fee, IDP (if applicable), signature,

etc. as per format.

Thereafter, ASC should prepare the following list:

(i) List of applicants who were found ineligible due to non-rectifiable deficiencies as perthe format given in Annexure – O1. On-line applicants who have not submitted hardcopy of the application will be included in this list. The reasons for their ineligibilityshould be clearly spelt out/recorded for each case.

(ii) List of applicants who were found ineligible due to rectifiable deficiencies and canbecome eligible by removing deficiency as per format given in Annexure – P.

(iii) List of applicants, whose documents were found in order as per format given in

 Annexure – Q1.

(iv) The ASC will submit these lists (O1, P & Q1) to the Divisional /Regional//Territoryoffice.

M. Final processing of applications

The Divisional/ Regional/Territory Office will send letters by Registered Post / SpeedPost to each applicant as mentioned below:-

(i) A letter has to be written after preparation of list by ASC to each applicant who werefound ineligible as per Annexure – P. They should be asked to rectify the deficiencieswithin 21 days from the date of the letter (date to be specified for accepting the

response from applicant) by sending letter as per format given in Annexure – R. 

Note :

a. No applicant should be made ineligible on the rectifiable grounds.

b. Opportunity will be given to make payment of application fee/IDP (whereverapplicable), if not paid earlier or paid by way of defective instrument. Opportunity willalso be given to submit fresh affidavit if not submitted earlier or earlier affidavit wasdefective or not as per format. However, in such cases date of initial affidavit (ifaffidavit is found defective) or cut-off date for submission of application (if affidavit isnot enclosed along with application form) would be considered valid for evaluatingeligibility criteria.

c. This opportunity is provided with an objective to provide rectified or additionaldocuments in support of eligibility parameters. However, documents in support of thebasic eligibility criteria of Land, Finance, Educational qualification, Age and Residencecertificate for Rural ROs will be accepted only if they are valid as on the date of theinitial affidavit submitted along with the application.

d. No alteration/addition/deletion in the application form will be permitted except affixingof photograph and putting signature on the application form. The rectified or additionaldocuments would be accepted only if they are pertaining to the information provided inthe Application form.

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e. Additional documents will be accepted only if they were valid as on the date of initialaffidavit (w.r.t. ownership of land / lease / firm offer / finance / age / education, etc.)and pertain to information provided in the application form.

(ii) After taking into consideration the response of the applicants from the “P” list onremoval of deficiencies, there will be 2 sets of applicants, some applicants will stillremain ineligible and would be listed as per  Annexure - O2. The balance whobecome eligible after rectification of deficiencies would be listed as per  Annexure -Q2.

(iii) After finalization of list O2 of ineligible applicants and list Q2 of eligible candidates, ASC will submit the list to the Divisional/ Regional/ Territory Heads for formation ofLEC to carry out land evaluation in respect of applicants appearing in list Q1 & Q2.

N. Land Evaluation Committee (LEC) :

Before LEC, the concerned office of OMC should ensure that the sites advertised under

Rural Marketing Plan was not on State Highways/National Highways as on date ofadvertisement.

The Land Evaluation Committee shall be constituted by the concerned Divisional/Regional/ Territory Manager comprising of 3 Officers consisting of Concerned field officer,Engg. Officer and one officer not below the grade of Manager from concerned Divisional/Regional/Territory Office in case of locations on NH. For other locations LEC will be 2Officers comprising of Concerned field officer & Engg. Officer from concerned Divisional/Regional/ Territory Office.

The concerned Divisional /Regional/Territory Office shall inform all the applicantsappearing in list Q1 & Q2 by Registered /Speed post at least 15 days before the day ofvisit by LEC for site evaluation as per Annexure - S. 

(i) LEC will check the suitability of the land based on the 4 defined parameters as per Annexure – T1. LEC should also draw a sketch of the inspected site and also obtainconfirmation of the applicant / applicant’s representative as per Annexure – T2. 

(ii) Evaluation of the offered land will be carried out to ascertain land being in advertisedarea and being suitable for development of RO – meeting norms. The parametersunder which land will be evaluated by Land Evaluation Committee for suitability are:-

  Land in advertised area / stretch  Land dimensions as per requirement  Land meets NHAI norms (for sites on NH)  Land has no HT line (>11 KVA) crossing.

Land not meeting any of the above parameters will not be considered and will berejected.

(iii) LEC will also check that the same land has not been offered by more than oneapplicant. In case it is observed that the same piece of land has been offered by morethan one applicant, then the same should be noted in their report (Annexure T1). Suchland would be rejected and the names of the applicants who have offered the samepiece of land should be included in the list of applicants not meeting the requirement(Annexure O3) stating that “Multiple application against same land”.

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(iv) LEC will prepare two lists of candidates, one for those not meeting requirement withrespect to suitability of land as per  Annexure - O3  with specific comments on thedeficiency and 2nd list meeting all the requirements with respect to suitability of landas per Annexure - Q3 and will submit these lists to the Divisional /Regional/TerritoryHeads for further handling by ASC.

O. Finalization of lis t by ASC

(i) After taking into consideration of list O3  and Q3  submitted by LEC, the ASC willprepare final list of ineligible candidates comprising of applicants appearing in list O1,O2 and O3 as per format given in  Annexure - U, and the final list of eligiblecandidates as per list Q3 as per format given in Annexure – V 1 and submit the sameto the Head of Divisional/Regional/Territory office for further necessary action.

(ii) List of applicants as per formats given in Annexure U and V1 should be displayed onthe notice board of the concerned office of the Oil Company under the signatures ofHead of the Divisional /Regional/Territory office. This will also be hosted on the

website of the Oil Company.

(iii) All ineligible applicants as per list Annexure – U (All applicants who have been foundineligible after stages O1, O2 & O3) should be informed by a Registered / Speed Postletter as per format in  Annexure- W. This would be done at the time of issuance ofletters as per  Annexure – X  for draw of lots/bid opening to the eligible applicantsappearing in list as per  Annexure – V1. The list of eligible applicant who have beensent intimation letter as per Annexure X would also be hosted on Web site as per

 Annexure - V2 indicating the date of Draw of Lots/Opening of Bid for the concernedlocation.

(iv) At this stage, in case there are candidates available in List V1  for draw of lots/bidopening at Group 1 stage, list of applicants under Group 2, would also be advised that

their applications is not being processed further at this stage and would only beconsidered if no suitable candidate is finally selected from Group 1 after draw oflots/bid opening. Letter to be addressed as per format given in Annexure – Y by Headof Division / Region / Territory.

(v) The individual lists O1, P, Q1  upon initial scrutiny and subsequent list O2 and Q2based on response from applicants on rectifiable deficiencies will be prepared by ASCand list O3, Q3 will be prepared by LEC after land evaluation. The consolidated listsas per formats Annexure - U and Annexure – V1 will be prepared and signed by the

 ASC and counter signed by the Head of the Divisional/Regional/Territory office.Preferably, the same committee should complete the scrutiny of all applications forone location.

Note :

  The entire process of scrutiny of application, land evaluation, eligibility, non-eligibility,rectifications etc to the point of hosting list of eligible & ineligible candidates on theweb site / display on the notice board would be undertaken for the candidates fallingunder Group 1 i.e where the land is owned / on long lease with the applicant.

  In case no suitable candidate is found in the above process from GROUP 1, theabove process would be repeated for candidates under GROUP 2.

  In case there is no suitable candidate in Group 2 also, the location may be re-advertised, as may be decided by the OMC.

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 PROCESSING OF APPLICATIONS RECEIVED AGAINST ADVERTISEMENT

 Applications listed as per Annexure I-1 by AOC

Group 1 Applicants ( Annexure M) Group 2 Applicants ( Annexure N)- Process only in case of

NIL selection from Group 1

Non-RectifiableDeficiency

( Annexure O1)

RectifiableDeficiency

( Annexure P)

No Deficiency( Annexure Q1)

Deficiency NotRectified

( Annexure O2)

DeficiencyRectified

( Annexure Q2)

Location founddeficient after LEC

( Annexure O3)

Location foundeligible after LEC

( Annexure Q3)

Combined List of Deficient / Ineligible

 Applications ( Annexure U) by ASC

List of Eligible Applications

( Annexure V1) by ASC

 Action as per Annexure T1 & T2 

by LEC

Sorting by ASC

Draw of Lot / BiddingProcess

Nil selection

from Group 1

Candidate

Selected

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 P. Selection by Draw of Lots (for Corporation Owned Outlets under Corpus Fund

Scheme, Dealer Owned Dealer Operated out lets & Company Leased outlets)

(i) Draw of lots will be held first amongst the eligible applicants with land falling in Group1. Draw of lots amongst eligible applicants of Group – 2 will be held only if there is noapplicant in Group 1 or applicants in Group 1 have been disqualified/not foundsuitable or have withdrawn.

(ii) In case of draw for selection of Dealer, a written communication (thru registeredletter/speed post) will be sent to all the eligible candidates to report for a draw forselection at a specified place on specified date and time giving clear 21 days timefrom the date of the letter - Annexure – X.

(iii) Attendance of all the candidates who have reported for draw would be prepared andSignature of candidates should be obtained on the same before starting the process.

 Annexure – Z. 

(iv) Serial number of the application along with name of applicant would be written on a‘paper token’. Officers nominated for the draw should sign on each ‘paper token’ withdate of draw. Annexure – AA.

(v) The draw would be conducted in the presence of a committee of 3 memberscomprising of 2 officials of the Oil Company – one Head of the local office(Division/Region/Territory Office) and the other officer as nominated by the Head ofRetail in State/Zonal/Regional Office and at least one of the invited guests. In case ofexigencies, Head of Retail in State/Zonal/Regional Office can nominate an alternateofficial in lieu of Head of the local office (Division/Regional/ Territory Office).

(vi) Guests can be invited from amongst the local MP, MLA, Zilla Parishad, Panchayat

Samiti Chairman, Sarpanch, District Magistrate/Sub Divisional Magistrate /District CivilSupplies Officer/Block Development Officer/District Rural Development Authority/anyGazetted Officer. Preferably two or more guests should be invited and the proof ofhaving invited them should be maintained. Copies of the invitation letters as per

 Annexure – AB  along with postal receipts may be kept as records.

(vii) Quorum for the draw for a location will be comprising of at least 50% of following:

Candidates of that particular location (whose names are there in the draw) plus twoCompany officials plus at least one invited Guest. For calculating quorum, number willbe rounded off to higher digit.

Note

a. For the purpose of quorum, presence of one guest, two OMC officials and at leasttwo candidates will be essential. However, in cases of locations with only 2 eligibleapplicants presence of 1 applicant would be sufficient.

b. If Quorum is not fulfilled, then draw should not be held on that day.

Efforts should be made to invite different guests for different days of the Draw of Lots.

(viii) Subsequent date for the draw shall be fixed and informed to eligible candidates.

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(ix) In case the required quorum is not present in the second occasion also then drawshould be held with the available candidates (if any) in presence of the invited guestand two Oil Company Officials. This should be mentioned in the second call letter

 Annexure – AC. 

(x) The entire proceedings of the draw should be video graphed. However, the followingsteps should be recorded in a single shot in the video:-

a) Name of the location for which draw is being held should be announced.

b) The empty box in which ‘paper token’ is to be dropped before the draw should beof transparent material.

c) Name and application serial number of each candidate, who has qualified for thedraw, written on the ‘paper token’ should be announced.

d) The serial number and the name written on ‘paper token’ should be captured in

the video recording.

e) The ‘paper token’ should be folded (as per  Annexure - AA) and dropped in theempty box. Similarly all ‘paper tokens’ should be put in the empty box one by onefor the particular location

f) Once all the paper tokens are dropped in the box, it should be ensured that all thepaper tokens are properly mixed.

g) The invited guest should be requested to draw out one ‘paper token’, unfold andshow it to the video camera for it to capture the serial number and name of theapplicant mentioned in the ‘paper token’.

h) The application serial number and name of the candidate should be announcedand declared as selected for the RO dealership for that location.

(xi) A record of the proceedings of the draw for selection should be made and signed bythe participating two Company officials. (as per Annexure – AD1)

(xii) The result of the draw should be displayed on the notice board of the venueimmediately and at Company office (i.e Divisional/ Regional/Territory Office). It shouldalso be hosted on the website of the Company within 7 days from the date of draw.(as per  Annexure – AE1) and the selected candidate to be intimated as per format

 Annexure – AE2.

(xiii) In case of only one eligible candidate no draw is required. The lone eligible candidate

will be declared as selected candidate immediately after preparation of list as per Annexure V1. The result should be displayed and hosted on the website by theconcerned Divisional/Regional/ Territory Manager. Annexure – AE1. 

(xiv) Based on the proceedings of the bidding process, Head of the State/Zonal/RegionalOffice will approve Field Verification of Credentials (FVC), and a committee of twoofficers for FVC will be nominated by head of Division/ Region/ Territory. .

Q. Selection by Bidding process (for Corporation Owned Dealer Operated Outlets)

(i) Opening of bids will be held first amongst the eligible applicants with land falling inGroup 1. Opening of bids amongst eligible applicants of Group – 2 will be held only if

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there is no applicant in Group 1 or applicants in Group 1 have been disqualified/notfound suitable or have withdrawn.

(ii) In case of Opening of bid for selection of Dealer, a written communication (thruregistered letter/speed post) will be sent to all the eligible candidates to report forwitnessing Opening of bids at a specified place on specified date and time giving 21days time from the date of the letter - Annexure – X.

(iii) Attendance of all the candidates who have reported for bidding process would beprepared and Signature of candidates should be obtained on the same.  Annexure –Z.

(iv) The bids would be opened in the presence of a committee of 3 members comprisingof 2 officials of the Oil Company – one Head of the local office(Territory/Division/Regional Office) and the other officer as nominated by the Head ofRetail in State/Zonal Office and at least one of the invited guests. In case ofexigencies, Head of Retail in State/Zonal/Regional Office can nominate an alternate

official in lieu of Head of the local office (Divisional/Regional /Territory Office).

(v) Guests can be invited from amongst the local MP, MLA, Zilla Parishad, PanchayatSamiti Chairman, Sarpanch, District Magistrate/Sub Divisional Magistrate /District CivilSupplies Officer/Block Development Officer/District Rural Development Authority/anyGazetted Officer. Preferably two or more guests should be invited and the proof ofhaving invited them should be maintained. Copies of the invitation letters as per

 Annexure – AB along with postal receipts may be kept as records.

(vi) Quorum for opening of bids for a location will be comprising of at least 50% offollowing:

Candidates of that particular location (eligible bidders) plus two Company officials plus

at least one invited Guest. For calculating quorum, number will be rounded off tohigher digit.

Note

a. For the purpose of quorum, presence of one guest, two OMC officials and at leasttwo candidates will be essential. However, in cases of locations with only 2 eligibleapplicants presence of 1 applicant would be sufficient.

b. If Quorum is not fulfilled, opening of Bids should not be held on that day.

Efforts should be made to invite different guests for different days of the Opening ofBids.

(vii) Subsequent date for Opening of bids shall be fixed and informed to eligiblecandidates.

(viii) In case the required quorum is not present on the second occasion also thenopening of bids should be held with the available candidates (if any) in presence ofthe invited guest and two Oil Company Officials. This should be mentioned in thesecond call letter Annexure – AC.

(ix) The entire proceedings of the opening of bid should be video graphed. However, thefollowing steps should be recorded in a single shot in the video:-

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a) Announcement w.r.t  Name of the location for which Opening of bid is being held.  Name of the candidate whose “Financial Bid’ is being opened.

b) Display of Sealed envelope containing the Financial bid to the quorum.c) Opening of the sealed envelope containing “Financial Bid”.d) Announcement and Display of Bid amount by the invited Guest.

The above process would be followed for each eligible applicant.

e) Name, application serial number and bid amount of each candidate should besimultaneously recorded by the OMC Committee member as per format given in

 Annexure - AD2 .

f) The details mentioned in Annexure AD2 would also be video recorded.

g) The invited guest should be requested to announce the name of the candidatewho has made the highest bid and is selected for the location and should also

display his/her bid. This should also be captured in the video recording.

h) In case the bidding amount of all the applicants is found to be less than theminimum bid amount then it would be announced that “No candidate foundsuitable” for the concerned location as minimum bid amount has not been quotedby any applicant.

(x) In case of a tie w.r.t. to highest bid amount quoted by the applicants, then the processof draw of lots would be followed for selection from amongst these applicantsimmediately after the bidding process for the location. For this purpose the relevantsteps of the process mentioned in Clause P above shall be followed.

(xi) In case the highest bidder is unable to submit the total bidding amount within the

stipulated time or he withdraws for any reason, his selection would be treated ascancelled and IDP would be forfeited.

(xii) The result of the Bidding process should be displayed on the notice board of thevenue immediately and at Company office (i.e Divisional/ Regional / Territory Office).It should also be hosted on the website of the Company within 7 days from the date ofbidding process. (as per Annexure – AE1) and the selected candidate to be intimatedas per format Annexure – AE2.

(xiii) In case of only one eligible candidate the “Financial bid” would be opened inthe presence of the lone eligible candidate and three company officers nominated byHead of State/Zone/Region. This can be done immediately after preparation of list asper Annexure V1. The result should be displayed and hosted on the website by the

concerned Divisional/Regional/Territory Manager. Annexure – AE1.

(xiv) Based on the proceedings of the bidding process, Head of theState/Zonal/Regional Office will approve Field Verification of Credentials (FVC), and acommittee of two officers for FVC will be nominated by head of Division/ Region/Territory. .

19. INFORMATION UPDATE ON WEB SITE

The following information in respect of Various Stages of Selection process for a locationhas to be hosted on website.

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(i) Advertisement - Name of news paper, date, cut off date, name of location andCategory – As per Annexure D.

(ii) Location wise no of applications received within due date along with name ofapplicants – As per Annexure I-2. 

(iii) Location wise no of applications received along with name of applicants underGroup 1 & Group 2 – As per Annexure M & Annexure N respectively.

(iv) Location wise ineligible & eligible (for Group 1 applicants) applications before drawof lots. – As per Annexure U & Annexure V respectively.

(v) Date of draw of lot/Bid opening – As per Annexure – V2.

(vi) Final result – As per Annexure – AE1

(vii) Details of Affidavits (as per  Appendix III) submitted by selected candidates stating

that he/she is not employed in Private Sector or is not drawing anysalary/perks/emoluments from State / Central Government – Annexure AL. 

Note: 

In case there is no selection under Group 1, then process (iv), (v) & (vi) to be carried outfor Group 2 applicants.

20. FIELD VERIFICATION OF CREDENTIALS (FVC)

The objective of the FVC is to verify the correctness of the details given by the candidatein the application. Field verification will be carried out for the selected candidate as per

 Annexure - AF. 

21. LETTER OF INTENT

If the information given in the application by the applicant is found to be correct, and noselection related complaint / court case is pending for decision, Letter of Intent will beissued to the selected candidate by Head of Division/Regional/Territory Office afterapproval of the Retail Head of State/Zonal/Regional. ( Annexure – AG1,  Annexure -

 AG2 & Annexure - AG3).

Head of the Division/Regional/Territory office will issue the LOI. The dealer select, afterreceipt of LOI is required to make the offered land available in developed condition as perclause 12 (e) of affidavit (Appendix X A/X B) and fulfill the other requisite conditions asmentioned in the LOI. The dealer select under Group 1 category would be given 2 months

for making the land available and 4 months would be given to Group 2 category for thispurpose, failing which OMC can withdraw the LOI and proceed further with selectionprocess.

LOI will be issued after FVC but not before 30 days from declaration of results of draw oflots / bidding process. In case a complaint is received after issuance of LOI and adecision is taken to investigate the complaint, then the LOI holder would be asked tosuspend further progress in writing till disposal of the complaint.

 Affidavit as per  Appendix XA or XB  (as applicable) is to be taken again from theapplicant at the time of issuance of LOI.

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a) Extension of LOI:

In case where the dealer select has made sufficient progress but due to certaindifficulties it has not been possible for him/her to fulfill the conditions laid down in theLOI, the same can be extended for different periods by different levels of authoritiesas decided by concerned OMCs.

b) Withdrawal of LOI

In case selected candidate is unable to provide the land / develop facilities within thespecified time or due to non-fulfilment of terms & conditions of LOI, then LOI can bewithdrawn. A show cause notice should be given to the LOI holder and based on hisreply decision to withdraw LOI can be taken by Competent Authority as per internalpolicy of individual OMCs. In such situations, where selection is made through biddingprocess, IDP would be forfeited.

The IDP, wherever applicable, would also be forfeited if the selected candidate is

unable to submit the total bidding amount within the stipulated time or he withdrawsfor any reason, his selection would be treated as cancelled and LOI withdrawn.

22. CANCELLATION OF CANDIDATURE AND WITHDRAWAL OF LOI

In case of rejection of selected candidate due to some discrepancy found during FieldVerification and consequently candidature of selected candidate is cancelled or LOI iswithdrawn, draw for selection would be held again from the remaining eligible candidates.

In case of selection through bidding process, next higher bidder will be considered forFVC after receipt of IDP. The concerned candidate would be advised by Registered Postto deposit IDP within 21 days of date of letter. The same process would be followed forthe subsequent bidder/s in case of no response / rejection of the second highest bidder.

The above process would be followed for Group 2 candidates once Group 1 is exhaustedor in case no eligible candidates are available in Group 1.

23. READVERTISEMENT OF LOCATIONS

If no eligible application/s is received, or no applicant is left for draw, then the locationmay be re-advertised as decided by the OMC.

24. GRIEVANCE REDRESSAL SYSTEM

 Any complaint should be accompanied by a fee of Rs. 1000/-, only in the form of demanddraft of schedule bank, in favour of the Oil Company. Any complaint received without this

fee will not be entertained. The complaint received against the selection includingeligibility will be disposed off as under:-

(i) Complaints received before or after draw of lots/bidding process along with requisitefee of Rs. 1000/-, will be kept in record and investigation carried out after 30 days ofDraw of Lots/bidding process only in following cases:-

  General complaints with verifiable facts  Complaints against selected candidate

(ii) Any complaint received after 30 days from the date of draw of lots/bidding process willnot be entertained.

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 (iii) Representation from applicants against rejection of his/her candidature will be verified

and disposed of immediately by the Divisional/Regional Head/Territory Managerbefore proceeding to next stage. For such cases, fee of Rs. 1000/- will not beapplicable.

(iv) Anonymous complaints without verifiable facts will not be investigated.

(v) On receipt of a complaint a letter will be sent by the oil company to the complainantthrough Registered Post, asking him to submit details of allegation with a view toprima facie substantiate the allegations along with supporting documents, if any,within 20 days from date of dispatch of letter (Annexure - AH).  While seekingdocuments and details, the complainant will be advised that if during theinvestigations, complaint is found to be false and/or without substance, the OilCompany reserves the right to take action against the complainant as provided underthe law and fee forfeited.

(vi) In case a complaint is received against an applicant, who has not been selected indraw of lots/bidding process, the same will be kept in abeyance. In case the LOIagainst selected candidate is cancelled and the applicant against whom the complaintwas received gets selected in the next draw or on account of bidding process, thecomplaint will only then be investigated.

(vii) If the complaint is not required to be investigated the fee received will be refunded tothe complainant informing that the complaint has not been investigated since thecandidate against whom the complaint has been made has not been selected. Thefee will be refunded after issuance of LOA to the selected candidate.

(viii) In case complaint is received without the requisite fee of Rs. 1000/-, orreceived after 30 days of declaration of results, the complaint would not be

entertained and complainant would be advised reasons for the same ( Annexure - AH).

(ix) Head of State/Zonal/Regional office will examine response of the complainant and if itis found that the complaint does not have specific and verifiable allegations, the samewill be filed and complaint fee will be forfeited. Complainant will be advisedaccordingly.( Annexure - AI). 

(x) If a decision is taken to investigate the complaint, one Officer not below the rank of ‘D”grade will be nominated by the Head of State/Zonal/Regional office to do theinvestigation and submit a report. Thereafter, decision on the complaint will be takenby the Head of State/Zonal/Regional office as under:-

a) Complaints not substantiated: 

In case the complaint is not substantiated it will be filed and complaint fee will beforfeited. Complainant will be advised accordingly.( Annexure - AI). 

b) Established Complaints:

In case of established complaint, the complainant will be advised accordingly( Annexure - AJ)  and suitable action should be taken. In this case the complaintfee collected of Rs.1000/- will be refunded.

(xi) In all cases, disposal of complaint should be in the form of speaking order.

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25. RETENTION OF FILES / RECORDS

The entire record including Video recording duly labeled pertaining to selection will bepreserved for a minimum period of 1 year from the date of commissioning of dealership.In case of complaints/ court cases all the records should be preserved for a period ofminimum 3 years from the date of final disposal of complaint/ court case. The applicationof selected candidate should be permanently maintained in record along with FVC, LOI,LOA and agreement.

26. TIME PERIOD FOR CERTAIN IMPORTANT ACTIVITIES

a) Notice of advertisement 30 days

b) Receipt of on-line application 07 days

c) Receipt of response from ineligible candidates with rectifiabledeficiencies

21 days

d) Minimum notice period to candidate for Draw of Lots / Bid 21 days

27. COMMISSIONING OF THE DEALERSHIP

 A candidate who has been given the ‘Letter of Intent’ (LOI) would be required to fulfil theterms and conditions as contained therein, so as to commission the dealership within thestipulated time period. If the progress is not found to be in line with the given timelines,LOI may be withdrawn unless there are justifiable reasons for the same.

Before commissioning, Letter Of Appointment (LOA) as per Annexure - AK  along withexecuted copy of dealership agreement will be given.

 Affidavit as per  Appendix XA or XB  (as applicable) is to be taken again from theapplicant at the time of issuance of LOA.

28. SECURITY DEPOSIT / FIXED FEE / BID AMOUNT

The selected candidate shall have to deposit the following :-

  An interest free refundable security deposit of Rs. 50000/- in respect of Rural ROsand Rs. 5 lakhs in respect of Regular ROs - for all categories of ROs before issuanceof LOA.

  Non refundable Fixed fee - for “B” site / DC site / Company leased ROs within 15 daysof receipt of NOC.

  Non refundable Bid amount (after adjusting the IDP amount) – For “A” / “CC” site ROswithin 15 days of receipt of NOC.

OMCs will start installation of their facilities only after collection of Fixed fee / Biddingamount.

OMCs will reserve the right to adjust any dues to it from this amount at the time ofresignation/ termination. However, in case of termination of the dealership on account ofproven malpractice, the said security deposit shall be forfeited.

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 29. TENURE OF DEALERSHIP

The tenure of the dealership shall be for an initial period of XX years and renewable everyXX years thereafter as decided by the concerned OMC.

30. FALSE INFORMATION

If any statement made in the application or in the documents enclosed therewith orsubsequently submitted in pursuance of the application by the candidate at any stage isfound to have been suppressed / misrepresented / incorrect or false, then the applicationis liable to be rejected without assigning any reason and in case the applicant has beenappointed as a dealer, the dealership is liable to be terminated. In such cases thecandidate / dealer shall have no claim whatsoever against the respective Oil Company.

**************

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List of Annexures

 Annexure

No.

Subject Page No. 

 A1 Feasibility Report 43

 A2 Layout sketch of proposed location (Feasibility report) 44

B 200 point roster 45

C State wise allotment of Roster No. between SC & ST 47

D Format for Advertisement 49

E Brochure 51

F Format for letter to DGR for publicity 52

G Format for letter to District collector for publicity  53

H Format for letter to be sent to applicants for late receipt of

application

54

I1 Format for recording receipt of application 55

I2 Format for recording Location-wise number of applications

received within due date

56

J Format for acknowledgement for applications received by

hand

57

K Format for Acknowledgement of Application to be issued in

case of receipt of More Than One Application for One

Location from single Applicant

58

L Format for scrutiny of applications 59

M Format for list of Applicants for RO Dealership – Group 1 61

N Format for list of Applicants for RO Dealership – Group 2 62

O1,O2,O3 Format for list of Applicants Found Ineligible Due to non-

rectifiable Deficiencies for Selection of RO Dealership

63

P Format for list of Applicants Found Ineligible Due to

rectifiable Deficiencies for Selection of RO Dealership

64

Q1,Q2,Q3 Format for list of Applicants Found Eligible for Draw for

Selection of RO Dealership

65

R Format of Letter to Applicants found ineligible based on

rectifiable deficiencies as per Annexure P

66

S Format of Letter for intimation of visit by LEC 67T1 Format for evaluation of land by LEC 68

T2 Layout sketch of land offered by applicant 69

U Format for final list for applicants found ineligible 70

V1 Format for Final List of Applicants Found Eligible for Draw of

Lots/Bidding process for Selection of RO Dealership

71

V2 List of eligible applicants for Draw of Lots / Opening of bids 72

W Format of letter to applicants found ineligible as per

 Annexure U

73

X Format for call letter for Draw of Lots / Opening of Bids 74

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Y Format of letter to applicants under Ground 2 as per

 Annexure N

75

Z Format for attendance sheet of Draw of lot / Opening of Bid 76

 AA Format for paper token 77

 AB Format for letter for inviting guests 78

 AC Format for Call letter for Draw of Lot / Opening of Bid(Second occasion)

79

 AD1 Format for record of proceedings of the Draw of Lots 80

 AD2 Format for record of proceedings of the Opening Bids 81

 AE1 Format for declaration of results 82

 AE2 Format for intimation of result to successful applicant 83

 AFFormat for Field Verification of Credentials (FVC)

84

 AG1 Format for LOI – “A” site / “CC” RO 87

 AG2 Format for LOI – “B” site / “DC” RO 91

 AG3 Format for LOI – SC/ST dealerships 96

 AH Format of letter to Complainant for submission of Fee /Documentary evidence

100

 AI Format of letter to complainant on Complaint notsubstaniated

101

 AJ Format of letter to complainant on substantiation ofcomplaint

102

 AK Format Letter of Appointment 103

 AL Format for hosting details of candidates select from whomaffidavit obtained w.r.t. employment

106

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List of Appendices

 AppendixNo.

Subject Page No.

I Format for Residence Certificate 107

IIA Format of letter by Applicant for making Spouse as partner 108

IIB Format for Affidavit by Spouse not interested to become

partner

109

III Format for Affidavit by Applicant w.r.t. employment / draw of

salary / perks, etc.

110

IV Format for Affidavit by “Family” member in favor of the

applicant for Finance

111

VA Format for affidavit for offer of land by family member / thirdparty

112

VB Format for confirmatory letter from Advocate 114

VI Standard format for SC / ST category certificate 115

VIIA Standard format for OBC category certificate 116

VIIB Format for Declaration/undertaking on non-judicial stamppaper by OBC Candidates

117

VIII Format for PMP/Police/Govt. Personnel certificate 118

IX Standard format for “PH” category certificate 119

XA Format for Standard affidavit to be submitted by a individual

applicant

120

XB Format for Standard affidavit by Non-individual applicants 123

XI-A Format for Application for Individual applicants 126

XI-B Format for Application for Non-Individual applicants 132

XI-C Format for Financial Bid 138

XIIA Check list for Individual applicants 139

XIIB Check list for Non-Individual applicants 141

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 Annexure A 1

Report on Feasibility: Proposed Retail Outlet atLocation :______________________________,Dist. :_________State : ____________

1.Class of Market (A/B/C/D1(NH)/D2(SH)/E):

2.Existing Trading Area /Monopoly:

3.LSA /Remote Area:

4. Trading Area Potential: MS & HSD sales from T.A. ROs for last 12 months.Name Of RO Distance from

ProposedLocation

Oil Co. MS HSD

IOCBPCHPC

Pvt.Sub Total IOC

Sub Total BPC

Sub Total HPCSub Total Pvt.

Total

Note: In case of New / Monopoly Market based on the assessment of potential.5. Assesment of Potent ial of Proposed location: 

a. Traffic (High /Medium / Low):

Expected %Growth in Traffic :

Reason for Growth in Traffic:

b.Present TAGrowth (Sales Vol.in KLPM): 

Expected %Growth in TA Expected T.A.Potential in KLPM: Whether the proposedRO meets volumenorms of the market

MS: HSD: MS: HSD: MS HSD YES NO

Reason for Antic ipated Growth in Sales Vol. (MS/HSD) in the trading area:

c. Estimated Sales in KL/Month from the Proposed RO: MS HSD1st Year

2nd

 Year3rd Year6. Market Intelligence if any (Proposed OMC activity , any other factor influencing

Sales): 7. General Information (Any Site identified, Whether location considered earlier, etc.): 8. Recommendation: (a)Proposed RO Feasible as per Volume Norms (in 2nd year ofoperation) of the market (Yes/No): 

b. May be included in SRMP (Y/N):c. If Yes, Regular or Rural :

9. Enclosure: Sketch of Location with reference to NH/SH/ Road no., land mark, its stretch/boundary, Approximate distance from contiguous T.A.,etc.

Date:(Name, Designation & Signature)

  Field Officer conducting Feasibility Study

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 Annexure A 2

LAY OUT SKETCH OF PROPOSED LOCATION

LOCATION___________________DISTRICT______________STATE________________

1. Road NO. (NH/SH/ Other Road No.) if any:

2. Stretch / Boundary of location:

a. For NH /SH/ Other Road with KM Stone: From KM Stone ____ To _____.b. In Other cases distance from some prominent land mark _________.c. Identification of boundary / stretch with respect to Name of locationd. Any other information

3. Divided carriageway / Undivided carriageway : LHS/RHS/Either side

4. Illust rative Sketch of Location on divided carriage-way 

(Mention distance of nearby RO from the proposed RO Location)

KM

BPC

IOC

Prop.RO

HPC

Prominentland mark

KM

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 Annexure – B200 Point Roster

Locations are placed under different categories of reservation as per ‘200 point’ roster for the

State by individual oil companies separately in respect of Regular ROs and Rural ROs. The‘200-point Roster’ is followed on rolling basis. The Roster is as under: -

RosterNo.

CategoryRoster

No.Category

RosterNo.

CategoryRoster

No.Category

1 Open 51 SC/ST CC-2 101 Open 151 Open2 OBC 52 Open 102 OBC 152 Open

3 SC/ST 53 Open 103 Open 153 OBC

4 Open 54 OBC 104 Open 154 SC/ST5 Open 55 Open 105 SC/ST 155 Open

6 OBC 56 SC/ST 106 OBC 156 Open

7 SC/ST 57 Open 107 Open 157 OBC8 Open 58 OBC 108 Open 158 SC/ST

9 Open 59 Open 109 SC/ST 159 Open10 OBC 60 SC/ST 110 OBC 160 Open11 Open 61 OBC 111 Open 161 Open

12 SC/ST 62 Open 112 Open CC-1 162 OBC

13 OBC 63 Open CC-1 113 OBC 163 SC/ST14 Open CC-1 64 OBC 114 SC/ST 164 Open CC-1

15 Open 65 SC/ST 115 Open 165 OBC

16 SC/ST 66 Open 116 Open 166 Open17 OBC 67 Open 117 OBC 167 SC/ST

18 Open 68 OBC 118 SC/ST 168 Open

19 Open 69 SC/ST 119 Open 169 OBC20 SC/ST 70 Open 120 Open 170 Open

21 OBC 71 Open 121 OBC 171 Open

22 Open 72 Open 122 Open 172 SC/ST CC-123 Open CC-2 73 OBC CC-1 123 SC/ST CC-1 173 OBC CC-1

24 OBC CC-1 74 SC/ST CC-1 124 Open CC-2 174 Open

25 SC/ST CC-1 75 Open CC-2 125 OBC CC-1 175 Open CC-226 Open 76 OBC 126 Open 176 SC/ST

27 Open 77 Open 127 SC/ST 177 OBC

28 OBC 78 SC/ST 128 OBC 178 Open29 SC/ST 79 Open 129 Open 179 OBC

30 Open 80 OBC 130 Open 180 SC/ST

31 Open 81 Open 131 OBC 181 Open32 OBC 82 Open 132 SC/ST 182 Open

33 Open 83 SC/ST 133 Open 183 Open

34 SC/ST 84 OBC 134 Open 184 OBC35 Open 85 Open 135 OBC 185 SC/ST

36 OBC 86 Open CC-1 136 SC/ST 186 Open

37 Open CC-1 87 SC/ST 137 Open 187 Open CC-138 SC/ST 88 OBC 138 Open CC-1 188 OBC

39 OBC 89 Open 139 OBC 189 SC/ST

40 Open 90 Open 140 SC/ST 190 Open41 Open 91 OBC 141 Open 191 OBC

42 OBC 92 SC/ST 142 Open 192 Open

43 SC/ST 93 Open 143 OBC 193 Open44 Open 94 Open 144 Open 194 SC/ST

45 Open 95 OBC 145 SC/ST 195 OBC

46 OBC 96 SC/ST 146 Open 196 Open

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47 SC/ST 97 Open 147 OBC 197 Open

48 Open 98 Open 148 Open 198 SC/ST49 Open 99 OBC 149 SC/ST CC-2 199 OBC

50 OBC CC-2 100 SC/ST 150 OBC CC-2 200 Open

Nomenclature used is as under:-

SC/ST Scheduled Caste/ Scheduled Tribe Category

SC/ST CC-1 Combined category 1 consists of Defence personnel / Para Military Personnel / Central& State Govt. employees / Central & State Govt. PSU employees belonging to SC/STcategory.

SC/ST CC-2 Combined Category 2 consists of Physically Handicapped (PH), Outstanding SportsPersons (OSP) and Freedom Fighters (FF) belonging to SC/ST Category

OBC Other Backward Classes CategoryOBC CC-1 Combined category 1 consists of Defence personnel / Para Military Personnel /

Central & State Govt. employees / Central & State Govt. PSU employees belonging toOBC category.

OBC CC-2 Combined Category 2 consists of Physically Handicapped (PH), Outstanding SportsPersons (OSP) and Freedom Fighters (FF) belonging to OBC Category.

Open Open CategoryOpen CC1 Combined category 1 consists of Defence personnel / Para Military Personnel / Central

& State Govt. employees / Central & State Govt. PSU employees belonging to Opencategory.

Open CC2 Combined Category 2 consists of Physically Handicapped (PH), Outstanding SportsPersons (OSP) and Freedom Fighters (FF) belonging to Open category.

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 Annex ure – C

State-wise Allotment of Roster n umber between SC and ST

Sr.No.

State / UnionTerritory

% of SC/ST

w.r.t. Total SC &ST (based onCensus 2001)

Total

SC/STbifurcationout o f 45

Roster Sr.No. for

SC ST SC ST SC ST

1 Andaman &Nicobar

0.0% 100.0% 0 45 NIL ALL

2 AndhraPradesh

71.1% 28.9% 32 13

 Al l Except 7, 29, 43, 65, 74,83, 100, 114, 132,149, 154,167, 189.

7, 29, 43, 65, 74, 83,100, 114, 132, 149,154,167, 189.

3 Assam 35.6% 64.4% 16 29

7, 20, 38, 47, 65,74, 83, 96, 109,

118, 136, 149, 154,167, 185, 194.

 Al l Except 7, 20, 38, 47, 65, 74,83, 96, 109, 118,136, 149, 154, 167,185, 194.

4 Bihar 94.5% 5.5% 43 2 Al l Except 47, 140.

47, 140.

5 Chandigarh 100.0% 0.0% 45 0 ALL NIL

6 Chattisgarh 26.8% 73.2% 12 337, 29, 47, 69, 74,87, 105, 127, 140,149, 163, 185.

 Al l Except 7, 29, 47, 69, 74, 87,105, 127, 140, 149,163, 185.

7Dadra & NagarHaveli

2.9% 97.1% 1 44 92 Al l Except 92

8 Daman & Diu 25.7% 74.3% 12 33

7, 29, 47, 69, 74,

92, 109, 132, 154,149, 176, 189.

 Al l Except 7, 29, 47, 69, 74, 92,

109, 132, 154, 149,176, 189.

9 Delhi 100.0% 0.0% 45 0 ALL NIL

10 Goa 97.7% 2.3% 44 1 Al l Except 109

109

11 Gujarat 32.4% 67.6% 15 30

7, 20, 38, 56, 69,74, 87, 105, 118,136, 149, 154, 167,185, 198.

 Al l Except 7, 20, 38, 56, 69, 74,87, 105, 118, 136,149, 154, 167, 185,198.

12 Haryana 100.0% 0.0% 45 0 ALL NIL

13Himachal

Pradesh

86.0% 14.0% 39 6 Al l Except 16, 56, 92, 127,

167, 172.

16, 56, 92, 127, 167,

172.

14Jammu &Kashmir

41.1% 58.9% 18 27

7, 16, 34, 43, 56,69, 74, 83, 96, 105,118, 132, 145, 149,158, 167, 185, 194.

 Al l Except 7, 16, 34, 43, 56, 69,74, 83, 96, 105, 118,132, 145, 149, 158,167, 185, 194.

15 Jharkhand 31.0% 69.0% 14 31

7, 20, 43, 60, 74,78, 92, 105, 127,140, 149, 158, 176,194.

 Al l Except 7, 20, 43, 60, 74, 78,92, 105, 127, 140,149, 158, 176, 194.

16 Karnataka 71.2% 28.8% 32 13 Al l Except 7, 29, 43, 65, 74,

7, 29, 43, 65, 74, 83,100, 114, 136, 149,

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83, 100, 114, 136,149, 154, 167, 189.

154, 167, 189.

17 Kerala 89.6% 10.4% 40 5 Al l Except 20, 78, 118, 172,176.

20, 78, 118, 172,176.

18 Lakshadweep 0.0% 100.0% 0 45 NIL ALL

19MadhyaPradesh

42.8% 57.2% 19 26

7, 16, 29, 43, 56,65, 74, 83, 92, 100,114, 127, 136, 149,154, 163, 172, 176,189.

 Al l Except 7, 16, 29, 43, 56, 65,74, 83, 92, 100, 114,127, 136, 149, 154,163, 172, 176, 189.

20 Maharashtra 53.5% 46.5% 24 21

 Al l Except 7, 16, 29, 38, 47,60, 69, 74, 87, 96,105, 114, 127, 136,149, 154, 163, 172,176, 185, 194.

7, 16, 29, 38, 47, 60,69, 74, 87, 96, 105,114, 127, 136, 149,154, 163, 172, 176,185, 194.

21 Manipur 7.5% 92.5% 3 42 34, 100, 176.

 Al l Except 

34, 100, 176.

22 Orissa 42.7% 57.3% 19 26

7, 16, 29, 43, 56,65, 74, 83, 92, 100,114, 127, 136, 149,154, 163, 172, 176,189.

 Al l Except 7, 16, 29, 43, 56, 65,74, 83, 92, 100, 114,127, 136, 149, 154,163, 172, 176, 189.

23 Pondichery 100.0% 0.0% 45 0 ALL NIL

24 Punjab 100.0% 0.0% 45 0 ALL NIL

25 Rajasthan 57.7% 42.3% 26 19

 Al l Except 7, 16, 29, 43, 56,69, 74, 83, 92, 105,114, 127, 140, 149,154, 163, 172, 180,

189.

7, 16, 29, 43, 56, 69,74, 83, 92, 105, 114,127, 140, 149, 154,163, 172, 180, 189.

26 Sikkim 19.6% 80.4% 9 3612, 38, 65, 92, 114,123, 145, 176, 198.

 Al l Except 12, 38, 65, 92, 114,123, 145, 176, 198.

27 Tamilnadu 94.8% 5.2% 43 2 Al l Except 47, 145.

47, 145.

28 Tripura 35.9% 64.1% 16 29

7, 20, 34, 47, 65,74, 83, 96, 105,118, 136, 149, 154,167, 180, 194.

 Al l Except 7, 20, 34, 47, 65, 74,83, 96, 105, 118,136, 149, 154, 167,180, 194.

29 Uttar Pradesh 99.7% 0.3% 45 0 ALL NIL

30 Uttaranchal 85.6% 14.4% 39 6

 Al l Except 

16, 56, 92, 127,163, 172.

16, 56, 92, 127, 163,172.

31 West Bengal 80.7% 19.3% 36 9 Al l Except 12, 38, 65, 96, 118,123, 145, 176, 198.

12, 38, 65, 96, 118,123, 145, 176, 198.

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 Annexure – D

Format for Advertisement in Newspaper

Notice for appointment of Regular / Rural Retail Outlet Dealerships

(Name of OMC) proposes to appoint Retail Outlet dealers in __________ (state), as per

following details:

Sl.No

Nameoflocation

RevenueDistrict

Typeof RO

EstimatedmonthlySalesPotential

Category Typeof

Site

MinimumDimension ofthe site (inMetres). *

Finance to be arrangedby the applicant

Mode of

Selection

Fixed Fee

/

Minimum

Bid

amount

Security

Deposit

1 2 3 4 5 6 7 8 9a 9b 10 11 12

Regular

/ Rural

MS+HSD

in Kls

SC

SC CC-1

SC CC-2

ST

ST CC-1

ST CC-2

OBC

OBC CC-1

OBC CC-2

OPEN

OPEN CC-1

OPEN CC-2

CC /

DC /

CL/

CFS

Frontag

e

Depth For

eligibility

Estimated

fund required

for

development

of

infrastructure

for RO

Draw of

Lots /

Bidding

* The site should either be Owned or on lease with applicant for minimum XX years or Applicant should have firm offer for the same.

The explanation of the columns in the table is given in the Brochure which also containsdetailed guidelines of selection procedure for dealership along with Application form andother relevant details. The Brochure is available at a cost of Rs. 100/- from the CompanyOffices at the addresses mentioned below. It is also hosted in the Company Website(www.bharatpetroleum.in /www.hindustanpetroleum.com /  www.iocl.com) and can bedownloaded free of cost.

 APPLICANTS, IN THEIR OWN INTEREST, SHOULD CAREFULLY GO THROUGH THE“ BROCHURE” AND UNDERSTAND CONDITIONS OF SELECTION BEFORESUBMITTING THEIR APPLICATION.

 Application for RO dealership along with enclosures complete in all respect with Non-refundable application fee {Rs.100/- in respect of Rural ROs (Rs.50/- for SC/ST categorylocations) and Rs. 1000/- in respect of Regular ROs.(Rs.500/- for SC/ST category locations}and Initial Down Payment (IDP) towards bidding amount (Rs. 50,000/- for Rural ROs and Rs.1,50,000/- for Regular ROs), if applicable, by separate Demand Drafts/Pay Orders drawn onany Scheduled Bank must be submitted so as to reach the office address mentioned belowby 1700 Hrs. on dd/mm/yyyy

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  Address 1 For locations mentioned in Sr. nos. _____ to _____ Address 2 For locations mentioned in Sr. nos. _____ to _____

Facility to submit application on-line is also provided in our Web site as mentioned above.Provision has also been given to upload copies of the relevant documents.

The prospective applicant can fill up the on-line application form. The facility for submission ofon-line application will be withdrawn immediately after the cut-off time and date as mentionedabove. Subsequently the applicant has to be submit the print out of application along withrelevant attachments so as to reach the concerned office as mentioned above by 1700 Hrs.on dd/mm/yyyy.

This is only a notice inviting application for allotment of RO dealership and not an offer of ROdealership.

The company reserves the right to cancel/withdraw/ amend this advertisement or extend the

due date at its sole discretion without assigning any reason.In case of any discrepancy in advertisement published in English News papers vis a visvernacular dailies, the direction/information indicated in English paper would prevail.Similarly, contents Brochure in English will be final and will prevail upon in case of anydispute.

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 Appendix - E

BROCHURE

FOR

SELECTION OF DEALERS FOR REGULAR & RURAL RETAIL OUTLETS

Note : Brochure is given as separate attachment after Page 142.

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 Annexure - F

REF NO : DATE :

Registered Post / Speed Post

The Directorate General of Resettlement,

Ministry of Defence,

West Block - IV,

Wing No.1, R.K.Puram,

New Delhi - 110 066

The Rajya Sainik Board,

 ____________________ ____________________

Dear Sir,

Sub : Retail Outlet Dealership Appointment

………Corporation has issued advertisement for appointment of Retail outlet dealership in thestate of …….... A copy of the advertisement giving details of the locations, etc. for whichcandidates can submit application under ‘CC1 Category’  i.e Defence personnel / Central &State Govt. employees / Central & State Govt. PSU employees is enclosed.

Copy of advertisement containing Location, District, Category, etc. and the brochurecontaining application form and other relevant details are also hosted in the company website(Name of the website).

You are requested to give wide publicity in your departments so that eligible candidates under

‘Defence’ category can apply against ‘CC1 Category’ . Last date for submission of application

is___________________.

Thanking you,

Yours faithfully,

for …….. Corporation Ltd

Divisional/Territory/Regional Manager

Copy to : State/Regional/Zonal Office

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 Annexure - G

Format of Letter to District Collector on OMC’s Letter Head

Registered Post / Speed Post

REF NO: 

DATE:

To,

The District Collector / Dist. Magistrate

Dist -

Dear Sir,

Subject : Retail Outlet Dealership Appointment

………Corporation has issued advertisement for appointment of Retail outlet dealership in thestate of …….... wherein ____ number of locations pertaining to _______ district are alsoincluded. A copy of the advertisement giving details of the locations, etc. for whichcandidates can submit application is enclosed.

Copy of advertisement containing Location, District, Category, etc. and the brochurecontaining application form and other relevant details are also hosted in the company website(Name of the website).

We shall be grateful if this advertisement is given wide publicity on a priority basis through the

concerned departments in the district. Last date for submission of application is

 ___________________.

Thanking you,

Yours faithfully,

for …….. Corporation Ltd

Divisional/Territory/Regional Manager

Copy to : State/Regional/Zonal Office

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 Annexure - H

Format for letter to be sent to Appli cants in case of

 App lication received after Cut-o ff Date and time

Registered Post / Speed Pos t

REF NO:  DATE:

To,

Dear Sir,

Sub : Application for RO dealership at ______ District______ Category __

We enclose herewith the envelope containing your Application for RO dealership at __________ with contents

unopened as the same has been received on ______ i.e. after cut-off date and time / after cut off date and timefor receipt of hard copy of on line application.

The same is being returned in line with the Terms and Conditions of the advertisement/brochure hosted in the

Company Website.

Or

We enclose herewith the envelope containing your Application for RO dealership at __________ with the contents

including the DD/PO no ____________for `____________ as the same has been received after cut-off date and

time.

The envelope had to be opened to note the sender’s address, as the same was not stated on the envelope.

The envelope along with the contents is being returned herewith in line with Terms and Conditions of the

advertisement/brochure hosted in the Company Website.

Or

We wish to inform that hard copy of your on-line application has not been received. Hence, your On-line

application for RO dealership at __________ is accordingly rejected in line with Terms and Conditions of the

advertisement/brochure hosted in the Company Website.

OrWe wish to inform you that your application has been received without Financial bid/with Financial bid in open

condition/”Financial bid” not superscribed on the envelop.

The envelope along with the contents is being returned herewith in line with Terms and Conditions of the

advertisement/brochure hosted in the Company Website.

Thanking you,

Yours faithfully,

for Indian Oil Corporation Ltd/ Bharat Petroleum Corporation Ltd /Hindustan Petroleum Corporation Ltd

Divisional/Territory/Regional Manager

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 Annexure I-1 

Format for Record of Applications Received for a particular location

Name of Divisional/ Territory/ Regional Office

Name of Location__________________________Sr. No. Of Location as per Advertisement _____________________Name of District __________________________ Category________________

1) Name of Newspaper ____________________________ Date_________2) Name of Newspaper ____________________________ Date_________

Last date of receipt of application: ____________________

DETAILS OF APPLICATIONS RECEIVED

S.No. Name ofapplicant

Date ofreceipt of

applicationform

 Applicationreceived intime / late

Forapplication

received late

For application received in time

Letter ref. &Date and

Receipt No& date of

Regd/Speed Postvide which

Original Application

returned

 ApplicationFormNo.

Givenby

 AOC *

Payment received towardsapplication fee

Payment received towardsIDP

Instrument No. &Date

 AmtRs.

CashReceiptNo.

Instrument No.& Date

 AmtRs.

CashReceiptNo.

* Application form No. should be assigned to each application received within cut off time and date. The Sr. No.will be defined as “A/B” wherein “A” will denote the Sr. No. of the location in the advertisement and “B” willdenote the sr. no. of applicant for the location as recorded above. This No. i.e. “A/B” will be clearly mentioned onthe Main envelop, Financial Bid envelop, if applicable, and on the application in the space provided on the firstpage.

Note : AOC should first complete the listing of applications received within cut off time and date and should list the

applications received after cut off time and date subsequently.

SIGNATURE

Name of Officer (AOC) Member 1 Member 2DesignationDATE:

COUNTER SIGNED BY:

NAME:

Designation: Divisional/Territory/Regional Manager  DATE:

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 Annexure I-2

Location w ise no of applications received wi thin due date along with name ofapplicants

(Also to be hosted on the web si te)

Date of advertisement :

Last date of submission of application :

Last date of submission of hard copy of online application :

List of applicants who have applied for RO dealerships within due date :

Sr. No. Name of location Revenue District Category Name of applicant

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 Annexure J

Format for Acknowledgement of Application ReceivedBy Hand Delivery

Ref: Date:

We acknowledge receipt of a sealed envelope super scribed ‘Application for RO dealership

for Location____________’ from Shri / Smt / Kum. ________________ by hand delivery on

 _________.

This acknowledgement is issued without verification of contents.

Signature:

For Divisional/Territory/Regional Manager

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 Annexure – K 

Format for Acknowledgement of Application for More Than One Application for OneLocation by Applicant

On Letter Head

Registered Post / Speed Post

Ref: Date:

Received ______ number of applications in response to the advertisement published in newspaper_________ dated_______ for RO Dealership at__________ under _____ category on

 ______, ______ … along with DD/PO no ______, ________ … dated ______, _______ …

for `._____/- (Rupees _____________only) each from Shri/Smt/Kum.___________________

son/wife/daughter of Shri_________________

Please note as per guidelines one applicant can submit only one application for one location.

Hence, only one eligible application would be considered for selection. The non-refundable

 Application fee submitted by you along with the other _____(specify number) applications is

forfeited in line with clause _____ of the Brochure.

Note : In case of locations invo lving bidding process the following para to be inserted:

In case you are selected, the total IDP amount submitted by you would be adjusted against

the bid amount payable before issuance of LOA.

In case your application is rejected or you are not selected, total IDP would be refunded

within 60 days of rejection or within 15 days of opening of bids, whichever is earlier.

Please note for all future reference your Application Serial No. is _____________________

Signature:

Designation:

(Head of Division/Region/Territory)

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 Annexure - L

Format for Scrutiny of Applications for RO Dealership

(to be used by ASC)

Name of Divisional/ Territory/ Regional Office :

Location: District: Category:

 Application form number (As given by AOC) :_______________________________

Name : Shri/Smt/Kumari _______________________________

Father’s/Husband’s Name ______________________________

ELIGIBILITY 

S.No

Particulars  App licab il it

y

Yes No

1 Non-refundable application fee received All

2 Requisite IDP received (For locations involving bidding process) “A” / “CC”ROs

3 Photograph pasted and signed All

4 Date of application mentioned in the application form All

5 Application signed All

6 In case of application under partnership, whether separate applicationform received from each partners and applications clubbed

Partnership

7 In case of application under partnership, whether draft partnershipdeed attached

Partnership

8 All stamp papers for affidavits purchased in the name of Deponent All

9 Notarized Affidavit as per Appendix IV (if applicable) for finance

attached – (Not required from corpus fund candidates)

 All except

CFS10 Affidavit as per Appendix VA (if applicable), for offer of land, attached All

11 Letter from advocate as per Appendix VB attached All

12 Eligibility certificate for the category ( for individual applicant /Partnership / Regd. Society) attached as applicable – SC/ST, OBC,CC1, CC2 – as per Appendix VI, VII A, VII B, VIII & IX.

 As perCategory

13 Notarized Affidavit as per Appendix X A ( for individual applicant)/ Appendix X B ( for non-individual applicant) – Check all clauses asper standard format are available

 All

14 Authorization / Resolution attached ( Applicable for non –individualapplicants)

 All Non-Individual

applicant15 Declaration by Applicant at the end is duly signed with name, date

and place All

16 All pages of application are numbered and signed by applicant/s All

17 Age as on date of affidavit - between 21 to 55 years (for individualapplicant) & 3 years from date of registration for entities. Proof of ageattached

 All exceptFF

18 Proof of educational qualification attached All Individualapplicant

19 Whether educational qualification is as per requirement & proofattached

 All Individualapplicant

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20 Residence Certificate of the District in case of Rural ROs attached Allindividualapplicants

21 Registered Co-operative society/Consumer Co-operative society

applying for Rural ROs should be registered in the district concernedfor applying for Rural ROs. (Copy of supporting documents attached)

Co-

operativeSocieties

22 Certificate of Chartered Accountant certifying that the concernedRegistered Society / Company has made profits during the previous 3financial years

Registered

Society /

Company

23 Applicant falls under Group 1 (Owned land)  All

24 Applicant falls under Group 2 (Firm offer)  All

25 Land documents attached  All

26 Availability of minimum liquid funds of 25 lakh for Regular RO & 12lakhs for Rural RO (Copy of supporting documents attached)

 All exceptCFS

27 Envelope of Financial bid available in sealed condition Locationsinvolvingbiddingprocess

Remarks : Following deficiencies have been observed during scrutiny:-

Rectifiable

a.

b.

c,

Non Rectifiable

a

b

c

CANDIDATE IS: ELIGIBLE / INELIGIBLE / ELIGIBLE SUBJECT TO RECTIFICATION OF

DEFICIENCIES

Signature with date Member - I Signature with date Member - II

Name & Designation Name & Designation

Signature with Name & Designation of Officer In- Charge 

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   Annexure - M

List of Applicants for RO Dealership : Group 1

(Also to be hosted on Web site)

(Applicants having suitable piece of land in the advertised location/area either by way of

ownership / long term lease for a period of minimum XX years as advertised by the Oil

Company)

Name of Divisional/ Territory / Regional / Area Office :

Location: District: Category:

Sr. No. Application Form No.Given by AOC

Name of applicant

Date:________________

Signature with date Member - I Signature with date Member - II

Name & Designation Name & Designation

Signature with date

Name & Designation of Head of Divisional/Territory/Regional Office

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   Annexure - N

List of Applicants for RO Dealership : Group 2

(Also to be hosted on Web site)

 Applicants having Firm Offer for a suitable piece of land for purchase or long term lease for a

period of minimum XX years as advertised by the Oil Company

Name of Divisional/ Territory / Regional / Area Office :

Location: District: Category:

Sr. No. Application Form No.Given by AOC

Name of applicant

Date:________________

Signature with date Member - I Signature with date Member - II

Name & Designation Name & Designation

Signature with dateName & Designation of Head of Divisional/Territory/Regional Office

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 Annexure – O1, O2 & O3

List of Applicants Found Ineligible for RO Dealership

(Based on non-rectifiable deficiencies)

Name of Divisional/ Territory/ Regional Office :

Name of Location__________________________ Category________________

Name of District __________________________

S.NO. NAME OF APPLICANT

 APPLICATIONFORM NO. GIVEN

BY AOC

REASONS WHY APPLICANTIS NOT FOUND ELIGIBLE

Date:________________

Signature with date Member - I Signature with date Member - II

Name & Designation Name & Designation

Signature with date

Name & Designation of Head of Divisional/Territory/Regional Office

One or more of the following can be the reasons for candidate not being found eligiblefor the advertised RO Dealership Location

a. Age on the date of affidavit is less than 21 completed years or more than 55 years.b. Does not belong to the category for which the subject dealership is reserved.c. Does not have the required educational qualification.d. Not an Indian Citizene. Not a Resident of India.f. Does not have - suitable land or land in the advertised location

g. Does not have minimum funds of 25 lakh for Regular RO & 12 lakhs for Rural RO(except for Corpus Fund Category dealerships).h. Has not responded/provided necessary documents/instruments for rectifiable

defects intimated as per Annexure R.i. The same land offered in multiple applications.

The above is indicative and not exhaustive.

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   Annexure – P

List of Appl icants Found Ineligible Due to Deficiencies for Selection o f RO Dealership

(Based on rectifiable deficiencies)

Name of Divisional/ Territory/ Regional Office :

Name of Location__________________________ Category________________

Name of District __________________________

S.NO. NAME OF APPLICANT

 APPLICATIONFORM NO. GIVENBY AOC

RECTIFIABLEDEFICIENCY/IES OBSERVED

Date___________________

Signature with date Member - I Signature with date Member - II

Name & Designation Name & Designation

Signature with date

Name & Designation of Head of Divisional/Territory/Regional Office

Deficiencies may be any of the following (This lis t is not exhaustive)

a. Photograph not pasted on the application.b. Application not signed at the end after declaration.c. Application fee / IDP as applicable not enclosed.d. Enclosed application fee / IDP less than required amount.e. Enclosed defective instrument (DD/PO) towards application fee / IDPf. Not stated any particular clause in the affidavit or affidavit not as per format.

g. Letter of consent from other co-owners of land not attached as Affidavit as per format

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 Annexure – Q1, Q2 & Q3

List of Appl icants Found Eligible forSelection o f RO Dealership

Name of Divisional/ Territory/ Regional Office:

Name of Location__________________________ Category________________

Name of District __________________________

S.NO. NAME OF APPLICANT APPLICATION FORM NO.GIVEN BY AOC

Date________________

Signature with date Member - I Signature with date Member - II

Name & Designation Name & Designation

Signature with date

Name & Designation of Head of Divisional/Territory/Regional Office

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 Annex ure – R

Format of Letter to Applicants found ineligible based on rectifiable deficiencies(Applicants as per Annexure – P)

(On the Letterhead o f OMC)

Registered Post / Speed PostRef: No. Date:

To, ___________

Subject: Applic ation for award of RO Dealership at __________ District_________under_________ category Advert ised on ___________

Dear Sir,

Please refer to your application (serial number___________) on the subject.

You are requested to submit the following details / documents to our office at above-mentionedaddress.1. ______________2. ______________In case you do not comply with the above by close of work on ________(date), your application will betreated as ineligible.

Thanking you.

Yours faithfullyFor ( Name of OMC)

(Signature & Name with designation of Divisional / Territory/ Regional Manager)

 App licants shou ld be asked to submit the fo llowing in case they are missing / incomplete /not as per fo rmat. (This lis t is no t exhaustive)

a. Photograph not pasted on the application. Please come in person with photo identity card issuedby any Government agency and bring a passport size photograph for affixing on the application.

b. Application not signed at the end after declaration. Please come in person with photo identity cardissued by any Government agency to sign your application as required.

c. You have not enclosed application fee / IDP of `_______. You are requested to send DemandDraft in favour of “ “ for the amount of `______ towards the applicationfee / IDP.

d. You have enclosed application fee / IDP of `_______ which is less than required application fee /

IDP of `_____. You are requested to give an additional Demand Draft for balance amount of`______ towards the balance application fee / IDP.e. You have enclosed defective instrument (DD/PO) towards application fee / IDP of `____. You are

requested to replace the defective instrument (DD/PO) with a correct one towards the applicationfee / IDP.

f. You have not stated ________________ as required in the affidavit. You are requested to submit afresh affidavit as per the format enclosed.

g. Letter of consent from family members for Finance not attached as Affidavit as per format in

 Append ix IV.

h. Letter of consent from other co-owners of land not attached as Affidavit as per format in Append ix

V  A.

i. Letter of confirmation from advocate as per format in Appendix V B.

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 Annexure – S

Letter for int imation of visit by Land Evaluation Committee (LEC)

On Letter Head of Divisional/Territory/Regional Office

Registered Post / Speed Post

Ref: No.DATE

To, ___________ ___________

Subject: Application for award of RO dealership at __________District_________ under_________ category Advertised on

 ___________

Please refer your application for award of above-mentioned RO dealership.

This is to inform you that our Land Evaluation Committee (LEC) will visit the site offered byyou at the subject location for its inspection.

You are requested to be present personally along with photo identity card issued by any

government department, at your site on ____________ along with relevant land documents.

In case you are unable to be present personally, you may depute your authorized

representative along with his/her ID proof and authorization letter (with the authorized

representative’s signature attested by you) and a copy of your identity card.

Please note:

1. You or your representative’s failure to report at the site on said date may result in

rejection of your candidature.

2. The Oil Company will not reimburse any expenses incurred by you for attending the

site inspection.

3. Request for change in date and time of site inspection will not be entertained.

Thanking you,

Yours faithfully

for ( Name of OMC)

Signature & Name with DesignationOfficer-in- Charge.

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 Annexure – T1

Format for Land Evaluation by LEC

Retail Outlet Site Evaluation Parameters

LocationSr. No District :Category: State :

7 Land Details :

Name of Applicant

Sl.No. Evaluation Parameter Yes No

1 Land in advertised area / stretch

2 Land dimension minimum as per advertisement

3 Meets NHAI norms*4 Land has no HT line (>11 KVA) crossing.

Lay out / site map to the scale of land attached (specific land mark with dimension of the sitegiven) – Yes / NoWhether land offered by any other applicant – Yes / No

Land found suitable – Yes / No

Detail reasons for non suitability of land :-

a.

b.

c.

LEC to verify layout of the plot with the layout drawing submitted by the applicant. Anydeviations to be highlighted.

Member 1 Member 2 Member 3(In case of NH)

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 Annexure – T2

Layout Sketch of land o ffered by the applicant

Location

Sr. No District :Category: State :

7 Land Details:

Name of Applicant

Site Address (As mentioned in the application form):

Landmark details (distance from nearest Km stone or any other permanent landmark /structure nearest to the starting point of the site)

Layout Sketch of land offered by the candidate with approximate dimensions (All dimensions

to be mentioned in Meters.)

I hereby confirm that the above mentioned details of the plot offered by me are correct andsite has been inspected by the Company Officials as mentioned below. I also understand

that in case any of the details mentioned above are found incorrect or the site is foundunsuitable by the Corporation for any reason whatsoever then I would have no claim on thedealership of this location.

Date : Name & Signature of the applicant / Representative of applicant

Member 1 Member 2 Member 3 Member 3

(In case of NH)

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 Annexure – U 

Final List of Applicants Found Ineligible

(Also to be hosted on Web site)

Name of Divisional/ Territory/ Regional Office:

Name of Location__________________________ Category________________

Name of District __________________________

S.NO. NAME OF APPLICANT

 APPLICATIONFORM NO. GIVEN

BY AOC

REASONS WHY APPLICANTIS NOT FOUND ELIGIBLE

Date_________

Signature

Name

Head of Divisional/Territory/Regional Office

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 Annexure – V 1

Final List of Applicants Found Eligible for Draw of lots / Bidding process

for Selection of RO Dealership

(Also to be hosted on Web site)

Name of Divisional/ Territory/ Regional Office:

Name of Location__________________________ Category________________

Name of District __________________________

S.NO. NAME OF APPLICANT APPLICATION FORM NO.

GIVEN BY AOC

Date_________

Signature

Name

Head of Divisional/Territory/Regional Office

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 Annexure – V 2

List of eligible applicants for Draw of lot / Opening of Bid

for Selection of RO Dealership

(To be hosted on Web site)

Name of Divisional/ Territory/ Regional Office:

Date_________

Signature

Name

Head of Divisional/Territory/Regional Office

Sr.No.

Name oflocation

RevenueDistrict

Category Name ofeligible

applicants

 App li cat ionform No.

Date ofDraw of

Lot/Openingof Bid

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 Annexure -W

Format of Letter to Applicants found ineligible

as per Annexure – U (Applicants appearing in List O1, O2 & O3)

(On the Letterhead of OMC) 

Registered Post / Speed Post 

Ref: No. Date:

To, ___________

Subject: Application for award of RO Dealership at __________District_________ under_________ category Advertised on

 ___________

Dear Sir,

1. Please refer to your application received by us as Application form No. ___________ onthe subject.

OR

Please refer to our letter ref. ________dated ___________and clarification/documentssubmitted by you vide letter dated ___________on the subject / no response receivedfrom you.

2. We regret to inform you that your candidature has not been found to be eligible for RODealership as __________________________ (specific deficiency/reason to bementioned).

3. In case you have any grievance against the rejection of your candidature as mentionedabove, you may make your representation within 10 days from the date of this letter.

Thanking you,

Yours faithfullyFor (Name of OMC)

(Signature & Name with designation of Divisional / Territory/ Regional Manager)

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 Annexure – X

Call Letter for Draw of Lot / Opening of bid for Selection of RO dealership

On Letter Head of Divisional/Territory/Regional Office

Registered Post / Speed Post

Ref: No. DATE

To, ___________ ___________

Subject: Application for award of RO dealership at __________

District_________ under_________ category Advertised on ___________

Please refer your application received by us as Application form No. ___________ for awardof above-mentioned RO dealership.

We are pleased to inform you that you have qualified for draw of lot / bidding process forselection of RO dealership. You are requested to be present personally along with photoidentity card issued by any government department, at _________ am/pm on ____________at the following address:

 _____________________________

 _____________________________

 _____________________________

* Note for candidates applying under CC1 (Def) category :   Please bring the original

eligibility certificate issued by DGR if not submitted along with the application. Kindly note that

the applicants not in a position to provide this certificate will not be eligible for the draw of lots

/ bidding process.

Please note:

1. The Oil Company will not reimburse any expenses incurred by you for attending the

Draw of lots / bidding process.

2. Request for change in date and time of draw of lots / bidding will not be entertained.

3. Request for authorizing and/or sending representative for the draw of lots / biddingprocess will not be entertained.

Yours faithfully

for ( Name of OMC)Signature & Name with DesignationOfficer-in- Charge.

* To be used in case of Defence (CC1) category

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 Annexure - Y

Format of Letter to Applicants under Group 2

as per Annexure – N

 Applicants having Firm Offer for a suitable piece of land for purchase or long term lease for a

period of minimum XX years as advertised by the Oil Company.

Their application may be processed further for draw only if no candidate gets selected from

group 1.(On the Letterhead of OMC) 

REF NO: DATE:

To

Dear Sir,

Sub : Application for award of RO Dealership at __________District_________ under_________ category

We write with reference to your application for award of RO Dealership at _______________

District _______________ under _____________ category.

 As per Clause ___ of Brochure for Selection of Retail Outlet, the land offered by you for

construction of Retail Outlet at the above mentioned location falls under Group 2 i.e.

 Applicants having Firm Offer for a suitable piece of land for purchase or long term lease for a

period of minimum XX years as advertised by the Oil Company.

Further, as per Clause _____ of Brochure for Selection of Retail Outlet, Priority will be givento applicants under Group 1 i.e. Applicants having suitable piece of land in the advertisedlocation/area either by way of ownership / long term lease including in all reserved categories.

Please note that as per Terms and Conditions mentioned in the Brochure for Selection ofRetail Outlet, Draw of lots will be held first amongst the eligible applicants with land falling inGroup – 1 for the above location.

Draw of lots for eligible applicants of Group – 2, including you, will be held only if applicants in

Group – 1 have been disqualified or withdrawn.

This is merely a letter of intimation and should not to be construed as an offer of dealership to

you.

Yours faithfully,

for Indian Oil Corporation Ltd/ Bharat Petroleum Corporation Ltd /Hindustan Petroleum

Corporation Ltd

Divisional/Territory/Regional/Area Manager

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 Annexure – Z

 Attendance Sheet of Elig ible Applicants Present At the Draw of lots / Opening of bidsfor Selection of RO dealership

Name of Divisional/ Territory/ Regional Office:

Date of Draw / Opening of Bid:

Place:

Name of Location__________________________ Name of District ____________________

Sr. No. of Location in advertisement: __________ Category________________

S.NO. NAME OF

 APPLICANT

 APPLICATION

FORM NO.

SIGNATURE OF THE

 APPLICANT

Signature of Officer- (I) Signature of Officer- (II)Name & designation Name & designation 

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  Annexure - AA

Format for Paper Token

1 `qq2

‘Paper Token” after pasting should be dropped in thebox

Name of location:

 Application Form. No.

Name of applicant

Signature of Officer- (I) Signature of Officer- (II)Name & designation Name & designation

Self adhesive part

Self adhesive part

Name of location:

 Application Form. No.

Name of applicant

Signature of Officer- (I) Signature of Officer- (II)Name & designation Name & designation

First fold

Self adhesive part

Second fold

Self adhesive partPaste the adhesive part

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 Annexure - AB

Specimen of Letter for Inviting Guest

Registered Post / Speed Post

Ref: No.DATE

To, ___________

 ___________

Dear Sir,

You may be aware that the Government of India has approved the policy of selection Retail

outlet dealership through a very transparent process that involves a draw of lots / opening of

bids for selection of the RO dealership in the presence of distinguished guests and qualified

applicants apart from Company officials.

We shall be much honoured with your presence for the draw to be held at _________ am/pm

on ____________ at the following address:

 _____________________________ _____________________________ _____________________________ 

Looking forward to your gracious presence at the draw of lots / opening of bids.

Thanking you,

Yours faithfully

for (Name of OMC)

(Signature & Name with Designation)Officer-in- Charge

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 Annexure - AC

Call Letter for Draw of lots / bidding process for Selection of RO dealership (second occasion)

On Letter Head of Area/Territory/Regional Office

Registered Post / Speed Post

Ref: No.DATE

To, ___________

 ___________

Subject: Application for award of RO dealership at __________Distr ict_________ under_________ category Adver tised on ___________

Please refer your application (serial number__________) for award of above-mentioned RO dealershipand our letter inviting you to be present personally for the draw of lots / bidding process proposed to beheld on _____ (date) at the venue__________ at___( time) am/pm.

The draw of lots / bidding process could not be held on the said time/date as the required quorum wasnot present.

Hence, it has been decided to conduct the draw of lots / bidding process on . You arerequested to be present personally along with photo identity card issued by any governmentdepartment at _________ am/pm on ____________ at the following address:

 _____________________________

 _____________________________

 _____________________________

Please note:

1. The Oil Company will not reimburse any expenses incurred by you for attending the Draw of

lots / bidding process.

2. Request for change in date and time of draw of lots / bidding process will not be entertained.

3. Request for authorizing and/or sending representative for the draw of lots / bidding process will

not be entertained.

4. In case the required quorum is not present on the revised date of draw of lots / bidding

process, then we shall proceed with the draw with the available quorum and in the presence of

the invited guest.

Thanking you,

Yours faithfully

for ( Name of OMC)

Signature & Name with DesignationOfficer-in- Charge.

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 Annexure – AD 1

Format for Recording Proceeding of the Draw of lotsfor Selection of RO dealership

Date :

Place:

Name of Location__________________________ Category_________________

Name of District __________________________

1. Applicants who have qualified were informed about the ‘draw of lots’ vide letter

dated________.

2. List of applicants qualified for draw of lots is attached. (Attach list as per Annexure –

V1)

3.  _____________ number of applicants who have qualified for the draw of lots were

present at the time of draw. List is attached. (Attach Attendance record as per

 Annexure-Z)

4. The two company officials nominated for conducting the draw of lots are

 ___________(names with designations)

5. The paper token was picked by the invited guest ___________(Name and

designation)

6. The other VIPs present were ___________(Names and designations)

7. Shri / Smt / Kum _______________(Name) son/daughter/wife of _________ with

application Serial no. ____________was declared as selected candidate.

8. Video recording carried out by (Agency name)

9. Remarks, if any :

We confirm that the draw was held as per the guidelines and the details stated above are

correct.

Signature of Officer- (I) Signature of Officer- (II)Name & designation Name & designation

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  Annexure – AD2

Format for Recording Proceeding of the bidding processfor Selection of RO dealership

Date :

Place:

Name of Location__________________________ Category_________________

Name of District __________________________ Min. Bid amount : Rs:

1. Applicants who have qualified were informed about the bidding process vide letter

dated________.

2. List of applicants qualified for bidding process is attached. (Attach list as per Annexure

 –V1)

3.  _____________ number of applicants who have qualified for the bidding process

were present at the time of draw. List is attached. (Attach Attendance record as per

 Annexure-Z)

4. The two company officials nominated for conducting the bidding process are

 ___________(names with designations)

5. The VIP/s present were ___________(Names and designations)

6. Details of Financial Bids opened are given below:-

Sr. No. Name of the applicant Sr. No. oftheapplication

Bidding Amount(Rs.)

Ranking ofBid

7. Shri / Smt / Kum _______________(Name) son/daughter/wife of _________ with

application Serial no. ____________ has submitted the highest bid of Rs. _________

and is declared as selected candidate.

8. Video recording carried out by (Agency name)

9. Remarks, if any :

We confirm that the bidding process was held as per the guidelines and the details stated

above are correct.

Signature of Officer- (I) Signature of Officer- (II)

Name & designation Name & designation

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 Annexure – AE1

Format for Declaration of Results

(After Draw of Lots / Opening o f Bids / In case of single eligible candidate)(strike off whatever is not applicable)

On the Notice Board and Web site

Name of the OMC

(Address)

Name of Divisional / Territory / Regional Office:

SUB : DECLARATION OF RESULT (FOR RETAIL OUTLET DEALERSHIP)

Name of Location__________________________ Category________________

Name of District __________________________

Draw of lots / opening of bids for selection of Retail Outlet dealership for the above location

was held on _____ (date) at the venue__________ at___( time) am/pm.

OR

Draw of lots / opening of bids for selection of RO dealership for the above location is not

required to be held as there is only one eligible qualified candidate as per details below:

(Strike off whichever is not applicable)

The following applicant is declared as selected:

* In case of bidding process, if the bid amount quoted by all the applicants/lone applicant isfound to be less than minimum bidding amount then it will be declared as “No candidate

found suitable”.

* In case there is no eligible candidate for the above location then the result will be declared

as “No candidate found suitable”.

Date_________

Signature :

Name:

Head of Divisional / Territory / Regional Office/Officer In-charge of the draw:

S.NO. NAME OF APPLICANT APPLICATION FORM NO.

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 Annexure – AE2To be sent by Regd AD / Speed Post

Format for intimation of results to the selected candidate after Draw of Lots / Openingof Bids (strike off whatever is not applicable)

Name of the OMC

(Address)

Name of Divisional / Territory / Regional Office:

Dear Sir / Madam,

SUB : RESULT OF DRAW OF LOTS / OPENING OF BIDS (FOR RETAIL OUTLET

DEALERSHIP)

Name of Location__________________________ Category________________

Name of District __________________________

We are pleased to inform you that based on Draw of lots / opening of bids for selection of

Retail Outlet dealership for the above location held on _____ (date) at the

venue__________ at___( time) am/pm you have been declared as selected.

This is only a preliminary intimation towards your selection for Retail Outlet dealership.

However, the award of the dealership is subject to compliance of terms and conditions of the

Corporation in this regard.

Date_________

Signature :

Name:

Head of Divisional / Territory / Regional Office/Officer In-charge of the draw:

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 Annexure – AF

Format for Field Verification of Credentialsfor RO dealership

1) Name of Location__________ District _______ State __________ Category______2) Date of advertisement__________________3) Full name of the Individual selected Applicant ________ son/daughter/wife of

 ______________4) Application Form No. ______________________________________________5) Name of Spouse of selected candidate_______________ son /wife of___

 _________________6) Residential Address _______________________________________________(with

reference to valid address proof like Voter ID Card, Ration Card, Passport, Aadhar Card,etc.)

7) The information/statements made in application by the selected candidate against eachitem has been verified as under: -

ItemNo

Particulars to be verified Documents to be verified Documentsprovided by theapplicant Yes/No.

Information givenin the applicationis verified withoriginal documentand foundcorrect/incorrect-Remark

 A B C D E

1 Category (except foropen)

Certificate issued by thecompetent authority

2 Status of applicant Whether application is forIndividual / Non individualapplicant

3 Date of Birth Proof of age should be

supported by copy of 10thStandard Board Certificate /10

th  Std. School Leaving

Certificate/ Birth Certificate /Passport / Affidavit for age /Identity card issued byElection Commission

4 Marital Status Notarized Affidavit as performat Appendix-XA/Marriage Certificate (ifavailable)

5 Educational Qualification Original certificate ofqualification

PastePhotograph ofthe selectedcandidate.Verifysignature andidentity

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8 C Investments inBond/MutualFunds/listed shares ason the date of affidavit.(60% of value as

assessed by CA orDepository participant tobe taken).

Value on the date ofapplication/ submission ascertified by the concernedfinancial institution/ certifiedby Chartered

 Accountant/DepositoryParticipant.

Clause 10 of AppendixX/XIA/XIB and Appendix IVas applicable to be checked.

Total Fund availability(8A+8B+8C) as closingbalance as on cut offdate of submission ofapplication.Note : The minimum fundsrequired for eligibilityshould be available asclosing balance on the

cut-off date for submissionof application.

The information given in the application has been verified and the comments as applicableare given above.

In case any other information given in the application is found to be in variance from yourfindings, please give particulars

 Any Other remarks:

Committee Member –I Committee Member –II

Signature with Name & Designation  Signature with  Name & Designation

 

Note:

1. During the field investigation, the committee should verify the supporting documentsof each and every item mentioned in the application by the selected candidate. Thecommittee should verify the documents with the originals / information given alongwith the application and endorse the copies submitted along with the application /attached copies of the original documents, stating that “verified with original andfound correct.” In case selected candidate is unable to produce supporting documentsfor the information given in the application, it should be brought out clearly in column‘E’ / FVC Report.

2. In case any discrepancy/inconsistency or complaint, further probe should be donewhich may include verification of authenticity of the documents / claim of applicantfrom competent authority/agency.

3. The Committee should sign all the pages of the FVC report including the supportingdocuments taken from the candidates.

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  Annexure – AG1

LOI GENERAL : CATEGORY “ A” SITE ROS

On OMC letter head

Ref : Date :

To

Shri/Smt _______________________ ___________________________ ___________________________

Dear Sir/Madam,

Sub : Proposed MS/HSD Retail Outlet Dealership at Location : ……………….,District…………..State…………….. Category : ….

We refer to our advertisement dated …………….. and your application form No. …………..for the award of MS/HSD Retail Outlet dealership at the above location and the subsequentdraw of lot / Bidding held at …………………… (Location where Draw of Lot / Bid openingheld) on ……………….(Date).

Please be informed that by this Letter of Intent, we propose to offer you a Retail outletdealership of …………………………… (OMC Name) at the above location on the following

terms & conditions:-

1. You have offered a suitable piece of land admeasuring …meters approx.(frontage) X….mtrs (depth) at survey no. …as indicated by you in the application for the developmentof the subject Retail Outlet. You have to make available this land within 2 months from thedate of this letter failing which this offer is liable to be withdrawn. (For Group 1)

OR

You have offered to arrange a suitable piece of land admeasuring …metersapprox.(frontage) X ….mtrs (depth) at survey no. …as indicated by you in the applicationfor the development of the subject Retail Outlet. You have to make available this landwithin 4 months from the date of this letter failing which this offer is liable to be withdrawn.(For Group 2).

2. As and when advised by the Corporation, the site offered by you should be dulydeveloped up to the road level by cutting/filling (as applicable), with good earth/murrum,layer-wise compacted as per standard engineering practices. You shall also constructnecessary retaining wall and compound wall of 1.5 meters height, designed as per siteconditions as per approval of Corporation as committed under Clause 12 (e) of affidavitsubmitted by you along with application. Subsequently, the land would be required to betransferred on lease for a minimum period of XX years with renewable option at rentalsmutually agreed upon / sold to …………… (OMC name ). Kindly note that in case the siteas offered by you for leasing/sale to ..................(OMC NAME) for putting up the Retail

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Outlet is not made available for lease/purchase as per the advice of the Corporation, thisLetter Of Intent will be withdrawn without any further notice. However, there is nocommitment from …………… (OMC name ), for taking the said land from you.

3. ..................(OMC NAME) will develop the retail out let at the above location …………onthe said site to be taken on lease by ..................(OMC NAME) with appropriate structures,storage tanks and pumps.

 Additional facilities (site specific) may also be developed by ..................(OMC NAME) onits sole discretion such as Canopy, Service Station or any other facility as may be decidedby ..................(OMC NAME) from time to time.

4. For the facilities that may be provided by the Corporation as aforesaid, we will recoverfrom you license fee as may be decided by the Corporation and applicable to you fromtime to time. At present, the license fee recoverable is Rs.48 / -KL for MS and Rs.41 / -KLfor HSD.

5. The corporation will not be held liable for any loss or damage on account of delay thatmay be caused in providing you the facilities mentioned above, whatever may be thecause of the failure or delay.

6. You will provide at the retail outlet other mandatory facilities like _______ (to be specifiedby the OMC).

7. You will ensure all financial and other arrangements for operating the retail outletdealership.

In case it is found that the funds stated in the application for the purpose of setting up andoperation of the dealership are not made available as and when required, this LOI can bewithdrawn and you will have no claim/damages whatsoever against the Oil company.

8. You shall not induct any partner(s) in case of individual (s) nor make any changes in theconstitution of the partners as existing at the time of application, except your spouse asper terms and conditions of the OMC (Name), and shall give an undertaking to this effect.

9. It will always be a basic condition for the award of MS / HSD retail outlet dealership thatyou shall be paying attention towards day to day working of the dealership by personallymanaging the affairs of the dealership you will give us a written undertaking to this effectand shall not assign or part with the same to any other person (s).

You will not be eligible for taking up any employment. If you are already employed you willhave to resign from the employment and produce the letter of acceptance of resignationby the employer before the issuance of Letter of Appointment by the Oil Company.

10. As agreed, you will be initiating necessary action towards enabling registration of sitewhere the Retail Outlet is planned. You will also assist us in getting the requisite NOCfrom appropriate Authorities.

11. You will deposit with us a Demand Draft for Rs ……….drawn on any scheduled bank infavour of ..................(OMC NAME) payable at …………. towards security Deposit at thetime of issuance of appointment letter after compliance of all the requirements of LOI.Kindly note that the Security deposit will not carry any interest and is refundable at the

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time of expiry of agreement between you and the Corporation. However, if such expiry ofagreement is consequent to proven adulteration/malpractice at the dealership, thisamount will be forfeited. Moreover, this Corporation reserves its right to adjust this amounttowards any dues to it.

12. You will also remit the balance amount of Rs. ……………. towards Non-refundable Bidamount, after setting off IDP amount, by way of a Demand Draft for Rs ……….drawn onany scheduled bank in favour of ..................(OMC NAME) payable at …………. Within 15days of receipt of NOC.

13. You will be notified by the corporation, in writing, after the facilities mentioned above aremade available and are ready for commissioning the dealership. Immediately on receipt ofthe above notice from the corporation, you shall obtain each and every license necessaryfor operating your dealership as may be required under any central / state govt. /municipal or local authorities for the time being in force.

14. If we find that the progress made by you towards the above is not to our satisfaction, thisoffer is liable to be withdrawn.

15. Please note that you are required to fulfill the conditions with regard to inducting Spouseas Co-owner in the dealership before issuance of Letter of Appointment.

16. This letter of intent will stand automatically withdrawn and cancelled on the happening ofany of the following events:-

a) In case you or your close relatives like spouse, unmarried son(s) and unmarrieddaughter(s) receive anytime or have received a letter of intent for any otherdealership or distributorship from our company or any other oil company either inyour individual capacity or in partnership with any other individual(s).

b) If it is found that you have suppressed and / or misrepresented any material factsin your application.

c) In case you are found to be convicted for any criminal / economic offence involvingmoral turpitude.

d) In the event of death if you are an individual/partner.

17. In case you are not able to provide the land / develop facilities within the specified time orfail to fulfill the terms & conditions of LOI, then LOI can be withdrawn. In such situationsIDP would be forfeited.

The IDP would also be forfeited if you are unable to submit the total bidding amount withinthe stipulated time or withdraw for any reason, your selection would be treated ascancelled and LOI withdrawn.

18. This letter is merely a letter of intent and is not to be construed as a ‘firm offer’ ofdealership to you. The dealership will be allotted to you on your complying with the termsand conditions spelt out herein above by issuance of appointment letter along with signingof our standard dealership agreement between you and us.

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Should you require any further details / guidelines, please get in touch with our office at theaddress mentioned below :

……………….

……………….……………….

Please acknowledge receipt of this letter.

Thanking you,

Yours faithfully

For ..................(OMC NAME)DULY CONSTITUTED ATTORNEY

 AKNOWLEGEMENT

I hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Ihereby further confirm that I / My family members do not hold RO dealership/SKO-LDODealership/LPG distributorship and have not received any letter of Intent for any otherDealership/distributorship of any Oil Company or in partnership with any other individual. Ihereby also undertake not to accept any other Letter of Intent. (for Individual applicant)

OR

We hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Wehereby further confirm that :-

1. Any of the Director or his family members (family as defined in the case of multipledealership norms for individuals).

2. Holding company or Subsidiary Company.3. Any other company or Firm where share holders (put together) of the applicant

company have controlling stake i.e. 51% or more.

do not hold RO dealership/SKO-LDO Dealership/LPG distributorship and have not receivedany letter of Intent for any other Dealership/distributorship of any Oil Company. We alsoundertake not to accept any other Letter of Intent. (For Non-Individual applicant – Other thanRegistered Societies)

OR

We hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Wehereby further confirm that any of the Member of the Governing Body/Managing Body/Anysuch other Body or his family members (family as defined in the case of multiple dealershipnorms for individuals) do not hold RO dealership/SKO-LDO Dealership/LPG distributorshipand have not received any letter of Intent for any other Dealership/distributorship of any OilCompany. We also undertake not to accept any other Letter of Intent. (For Non-Individualapplicant – Registered Societies)Place : Signature :Date : Name :

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 Annexure – AG2

LOI GENERAL : CATEGORY “ B” TYPE ROS

On OMC letter head

Ref : Date :

To

Shri _______________________

 ___________________________

 ___________________________

Dear Sir,

Sub : Proposed MS/HSD Retail Outlet Dealership at Location : ……………….,

District…………..State……………..- Category : ….

We refer to our advertisement dated …………….. and your application form No. …………..for the award of MS/HSD Retail Outlet dealership at the above location and the subsequentdraw of lot held at …………………… (Location where Draw of Lot held) on……………….(Date).

Please be informed that by this Letter of Intent, we propose to offer you a Retail outlet

dealership of …………………………… (OMC Name) at the above location on the followingterms & conditions:-

1. You have offered a suitable piece of land admeasuring …meters approx.(frontage) X….mtrs (depth) at survey no. …as indicated by you in the application for the developmentof the subject Retail Outlet. You have to make available this land within 2 months from thedate of this letter failing which this offer is liable to be withdrawn. (For Group 1)

OR

You have offered to arrange a suitable piece of land admeasuring …metersapprox.(frontage) X ….mtrs (depth) at survey no. …as indicated by you in the application

for the development of the subject Retail Outlet. You have to make available this landwithin 4 months from the date of this letter failing which this offer is liable to be withdrawn.(For Group 2).

2. For making the land available as required above, you will ensure that the land arrangedby you is either registered in your name or it should be leased to you for a minimumperiod of XX years

3. As and when advised by the Corporation, the site offered by you would be duly developedup to the road level by cutting/filling (as applicable), with good earth/murrum, layer-wisecompacted as per standard engineering practices. You shall also construct necessaryretaining wall and compound wall of 1.5 meters height, designed as per site conditions as

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per approval of Corporation as committed under Clause 12 (e) of affidavit submitted byyou along with application. Kindly note that in case the site as offered by you for puttingup the Retail Outlet is not developed as per the advice of the Corporation, this Letter OfIntent will be withdrawn without any further notice.

4. You will provide at the retail outlet infrastructural facilities like Driveway, Sales Office,Show room, Store, Toilet, Generator, Compressor, with room, electrical connection up tothe sales building, Yard lighting, water connection / bore well and staff room asmentioned in the Brochure and after obtaining necessary clearances/approvals/licencesas applicable in each case.

5. In addition, you will also provide the following basic facilities at your cost at the RetailOutlet premises:-

a. Clean drinking water.b. Free Air.

c. Clean toilet.d. Telephone.e. First aid kit with valid medicines.f. Adequate illumination.g. PUC facilities, wherever it is mandatory.h. Other facilities as may be specified by the Corporation from time to time.

6. Additional facilities (site specific) like Canopy, Service Station or any other facility as maybe decided by ..................(OMC NAME) from time to time would also be required to bedeveloped by you.

7. ..................(OMC NAME) will provide storage tanks and pumps and other facilities

considered necessary at the Retail Outlets.

8. For the facilities that may be provided by the Corporation as aforesaid, we will recoverfrom you license fee as may be decided by the Corporation and applicable to you fromtime to time. At present, the license fee recoverable is Rs. 18/- KL for MS and Rs. 16/- KLfor HSD.

9. The corporation will not be held liable for any loss or damage on account of delay thatmay be caused in providing you the facilities mentioned above whatever may be thecause of the failure or delay.

10. You will ensure all financial and other arrangements for operating the retail outlet

dealership.

In case it is found that the funds stated in the application for the purpose of setting up andoperation of the dealership are not made available as and when required, this LOI can bewithdrawn and you will have no claim/damages whatsoever against the Oil company.

11. You shall not induct any partner(s) in case of individual (s) nor make any changes in theconstitution of the partners as existing at the time of application, except your spouse asper terms and conditions of the OMC (Name), and shall give an undertaking to this effect.

12. It will always be a basic condition for the award of MS / HSD retail outlet dealership thatyou shall be paying attention towards day to day working of the dealership by personally

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managing the affairs of the dealership you will give us a written undertaking to this effectand shall not assign or part with the same to any other person (s).

You will not be eligible for taking up any employment. If you are already employed you will

have to resign from the employment and produce the letter of acceptance of resignationby the employer before the issuance of Letter of Appointment by the Oil Company.

13. You will deposit with us a Demand Draft for Rs ……….drawn on any scheduled bank infavour of ..................(OMC NAME) payable at …………. towards security Deposit at thetime of issuance of appointment letter after compliance of all the requirements of LOI.Kindly note that the Security deposit will not carry any interest and is refundable at thetime of expiry of agreement between you and the Corporation. However, if such expiry ofagreement is consequent to proven adulteration/malpractice at the dealership, thisamount will be forfeited. Moreover, this Corporation reserves its right to adjust this amounttowards any dues to it.

14. You will also remit Rs. ……………. towards Non-refundable Fixed fee by way of aDemand Draft for Rs ……….drawn on any scheduled bank in favour of ..................(OMCNAME) payable at …………. Within 15 days of receipt of NOC.

15. You will be notified by the corporation, in writing, after the facilities mentioned above aremade available and are ready for commissioning the dealership. Immediately on receipt ofthe above notice from the corporation, you shall obtain each and every license necessaryfor operating your dealership as may be required under any central / state govt. /municipal or local authorities for the time being in force.

16. If we find that the progress made by you towards the above is not to our satisfaction, thisoffer is liable to be withdrawn.

17. Please note that you are required to fulfill the conditions with regard to inducting Spouseas Co-owner in the dealership before issuance of Letter of Appointment.

18. This letter of intent will stand automatically withdrawn and cancelled on the happening ofany of the following events:-

a) In case you or your close relatives like spouse, unmarried son(s) and unmarrieddaughter(s) receive anytime or have received a letter of intent for any otherdealership or distributorship from our company or any other oil company either inyour individual capacity or in partnership with any other individual(s).

b) If it is found that you have suppressed and / or misrepresented any material factsin your application.

c) In case you are found to be convicted for any criminal / economic offence involvingmoral turpitude.

d) In the event of death if you are an individual/partner.

19. In case you are not able to provide the land / develop facilities within the specified time orfail to fulfill the terms & conditions of LOI, then LOI can be withdrawn.

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The LOI would also be withdrawn and selection cancelled, if you are unable to submit theNon-refundable fixed fee within the stipulated time.

20. You will not sell/lease/mortgage the said land to any third party without ………. (OMC

NAME)’s permission in writing, so long as the agreement (DPSL) is valid and ……….(OMC NAME)’s facilities continue at the site.

21. In case of termination of / resignation from the dealership, within 3 months ofdisassociation from ………. (OMC NAME), you will execute a lease or will sub lease theland together with structures thereon to the company if the company so desires, for aperiod not exceeding 30 years at normal yearly rental (excluding Municipal Taxes) whichshall not be more than 10 % of the then prevailing market value of the land and thestructures standing thereon.

22. This letter is merely a letter of intent and is not to be construed as a ‘firm offer’ ofdealership to you. The dealership will be allotted to you on your complying with the terms

and conditions spelt out herein above by issuance of appointment letter along with signingof our standard dealership agreement between you and us.

Should you require any further details / guidelines, please get in touch with our office at theaddress mentioned below :

……………….……………….……………….

Please acknowledge receipt of this letter.

Thanking you,

Yours faithfully

For ..................(OMC NAME).DULY CONSTITUTED ATTORNEY

 AKNOWLEGEMENT

I hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Ihereby further confirm that I / My family members do not hold RO dealership/SKO-LDODealership/LPG distributorship and have not received any letter of Intent for any other

Dealership/distributorship of any Oil Company or in partnership with any other individual. Ihereby also undertake not to accept any other Letter of Intent. (for Individual applicant)

OR

We hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Wehereby further confirm that :-

1. Any of the Director or his family members (family as defined in the case of multipledealership norms for individuals).

2. Holding company or Subsidiary Company.

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3. Any other company or Firm where share holders (put together) of the applicantcompany have controlling stake i.e. 51% or more.

do not hold RO dealership/SKO-LDO Dealership/LPG distributorship and have not received

any letter of Intent for any other Dealership/distributorship of any Oil Company. We alsoundertake not to accept any other Letter of Intent. (For Non-Individual applicant – Other thanRegistered Societies)

OR

We hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Wehereby further confirm that any of the Member of the Governing Body/Managing Body/Anysuch other Body or his family members (family as defined in the case of multiple dealershipnorms for individuals) do not hold RO dealership/SKO-LDO Dealership/LPG distributorshipand have not received any letter of Intent for any other Dealership/distributorship of any OilCompany. We also undertake not to accept any other Letter of Intent. (For Non-Individualapplicant – Registered Societies)

Place : Signature :

Date : Name :

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 Annexure – AG3

LOI : CATEGORY SC/ST

On OMC letter head

Ref : Date :

To

Shri/Smt _______________________ ___________________________ ___________________________

Dear Sir/Madam,

Sub : Proposed MS/HSD Retail Outlet Dealership at Location : ……………….,District…………..State…………….. Category : ….

We refer to our advertisement dated …………….. and your application form No. …………..for the award of MS/HSD Retail Outlet dealership at the above location and the subsequentdraw of lot / Bidding held at …………………… (Location where Draw of Lot / Bid openingheld) on ……………….(Date).

Please be informed that by this Letter of Intent, we propose to offer you a Retail outlet

dealership of …………………………… (OMC Name) at the above location on the followingterms & conditions:-

1. You have offered a suitable piece of land admeasuring …meters approx.(frontage) X….mtrs (depth) at survey no. …as indicated by you in the application for the developmentof the subject Retail Outlet. You have to make available this land within 2 months from thedate of this letter failing which this offer is liable to be withdrawn. (For Group 1)

OR

You have offered to arrange a suitable piece of land admeasuring …metersapprox.(frontage) X ….mtrs (depth) at survey no. …as indicated by you in the application

for the development of the subject Retail Outlet. You have to make available this landwithin 4 months from the date of this letter failing which this offer is liable to be withdrawn.(For Group 2).

2. As and when advised by the Corporation, the site offered by you would be duly developedup to the road level by cutting/filling (as applicable), with good earth/murrum, layer-wisecompacted as per standard engineering practices. You shall also construct necessaryretaining wall and compound wall of 1.5 meters height, designed as per site conditions asper approval of Corporation as committed under Clause 12 (e) of affidavit submitted byyou along with application. Subsequently, the land would be required to be transferred onlease for a minimum period of XX years with renewable option at rentals mutually agreedupon / sold to …………… (OMC name ). Kindly note that in case the site as offered by

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you for leasing/sale to ..................(OMC NAME) for putting up the Retail Outlet is notmade available for lease/purchase as per the advice of the Corporation, this Letter OfIntent will be withdrawn without any further notice. However, there is no commitment from…………… (OMC name ), for taking the said land from you.

3. ..................(OMC NAME) will develop the retail out let at the above location …………onthe said site to be taken on lease by ..................(OMC NAME) with appropriate structures,storage tanks and pumps.

 Additional facilities (site specific) may also be developed by ..................(OMC NAME) onits sole discretion such as Canopy, Service Station or any other facility as may be decidedby ..................(OMC NAME) from time to time.

4. For the facilities that may be provided by the Corporation as aforesaid, we will recoverfrom you license fee as may be decided by the Corporation and applicable to you fromtime to time. At present, the license fee recoverable is Rs.48 / -KL for MS and Rs.41 / -KL

for HSD.

5. The corporation will not be held liable for any loss or damage on account of delay thatmay be caused in providing you the facilities mentioned above, whatever may be thecause of the failure or delay.

6. You will provide at the retail outlet other mandatory facilities like _______ (to be specifiedby the OMC).

7. For enabling you to operate the dealership, Working capital, as may be determined by theCorporation at it’s sole discretion to be utilized only for the purpose of taking delivery ofMS/HSD/Lubes from the Corporation to maintain supply.

The above working capital will carry interest, which at present is @ 11% per annum

payable monthly from the date of disbursement of the working capital by the Corporation.

The aforesaid working capital along with the interest mentioned above, will be repayable

by you in 100 equal monthly installments commencing from the 13 th  month of

commissioning of the dealership.

8. You shall not induct any partner(s) in case of individual (s) nor make any changes in theconstitution of the partners as existing at the time of application, except your spouse asper terms and conditions of the OMC (Name), and shall give an undertaking to this effect.

9. It will always be a basic condition for the award of MS / HSD retail outlet dealership thatyou shall be paying attention towards day to day working of the dealership by personallymanaging the affairs of the dealership you will give us a written undertaking to this effectand shall not assign or part with the same to any other person (s).

You will not be eligible for taking up any employment. If you are already employed you willhave to resign from the employment and produce the letter of acceptance of resignationby the employer before the issuance of Letter of Appointment by the Oil Company.

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10. As agreed, you will be initiating necessary action towards enabling registration of sitewhere the Retail Outlet is planned. You will also assist us in getting the requisite NOCfrom appropriate Authorities.

11. You will deposit with us a Demand Draft for Rs ……….drawn on any scheduled bank infavour of ..................(OMC NAME) payable at …………. towards security Deposit at thetime of issuance of appointment letter after compliance of all the requirements of LOI.Kindly note that the Security deposit will not carry any interest and is refundable at thetime of expiry of agreement between you and the Corporation. However, if such expiry ofagreement is consequent to proven adulteration/malpractice at the dealership, thisamount will be forfeited. Moreover, this Corporation reserves its right to adjust this amounttowards any dues to it.

12. You will be notified by the corporation, in writing, after the facilities mentioned above aremade available and are ready for commissioning the dealership. Immediately on receipt ofthe above notice from the corporation, you shall obtain each and every license necessary

for operating your dealership as may be required under any central / state govt. /municipal or local authorities for the time being in force.

13. If we find that the progress made by you towards the above is not to our satisfaction, thisoffer is liable to be withdrawn.

14. Please note that you are required to fulfill the conditions with regard to inducting Spouseas Co-owner in the dealership before issuance of Letter of Appointment.

15. This letter of intent will stand automatically withdrawn and cancelled on the happening ofany of the following events:-

a) In case you or your close relatives like spouse, unmarried son(s) and unmarrieddaughter(s) receive anytime or have received a letter of intent for any otherdealership or distributorship from our company or any other oil company either inyour individual capacity or in partnership with any other individual(s).

b) If it is found that you have suppressed and / or misrepresented any material factsin your application.

c) In case you are found to be convicted for any criminal / economic offence involvingmoral turpitude.

d) In the event of death if you are an individual/partner.

16. In case you are not able to provide the developed land within the specified time or fail tofulfill of terms & conditions of LOI or withdraw for any reason, then LOI can be withdrawnand selection cancelled.

17. This letter is merely a letter of intent and is not to be construed as a ‘firm offer’ ofdealership to you. The dealership will be allotted to you on your complying with the termsand conditions spelt out herein above by issuance of appointment letter along with signingof our standard dealership agreement between you and us.

Should you require any further details / guidelines, please get in touch with our office at theaddress mentioned below :

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 ……………….……………….……………….

Please acknowledge receipt of this letter.

Thanking you,

Yours faithfully

For ..................(OMC NAME).DULY CONSTITUTED ATTORNEY

 AKNOWLEGEMENT

I hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Ihereby further confirm that I / My family members do not hold RO dealership/SKO-LDODealership/LPG distributorship and have not received any letter of Intent for any otherDealership/distributorship of any Oil Company or in partnership with any other individual. Ihereby also undertake not to accept any other Letter of Intent. (for Individual applicant)

OR

We hereby accept this Letter of Intent with all the terms and conditions stipulated therein. Wehereby further confirm that :-

1. Any of the Director or his family members (family as defined in the case of multipledealership norms for individuals).

2. Holding company or Subsidiary Company.3. Any other company or Firm where share holders (put together) of the applicant

company have controlling stake i.e. 51% or more.

do not hold RO dealership/SKO-LDO Dealership/LPG distributorship and have not receivedany letter of Intent for any other Dealership/distributorship of any Oil Company. We alsoundertake not to accept any other Letter of Intent. (For Non-Individual applicant – Other thanRegistered Societies)

OR

We hereby accept this Letter of Intent with all the terms and conditions stipulated therein. We

hereby further confirm that any of the Member of the Governing Body/Managing Body/Anysuch other Body or his family members (family as defined in the case of multiple dealershipnorms for individuals) do not hold RO dealership/SKO-LDO Dealership/LPG distributorshipand have not received any letter of Intent for any other Dealership/distributorship of any OilCompany. We also undertake not to accept any other Letter of Intent. (For Non-Individualapplicant – Registered Societies)

Place : Signature :

Ref : Date :

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 ANNEXURE - AH

LETTER TO BE ADDRESSED TO THE COMPLAINANT FOR SUBMISSION OFDOCUMENTARY EVIDENCE TO SUBSTANTIATE COMPLAINT

Registered Post / Speed Post

REF NO:  DATE:

To,

Dear Sir,

Sub : RO Dealersh ip at __________ Distr ict_________ under_________ category

We write with reference to your letter ref.___________ dated __________________ on the

above subject.

a) We are unable to process your complaint for the following reasons :-

(i) The requisite complaint fee of Rs. 1000/- has not been submitted.

(ii) The complaint has not been received within the stipulated time i.e. within 30 days of

declaration of result.

Or

b) You are hereby requested to submit supporting documents, if any, to substantiate the

points mentioned in your letter within 20 days from the date of this letter.

Please note that if on investigation, complaint is found to be false and/or without

substance, the Oil Company (Name of the OMC) reserves the right to take action against

the complainant as provided under the law including forfeiture of fee submitted.

Thanking you,

Yours faithfully,

for Indian Oil Corporation Ltd/ Bharat Petroleum Corporation Ltd /Hindustan Petroleum

Corporation Ltd

Divisional/Regional/Territory Manager

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 ANNEXURE - AI

LETTER TO BE ADDRESSED TO THE COMPLAINANT IN CASE COMPLAINT IS NOTSUBSTANTIATED

Registered Post / Speed Post

REF NO:  DATE:

To,

Dear Sir,

Sub : RO Dealersh ip at __________ Distr ict_________ under_________ category

We write with reference to your letter ref.___________ dated __________________ on the

above subject.

We have examined your grievance/complaints/allegations mentioned in your aforesaid letter

and do not find any merit in the same as you have not substantiated or provided any specific

and verifiable facts. Hence, your complaint is being filed and the matter is treated as closed.

The complaint fee remitted by you is forfeited.

OR

We have carried out investigation into the grievance/complaints/allegations mentioned in

your aforesaid letter and our comments are as under (the letter should be a speaking order

referring to each allegation made in the complaint by the complainant):-

1.

2.

3.

Our invesigation, as mentioned above, reveals that the grievance/complaints/allegations

made by you have not been found factually correct. Hence, your complaint is being filed and

the matter is treated as closed. The complaint fee remitted by you is forfeited.

Thanking you,

Yours faithfully,

for Indian Oil Corporation Ltd/ Bharat Petroleum Corporation Ltd /Hindustan Petroleum

Corporation Ltd

Divisional/Regional/Territory Manager

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 ANNEXURE - AJ

LETTER TO BE ADDRESSED TO THE COMPLAINANT IN CASE COMPLAINT IS

SUBSTANTIATED

Registered Post / Speed Post

REF NO:  DATE:

To,

Dear Sir,

Sub : RO Dealership at __________ District_________under_________ category

We write with reference to your letter ref.___________ dated __________________ on the

above subject.

We have carried out investigation into the grievance/complaints/allegations mentioned in

your aforesaid letter and our comments are as under:-

1.

2.

3.

We shall initiate necessary action in this regard as per our Guidelines shortly. Please find

enclosed a Cheque No. __________ dated _____________ drawn on

 ____________________________ for Rs. 1000/- (Rupees thousand only) towards refund of

your complaint fee.

Thanking you,

Yours faithfully,

for Indian Oil Corporation Ltd/ Bharat Petroleum Corporation Ltd /Hindustan Petroleum

Corporation Ltd

Divisional/Regional/Territory Manager

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 Annexure AK

LETTER OF APPOINTMENT

On OMC letter head

Ref : Date :

To

Shri _______________________

 ___________________________

 ___________________________

Dear Sir,

Sub : Proposed MS/HSD Retail Outlet Dealership at Location : ……………….,Dist ric t…………..State……………..- Category : …. (Customer / SAP Code____________) 

We refer to our Letter of Intent of Ref: dated …………….. for the award of MS/HSD RetailOutlet dealership at the above location and your acceptance to all the terms and conditions mentionedtherein.

We have pleasure in offering you MS / HSD dealership in respect of our Retail Outlet at location _______ with effect from _________. We note that the dealership will be run as aProprietorship/Partnership/_____________(Entity) firm in the same name and style of ___________  (hereinafter called as Licensee) with the following Office as sole

proprietor/partnership/________(Entity) :

Name/Name of the Entity _________________ Address _________________

 ________________

(In case of partnership name of all partners along with their share-holding in the partnership firm shallbe mentioned against the name of individual partners).

We are enclosing copy of executed Dealership Agreement / Dispensing Pump and Selling License Agreement (hereinafter called the Dealership Agreement / DPSL) along with the duplicate copy of thisletter.

We, interalia, give below, for your guidance, some of the terms and conditions :

1. Subject to the terms and conditions in the Dealership Agreement / DPSL, the agreement shallbe deemed to have commenced with effect from ________ and shall remain in force for aperiod of xx years from the date and the Corporation at its sole discretion may, however,renew and / or extend the validity period of the agreement for such further period and on suchterms as may be deemed fit by this Corporation. Notwithstanding anything contained in thisclause, the appointment of the dealership can be terminated by us before the expiry of theperiod, as mentioned herein, of the extended period, as the case may be, in terms andconditions of the aforesaid enclosed Dealership Agreement / DPSL.

We acknowledge receipt of the following :-

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 AKNOWLEGEMENT CUM UNDERTAKING

2) I hereby accept this Letter of Appointment. I hereby further confirm that I / My family members donot hold RO dealership/SKO-LDO Dealership/LPG distributorship and have not received any letterof Intent for any other Dealership/distributorship of any Oil Company or in partnership with any

other individual. I hereby also undertake not to accept any other Letter of Intent.

I am not employed / I was employed and have resigned from my employment. Proof of acceptanceof resignation by my employer has been submitted to the Corporation.

(Note : for Individual applicant along with Affidavit as per Appendix III to be obtained)

OR

We hereby accept this Letter of Appointment. We hereby further confirm that :-

i. Any of the Director or his family members (family as defined in the case of multipledealership norms for individuals).

ii. Holding company or Subsidiary Company.iii. Any other company or Firm where share holders (put together) of the applicant company

have controlling stake i.e. 51% or more.

do not hold RO dealership/SKO-LDO Dealership/LPG distributorship and have not received anyletter of Intent for any other Dealership/distributorship of any Oil Company. We also undertake notto accept any other Letter of Intent. (For Non-Individual applicant – Other than RegisteredSocieties)

OR

We hereby accept this Letter of Appointment. We hereby further confirm that any of the Member ofthe Governing Body/Managing Body/Any such other Body or his family members (family as defined

in the case of multiple dealership norms for individuals) do not hold RO dealership/SKO-LDODealership/LPG distributorship and have not received any letter of Intent for any otherDealership/distributorship of any Oil Company. We also undertake not to accept any other Letter ofIntent. (For Non-Individual applicant – Registered Societies)

Place : Signature :

Ref : Date :

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 Annexure - AL

Details of Candidate select from whom Notarized Aff idavit obtained w.r.t. employmentin Pvt. Sector / drawal of salary/perks/emoluments from State / Central Government.

Sr. No. Name of theLocation

District State Name of Selectedcandidate

Date of Affidavit

Note : Copy of standard draft affidavit should also be made available on this site

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 Appendix – I

(To be submit ted by persons applying for Rural ROs) 

RESIDENCE CERTIFICATE 

This is to certify thatShri/Smt/Kum.______________________________________________son/daughter ofShri_____________________________________________________________________isa resident of _______________________Revenue Village in

 ___________________________Village Panchayat of ________________________ Blockin __________ District of _________________________ State.

(______________________)Signature ofDy.Tehsildar/TehsildarDy.Mamlatdar/Mamlatdar(Seal of Office)

OR

(______________________)Signature of Dy. Commissioner*/Commissioner of Police(Seal of Office)

Date :

*Only if the Competent Authority is Dy. Commissioner of Police.

Note : Residence certificate issued within previous six months of the date of affidavit ( Appendix XA) in the prescribed format herein will only be treated as valid residencecertificate.

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 Appendix – II A

Format of Letter to be given by the Applicant for making Spouse as partner

Place:Date:

To, ___________ ___________ ___________

Subject: Letter for induction of spouse as Co-owner / Partner for RODealership at Location __________, District_________, State

 ________, under_________ category Advertised on ___________

Dear Sir/Madam,

I write with reference to your letter ref. _______________ dated _______________ informingme the intent to award of RO Dealership at __________ District_________ under_________category Advertised on ___________, and would like to submit as under:-

I am married and name of my spouse is __________________. I am aware that as perTerms and Conditions of the Dealer Selection, my spouse will be co-owner i.e. 50% partnerof RO dealership with me unless my spouse is already gainfully employed and/or do not wish

to be made a partner. I shall submit Affidavit as per Appendix IIB affirming that he/she wishesto be made a partner before issuance of Letter of Award.

** I shall complete all necessary documentation/formalities with respect to Partnership, etc.with my spouse before issuance of Letter of Award / signing of Agreement. I am also awarethat the Agreement will be signed by both of us jointly.

OR

** My spouse is already gainfully employed and/or do not wish to be made a partner. I shall

submit Affidavit as per Appendix IIB affirming that he/she does not wish to be made a partnerbefore issuance of Letter of Award.

** Strike off whichever is not applicable.

Thanking you,

Yours faithfully

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 Appendix II B

Notarized Affidavit from Spouse in case she / he wishes/does not wish to become a partner

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

(To be submitted by Spouse of the individual LOI (Letter of Intent) holder before acceptance of Letterof Appointment/Signing of Dealership Agreement)

In the matter of RO dealership of Indian Oil Corporation* / Bharat Petroleum Corporation* / HindustanPetroleum Corporation* at___________ (Location) District_________ under_________ category

 Advertised on ___________.

I, _____________________________son / daughter / wife of ________________________________ Age _____ years resident of _________ do hereby solemnly declare:

1. That my husband / wife Shri/Smt. ___________________, has applied for the above ROdealership and _______________ (OMC name) has issued Letter of Intent vide letter ref no

 ___________ dated ____________ in favour of my husband / wife.

2. That I am aware, that as per Terms and Conditions of the Dealer Selection, I have to be inductedas co-owner i.e. 50% partner of RO dealership allotted to my husband / wife Shri/Smt.

 ___________________.

*I wish to become a partner/co-owner in the dealership allotted to my husband / wife Shri / Smt.

 ____________. I also undertake that all necessary documentation and undertaking / affidavit as

required for award of dealership will be completed by me prior to issuance of LOA.

OR

*That I am currently gainfully employed as mentioned below:-

Details of employment with Employer’s address.

Hence, I do not wish to be made a partner in the Dealership allotted to my husband / wifeShri/Smt. ___________________.

OR

*That I do not wish to be made a partner in the Dealership allotted to my husband / wife Shri/Smt. ___________________ for personal reasons.

*Strike off whichever is not applicable.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent

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 Appendix - III

Notarized Affidavit from the applicant w.r.t. employment in Pvt. Sector / drawal ofsalary/perks/emoluments from State / Central Government.

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

(To be submitted by individual LOI holder before acceptance of Letter of Appointment fordealership)

In the matter of RO dealership of Indian Oil Corporation* / Bharat Petroleum Corporation* /Hindustan Petroleum Corporation* at Location ___________ .

1. That I, _____________________________son / daughter / wife of

 ________________________________ Age _____ years resident of _________ dohereby solemnly declare as under:

2. That I, ___________________, have applied for RO dealership of Indian OilCorporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* atlocation __________ in Dist __________ in State __________ under category

 _________ and the Oil Company has issued Letter of Intent for the said Retail OutletDealership vide letter ref no ___________ dated ____________ .

3. I hereby declare that I am neither employed in private sector nor drawing anysalary/perks/emoluments from State / Central Government.

OR

I was employed and have resigned from the employment. Proof of acceptance ofresignation is attached.

4. I also affirm that during the tenure of the Dealership I will not take any employment inPvt. Sector and draw any salary /perks/emoluments from State / Central Government.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent

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 Appendix IV

Notarized Affidavit for offer of finance by members of ‘Family unit’

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

(To be given by the family member as defined in eligibi lity criteria other than applicant,for Finance)

I _____________________________________ Son/daughter/wifeof________________________________ age______years resident of

 _____________________do hereby solemnly affirm and say as under:-

1. That I am unmarried and my father*/mother*/unmarried brother* / unmarried sister*

(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

OR

That I am married and my unmarried son*/ unmarried daughter*/wife*/husband*(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

* Strike off whichever is not applicable.

2. That in case he/she is selected for RO dealership I will provide financial assistance to theextent of Rs. _____ lakhs, which I hold in my name, and which is mentioned at Clauseno. 10 of the application form being submitted by(Shri/Smt/Kum)___________________________for RO dealership of IOC*/BPC*/HPC*at ____________________________

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

Solemnly affirmed and declared before me

This_________________________ day of ______________________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent and

Relationship with applicant

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 Appendix – V A

Notarized Affidavit for o ffer of land from family member and/or third partysupported by land documents – All the joint owners of the land have to submit this

affidavit individually.

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

I _____________________________________ Son/Daughter/wifeof________________________________ age______years resident of

 _____________________do hereby solemnly affirm and say as under:-

Clause for Family members

(“Family Unit” as defined in Multiple dealership norm under Clause “Disqualification”)

1. That I am unmarried and my father*/mother*/unmarried brother* / unmarried sister*(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

OR

That I am married and my unmarried son*/ unmarried daughter*/wife*/husband*(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

Strike off whichever is not applicable.

2. That I, Shri/Smt _____________________, own a piece of land singly / jointly bearing

Gut/Survey No. _____________ at ___________________ (village/town), Taluka/Tehsil __________, Dist ___________ in the State of _____________ admeasuring _____ mt(frontage) x _____ mt (Depth) having area _____ sq. mts. as per the following details :

OR

That I, Shri/Smt _____________________, singly / jointly hold a piece of land on longterm lease basis (___ years w.e.f. __________) bearing Gut/Survey No. _____________at ___________________ (village/town), Taluka/Tehsil __________, Dist ___________ inthe State of _____________ admeasuring _____ mt (frontage) x _____ mt (Depth) havingarea _____ sq. mts. as per the following details :

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Strike off whichever is not applicable.

3. That Shri/Smt/ M/s.(name of the Entity) ______________________ has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

4. That in case he/she/ M/s.(name of the Entity) is selected for RO dealership I will eithersell/transfer/lease the above mentioned piece of land to Oil Company or to Shri / Smt/M/s.(name of the Entity) _______________ for setting of Retail Outlet facilities at theabove mentioned location as per the site plan duly signed by all co-owners. In case oflease, I further confirm that I have no objection if the subject piece of land leased to Shri /Smt _______________ is further leased/sub-leased to the Oil Company by him/her as perterms of the Oil Company.

That I have no objection if the above mentioned land is used for setting up of Retail Outletfacilities by Shri / Smt. / M/s.(name of the Entity) ___________________ at the abovementioned location, as per the site plan duly signed by all co-owners.

5. I hereby confirm that the said piece of land has not been offered by me to any otherperson for Retail Outlet dealership of this location against the above mentionedadvertisement.

6. I hereby verify that what has been stated above is true and correct to the best of myknowledge, and nothing has been concealed there from.

Solemnly affirmed and declared before me

This_________________________ day of ______________________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent and Relationshipwith applicant

Name(s) of theowner of Land/ Lease holder

Relationshipwith applicant*

Date of registrationof sale deed/giftdeed / lease deed/date of mutation

KhasraNo/Gut

No/Survey No

Dimensions of land 

Frontagein metre

Min.Depth in

metre

 Area ofthe land(Sq.m)

1.2.3.4.

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 Appendix – V B

Letter from Advocate w.r.t. land offered by the applicant confirming status of the land i.ewhether the offered land falls i n Group 1 OR Group 2.

(TO BE TYPED ON LETTER HEAD OF THE ADVOCATE AND TO BE ADDRESSED TO THE OMC)(To be submitted by Applicants)

ToThe Divisional Manager / Territory Manager / Regional ManagerIOCL / BPCL / HPCL

Dear Sir,

Sub : Details of land offered by my client.

1. This is to inform you that I have perused the documents pertaining to the land at SurveyNo/Gut No __________ (address of the plot) , Khasra / Khatauni ___________ at Village

 __________ offered by Shri/Smt/ M/s.(name of the Entity) __________________, who hasapplied for Retail Outlet dealership of M/s IOCL/BPCL/HPCL for the location _____________,Dist ____________ and that this land falls in the advertised area / stretch.

2. I have also perused sub clause (vi) pertaining to land parameter under the clause 4ELIGIBILITY CRITERIA FOR APPLICANTS in the Brochure, which explains how a particular

piece of land falls under Owned land category (Group 1) or Firm offer category (Group 2). In

my opinion and as per the requirement of OMC (name of oil company), the piece of landoffered by my client falls under:-

Group 1* : Yes/No

Group 2* : Yes/No

*Strike o ff whichever is no t applicable.

3. I have also gone through the Lease agreement for the land at Survey No/Gut No __________(address of the plot), Khasra / Khatauni ___________ at Village __________ offered by

Shri/Smt/ M/s.(name of the Entity) __________________, who has applied for Retail Outlet

dealership of M/s IOCL/BPCL/HPCL for the location _____________, Dist ____________ andconfirm that the lease agreement has a provision to sub-lease the land to the Oil Company.

(para 3 above is applicable only for locations advertised under Corpus Fund Scheme (CFSsites), Other Corporation Owned Sites (“A”/ “CC” sites) and Company Leased sites and where

the offered land is taken on Long term lease).

Place :

Date :

Signature of Advocate ____________________

Name & Seal of Advocate _______________________ 

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 Appendix – VI

Standard Format for SC/ST Category Certificate

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

This is to certify that Shri / Smt. / Kum* ______________ son / daughter* of ________________ of village / town * ______________ in District / Division* _______ of theState / Union / Territory* of ___________ belongs to the ________Caste / Tribes and his /her religion is ___________ which is recognised as a Scheduled Castes / Scheduled Tribesunder the Scheduled Castes / Scheduled Tribes lists (modification) order 1956* read with theBombay Re-organisation Act, 1960 and the Punjab Reorganisation Act 1956*.

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

The Constitution (Dadra & Nagar Haveli) Scheduled Castes Order, 1962*The Constitution (Pondicherry) Scheduled Castes Order, 1964*The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967*The Constitution (Nagaland) Scheduled Tribes Order, 1970*

Place : ____________ Signature : ______________Date : ____________ Designation : ______________

(with seal of office)State / Union Territory** Please delete the words, which are not applicableNote : The terms “Ordinarily reside(s)” used here will have the same meaning as in Section-

20 of the Representation of the People Act, 1950.

# Officers competent to issue Caste / Tribe certificates.i. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner /

 Additional Deputy Commissioner / Deputy Collector, 1st Class Stipendiary Magistrate / CityMagistrate *** Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra

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

ii. Chief Presidency Magistrate / Additional Chief Presidency Magistrate, PresidencyMagistrateiii. Revenue Officers not below the rank of Tehsildar.iv. Sub-divisional officer of the Divisional where the candidate and / or his family normallyresides.v. Administrative / Secretary to Administrator / Development Officer (Lakshadweep).

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

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 APPENDIX – VII A

STANDARD FORMAT FOR OBC CATEGORY CERTIFICATE

Note : A candidate who claims to belong to one of the Other Backward Classes should submit in

support of his/her claim, a certificate in original, with a copy there of in the form given below, issued bya competent authority notified by the Government of India/State Government.

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

This is to certify that Shri / Smt. / Kum. _____________________________________Son / Daughterof Shri / Smt. _____________________________________ of Village/Town__________________District/Division __________ ________________________ of the ________________________State/Union Territory, belongs to the _______________Community which is recognized as a backwardclass by Govt. of India (Central Govt.)/State Govt. as under:

Sr.No.

Resolut ion No./Notification No.issued by Govt. of India/State

Govt.

Date of GazetteNotification issued by

Govt . Of India/State Govt.

Concerned State /Union Territory

Shri / Smt. / Kum. ______________________________________________and / or his/her familyordinarily reside(s) in the village/town* __________________________ District / Division of

 _______________________ State/Union Territory of __________________.

This is also to certify that he/she does not belong to the persons/sections (Creamy Layer) mentioned inColumn 3 of the Schedule to the Government of India, Department of Personnel & Training O.M. No.36012/22/93-Estt.(SCT) dated 08/09/93 which is modified vide Govt. of India, Department of Personnel& Training OM No. 36033/1/2013 Estt.(Res.) dated 27/05/2013 and any other subsequentamendments promulgated in this regard.

Place: _________________ Signature :Date : _________________ Designation:

(with seal of Office)

NOTE:

a) The term ‘Ordinarily’ used here will have the same meaning as in Section 20 of the Representationof the People Act, 1950.

b) The authorities competent to issue Caste Certificates for Other Backward Classes are indicatedbelow:(i) District Magistrate / Additional Magistrate / Collector / Deputy Commissioner / Additional Deputy

Commissioner / Deputy Collector / Ist Class Stipendiary Magistrate / Sub-Divisional Magistrate /Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner (not below the rank of IstClass Stipendiary Magistrate).(ii) Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate.(iii) Revenue Officer not below the rank of “Tehsildar” and (iv) Sub-Divisional Officer of the areawhere the candidate and / or his/her family resides.

c) The date of undertaking (Affidavit as per Appendix VII B) submitted along with the application formwill be treated as date of reckoning for OBC status of the candidate and also for determining thatthe candidate does not fall in the creamy layer. The candidate should furnish the relevant OBCcertificate in the prescribed format shown above or as issued by the competent authority containingrelevant details as mentioned above.

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 Append ix – VIII

Standard Format for Paramilitary /Police/PSU/Government Personnel Category (CC1)

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

NAME & ADDRESS OF THE GOVT ORGANIZATION/DEPARTMENT/AGENCY ISSUING THECERTIFICATE

Reference NoDate

Eligibility Certificate for Paramilitary/Police/Government Personnel Category

1. @ This is to certify that Shri/Smt./Kum. ________ who was working in this office as ________had passed away on (date) _______ at (Place)___________. Shri/Smt./Kum. ________ has

been awarded ( name of gallantry award)________in recognition of the supreme sacrificemade while__________________, Shri/Smt./Kum. ( name of applicant) _________________(relationship ___________ ) was dependent on Shri/Smt./Kum. Shri/Smt./Kum.

 ____________ as per our records.

OR2. @This is to certify that Shri/Smt./Kum. ___________________________________who was

working in this office as ______ had passed away on (date) ________________ while inaction at (Place)______________ Shri/Smt./Kum. ( name of applicant) _________________ (relationship ___________ ) was dependent on Shri/Smt./Kum. ____________ as per ourrecords.

OR

3. @This is to certify that Shri/Smt./Kum. (name of applicant)__________________________was working in our organization ________ and has been disabled on ( date) _________whileperforming duties at (place)________.

OR

4. @This is to certify that Shri/Smt./Kum. ___________________________________who wasworking in this office as ______ had passed away on (date) ________________ while on dutyat (Place)______________ Shri/Smt./Kum.( name of applicant) _________________ (relationship ___________ ) was dependent on Shri/Smt./Kum. ____________ as per ourrecords.

OR

5. @This is to certify that Shri/Smt./Kum. _________ was working in our organization ________

and has been disabled in peace on ( date) ----------- due to attributable causes.

@ Delete if not applicable.

 Attested Signatures of applicant

Place : ____________ Signature :Date : ____________ Name :

Designation:Office Seal:

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 Appendix – IX

Standard Format for PH Category Certif icate#

NAME & ADDRESS OF THE INSTITUTE/HOSPITAL ISSUING THE CERTIFICATE

STANDARD FORMAT OF THE CERTIFICATECertificate No.____________Date____________

CERTIFICATE FOR THE PERSONS WITH DISABILITIES

This is to certify thatShri/Smt/Kum_____________________________________________________________Son/wife/daughter of Shri____________________________________________________

 Age_____________old male/female, Registration No.___________________ is a case of

 _______________________________________________________________ He/She isphysically disabled/visual disabled/speech & hearing disabled and has______% (_______per cent) permanent (physical impairment/visual impairment/speech & hearing impairment) inrelation to his/her ______________________________________________________

Note:-1. This condition is progressive/non-progressive/likely to improve/not likely to improve.*2. Re-assessment is not recommended/is recommended after a period of ____________

 __________________months/years.*

#  Candidates would be considered eligible under this category in case the candidates are orthopaedically

handicapped to the extent of minimum of 40% permanent (partial) disability of either upper or lower limbs; or 50%

permanent (partial) disability of both upper and lower limbs together. For this purpose, the standards contained in

the `Manual for Orthopaedic Surgeon in evaluating Permanent Physically Impairment' brought out by the American

 Academy of Orthopaedic Surgeons, USA and published on its behalf by the Artificial Limbs Manufacturing

Corporation of India, G.T. Road, Kanpur, shall apply.

Deaf, Dumb and blind persons with minimum 40% disability (speech, hearing and visual impairment) will be

eligible to apply for RO dealership under this category. However, totally blind persons will not be eligible.

Candidate applying under this category should produce a certificate (as per the standard format) issued by a

Medical Board duly constituted by the Central / State Government as per the Gazette of India Extraordinary New

Delhi, No 154 dated June 13, 2001 on Guidelines for evaluation of various disabilities and procedure for

certification.

*Strike out which is not applicable.

Sd/- Sd/- Sd/-(DOCTOR) (DOCTOR) (DOCTOR)

Seal Seal Seal

Signature/Thumb impressionOf the patient.

Countersigned by theMedial Superintendent/CMO/Head ofHospital (with seal)

Recent AttestedPhotographShowing thedisability tobe affixedHere.

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 Appendix – X ANotarized Affidavit

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OFREQUIRED VALUE)(To be submitted by individual applicants)

I,____________________________________ son/daughter/wife of ______________________________ Age _____ years residing at __________________________ .In connection with my application for RO dealership at ____________(Location)

 _____________(Dist.) _____________(State) I do hereby solemnly affirm and say as under :

1 That I am an Indian Citizen and resident of India (as per Income Tax Rules1)

2 That my date of birth is d d / m m / y y y y (Age as on date inwords_____Years_____Months_____Days)

3 * That I passed Graduation examination from recognized University / Institution in theyear

y y y y

and / or

* That I have passed the 10+2 examination conduct by the Board/Institution in theyear

y y y y

and /or

* That I have passed the Matriculation / 10th Std. Examination conducted by Board inthe year

y y y y

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

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

OR* That I am a widow / widower. That neither I nor my unmarried son(s)/unmarried daughter(s) havedealership/ distributorship or hold letter of Intent for Retail Outlet or SKO-LDO dealership or LPGdistributorship of any Oil Company.

OR

* That I am a divorcee. That neither I nor any of my unmarried son(s)/unmarried daughter(s) (whosecustody is given to me) have dealership/ distributorship or hold letter of Intent for Retail Outlet orSKO-LDO dealership or LPG distributorship of any Oil Company:

5 That I hereby confirm that none of my family members (as per multiple dealership norms as definedunder Clause “DISQUALIFICATION” of brochure) are employees of Oil Marketing Companies.6 That I am married and my name before my marriage was _______________ and after my marriage

to Shri ___________ has been changed to Smt. ___________________.7 That I am of sound mental health & I am not totally paralyzed.

8 That I have never been convicted for any criminal offence involving moral turpitude and/or economicoffences (other than freedom struggle).

.9 I confirm that arrangement will be made for taking delivery of products on ex-MI basis from the Oil

Company within 4 months of intimation thereof from the Oil Company to this effect.10 That I hereby confirm that I was never a signatory to dealership/distributorship agreement of any Oil

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Company, which was terminated for proven malpractices and / or for violations of provisions of theMarketing Discipline Guidelines.

11 a) That the funds as detailed in Clause No. 10 of the application form pertaining to Finance and

affidavit submitted by family members for provision of finance attached along with the

application form (if applicable) are available with me as on date. I also understand that theminimum fund required, as per the advertisement, should be available with me as closingbalance on cut-off date for submission of application for eligibility. The original documents insupport of the claim would be made available to the Corporation at the time of FieldVerification.

b) I am aware that my claim, as above, if found to be at variance at any stage, would result inmy application /candidature becoming invalid for further consideration by the Oil Company.

c) In addition, in case I am selected for RO dealership, I undertake to arrange funds requiredfor development of requisite infrastructure and facilities as mentioned in the Advertisementfor the location.

d) I am also aware that in the event of my inability to arrange the said funds, as mentioned inClause 10 of the application form and Para (c) above, as and when required by the Oil

Company (Name of the Oil Company), the allotment shall be withdrawn and I will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

12 That the details mentioned in Clause No. 9 of the application form, affidavit submitted by Co-owner/s(if applicable) and confirmatory letter from Advocate attached along with the application formpertaining to Land :-

a) Are true and land documents in support of the claim have been attached along with theapplication form.

b) That in case I am selected for RO dealership, I undertake to arrange the said piece of plot asmentioned in the application form for setting up of retail outlet at the location for which I have

made the application.

c) I am aware that my claim, as above, if not supported by required documents or in the eventbeing found to be at variance at any stage, would result in my application /candidature becominginvalid for further consideration by the Oil Company.

d) I am also aware that in the event of my inability to make available the said land required forsetting up the retail outlet as required by the Oil Company (Name of the Oil Company), withinthe period mentioned in the LOI, then the allotment can be withdrawn and I will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

e) I am also aware that in case of my selection for this RO dealership it will be binding on me tohand over the offered land duly developed up to the road level with good earth / murram , layerwise compacted as per standard engineering practices to the satisfaction of OMC and I willprovide retaining wall and compound wall of minimum height 1.5 mt, designed as per siteconditions and approved by OMC engineers.

f) I am also aware that in case the same piece of land offered by me for setting up of retail outlet atlocation __________ in Dist __________ in State __________ is offered by any other applicantfor the same purpose, my candidature for RO dealership will be rejected.

13 That I hereby confirm that I will neither take up any other employment nor will draw anysalary/perks/emoluments from State/Central Government upon my appointment as a dealer.If I am already employed I will resign from the employment and produce proof of acceptance ofresignation by my employer before the acceptance of Letter of Appointment to be issued by the Oil

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Company. 14 I hereby confirm that I have not resigned as a sole proprietor from a dealership/distributorship of any

oil marketing company in favour of any of my family member/s as defined in the SelectionGuidelines.

15 I am married. I undertake to fulfill the conditions of ________________ (OMC) with regard toinducting Spouse as Co-owner in the dealership if the dealership is awarded to me.

OR

I am unmarried. I undertake to inform the company of my marriage and undertake to fulfill the

conditions of ________________ (OMC) with regard to inducting Spouse as Co-owner in the

dealership within one year of my marriage if the dealership is awarded to me.

16 I undertake that I will observe all the relevant guidelines with regard to award/operation of the saiddealership issued by Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan PetroleumCorporation* / Government of India or any other statutory body from time to time.

17 That if any information/declaration given by me in my application or in any document submitted byme in support of application for the award of the RO dealership or in this affidavit shall be found to

be untrue or incorrect or false, …………..(Name of OMC) would be within its rights to withdraw theletter of intent / terminate the dealership (if already appointed) and that I would have no claim,whatsoever, against the Corporation for such withdrawal / termination.

1 If an individual stayed in India for 182 days or more in the previous Financial year, he is treated as resident of

India as per Income Tax Rules irrespective of his citizenship. If the stay is less than 182 days he is a non-resident.

* Strike off whatever is not applicable. 

I hereby verify that what has been stated above is true and correct to the best of my knowledge and nothingmaterial has been concealed there from.

Signature of Deponent(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal ofMagistrate/Judge/Notary public

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 APPENDIX X-BNotarized Affidavit

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIREDVALUE)(To be submitted by non-individual applicants)

In the matter of RO dealership at___________ (Location) of Indian Oil Corporation* / BharatPetroleum Corporation* / Hindustan Petroleum Corporation* whereas _______________ (Name ofthe Registered Society*/Company*/Charitable Trust*) ________________ (Location) has appliedfor RO dealership of ________(name of the Oil Company) Ltd., at ___________.

I, _____________________________son / daughter / wife of ________________________________ Age _____ years resident of _________in the capacity of ___________ do hereby solemnly declare:

1. That through a resolution passed by the Registered Society*/Company*/Charitable Trust* I havebeen authorized to apply for the said dealership on behalf of the RegisteredSociety*/Company*/Charitable Trust*. A copy of the resolution/authorization is enclosed herewithforming part and parcel of this affidavit.

2. That the said Registered Society is duly registered under Societies Registration Act 1860 or 1912or Societies Registration Act enacted by the State Government of ______ * /Company formedunder the companies act 1956 or 2013* /Charitable Trust* is registered with Charity Commissionerof State Government of ______________* (name of the State) on ________(date of registration/incorporation) and a photocopy of the certificate of registration is enclosed herewith forming partand parcel of this affidavit.

3. That our Registered Society*/Company* had made net profit during the previous consecutive 3financial Years as certified by Chartered Accountant (Not applicable for Charitable Trusts).

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

5. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that we willoperate the dealership through our own entity.

6. That all members of the Society belong to the same category for which RO dealership has beenadvertised. A copy of certificate to this effect from Registrar of Society and a list giving names of allthe members of the Society is enclosed herewith forming part and parcel of this affidavit.(Applicable only in case of Regd. Societies apply ing under ‘other than open category ’)

7. That neither our Registered Society*/Company*/Charitable Trust* nor any Member of the GoverningBody/Managing Body/Any such other Body of this Registered Society*/ Charitable Trust*/ Directorsof company* has been convicted by any court of law for any criminal offence involving moralturpitude and/or economic offences (other than freedom struggle) punishable under Law.

8. That neither this entity nor any of the Member of its Governing Body/Managing Body/Any suchother Body of this Registered Society*/ Charitable Trust*/ Directors of company* was never asignatory to dealership/distributorship agreement of any Oil Company, which was terminated formalpractice and/or for violation of Marketing Discipline Guidelines.

(Clause 7 & 8 above is not applicable to Government owned Companies defined as majorshareholding with the Government, Public Sector & Joint Sector Units or Governmentadministered Organization)

9. *That none of the Directors of this company or his family members (family as defined in the case ofmultiple dealership norms for individuals) or Holding company or Subsidiary company or any othercompany or firm where share holders (put together) of this applicant company have controlling

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stake i.e. 51% or more, have dealership/distributorship or hold Letter of Intent for Retail Outlet orSKO-LDO dealership or LPG distributorship of any Oil Company

OR

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

10. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake thatarrangement will be made for taking delivery of products on ex-MI basis from the Oil Companywithin 4 months of intimation thereof from the Oil Company to this effect.

11.a) That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that the

details mentioned in Clause No. 10 of the application form pertaining to Finance are availablewith us as on date. I on behalf of the Registered Society*/Company*/Charitable Trust* alsoaffirm that the minimum fund required as per eligibility criteria would be available with us as

closing balance on cut-off date for submission of application as per the advertisement. Theoriginal documents in support of the claim would be made available to the Corporation at thetime of Field Verification.

b) We are aware that our claim, as above, if found to be at variance at any stage, would result inour application /candidature becoming invalid for further consideration by the Oil Company.

c) In addition, in case we are selected for RO dealership, we undertake to arrange Rs. _  _____________________ required for development of requisite infrastructure andfacilities as mentioned in the Advertisement for the location __________ in Dist __________ inState __________ for which we have made the application.

d) We are also aware that in the event of our inability to arrange the said funds, as mentioned inClause 10 of the application form and Para (c) above, as and when required by the OilCompany (Name of the Oil Company), the allotment shall be withdrawn and we will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

12. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that thedetails mentioned in Clause No. 9 of the application form and confirmatory letter from

 Advocate attached along with the application form pertaining to Land :-

a) Are true and land documents in support of the claim have been attached along with theapplication form.

b) That in case we are selected for RO dealership, we undertake to arrange the said piece of plotas mentioned in the application form for setting up of retail outlet at location __________ in Dist

 __________ in State __________ for which we have made the application.

c) We are aware that our claim, as above, if not supported by required documents or in the event

being found to be at variance at any stage, would result in our application /candidature becominginvalid for further consideration by the Oil Company.

d) We are also aware that in the event of our inability to make available the said land required forsetting up the retail outlet as required by the Oil Company (Name of the Oil Company), within theperiod mentioned in the LOI, then the allotment can be withdrawn and we will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

e) We are also aware that in case of our selection for this RO dealership, it will be binding on us tohand over the offered land duly developed up to the road level with good earth / murram, layerwise compacted as per standard engineering practices to the satisfaction of OMC and we willprovide retaining wall and compound wall of minimum height 1.5 mt, designed as per siteconditions and approved by OMC engineers.

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f) We are also aware that in case the same piece of land offered by us for setting up of retail outletat location __________ in Dist __________ in State __________ is offered by any otherapplicant for the same purpose, our candidature for RO dealership will be rejected.

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

*Strike out whatever is not applicable.

I hereby verify that what has been stated above is true and correct to the best of my knowledge andnothing material has been concealed there from.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of Signature of DeponentMagistrate/Judge/Notary public (Name in block letters)

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 Appendix – XIA

 Appl ication Format For Indiv idual Appl icants(FORM TO BE FILLED UP IN CAPITAL LETTERS USING BLUE / BLACK BALL POINT PEN) 

For Office Use

Not to be filled byapplicant

Sr. No. oflocation in theadvertisement

Sr. No. ofapplication asper listing of

 AOC

D D - M M - Y Y Y Y

 APPLICATION FOR RETAIL OUTLET DEALERSHIP

Particulars of applicationfee (Rs.)

In Nos.

Latest Passport SizePhotograph

with specimensignature on

the photograph 

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable At

In favour of (Full name ofThe Oil Company)

Note:

For Regular ROs:

(Enclose Application fee of Rs. 1000/- (one thousand only) for all applicants except SC/ST location. Applicationfee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 500/- (Five hundred only) on enclosingSC/ST certificate.

For Rural ROs:

(Enclose Application fee of Rs. 100/- (one hundred only) for all applicants except SC/ST location. Applicationfee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 50/- (Fifty only) on enclosing SC/STcertificate.

In itial Down Payment (IDP) Details for locations involving Bidd ing (Strike off if n ot applicable)

Particulars of IDP(Rs.)

In Nos.

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable At

In favour of (Full name ofthe Oil Company)

Note:

For Regular ROs: Enclose IDP of Rs. 150000/- (One lakh fifty thousand only) for all applicants.

For Rural ROs: Enclose IDP of Rs. 50000/- (Fifty thousand only) for all applicants.

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1 Name of the Location

2 District

3 State

4 Category*

* Please attach copy of Eligibility certificate for respective category in respect of reserved locations asmentioned below:

Category EligibilityCertificateformat

Category Eligibility Certificateformat

Category Eligibility Certificateformat

SC/ST Appendix VI OBC Appendix – VII-A &VII-B

OpenCC1

 Appendix – VIII orDGR certificate/

DGR certificate/Discharge Order or Pensionorder as applicable

SC/STCC1

 Appendix VI, VIIIor DGR certificate/Discharge Orderor Pension orderas applicable

OBCCC1

 Appendix – VII-A, VII-B, VIII or DGRcertificate/Discharge Order orPension order asapplicable

OpenCC2

 Appendix – IX or certificateapplicable for OSP/FF

SC/STCC2

 Appendix – VI, IXor certificateapplicable forOSP/FF

OBCCC2

 Appendix – VII-A,VII-B, IX or certificateapplicable forOSP/FF

5 Advertised on(Date)

In

(Please write Newspaper name)6 Type of applicant Proprietor / Partner If “Partner” please use separate application form for

each partner and club them together

7  Appl icant sho uld enc lose Af f idavi t as per the format g iven in Append ix – XA 7.1 Name

(Mr/Mrs/Kumari)First name Middle name Surname

7.2 Father’s/Husband’sName (Mr)

First name Middle name Surname7.3 Address

District Pin Code

Tel. No. Mob. No.

Email id PAN No.7.4 Indian Citizen Yes No Resident of India as per IT Rules Yes No

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If “No” applicant is not eligible Resident of Revenue District(Please attach residence certificatein case of Rural ROs)

State

7.5 Gender(Tick mark whichever is applicable)

Male Female

7.6 Date of Birth Age (Proof to beattached) as on date ofaffidavitDD MM YYYY Years Months Days

7.7 Marital status(Tick mark whichever is applicable) 

Single Married Widow / Widower Divorcee

7.8 Name of spouse(if married)

Mr. /Mrs.

Spouse employed(Tick mark whichever is

applicable)

Yes No

8 Educational Qualification (attach copy of qualify ing certificate as per Eligibility c riteria)

Qualification Name of Board/University/Institution Degree Year of Passingi) Graduation

ii) 10+2 Pass

iii) 10 Pass

9 Land Details (Please read Clause no. 4 (vi) of Broc hure before prov iding the information below)Copy of proo f of ownership of land to be attached.

Name(s) ofthe owner ofLand /Leaseholder

Relationshipwithapplicant**

Date ofregistrationof saledeed/giftdeed / lease

deed/ dateof mutation

Location of theland withrespect toReferencepoint / Land

mark (Specifyland mark /Referencepoint anddistance fromthe same)

KhasraNo/Khatouni/

GutNo/Survey

No

Dimensions of land*

Frontagein metre

Min.Depth

inmetre

 Area(Sq.m)

a) Are you willing to transfer the land on sale/long lease to Oil Company ? YES/NO

If yes, at what rate / terms. _____________________________________________________________________________________________ 

b) The above piece of plot owned by me / my family member (as defined under multiple dealership norm)

either by way of ownership / long term lease would be made available for a period of minimum ___ years

as advertised by the Oil Company(Name of the Oil Company).

That as per the documents and report from advocate attached along with the application form, my/our

offer qualifies for being considered under “GROUP 1” as defined in Clause 4 (vi) of the Brochure for retailoutlet dealer selection by the Oil Company(Name of the Oil Company).

OR

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b) The said piece of plot belonging to ___________________ has been offered to me /us for putting up aretail outlet of the Oil Company (Name of the Oil Company). The above is being given as “Firm Offer”

and is for purchase / long term lease for a period of minimum _____ years as advertised by the Oil

Company.

That as per the documents and report from advocate attached along with the application form, my/our

offer qualifies for being considered under “GROUP 2” as defined in clause 4 (vi) of the Brochure for retailoutlet dealer selection by the Oil Company(Name of the Oil Company).

(Tick Mark either a OR b as applicable, Strike of f the o ther clause)

Note :

The same land cannot be offered by more than one applicant for a particular RO location. In case more

than one application is received offering the same land all such applications would be rejected.

In case land belongs to member of 'Family Unit' / Others, attach notarized affidavit as per Appendix –V A  is to be submitted. Each applicant will have to attach a confirmatory letter from an advocate(Appendix – V B)  giving details of the current ownership, documents relied upon and the categoryunder which the land falls (Group 1 or Group 2).

c. The said piece of land, has been offered for purchase/ long lease/sub-lease to the Oil Company for aperiod of minimum _____years as required by the Oil Company (Name of the Oil company) and as per

their terms and condition. (For location advertised under Corporation Owned Dealer Operated/CFS sites)  

OR

d. The offered piece of land, also has the provision for sub-lease to the Oil Company (in case of long term

lease) If required by the Oil Company (Name of the Oil company) at any stage in future. (For location

advertised under Dealer Owned Dealer Operated sites)(Tick Mark either c OR d as applicable, Strike of f the o ther clause)

* Please attach site map giving dimensions of the plot that will be used for the proposed Retail Outlet

out of the total land offered. 

10 Finance (Please read Clause no. 4 (v) of Brochure before provid ing the in formation below)(Please attach copies o f relevant supporting d ocuments/certificates as applicable)

a.)  AMOUNT IN SAVINGS BANK ACCOUNT IN SCHEDULED BANK/ POST OFFICE as on the date of affidavit inthe name of applicant and members of 'family unit'. Attach notarized affidavit as per format given inAppendix - IV from member(s) of 'family unit'.

S.N

Name of Bank S.B.A/c. No Name of Acco unt Holder

Relationshipwith Applicant**

 Amount in Rs. As on date o f

affidavit

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.)

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b.)  Free and un-encumbered Fixed Deposits in Scheduled Banks, Post Office, Listed Companies /Government Organisation / Public Sector Undertaking of State and Central Government, Kisan VikasPatra, NSC (Redemption value of the instruments as certified by Chartered Accountant will be

considered. Certificate from Chartered Accountant to be attached.)S.N

Type of Financialinstrument -

FD/NSC/KVP, etc.

ReferenceNumberwith date

Name(s)of theholder

Relation withapplicant**

Initialinvestment Amoun t

RedemptionValue

(Amount inRs.)

TOTAL AMOUNT (in Rs.) 

TOTAL AMOUNT IN WORDS (in Rs.)

c.)  Free and un-encumbered Bonds, Shares of Listed Companies in demat form and Listed Mutual Funds(Certificate to be enclosed from a Chartered Accountant / Depository Participant certifying the marketvalue based on NAV on last working day of previous month of application for mutual funds. For sharesof listed companies in demat form, the market value on last working day of previous month ofapplication to be considered). For these Funds only 60% of the value as certified by the charteredaccountant / Depository Participant to be given.

S.N

Type of Financialinstrument -

Bonds/Shares/MF

ReferenceNumber with

date

Name(s)of the

holder

Relationwith

applicant**

Initialinvestment

 Amount

CertifiedValue

(Amount inRs.)

60% ofthe

certifiedvalue

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.)

TOTAL AMOUNT (in Rs.) (a+b+c)

TOTAL AMOUNT IN WORDS (in Rs.) (a+b+c)

** Please qualify the relationship “Unmarried brother”, “Unmarried sister”, “Unmarried son”, Unmarried

daughter, etc. wherever necessary.

Note :

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The funds mentioned above should be available with the applicant as on the date of affidavit. Furtherthe applicant should ensure that the minimum funds required for eligibility are also available as closingbalance on the cut-off date for submission of application. Wherever available funds on the cut-off dateof submission of application are found to be less than the funds required for eligibility, candidature ofthe applicant will be cancelled.

12. UNDERTAKING BY THE APPLICANT

a. I am aware that eligibility for Retail Outlet Dealership will be decided based on the information given inthe application above. On verification by the Oil Company if it is found that the information given by meis incorrect/ false/ misrepresented then my candidature will stand cancelled and I will be declaredineligible for the Retail Outlet Dealership.

b. I also confirm that I am in possession of the supporting documents in original in respect of theinformation given by me in this application and if selected, failure to present these documents inoriginal will result in cancellation of selection due to submission of false/unsupported information in thisapplication.

c. I am fully aware that if I am unable to provide suitable site mentioned above for setting up of the RetailOutlet as per the Oil Company’s standard layout, then the allotment of dealership made to me will be

cancelled.d. I am also aware that in the event of my inability to arrange the funds required for development of

requisite infrastructure and facilities as specified by the Oil Company (Name of the Oil Company) in theadvertisement, the allotment can be withdrawn and I will have no claim/damages whatsoever againstthe Oil company (Name of the Oil Company).

e. I am fully aware that I will not be appointed as Retail Outlet Dealer if I am employed. I shall have toresign from the service and produce proof of acceptance of my resignation from my employer beforeissuance of Letter of Appointment.

f. I am also aware that I cannot take up any other employment nor can draw anysalary/perks/emoluments from State/Central Government upon my appointment as a dealer.

g. I confirm that none of my family members (as per definition of family under multiple dealership norm)are employees of any Oil Marketing Companies.

h. I am fully aware that If selected I shall be paying attention towards day to day working of the dealership

by personally managing the affairs of the dealership and will not be eligible for taking up anyemployment.i. I undertake to fulfill the conditions of ________________ (OMC) with regard to inducting Spouse as

Co-owner in the dealership if the dealership is awarded to me. j. That, if selected, I undertake that I will be depositing an interest free Security deposit as per the policy

of the Corporation.k. That, if selected, I undertake that I will pay a non-refundable Fixed fee of Rs. _____________ as per

the policy of the Corporation (applicable for Dealer owned sites).OR

That, if selected, I undertake that I will pay a non-refundable Final Bid amount (applicable forCorporation owned sites except for Corpus fund ROs).

I, _________________________________________________________daughter of /son of/ wife ofShri__________________________________ hereby confirm that the information given above is true andcorrect. Any wrong information /misrepresentation/ suppression of facts will make me ineligible for this ROdealership. That if any information/declaration given by me in my application or in any document submittedby me in support of application for the award of the RO dealership shall be found to be untrue or incorrector false, the …………..OMC* would be within its rights to withdraw the letter of intent / terminate thedealership (if already appointed) and that I would have no claim, whatsoever, against the Corporation forsuch withdrawal / termination.

Place : _____________ Signature of applicant_______________________**Date :______________ Name of applicant_____________________________  

**The date mentioned in the affidavit will be treated as date applicable for the purpose of evaluating theeligibility criteria. 

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 App endix- XI B

 Appl ication Format For Non-Indiv idual Applicants(FORM TO BE FILLED UP IN CAPITAL LETTERS USING BLUE / BLACK BALL POINT PEN) For Office Use

Not to be filled byapplicant

Sr. No. oflocation in theadvertisement

Sr. No. ofapplication asper listing of

 AOC

D D - M M - Y Y Y Y

 APPLICATION FOR RETAIL OUTLET DEALERSHIP

Particulars of applicationfee (Rs.)

In Nos. Latest Passport SizePhotograph of the

authorized signatorywith specimensignature on

the photograph 

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable at

In favour of (Full name ofThe Oil Company)

Note:

For Regular ROs:

(Enclose Application fee of Rs. 1000/- (one thousand only) for all applicants except SC/ST location. Application fee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 500/- (Fivehundred only) on enclosing SC/ST certificate.

For Rural ROs:

(Enclose Application fee of Rs. 100/- (one hundred only) for all applicants except SC/ST location. Application fee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 50/- (Fifty only) onenclosing SC/ST certificate..

In itial Down Payment (IDP) Details for locations involving Bidd ing (Strike off if not applicable)

Particulars of IDP(Rs.)

In Nos.

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable At

In favour of (Full name ofthe Oil Company)

Note:

For Regular ROs: Enclose IDP of Rs. 150000/- (One lakh fifty thousand only) for allapplicants.

For Rural ROs: Enclose IDP of Rs. 50000/- (Fifty thousand only) for all applicants.

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financial years as certified by C.A.(Please attach copy of certificate)

i)

ii)

iii)

Note  : Only Registered Societies/Companies making a profit for previous three consecutive financialyears as certified by a Chartered Accountant are eligible to apply.

e) In case of Registered Societies applying under other than Opencategory - whether all members of the Registered Society belong to thesame category for which RO dealership has been advertised? (If 'No',you are not eligible to apply') (Please attach relevant certificate fromRegistrar of Societies and list giving names of all members of thesociety)

Yes No

9 Land Details (Please read Clause no. 4 (vi) of Brochure before providing the informationbelow)

Copy of proof of ownership o f land to be attached.

Name(s) ofthe owner ofLand /Leaseholder

Relationshipwithapplicant**

Date ofregistrationof saledeed/giftdeed /leasedeed/ dateof mutation

Location ofthe land withrespect toReferencepoint / Landmark (Specifyland mark /Referencepoint anddistance fromthe same)

KhasraNo/Khatouni

/GutNo/Survey

No

Dimensions of land*

Frontage inmetre

Min.Depth

inmetre

 Area(Sq.m)

a) Are you willing to transfer the land on sale/long lease to Oil Company ? YES/NO

If yes, at what rate / terms. _____________________________________________________________________________________________ 

b) The above piece of plot owned by us either by way of ownership / long term lease, would be

made available for a period of minimum ___ years as advertised by the Oil Company(Name of

the Oil Company).

That as per the documents and report from advocate attached along with the application form,

our offer qualifies for being considered under “GROUP 1” as defined in clause 4 (vi) of thebrochure for retail outlet dealer selection by the Oil Company(Name of the Oil Company).

OR

c) The said piece of plot belonging to ___________________ has been offered to us for putting up

a retail outlet of the Oil Company (Name of the Oil Company). The above is being given as “FirmOffer” and is for purchase / long term lease for a period of minimum _____ years as advertised

by the Oil Company.

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That as per the documents and report from advocate attached along with the application form,

our offer qualifies for being considered under “GROUP 2” as defined in clause 4 (vi) of thebrochure for retail outlet dealer selection by the Oil Company(Name of the Oil Company).

(Tick Mark either a OR b as applicable, Strike off the other c lause)

Note :

The same land cannot be offered by more than one applicant for a particular RO location. In

case more than one application is received offering the same land all such applications wouldbe rejected.

In case land belongs to co-owners / Others, notarized affidavit as per Append ix – V A is to besubmitted. Each applicant will have to attach a confirmatory letter from an advocate(Appendix V-B)  giving details of the current ownership, documents relied upon and the

category under which the land falls (Group 1 or Group 2).

d) The said piece of land, has been offered for purchase/ long lease/sub-lease to the Oil Company

for a period of minimum _____years as required by the Oil Company (Name of the Oilcompany) and as per their terms and condition. (For location advertised under Corporation

Owned Dealer Operated/CFS sites) 

OR

e) The offered piece of land, also has the provision for sub-lease to the Oil Company (in case of

long term lease) If required by the Oil Company (Name of the Oil company) at any stage in

future. (For location advertised under Dealer Owned Dealer Operated sites)(Tick Mark either c OR d as applicable, Strike off the other c lause)

* Please attach site map giving dimensions of the plot that will be used for the proposed Retail

Outlet out of the total land offered. 

10 Finance (Please read Clause no. 4 (v) of Brochure before prov iding the information below)(Please attach copies of relevant suppo rting documents/certificates as applicable)

a) AMOUNT IN SAVINGS BANK ACCOUNT IN SCHEDULED BANK/ POST OFFICE as on the dateof affidavit in the name of applicant.

S.N Name of Bank S.B.A/c. No

Name of AccountHolder

 Amo unt in Rs. As ondate of affidavit

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.) 

b)  Free and un-encumbered Fixed Deposits in Scheduled Banks, Post Office, Listed Companies /Government Organisation / Public Sector Undertaking of State and Central Government, KisanVikas Patra, NSC (Redemption value of the instruments as certified by Chartered Accountantwill be considered. Certificate from Chartered Accountant to be attached.)

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S.N Type of Financialinstrument -

FD/NSC/KVP, etc.

ReferenceNumberwith date

Name(s) of theholder

Initial investment Amo unt

Value(Amount inRs.)

TOTAL AMOUNT (in Rs.) 

TOTAL AMOUNT IN WORDS (in Rs.)

c)  Free and un-encumbered Bonds, Shares of Listed Companies in demat form and Listed Mutual

Funds (Certificate to be enclosed from a Chartered Accountant / Depository Participant certifyingthe market value based on NAV on last working day of previous month of application for mutualfunds. For shares of listed companies in demat form, the market value on last working day ofprevious month of application to be considered). For these Funds only 60% of the value ascertified by the chartered accountant / Depository Participant to be given.

S.N Type ofFinancial

instrument -Bonds/Shares/

MF

ReferenceNumber

with date

Name(s) of theholder

Initialinvestment Amount

CertifiedValue

(Amountin Rs.)

60% of thecertified

value

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.)

TOTAL AMOUNT (in Rs.) (a+b+c)

TOTAL AMOUNT IN WORDS (in Rs.) (a+b+c)

Note :

The funds mentioned above should be available with the applicant as on the date of affidavit. Furtherthe applicant should ensure that the minimum funds required for eligibility are also available as closingbalance on the cut-off date for submission of application. Wherever available funds on the cut-off dateof submission of application are found to be less than the funds required for eligibility, candidature ofthe applicant will be cancelled.

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12. UNDERTAKING BY THE APPLICANT

a. We are aware that eligibility for Retail Outlet Dealership will be decided based on the

information given in the application above. On verification by the Oil Company if it is found that the

information given by us is incorrect/ false/ misrepresented then our candidature will stand cancelledand we will be declared ineligible for the Retail Outlet Dealership.

b. We also confirm that we are in possession of the supporting documents in original in respect of

the information given by us in this application and if selected, failure to present these documents in

original will result in cancellation of selection due to submission of false/unsupported information in this

application.

c. We are fully aware that if we are unable to provide suitable site mentioned above for setting up

of the Retail Outlet as per the Oil Company’s standard layout, then the allotment of dealership made to

us will be cancelled.

d. We are also aware that in the event of our inability to arrange the funds required fordevelopment of requisite infrastructure and facilities of the RO as specified by the Oil Company (Name

of the Oil Company) in the advertisement, the allotment can be withdrawn and we will have no

claim/damages whatsoever against the Oil company (Name of the Oil Company).

e. I also confirm on behalf of M/s ______________, that my Organisation will manage the Retail

Outlet dealership by itself and not on contract basis.

f. That, if selected, we undertake that we will be depositing an interest free Security deposit as

per the policy of the Corporation.

g. That, if selected, we undertake that we will pay a non-refundable Fixed fee of Rs.

 _____________ as per the policy of the Corporation (applicable for Dealer owned sites).

OR

That, if selected, we undertake that we will pay a non-refundable final Bid amount as per the policy of

the Corporation (applicable for Corporation owned sites except for Corpus fund ROs).

I, __________________________________________daughter of /son of/ wife of

Shri______________________ hereby confirm that I have been authorized to submit this application on

behalf of M/s____________________ and the information given above is true and correct. Any wrong

information /misrepresentation/ suppression of facts will make us ineligible for this RO dealership. That if

any information/declaration given by us in our application or in any document submitted by us in support of

application for the award of the RO dealership shall be found to be untrue or incorrect or false, the

…………..OMC* would be within its rights to withdraw the letter of intent / terminate the dealership (if

already appointed) and that we would have no claim, whatsoever, against the Corporation for such

withdrawal / termination.

Place : _____________ Signature of applicant_______________________

**Date :______________ Name of applicant_____________________________  

**The date mentioned in the affidavit will be treated as date applicable for the purpose of evaluating theeligibility criteria.

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 Appendix XI - C

FINANCIAL BID

 Application for Award of Dealership at Location ______________ Dist. _________________State ___________under ____________ Category advertised on ________________ (Date).

Name of the Applicant(s) / Entity :

 Address of the applicant(s) / Entity :

I/We hereby quote Rs. __________ (Rupees __________________ only) as Bid amount for

allotment of Retail Outlet dealership at the above mentioned location.

Signature of the Applicant(s) / Authorized signatory of the Entity

Date :

Place :

Note

1. The Minimum bid amount is Rs. 10 lakhs for Rural RO and Rs. 30 lakhs for RegularRO.

2. In case of discrepancy in the amounts mentioned in Figures and Words, the amountmentioned in Words will prevail.

3. FINANCIAL BID SHOULD BE PUT IN A SEPARATE SEALED ENVELOPE ANDSUPERSCRIBED “FINANCIAL BID”.

4. APPLICATIONS WITH OPEN FINANCIAL BIDS OR FINANCIAL BIDS NOTSUPERSCRIBED ON THE ENVELOPE WOULD BE REJECTED.

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 Appendix XII - AName of Location/District/State :Name of applicant :

Check list for Individual Applicants

S.No Document / Activity to be checked Page No. SubmittedYes/No/NA

From To

1 Completely filled application format with signature andphotograph (with signature on photograph)

2 Application fee

3 IDP (For locations involving bidding process)

4 For locations under reserved categories – Attested copyof Category Certificate from competent authority as peradvertisement/Brochure.

5 In case of partnership firm – Attested copy of proposedpartnership deed

6 In case of partnership firm – whether application of allpartners is attached together

7 Notarized Affidavit in original as per format given in Appendix - X A

8 Attested copy of Residence certificate issued bycompetent authority in case of Rural ROs

9 Attested copy of certificate regarding age

10 Attested copy of certificate regarding educationalqualification

11 Attested copy of Offered land documents –Khasra/Khatouni or any equivalent document fromRevenue officials / Registered sale deed / Registeredlease deed / ownership transfer deed issued

12 Where the applicant is not the land owner – Notorizedaffidavit by all owners or co-owners including familymembers individually to be enclosed

13 Confirmation letter from the Advocate on land definingGroup 1 or Group 2

14 Sketch of the land with dimension (site map)

15 Attested copy of Savings Bank/Fixed Deposit/Term

Deposit in Scheduled Bank/ Post office/ listedCompanies/Government Organization / PSU Kisan VikasPatra, NSC, Bonds, mutual funds and share certificates

16 Certificate from Chartered Accountant / Depositoryparticipant pertaining to Bonds, Mutual funds and shares

17 Attested copies of documents pertaining to Financeowned by Family Unit – Notarized affidavit fromconcerned member of the family with the ownershipdetails of funds

18 Application submitted in sealed envelop with name & Sr.no of the location (as per the advertisement)superscribed on the envelop.

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19 In case of locations involving bidding process, the Application along with enclosures (including IDP) shouldbe put in a separate sealed envelope and Financial biddocuments should be put in another separate sealedenvelope. These envelopes should be clearly marked as

 – “Application form with enclosures” and “Financial Bid”and both these envelops should be put inside anothersealed envelope with name & Sr. no of the location (asper the advertisement) superscribed on the envelope andsubmitted.

20 Any other document attached

21 Total Number of pages in the application form along withattached documents

THIS IS NOT AN EXHAUSTIVE LIST. THE APPLICANT(S) SHOULD CAREFULLY GO

THROUGH THE “ BROCHURE” BEFORE SUBMITTING THEIR APPLICATION(S).

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 Appendix XII-BName of Location/District/State :Name of applicant :

Check list for Non-Individual Applicants

S.No Document / Activity to be checked Page No. SubmittedYes/No/NAFrom To

1 Completely filled application format with signature andphotograph (with signature on photograph)

2 Application fee

3 IDP (For locations involving bidding process)

4 For locations under reserved categories – Attested copyof Category Certificate from competent authority as peradvertisement/Brochure (For registered societiesapplying under "other than Open" category).

5 Notarized Affidavit in original as per format given in Appendix - X B

6 Attested copy of Residence certificate issued bycompetent authority in case of Rural Ros

7 Attested copy of Offered land documents –Khasra/Khatouni or any equivalent document fromRevenue officials / Registered sale deed / Registeredlease deed / ownership transfer deed issued.

8 Where the applicant is not the land owner – Notorizedaffidavit by all owners or co-owners including familymembers individually to be enclosed

9 Confirmation letter from the Advocate on land definingGroup 1 or Group 2

10 Sketch of the land with dimension (Site map)11 Attested copy of Savings Bank/Fixed Deposit/Term

Deposit in Scheduled Bank/ Post office/ listedCompanies/Government Organization / PSU Kisan VikasPatra, NSC, Bonds, mutual funds and share certificates

12 Certificate from Chartered Accountant / Depositoryparticipant pertaining to Bonds, Mutual funds and shares

13 Authority letter / resolution specifying name of authorizedperson for signing application form

14 Attested copy of Registration certificate / copy ofCertificate of incorporation of the entity from competentauthority

15 Attested copies of audited Profit & Loss Accountsstatements for the preceding 3 financial years

16 Application submitted in sealed envelop with name & Sr.no of the location (as per the advertisement)superscribed on the envelop.

17 In case of locations involving bidding process, the Application along with enclosures (including IDP) shouldbe put in a separate sealed envelope and Financial biddocuments should be put in another separate sealedenvelope. These envelopes should be clearly marked as

 – “Application form with enclosures” and “Financial Bid”and both these envelops should be put inside another

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sealed envelope with name & Sr. no of the location (asper the advertisement) superscribed on the envelope andsubmitted.

18 Any other document attached.

19 Total Number of pages in the application form along withattached documents

THIS IS NOT AN EXHAUSTIVE LIST. THE APPLICANT(S) SHOULD CAREFULLY GOTHROUGH THE “ BROCHURE” BEFORE SUBMITTING THEIR APPLICATION(S).

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BROCHURE

FOR

SELECTION

OF

DEALERS FOR REGULAR & RURAL RETAIL OUTLETS

21st May 2014

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  2

Contents

Sr. No. Subject Page No.

2 Reservation 3

3 Type of RO sites 4

4 Eligibility Criteria for Individual Applicants 4

5 Eligibility Criteria for Non-Individual Applicants 12

6 Retail Outlet Management 13

7 Spouse as Co-owner 13

8 Basic facilities required for operation of RO dealership 14

9 Scheme of Financial Assistance to SC/ST Category

Dealership

15

10 Disqualification  15

11 Affidavit from applicants 17

12 Application Fee 18

13 Non refundable fixed fee / Bidding amount 18

14 Selection procedure 18

15 Field Verification of Credentials (FVC) 22

16 Letter of Intent 22

17 Grievance / Complaint Redressal System 23

18 Commissioning of Dealership 2419 Security Deposit / Fixed fee / Bid amount 24

20 Tenure of Dealership 24

21 False Information 24

22 Detailed information in respect of advertisement issued in the

News Paper and General Conditions

25

23 Appendices 28 – 63

Introduction 145

1 Identification of Locations 148

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GUIDELINES ON SELECTION OF DEALERS FOR REGULAR & RURAL RETAIL OUTLETS

INTRODUCTION

Oil Marketing Companies (OMCs) have evolved new Dealer Selection Guidelines wherein theselection is carried out through a transparent system of draw of lots/bidding process.

The salient features of the new selection guidelines are:

(i) As per the eligibility criteria an applicant has to meet the minimum requirements onavailability of suitable land, age, educational qualification and finance. However, forLocation under SC/ST category i.e. Corpus fund locations, Finance is not an eligibilitycriterion.

(ii) There is neither marks-based evaluation nor interview for selection.

(iii) All applicants meeting the eligibility criteria will qualify for further selection process.

(iv) Different selection process for Corporation Owned Dealer Operated outlets, DealerOwned Dealer Operated outlets and Corporation Owned outlets under Corpus FundScheme.

1. IDENTIFICATION OF LOCATIONS

Locations for setting up Retail Outlets are identified by the respective oil company basedon commercial / minimum volume considerations. Accordingly, Regular / Rural outlets areset up by the Oil Companies as under:-

Regular ROs : Locations on Highways (NH/SH) and Urban/Semi Urban areasRural ROs : Locations in Rural areas but not on Highways (NH/SH)

2. RESERVATION

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

Category SC/ST OBC Open TotalCombined Category 1 (CC1)

2% 2% 4% 8%

Comprising of :-

(i) Defence Personnel &

(ii) Para Military Personnel/Central/State

Govt. and Central/State PSU employeesCombined Category 2 (CC2) 

1% 1% 2% 4%

Comprising of :-

(i) Physically Handicapped Persons (PH)

(ii) Outstanding Sports Persons (OSP) &

(iii) Freedom Fighters (FF)

SC/ST 19.50% 19.50%

OBC 24% 24%

Open 44.50% 44.50%

Total 22.50% 27% 50.50% 100%

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 B. Reservations in states of Arunachal Pradesh, Meghalaya, Nagaland and Mizoram would

continue to be as under as approved by MOP & NG: -

State Percentage of Regular & Rural RODealerships to be awarded to ST

category

Balance % to be awarded to‘Open’ category

 Arunachal Pradesh 70 30

Meghalaya 80 20

Nagaland 80 20

Mizoram 90 10

3. TYPE OF RETAIL OUTLET SITES

The type of sites for Retail Outlets would be decided by the Oil Companies as under:-

S.N. Type of Site Status of Land & Facili ties

i. Locations under Corpus FundScheme (CFS sites)

The offered land would be taken on lease/purchasedand fully developed as Corporation owned site.

ii. Other Corporation Owned

Sites (“A”/ “CC” sites)

The offered land would be taken on lease/purchased

and fully developed as Corporation owned site.

iii. Company Leased The offered land along with super structuredeveloped by the dealer is taken on lease by

Corporation.

iv. Dealer Owned sites (“B”, “DC”sites)

The offered land and the super structure will bedeveloped by the dealer. Pump, tank, automation,

signages, etc. will be provided by the Corporation.

Note: Offered land can either be taken from the applicant or the owner of the land directly.

 All locations rostered as SC/ST category will be developed as per (i) above.

4. ELIGIBILITY CRITERIA FOR INDIVIDUAL APPLICANTS – PROPRIETORSHIP /PARTNERSHIP

Common Eligibility Criteria for all Categories applying as Individual (as on date ofaffidavit ( Appendix XA ) unless mentioned otherwise)

(i) Citizenship : Indian Citizen.(ii) Residential status:

Regular ROs :

Resident of India (as per Income tax rules1) as on date of affidavit.

Rural ROs :

Resident of India (as per Income tax rules1) as on date of affidavit.

1  If an individual stayed in India for 182 days or more in the previous Financial year, he is treated as resident of India as per

Income Tax Rules irrespective of his citizenship. If the stay is less than 182 days he is a non-resident.

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Resident of the concerned Revenue District (Residence certificate issued withinprevious six months of the date of affidavit will be treated as valid residence certificate

 – Appendix I).

(iii) Age: Not less than 21 years and not more than 55 years (as on date of affidavit - Appendix XA) except for Freedom Fighter under CC2 category.

Proof of age should be supported by copy of 10th Standard Board Certificate /Secondary School Leaving Certificate / Birth Certificate / Passport / Affidavit for age /Identity card issued by Election Commission.

(iv) Educational qualification:

For educational qualification from overseas universities / boards, equivalent certificateissued by competent authority / State Government / Government of India should beattached by the applicants.

a) In respect of applicants belonging to CC1 & CC2 categories:-

For Rural ROs: Passed Minimum 10 th (examination conducted by a Board/School).

For Regular ROs: Passed Minimum 10+2 level of examination conducted by aBoard/University.

b) In respect of applicants belonging to other categories:-

For Rural ROs: Passed Minimum 10+2 level of examination conducted by aBoard/University.

For Regular ROs: Have minimum any one of the following educational qualification

awarded by any of the universities incorporated by an Act of the Central or StateLegislature in India or any other educational institution established by an Act ofParliament or declared to be deemed as a University under UGC Act 1956, orpossess an equivalent qualification recognized by the Ministry of HRD, Govt. OfIndia.

  Graduation in any field  Chartered Accountant  Company Secretary  Cost Accountant  Diploma in Engineering

Minimum Educational qualification is not applicable to Freedom Fighters under

CC2 category.

(v) Finance :

For Regular ROs the fund requirement for eligibility will be Rs. 25 lakhs and in respectof Rural ROs the fund requirement for eligibility will be Rs. 12 lakhs. The funds can bein the following forms:-

  Funds in savings accounts, Deposits with Bank/RegisteredCompanies/Postal Schemes : Copy of Pass book/account statement/depositreceipts to be provided.

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  National Savings Certificates, etc : Redemption value - Valuation certificatesalong with copy of NSC to be provided.

  Bonds : Redemption value  : Valuation Certificates along with copy of bonds to

be provided.

  Shares of listed Companies in Demat form : Valuation certificates along withcopy of Demat statement to be provided.

  Mutual Funds : Valuation certificates along with copy of mutual fund certificates

or Demat statements to be provided.

 All valuation certificates should be for the assets held on any date after the date ofadvertisement. The valuation certificate is to be obtained either from a Chartered

 Accountant or Depository Participant, as applicable.

Only 60% of the certified value (for Shares, Mutual funds & Bonds) will be consideredfor the purpose of eligibility.

The above details are to be given in the application form by the applicant supportedby copies of relevant documents. The eligibility would be determined based on thedeclaration given in the application and relevant Clause of the affidavit ( Appendix XA/ XB as applicable). regarding the same.

The funds mentioned in the application form should be available with the applicant ason the date of affidavit.

During field verification availability of fund as on cut-off date of submission ofapplication will be verified.

Wherever available funds as closing balance on the cut-off date of submissionof application are found to be less than the funds required for eligibility,

candidature of the applicant will be cancelled.

a) The amounts of Rs. 12 lacs and 25 lacs as mentioned above are only for decidingeligibility criteria. The actual funds to be arranged would vary from case to casebasis as determined by the respective Oil Company, as indicated in theadvertisement. The fund requirement given in the advertisement does not includecost of development of land being offered as detailed in Clause 4, (vi), item no. (e)of Note.

b) In case of SC/ST locations, Finance will not be eligibility criteria.

c) Cash/Jewelry/Instruments, etc. where the ownership cannot be established will not

be considered.

d) Balance in current account will not be considered.

In respect of “Finance” parameter as indicated above the ownership of finance by anymember of the “family unit” (as defined under Multiple dealership norms in Clause 10- “Disqualification”) will be considered as belonging to the applicant subject toproducing consent letter(s) in the form of affidavit ( Appendix – IV)  from theconcerned member of the “family unit” for funds availability as mentioned in Clause 10of the Application form ( Appendix – XI A).

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(vi) Land (Applicable to all categories):

The applicants would be classified into two groups as mentioned below based on theland offered by them in the application form:-

Group 1: Applicants having suitable piece of land in the advertised location/area eitherby way of ownership / long term lease for a period of minimum XX years as advertisedby the Oil Company.

Group 2: Applicants having Firm Offer for a suitable piece of land for purchase or longterm lease for a period of minimum XX years as advertised by the Oil Company.

The other conditions with respect to offering of land are as under:-

a) The land should be available with the applicant as on the date of affidavit andshould have minimum lease of XX years from the date or after the date ofadvertisement but not later than the date of affidavit.( Appendix – XA/XB) 

b) If the offered land is on Long term lease, then the Lease agreement should have aprovision to sub-lease the land wherever the locations are advertised underCorpus Fund Scheme (CFS), Other Corporation Owned Sites (“A”/ “CC” sites) andCompany Leased sites.

For Dealer owned sites (“B”/“DC” sites), the applicant should ensure that the landarranged by the applicant is either registered in the applicant’s name or leased infavour of the applicant for a minimum period of XX years . 

c) The applicant(s) under Group-1 should furnish at least one of the followingdocuments in support of ownership of land offered for the Dealership:-

  Khasra / Khatauni or any equivalent revenue document or certificate fromrevenue official confirming status of the ownership of the land

  Registered Sale deed/Registered Gift deed  Registered Lease deed for a minimum period of XX years  Any other type of ownership / transfer deed document  Lease agreement or firm allotment letter issued by Government / Semi

Government bodies

d) The land owned by the family members (the family will comprise of the “FamilyUnit” as defined in Multiple dealership norm under clause 10 “Disqualification”) willalso be considered as belonging to the applicant subject to producing the consentletter in the form of affidavit ( Appendix – V A) from the concerned member(s) ofthe “family unit”.

e) The eligibility of the Land will be decided by Oil Company with reference to aconfirmatory letter from an advocate ( Appendix V B) to be arranged by theapplicant.

f) In case the applicant or member(s) of “family unit” own the land jointly with thirdperson, the consent letter in the form of an Affidavit (Appendix – V A) or Power Of

 Attorney clearly authorizing the applicant for such use of land from third person isalso required.

g) The “firm offer” of land will include land offer from third party based on Agreementto purchase/long term lease (as per terms and conditions advertised by the

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OMCs). Offer letter should be in the form of an Affidavit (Appendix – V A)  orPower of Attorney for this purpose.

h) Various situations of ownership for defining owned / firm offer are as under:-

S.No.

Situation ofownership

Share ofapplicant inland

 Add it ional documentsrequired

Evaluationas

GROUP 1

1 Self Full Nil Owned

2 Self withmembers offamily unit orowned

exclusively byfamily members

Part / Nil Consent letter in the form ofaffidavit from members offamily unit - Appendix V A

Owned

3  Self with otherowners

 Familymembers withother owner(s)

 Self with familymembers &other owners

Part

Nil

Part

If the share of the applicantand/or family members ismore than or equal to landrequired by the company. Consent letter on stamppaper or an affidavit or Powerof Attorney from all Co-owners(s) should be provided

 – Appendix-V A. 

Owned

4 Land owned byGovernment/

Semi-Governmentbodies

Full Allotment Letter from theGovernment/ Semi-

Government bodies in thename of Self with specificmention for use of petrolpump.

Owned

GROUP 2

5Land owned bythird party in partor full

Part/Nil Consent letter in the form ofaffidavit / Power of Attorneyfrom other owner(s) - 

 Appendix V A

Firm Offer

i) Each applicant will have to declare, in the application form, the category underwhich offered land falls. Supporting the above, a confirmatory letter from anadvocate (Appendix V B)  giving details of the current ownership, documentsrelied upon and the category under which the land falls (Group 1 or Group 2) alsois to be submitted. The eligibility and the Group under which the applicant’s landfalls, would be determined based on the declaration given in the application,confirmatory letter from the advocate and relevant Clause of the affidavit( Appendix XA/XB as applicable) regarding the same.

 j) Verification of the supporting documents submitted by the applicant will be carriedout for the selected candidate at the time of Field Verification of Credentials.

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Note :

a. ‘Own’ means having ownership by way of Registered Sale deed, Registered Giftdeed, etc. or title of the property or registered long lease (as per individual OMCnorms) in the name of applicant / ‘family unit’ as defined in multiple dealershipnorm under clause 10 (Disqualification).

b. Only one piece of suitable land to be offered by the applicant.

c. In-spite of above if an applicant offers more than one land then, a confirmation inwriting is to be obtained by Land Evaluation Committee (LEC) from the applicantwith regard to the plot of land to be considered.

d. The same piece of land cannot be offered by more than one applicant for aparticular RO location against an advertisement. In case more than oneapplication is received offering the same piece of land all such applications wouldbe rejected.

e. The selected candidate has to make available the offered land duly developed upto the road level by cutting/filling (as applicable), with good earth/murrum, layer-wise compacted as per standard engineering practices to the satisfaction of theconcerned OMC. The selected candidate is also required to provide retaining walland compound wall of min. height 1.5 meters, designed as per site conditions asper approval of OMC.

f. There is no commitment by the Oil Company for taking the offered land from theapplicant. If an applicant, after selection, is unable to provide the land indicated inthe application within a period of 2 months (for Group 1) and 4 months (for Group2) from the date of Letter of Intent (LOI), Oil Company will have the right to cancel/ withdraw the LOI issued in favour of the selected candidate for allotment of

dealership.

(vii)Specific Eligibility Criteria for applying in different reserved categories is asunder:

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

The candidates belonging to Scheduled Castes/ Scheduled Tribes (SC/ST)recognized under the Constitution of India will be eligible. The applicants will berequired to submit along with the application a copy of the certificate issued by thecompetent authority, notified by Govt. of India, certifying that the candidate belongs toSchedule Caste / Schedule Tribe as per Appendix – VI. 

b) Other Backward Classes (OBC)

The candidates belonging to Other Backward Classes recognised as OBC byGovernment of India (Central Government) under the Constitution of India and/orrecognized by the concerned State as OBC in which the location has been advertisedwill be eligible.

The candidates will be required to submit along with application a copy of certificateissued by the competent authority notified by the Government of India and/or by theconcerned State in which the location has been advertised certifying that thecandidate belongs to Other Backward Classes recognized as OBC by a

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Resolution/Gazette Notification issued by GOI (Central Government)/StateGovernment. Along with the OBC certificate ( Appendix – VII A), the candidate alsohas to submit an undertaking ( Appendix – VII B)  that he/she belongs to the OBCcategory and fulfils the non-creamy layer status. The date of undertaking (Appendix

VII B) will be treated as the date of reckoning for OBC status of the candidate andalso for determining that the candidate does not fall in the creamy layer.

c) Defence Personnel (DEF)

Defence Personnel means personnel of armed forces (viz. Army, Navy, Air Force) andwill cover:-

  Widows/dependents of those members of Armed Forces who died in war or inharness due to attributable causes

  Ex-service men who are war disabled / disabled in peace due to attributablecauses

  Able bodied Ex-service men

Candidate applying under this Category covered under (i) & (ii) above   shouldattach in original the Eligibility Certificate issued from Directorate General ofResettlement (DGR), Ministry of Defence, Government of India sponsoring thecandidate for the RO Dealership for which he/she has applied. Certificate of eligibilityissued for one RO Dealership is not valid for another RO Dealership and therefore acandidate can be considered to be eligible only if he/she has been sponsored for theparticular location with reference to current advertisement.

Note:  The applicants under this category can also submit the original eligibilitycertificate from DGR on the day of draw of lots/opening of Bid. However, only onsubmission of such certificate they will be considered for draw of lots/opening of Bid.DGR certificate can be submitted along with the application or at the time of draw of

lots/opening of Bid. Certificate should not be sent by post after submission ofapplication.

Candidate applying under this Category covered under (iii) above should attachcopy of Discharge Order or Pension Order. 

d) Government (including PMP) and Public Sector Personnel

The personnel serving in different Departments of Central/State Governments andPublic Sector undertakings of Central/State Government who are incapacitated ordisabled while performing their duties will be eligible under this category. In case ofdeath, while performing duties, their widows/ dependants will be eligible under this

category.

 Applicants under this category should attach a copy of relevant certificate from theconcerned Organisation/Govt Department signed by the Head of the Office or anOfficer not below the rank of Under Secretary to the Government – Appendix VIII. 

e) Physically Handicapped Category (PH):

Candidates would be considered eligible under this category in case the candidatesare orthopaedically handicapped to the extent of minimum of 40% permanent (partial)disability of either upper or lower limbs; or 50% permanent (partial) disability of bothupper and lower limbs together. For this purpose, the standards contained in the`Manual for Orthopaedic Surgeon in evaluating Permanent Physically Impairment'

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brought out by the American Academy of Orthopaedic Surgeons, USA and publishedon its behalf by the Artificial Limbs Manufacturing Corporation of India, G.T. Road,Kanpur, shall apply.

Deaf, Dumb and blind persons with minimum 40% disability (speech, hearing andvisual impairment) will be eligible to apply for RO dealership under this category.However, totally blind persons will not be eligible.

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

The applicants will be required to submit along with the application a copy of thecertificate ( Appendix_IX).

f) Outstanding Sports Persons (OSP):

The following persons will be eligible:

  Arjuna Awardees / Khel Ratna Awardees.  Winners of Medals at Olympics/ Asian /Commonwealth Games and Recognised

World Champions.  First position holders of recognized National Championships held for senior level

(men & women)

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

 Affairs and Sports, Govt of India.

g) Freedom Fighter (FF) :

The applicant should produce a certificate or Tamrapatra or an attested copy of thePension order issued by the Accountant General in pursuance of the sanction letterfrom the Ministry of Home Affairs, GOI of their having been Freedom Fighters.

(viii) Specific Requirement of applicants apply ing under Partnership:

In case of partnership, each partner should individually meet the parameters on Ageand Education for applying as an individual. The land and finance owned bypartner(s) will be treated as owned by the proposed firm as a whole for the purpose of

eligibility.

Each partner should submit separate application form along with separate non-refundable application fee. However, the applications should be clubbed together.They also have to submit a copy of the proposed partnership deed along with theapplication.

However, the applicant should submit only one Financial bid and Initial DownPayment (IDP) for their application.

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 5. ELIGIBILITY CRITERIA FOR NON-INDIVIDUAL APPLICANTS (ENTITY)

Non-individual entity applicant means Government Bodies/Agencies, Organized Bodies,Societies registered under Societies Registration Act 1860 / Societies registered underCo- operative Societies Act, 1912 or Co-operative Societies Act as enacted by concernedStates, Charitable Trusts registered with Charity Commissioner of respective StateGovernment, Companies formed under the Companies Act, 1956 / 2013 (except Pvt. Ltd.companies).

Non- Individual Appl icants (Entity) Applying Under different Category :

 A. Open category :

Non-individuals applicants, are eligible to apply under ‘Open’ category subject to thefollowing: -

(i) Residential status: The entity should be registered in India. In case of Registered Co-operative society/Consumer Co-operative society, it should be registered in the districtconcerned for applying for Rural ROs.

(ii) Age: The date of Registration / Incorporation of the firm / entity should be a least 3years prior to date of affidavit ( Appendix - XB).

(iii) Land : With regard to land, all conditions covered for individuals would applyexcepting clauses given for land owned by family unit. In other words, the offered landshould either be owned or on long lease in the name of entity for Group 1 and a firmoffer in the name of the entity for Group 2.

(iv) Finance : All conditions covered for individuals would apply excepting finance offered

by family unit. In other words, the offered finance should be in the name of the entityitself.

Registered Societies / Companies should have made a net profit for previous 3consecutive financial years duly certified by a Chartered Accountant.

B. Other than Open Category:

Only Registered Co-operative Societies can apply under “Other than Open Category”. Incase of Registered Co-operative Societies applying under Reserved categories, allmembers of the society should belong to the same category for which the RO dealershiphas been advertised. A copy of the certificate to this effect from Registrar of Societies andlist giving names of all members of the society will be required. They would also have tomeet the eligibility criteria as mentioned above. 

Note:

a. All Non-individual entities applying for the dealership should meet the Land andFinance requirements as specified under Individual applicants to become eligible. Theland and finance should be in the name of the organization and not in individualnames. They also should meet the applicable multiple dealerships norms and also donot have any disqualification criteria specified under Clause “ DISQUALIFICATION” . 

b. Non-Individual entities other than Registered Co-operative Societies are not eligible toapply for Rural ROs.

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 c. Pvt. Ltd. companies will not be eligib le to apply for any RO dealership.

d. Registered Societies / Charitable Trusts/ Companies will have to furnish appropriateresolution to show that person making the application on its behalf is empowered tomake the same. Authorized signatory on behalf of the entity will also have to furnishan undertaking that it will observe the relevant guidelines. 

6. RETAIL OUTLET MANAGEMENT

 A person selected for the dealership shall be paying attention towards day to day workingof the dealership by personally managing the affairs of the dealership. He/She will not beeligible for taking up any employment. If the selected person is already employed he/shewill have to resign from the employment and produce the letter of acceptance ofresignation by the employer before the issuance of Letter of Appointment by the OilCompany.

Further at the time of issuance of letter of appointment, the LOI holder will have to givenotarized affidavit stating that he/she is not employed in Private Sector or is not drawingany salary/perks/emoluments from State / Central Government ( Appendix - III). The LOIholder will also affirm that during the tenure of the Dealership he/she will not take up anyemployment in Private Sector or will not draw any salary/perks/emoluments from State /Central Government.

 A Non - Individual applicant (entity) selected for the dealership will have to manage day today working / affairs of the dealership under control/supervision of their own employee(s)and in line with the provisions of dealership agreement.

7. SPOUSE AS CO-OWNER

In case of individual applicants, applying as Sole proprietor, his/her spouse (i.ewife/husband) will be made a partner with a share of 50%, after the issuance of LOI,unless the spouse is already gainfully employed and/or do not wish to be made a partner.If the applicant is unmarried/divorcee/widow/widower at the time of issuance of LOI,he/she will be required to give an undertaking that as and when he/she gets married,his/her spouse will be made a partner unless the spouse is already gainfully employedand/or do not wish to be made a partner. Spouses will be considered for partnershipirrespective of any need to satisfy the eligibility criteria for dealer selection. However, theyshould fulfil the provisions on multiple dealership norms, conviction clause and thecondition that they were not a signatory to a terminated dealership/distributorship forproven malpractices etc. In case the spouse is being made partner, then a separate

 Affidavit (as per  Appendix XA) from the Spouse, proposed partnership deed and othernecessary documents be taken before induction as partner / issuance of LOA. Provisions

of Reconstitution policy are not applicable for induction of Spouse as Co-owner (a) beforeissue of Letter of Appointment for married applicants/allottees or (b) within one year ofmarriage in other cases.

For making spouse as partner a letter as per  Appendix II  A along with an Affidavit fromthe Spouse as per  Appendix II B  will be taken after award of LOI and necessarydocumentation with respect to Registration of Partnership deed, etc. will be completed bythe applicant(s) prior to issuance of LOA. LOA will be issued and dealership agreementwill be signed with both the partners.

In case the spouse does not wish to become a partner for any reason including she/hebeing gainfully employed, Affidavit as per Appendix II B should be obtained for records.

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  Applicants are not permitted to enter into partnership with anyone other than their spouseunder the above mentioned clause.

8. BASIC FACILITIES REQUIRED FOR OPERATION OF RO DEALERSHIPS

The following facilities are required to be provided at the retail outlet. Depending upon onthe type of site the facilities are to be made available by the Dealer (as specified by theCorporation) / Corporation as mentioned against each type of facility:

S.N. Type of Facili ty TYPE OF SITE

“ A” / “CC”site

includingCFS

locations

“ B”/ “ DC”Site /

CompanyLeased site

Provision of Facility by:

 A Infras tructural Facil it ies:

i. Developed land with boundary /compoundwall as per Corpn. specification

Dealer Dealer

ii. Tanks, Dispensing Units, Signages, Automation etc.

Corpn. Corpn.

iii. Sales Office, Store Room, Toilet, ElectricalRoom, Water Connection, Yard Lighting,etc.

Corpn. Dealer

iv. Generator / Invertor Dealer Dealer

v. Compressor with Electronic Gauge for Air

Filling (As decided by OMC)

Corpn. Dealer

vi. Driveway Corpn. Dealer

vii. Canopy (as per Corpn. requirement) Corpn. Dealer

B Customer Convenience Facilit ies:

i. Clean Drinking Water, Maintenance of Neat& Clean Toilet, Telephone, etc.

Dealer Dealer

C. Site specific additional facilities  required for customer service such as Staff cumChange Room, Service Station, Rest Room, Restaurant, PUC facility and/other Facilities

as may be specified by Oil Company from time to time will be provided by OilCompany/Dealer Select as applicable.

D. Fire fighting & Safety Equipments

Dealer will provide Fire fighting/Safety equipments at Retail Outlet as per the statutoryrequirements and maintain them in good working condition at his/her own cost. Trainedstaff should be available to handle and operate the same.

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E. Investment Required:

The approximate investments required for development of infrastructure and facilities atNew Retail Outlets will be indicated in the advertisement.

F. Statutory Approvals / Licences:

Dealer select will obtain all statutory approvals / licences for operation of dealership asrequired.

G. Licence Fee:

In case of Corporation owned “A” / “CC” site ROs including ROs developed under CorpusFund Scheme for SC/ST category dealerships, a Licence Fee payable on per KL basiswould be recovered from the dealer as applicable from time to time. The same at presentis Rs. 48/KL for MS and Rs. 41/KL for HSD.

For Dealer owned “B” / “DC” site ROs, this Licence Fee would be recovered at a lowerrate from the dealer. The same at present is Rs. 18/KL for MS and Rs. 16/KL for HSD.

In certain cases, the land and super structure (constructed by the dealer), will be taken onlease from the selected candidate. The rentals as mutually agreed will be paid by the OilCompany and the same amount will be recovered from the dealership as additionallicence fee. In such cases the licence fee as applicable will be recovered at the lower ratewhich at present is Rs. 18/KL for MS and Rs. 16/KL for HSD.

9. SCHEME OF FINANCIAL ASSISTANCE TO SC/ST CATEGORY DEALERSHIPSUNDER “ CORPUS FUND SCHEME”

Financial assistance will be given to persons belonging to Scheduled Castes andScheduled Tribes on award of dealerships by the Oil company as under:

  In respect of locations reserved for SC/ST categories, the Oil Company will makeavailable the ready Retail Outlet with required facilities at its cost on the land offeredby the candidate and procured by the Company on mutually agreed terms andconditions.

  Oil Company will also provide adequate working capital loan for a full operation cycleof the operation of the Dealerships. Both the working capital as well as 11% perannum interest thereon will be recovered in 100 equal monthly instalmentscommencing from the 13th month of commissioning of the Dealership.

10. DISQUALIFICATION

 A. Indiv idual Applicants :

The persons while meeting the above mentioned eligibility criteria if do not satisfy any ofthe following requirements will be considered as ineligible for applying for the dealership:-

(i) Fulfill Multiple dealership norms : Multiple Dealership/Distributorship norms meansthat the applicant or any other member of ‘family unit’ should not hold a dealership/distributorship or Letter of Intent (LOI) for a dealership/distributorship of any Oil

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Company i.e. only one Retail Outlet / SKO-LDO dealership / LPG distributorship or anLOI of an Oil Company will be allowed to a ‘Family Unit’.

‘Family Unit’ in case of married applicant, shall consist of individual concerned, his/herSpouse and unmarried son(s)/daughter(s). In case of unmarried person/ applicant,‘Family Unit’ shall consist of individual concerned, his/her parents and his/herunmarried brother(s) and unmarried sister(s). In case of divorcee, ‘Family Unit’ shallconsist of individual concerned, unmarried son(s)/unmarried daughter(s) whosecustody is given to him/her. In case of widow/widower, ‘Family Unit’ shall consist ofindividual concerned, unmarried son(s)/unmarried daughter(s).

Oil Company for this purpose would also include Private sector Oil MarketingCompanies as per Gazettee notification of 2002.

In addition they should :

(ii) Not have been convicted for any criminal offence involving moral turpitude/ economic

offences (other than freedom struggle).

(iii) Not have been a signatory to a dealership / distributorship terminated on account ofproven malpractices.

(iv) Not be Mentally unsound / totally paralyzed.

(v) Not have resigned as sole proprietor of RO dealership / LPG Distributorship/SKO-LDOdealership in favour of his/her “Family” members.

In addition,

(vi) The family members (as per definition under multiple dealership norm) of the

employees of Oil Marketing Companies (who are employed at the time of application)would not be permitted to apply for RO dealership.

Partnership firms

The conditions spelt out above for individuals would be applicable to each partner of thepartnership firm individually.

B. Non-Individual applicants (Entity)

The entity while meeting the eligibility criteria if do not satisfy any of the followingrequirements will be considered as ineligible for applying for the dealership:-

(i) Multiple dealership norms: Applicability of multiple dealership norms to various non-individuals (entities) which will be as follows:

For Companies Registered under Companies Act 1956 or 2013 : The applicantcompany will not be eligible for RO / SKO-LDO dealership if any of the ROdealership/SKO-LDO Dealership /LPG distributorship is held by the following:-

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

  Holding company or Subsidiary Company.  Any other company or Firm where share holders (put together) of the applicant

company have controlling stake i.e. 51% or more.

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 (ii) If any individual, partnership firm, company, trust or society already holding RO / SKO-

LDO dealership/LPG distributorship acquire controlling stake in a company having RO/ SKO-LDO dealership/LPG distributorship then the RO/ SKO-LDO dealership /LPGdistributorship of the acquirer would be liable to be terminated.

(iii) Government owned Companies defined as major shareholding with the Government,Public Sector & Joint Sector Units or Government administered Organization areexempted from the above Multiple Dealership Norms.

(iv) For the charitable trusts registered with the charity commissioner of the respectiveState Government and Societies Registered under Societies Registration Act 1860 /Societies Registered under Cooperative Societies Act 1912 or Co-operative Societies

 Act as enacted by concerned states:

Such entities will not be eligible for RO / SKO-LDO dealership, if any of the RO / SKO-LDO dealership/LPG distributorship is held by any of the Member of the Governing

Body/Managing Body/Any such other Body or his family members (family as definedin the case of multiple dealership norms for individuals)

(v) None of the members of the Governing / Managing Committee of the RegisteredSocieties /Trusts/ Company incorporated under Companies Act 1956/2013 shouldhave been convicted for any criminal offence involving moral turpitude and / oreconomic offences (other than freedom struggle) punishable under Law.

(vi) The Registered Societies / Trusts/ Company incorporated under Companies Act1956/2013 should not have been convicted for any criminal offence involving moralturpitude and / or economic offences (other than freedom struggle) punishable underLaw.

(vii) None of the members of the Governing / Managing Committee of the RegisteredSocieties / Trusts/ Company incorporated under Companies Act 1956/2013 shouldhave been signatory to dealership/distributorship agreement of any Oil Company,which was terminated for malpractices and / or for violations of provisions of theMarketing Discipline Guidelines.

(viii) The Registered Societies / Trusts/ Company incorporated under Companies Act1956/2013 should not have been signatory to dealership/distributorship agreement ofany Oil Company, which was terminated for malpractices and / or for violations ofprovisions of the Marketing Discipline Guidelines.

Note: Conditions mentioned above are not applicable to Government owned Companiesdefined as major shareholding with the Government, Public Sector & Joint Sector Units or

Government administered Organization.

11. AFFIDAVIT

The applicants should submit an affidavit in the standard format confirming facts as per Appendix – XA  (for Individual) and  Appendix - XB  (for Non-individual) along withapplication.

Note :

  All affidavits should be submitted in original on stamp paper of appropriate value asapplicable in the concerned State.

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  All Stamp papers should be purchased in the name of the deponent.  All affidavits should be made after the date of advertisement.

12. APPLICATION FEE

Non refundable application fee of Rs.100/- in respect of Rural ROs (Rs.50/- for SC/STcategory locations) and Rs. 1000/- in respect of Regular ROs.(Rs.500/- for SC/STcategory locations) in the form of demand draft of schedule bank only in favour of the OilCompany.

One applicant can submit only one application for one location. In case more than oneapplication is received from one applicant, only one application would finally beconsidered for Draw of Lots / Bidding process. The non-refundable Application feesubmitted by the applicant along with all other applications will not be refunded.

13. NON-REFUNDABLE FIXED FEE / BIDDING AMOUNT

(i) In case of Dealer Owned / Company leased sites as defined in Clause 3, a Non-refundable fixed fee of Rs. 5 lakhs for Rural ROs and Rs. 15 lakhs for other ROswould be payable before issuance of LOA.

(ii) In case of Corporation owned sites (other than CFS) involving bidding for allotment,the minimum non-refundable bidding amount of Rs. 10 lakhs for Rural ROs and Rs.30 lakhs for Regular ROs would be applicable. Applicant would be required to depositRs. 50,000/- for Rural ROs and Rs. 1.5 lakhs for Regular ROs along with applicationas Initial Down Payment (IDP). The IDP from successful candidates would beadjusted against the bid amount payable before issuance of LOA.

(iii) IDP would be refunded to ineligible/unsuccessful applicants within 60 days of rejectionor within 15 days of opening of bids, whichever is earlier.

(iv) In case the highest bidder is unable to submit the total bidding amount within thestipulated time or he withdraws for any reason, his selection would be treated ascancelled and IDP would be forfeited.

14. SELECTION PROCEDURE

Selection will be basically made through draw of lots or bidding process depending uponthe type of Retail outlet site as defined in Clause 3. This will also be indicated againsteach location in the advertisement.

 A. Draw of Lots

Selection through draw of lots amongst eligible candidates and as per process detailed infollowing paragraphs will be made for :

  Corporation Owned outlets under Corpus Fund Scheme.  Company Leased  Dealer Owned Dealer Operated outlets (“B” / “DC” sites)

B. Bidding Process

Selection through Bidding process will be made for Corporation Owned Dealer OperatedSites (“A” / “CC” sites) except for Corpus fund locations mentioned above. However, in

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case of tie in bid amount, selection will be made through Draw of Lots amongst tied upbidders.

C. Advert isement :

Selection will be done by inviting applications through advertisements under appropriatecategory in two newspapers. Interested applicant should go through this Brochure forfilling up their application form.

D. Cut-off date for receipt of Applications:

The advertisement will specify the last date and time on or before which the applicationshould reach the designated office of the Corporation. The cut-off date would bementioned in the advertisement. The applicants should ensure that their applicationsreach the designated office of the Corporation before the cut-off date and time mentionedin the advertisement.

For candidates applying on-line the last date for filing application will remain the same.Further, 7 days’ additional time will be given only for submission of hard copy of the on-line application with signature and copies of relevant documents at the designated officeof OMC.

 Applications received after the specified closing date and time including postal delay willnot be considered and no correspondence shall be entertained in such cases whatsoever.In case of on line application, if the applicant fails to submit his/her on-line application onthe due date and time due to any technical reasons, whatsoever, the company shall notbe held responsible and no request for subsequent submission of the application shall beentertained.

E. Application Form:

 Application format for RO dealership is available in this brochure as  Appendix – XI-A (forIndividual applicants) & Appendix XI-B (for Non-individual applicants). This is also hostedon the website of the Corporation as part of brochure and can be downloaded free of cost.

The applicants are required to fill in Check list as per  Appendix XII-A  (for Individualapplicants) / Appendix XII-B (for non-Individual applicants) and attach the same on top ofthe application form.

F. On-line Application :

Facility to submit application on-line is also provided in our Web site. The prospective

applicant can fill up the on-line application form, take print out of the filled in applicationform on plain paper, affix the photograph, sign and attach the relevant documents andshould submit the same along with Non-refundable application fee and IDP, if applicable,by separate Demand Drafts/Pay Orders drawn on any Scheduled Bank so as to reachthe concerned office as mentioned in the advertisement.

For candidates applying on-line, the last date for filing application will remain the same asmentioned in the advertisement. Further, 7 days’ additional time will be given forsubmission of hard copy of the on-line application with relevant documents. The facility forsubmission of on-line application will be withdrawn immediately after the cut-off time anddate. If the applicant fails to submit his/her on-line application on the due date and time

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due to any technical reasons whatsoever the company shall not be responsible and norequest for subsequent submission of the application will be entertained.

In case the On-line applicant is unable to submit the hard copy of the on-line applicationat the designated office of the Corporation within the cut-off date and time, suchapplicants will be treated as ineligible.

G. Person Applying For Different Locations

While application by a candidate can be made for different locations, the same should bedone in separate application forms in respect of each location along with applicableapplication fee and IDP (if applicable) in each case. In such cases, all affidavits should besubmitted in original separately for each application.

H. Procedure For Filling And Submission Of Application

i. Application should be made on plain paper preferably typed or neatly handwritten as perthe prescribed format –  Append ix XI-A  for individual applicants and  Appendix XI-B  forNon-Individual applicants.

ii. Applicant should number all pages of the application including affidavits attachedtherewith and sign on each page. All affidavits have to be submitted in original along withthe application.

iii. Only those documents that are sought in the Application format should be submittedalong with the application.

iv. Each Applicant should submit only one application for one location.v. Filled in application should be submitted in a sealed envelope with name & Sr. no of the

location (as per the advertisement) superscribed on the envelop.

“Application for Regular RO / Rural RO dealership at _________________ (location),

 ______________(District) of____________(Name of Oil Company)”.vi. In case of locations involving bidding process, the Application along with enclosures

(including IDP) should be put in a separate sealed envelope and Financial bid (Filled inas per  Appendix XI C) be put in another separate sealed envelope. These envelopesshould be clearly marked as – “Application form with enclosures” and “Financial Bid” andboth these envelops should be put inside another sealed envelope with name & Sr. no ofthe location (as per the advertisement) superscribed on the envelope and submitted.

vii. Applications with open Financial bids or Financial bids not superscribed on the envelopwould be rejected and candidates advised accordingly.

viii. No alteration/addition/deletion in the application form will be permitted except affixing ofphotograph and putting signature on the application form. The rectified or additionaldocuments would be accepted only if they are pertaining to the information provided in the

 Application form.ix. While application by a candidate can be made for different locations, the same should bedone in separate application forms in respect of each location along with applicableapplication fee in each case. Each application should be complete in all respects anddocuments attached with one application cannot be considered for other application(s).

I. Priority for applicants with respect to ownership of land

Selection process would be first carried out for Applicants falling under Group 1 asmentioned in Clause 4 (vi). Applicants under Group 2 would only be considered ifthere is no applicant under Group 1 or no candidate is found eligib le or selectedfrom Group 1.

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J. Land Evaluation Committee (LEC) :

 All the eligible candidates falling under Group 1 would be informed about visit of the LandEvaluation Committee for evaluation of their offered land.

Evaluation of the offered land will be carried out to ascertain land being in advertised areaand being suitable for development of RO – meeting norms. The parameters under whichland will be evaluated by Land Evaluation Committee for suitability are:-

  Land in advertised area / stretch  Land dimensions as per requirement  Land meets NHAI norms (for sites on NH)  Land has no HT line (>11 KVA) crossing.

Land not meeting any of the above parameters will not be considered and will be rejected.

Moreover, if the same piece of land is found to be offered by more than one applicant for

a particular RO location then all such applications would be rejected.

In case no suitable candidate is found from GROUP 1, then land evaluation would becarried out for eligible candidates under GROUP 2.

K. Selection by Draw of Lots (for Corporation Owned Outlets under Corpus FundScheme, Dealer Owned Dealer Operated out lets & Company Leased outlets)

(i) Draw of lots will be held first amongst the eligible applicants with land falling in Group1. Draw of lots amongst eligible applicants of Group – 2 will be held only if there is noapplicant in Group 1 or applicants in Group 1 have been disqualified/not foundsuitable or have withdrawn.

(ii) The eligible candidates would be intimated to report for a draw for selection at aspecified place on specified date and time.

(iii) The result of the draw would be displayed on the notice board of the venue and at theconcerned office of the Corporation. It will also be hosted on the website of theCorporation.

(iv) In case of only one eligible candidate no draw will be conducted and the lone eligiblecandidate will be declared as selected.

L. Selection by Bidding process (for Corporation Owned Dealer Operated Outlets)

(i) Opening of bids will be held first amongst the eligible applicants with land falling in

Group 1. Opening of bids amongst eligible applicants of Group – 2 will be held only ifthere is no applicant in Group 1 or applicants in Group 1 have been disqualified/notfound suitable or have withdrawn.

(ii) The eligible candidates would be intimated to report for witnessing Opening of bidsat a specified place on specified date and time.

(iii) In case the bidding amount of all the applicants / lone applicant is found to be lessthan the minimum bid amount then it would be announced that “No candidate foundsuitable” for the concerned location as minimum bid amount has not been quoted byany / lone applicant.

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(iv) In case of a tie w.r.t. to highest bid amount quoted by the applicants, then the processof draw of lots would be followed for selection from amongst these applicantsimmediately after the bidding process for the location.

(v) In case the highest bidder withdraws for any reason, his selection would be treated ascancelled and IDP would be forfeited. In such an event, the dealership would beoffered to the next highest bidder.

(v) The result of the Bidding process will be displayed on the notice board of the venueand at the concerned office of the Corporation. It will also be hosted on the website ofthe Corporation.

15. PROCEDURE FOR FIELD VERIFICATION OF CREDENTIALS (FVC)

The Field Verification will be carried out for the selected candidate in respect of detailsprovided in the application form. The objective of the FVC is to verify the correctness of`the details given by the candidate in the application. The candidate would be required to

produce all original documents, copies of which have been attached with the applicationform for verification.

16. LETTER OF INTENT

If the information given in the application by the applicant is found to be correct, and noselection related complaint / court case is pending for decision, Letter of Intent will beissued to the selected candidate.

The dealer select, after receipt of LOI is required to make the offered land available indeveloped condition as per clause 12 (e) of affidavit (Appendix X A/X B) and fulfill theother requisite conditions as mentioned in the LOI. The dealer select under Group 1category would be given 2 months for making the land available and 4 months would be

given to Group 2 category for this purpose, failing which Corporation may withdraw theLOI and proceed further with selection process.

LOI will be issued after FVC but not before 30 days from declaration of results of draw oflots / bidding process.

 Affidavit as per  Appendix XA or XB  (as applicable) will have to be submitted by theselected candidate again at the time of issuance of LOI.

Withdrawal of LOI

In case selected candidate is unable to provide the land / develop facilities within thespecified time or due to non-fulfilment of terms & conditions of LOI, then LOI can be

withdrawn. A show cause notice should be given to the LOI holder and based on hisreply decision to withdraw LOI can be taken by Competent Authority as per internal policyof individual OMCs. In such situations, where selection is made through bidding process,IDP would be forfeited.

The IDP, wherever applicable, would also be forfeited if the selected candidate is unableto submit the total bidding amount within the stipulated time or he withdraws for anyreason, his selection would be treated as cancelled and LOI withdrawn.

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 17. GRIEVANCE REDRESSAL SYSTEM

 Any complaint should be accompanied by a fee of Rs. 1000/-, only in the form of demanddraft of schedule bank, in favour of the Oil Company. Any complaint received without thisfee will not be entertained. The complaint received against the selection includingeligibility will be disposed off as under:-

(i) Complaints received before or after draw of lots/bidding process along with requisitefee of Rs. 1000/-, will be kept in record and investigation carried out after 30 days ofDraw of Lots/bidding process only in following cases:-

  General complaints with verifiable facts  Complaints against selected candidate

(ii) Any complaint received after 30 days from the date of draw of lots/bidding process willnot be entertained.

(iii) Anonymous complaints without verifiable facts will not be investigated.

(iv) On receipt of a complaint, the complainant would be asked to submit details ofallegation with a view to prima facie substantiate the allegations along with supportingdocuments, if any. While seeking documents and details, the complainant will beadvised that if during the investigations, complaint is found to be false and/or withoutsubstance, the Corporation reserves the right to take action against the complainantas provided under the law and fee forfeited.

(v) In case a complaint is received against an applicant, who has not been selected indraw of lots/bidding process, the same will be kept in abeyance. In case the LOIagainst selected candidate is cancelled and the applicant against whom the complaint

was received gets selected in the next draw or on account of bidding process, thecomplaint will only then be investigated.

(vi) If the complaint is not required to be investigated the fee received will be refunded tothe complainant informing that the complaint has not been investigated since thecandidate against whom the complaint has been made has not been selected. Thefee will be refunded after issuance of LOA to the selected candidate.

(vii) Corporation will examine response of the complainant and if it is found that thecomplaint does not have specific and verifiable allegations, the same will be filed andcomplaint fee will be forfeited.

(viii) If a decision is taken to investigate the complaint, decision on the complaint

will be taken as under and intimated to the complainant:-

a) Complaints not substantiated: 

In case the complaint is not substantiated it will be filed and complaint fee will beforfeited.

b) Established Complaints:

In case of established complaint, suitable action would be taken and complaint feecollected will be refunded.

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18. COMMISSIONING OF THE DEALERSHIP

 A candidate who has been given the ‘Letter of Intent’ (LOI) would be required to fulfil theterms and conditions as contained therein, so as to commission the dealership within thestipulated time period. If the progress is not found to be in line with the given timelines,LOI may be withdrawn unless there are justifiable reasons for the same.

Before commissioning, Letter Of Appointment (LOA) along with executed copy ofdealership agreement will be given.

 Affidavit as per Append ix XA or XB (as applicable) will have to be submitted again by theapplicant at the time of issuance of LOA.

19. SECURITY DEPOSIT / FIXED FEE / BID AMOUNT

The selected candidate shall have to deposit the following :-

  An interest free refundable security deposit of Rs. 50000/- in respect of Rural ROsand Rs. 5 lakhs in respect of other ROs - for all categories of ROs before issuance ofLOA.

  Non refundable Fixed fee - for “B” site / DC site / Company leased ROs within 15 daysof receipt of NOC.

  Non refundable Bid amount (after adjusting the IDP amount) – For “A” / “CC” site ROswithin 15 days of receipt of NOC.

OMCs will start installation of their facilities only after collection of Fixed fee / Biddingamount.

OMCs will reserve the right to adjust any dues to it from this amount at the time ofresignation/ termination. However, in case of termination of the dealership on account of

proven malpractice, the said security deposit shall be forfeited.

20. TENURE OF DEALERSHIP

The tenure of the dealership shall be for an initial period of XX years and renewable everyXX years thereafter as decided by the concerned OMC.

21. FALSE INFORMATION

If any statement made in the application or in the documents enclosed therewith orsubsequently submitted in pursuance of the application by the candidate at any stage isfound to have been suppressed / misrepresented / incorrect or false, then the applicationis liable to be rejected without assigning any reason and in case the applicant has been

appointed as a dealer, the dealership is liable to be terminated. In such cases thecandidate / dealer shall have no claim whatsoever against the respective Oil Company.

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22. DETAILED INFORMATION IN RESPECT OF ADVERTISEMENT ISSUED IN THENEWS PAPER.

1. The following details pertaining to the locations where the Corporation proposes toappoint dealers wi ll be prov ided in the advertisement.

Sl.No

Nameoflocation

RevenueDistrict

Typeof RO

EstimatedMonthlySalesPotential

Category* Typeof

Site

MinimumDimension ofthe site (inMetres)*

Finance to be arrangedby the applicant

Mode of

Selection

Fixed Fee

/

Minimum

Bid

amount

Security

Deposit

1 2 3 4 5 6 7 8 9a 9b 10 11 12

Regular

/ Rural

MS+HSD

in Kls

SC

SC CC-1

SC CC-2

ST

ST CC-1

ST CC-2

OBC

OBC CC-1

OBC CC-2

OPEN

OPEN CC-1

OPEN CC-2

CC /

DC /

CL

Frontag

e

Depth For

eligibility

Estimated

fund required

for

development

of

infrastructure

for RO

Draw of

Lots /

Bidding

* The site should either be Owned or on lease with applicant for minimum XX years or Applicant should have firm offer for the same.

The explanation of the columns in the table is as under:-

Column 4

Regular ROs : Locations on Highways (NH/SH) and Urban/Semi Urban areasRural ROs : Locations in Rural areas but not on Highways (NH/SH)

Column 6

SC Scheduled Caste Category

SC CC-1 Combined category 1 consists of Defence personnel / Para Military personnel / Central& State Govt. employees /Central & State Govt. PSU employees belonging to SCcategory.

SC CC-2 Combined Category 2 consists of Physically Handicapped persons (PH), OutstandingSports Persons (OSP) and Freedom Fighters belonging to SC Category

ST Scheduled Tribe Category

ST CC-1 Combined category 1 consists of Defence personnel / Para Military personnel / Central& State Govt. employees /Central & State Govt. PSU employees belonging tobelonging to ST category.

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ST CC-2 Combined Category 2 consists of Physically Handicapped persons (PH), OutstandingSports Persons (OSP) and Freedom Fighters belonging to ST Category

OBC Other Backward Classes

OBC CC-1 Combined category 1 consists of Defence personnel / Para Military personnel / Central& State Govt. employees /Central & State Govt. PSU employees belonging to OBC

category.OBC CC-2 Combined Category 2 consists of Physically Handicapped persons (PH), Outstanding

Sports Persons (OSP) and Freedom Fighters belonging to OBC Category.

Open Open CategoryOpen CC1 Combined category 1 consists of Defence personnel / Para Military personnel / Central

& State Govt. employees /Central & State Govt. PSU employees belonging to OPcategory.

Open CC2 Combined Category 2 consists of Physically Handicapped persons (PH), OutstandingSports Persons (OSP) and Freedom Fighters belonging to OP category.

Column 7

CC  : Corporation expects the applicant to have / arrange suitable land for the Retail Outletand provide the same to the Corporation on sale / long lease.

DC  : Corporation expects the applicant to have / arrange suitable land for setting up of theRetail outlet. The applicant is not required to sell/lease the land to the Corporation. Inthis case it is expected that the applicant will provide all infrastructure / other fixedfacilities required for the dealership at his cost.

CL  : Corporation expects the applicant to have / arrange suitable land for setting up of the

Retail outlet. In this case it is expected that the applicant will provide all infrastructure /other fixed facilities required for the dealership at his cost and will lease the land alongwith superstructure to the Corporation.

Column 8

Selection for dealership would be from amongst the eligible candidates on the basis of drawof lots / bidding process as mentioned against each location. In case of selection throughbidding process, the eligible applicant submitting the highest bid along with the applicationwould be selected for dealership.

2. General Conditions pertaining to Advertisement

i. THE APPLICANTS SHOULD CAREFULLY GO THROUGH THE “ BROCHURE”BEFORE SUBMITTING THEIR APPLICATION(S).

ii. Applications received after 1700 Hrs. on the cut-off date including postal delay will not beconsidered. No correspondence will be entertained by respective Oil Company in such

cases.iii. Documents/affidavits to be submitted with regard to category of the location as per theadvertisement (For individual applicants and Registered societies applying under“ other than Open” category).

Category Eligibility Certificateformat

Category Eligibility Certificate format Category Eligibility Certificateformat

SC/ST Appendix VI OBC Appendix – VII-A & VII-B Open CC1 Appendix VI, VIII or DGRcertificate/DischargeOrder or Pension Orderas applicable

SC/ST CC1 Appendix VI, VIII orDGRcertificate/DischargeOrder or Pension

OBC CC1 Appendix VI, VIII or DGRcertificate/Discharge Orderor Pension Order asapplicable

Open CC2 Appendix – IX orcertificate applicable forOSP/FF

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Order as applicable

SC/ST CC2 Appendix – VI, IX orcertificate applicable

for OSP/FF

OBC CC2 Appendix – VII-A, VII-B, IXor certificate applicable for

OSP/FF

Registeredsocieties

applyingunder“other

thanOpen”category) 

Certificate from Registrarof Societies giving

names of all themembers

iv. Any individual meeting eligibility criteria, can apply under “Open” category. Except forlocations advertised under ‘Open’ category, the eligibility certificate for the othercategories has to be submitted along with the application. In case the applicant applyingunder DEF category is unable to submit the DGR certificate along with the application,then he/she should submit the same in person on the date of draw of lots/opening of bids.Their application will be considered for the draw/opening of bid only if the eligibilitycertificate from DGR is submitted before the commencement of draw/opening of bid.

v. Applicants are advised to fill the check list given as  Appendix – XII A/ XII B and attachthe same at the top of the application form.

vi. ‘Family Unit’ in case of married applicant, shall consist of individual concerned, his/herSpouse and their unmarried son(s)/daughter(s). In case of unmarried person/ applicant,‘Family Unit’ shall consist of individual concerned, his/her parents and his/her unmarriedbrother(s) and unmarried sister(s). In case of divorcee, ‘Family Unit’ shall consist ofindividual concerned, unmarried son(s)/unmarried daughter(s) whose custody is given tohim/her. In case of widow/widower, ‘Family Unit’ shall consist of individual concerned,unmarried son(s)/unmarried daughter(s) for the purpose of this entire application.

vii. All affidavits should be submitted in originals and should be of a date after the date ofadvertisement. Stamp paper should be of appropriate value as applicable in theconcerned state and should be purchased in the name of deponent. Photocopies of

 Affidavits will not be accepted. For all other documents only self attested copies should besubmitted along with application and the Originals should be made available at the time ofField verification. Failure to present these documents in original at the time of Field

verification can result in cancellation of selection.viii. Applicants should provide only that information against various items of application for

which they are in possession of supporting documents in original as on the date of Affidavit. Failure to present these documents in original at the time of verification willresult in cancellation of selection.

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

x. The applicant on selection should be capable to raise necessary funds for effectivelyoperating the dealership to the satisfaction of the Corporation.

xi. This is only an application and not an offer of RO dealership.xii. An applicant selected for dealership will have to execute a dealership agreement before

issuance of Letter of Appointment with the Corporation as per the terms of theCorporation.

xiii. Kindly note that the information and documents provided by the applicants may bedisclosed by Oil Company to third parties under the RTI Act 2005.

xiv. Any grievances/complaints related to selection can be submitted within a time frame of 30days from the date of declaration of results of that location with a fee of Rs. 1000/. Anycomplaint received thereafter will not be entertained.

xv. In case of any discrepancy in advertisement published in English News papers vis a visvernacular dailies, the direction/information indicated in English paper would prevail.

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

******************

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 Appendix – I

(To be submit ted by persons applying for Rural ROs) 

RESIDENCE CERTIFICATE 

This is to certify thatShri/Smt/Kum.______________________________________________son/daughter ofShri_____________

 ________________________________________________________is a resident of _______________________Revenue Villagein ___________________________Village Panchayat of

 __________________________________BLOCK inDistrict_______________________________ of State________________________

(______________________)Signature ofDy.Tehsildar/TehsildarDy.Mamlatdar/Mamlatdar(Seal of Office)

OR

(______________________)Signature of Dy. Commissioner*/Commissioner of Police(Seal of Office)

Date :

*Only if the Competent Authority is Dy. Commissioner of Police.

Note : Residence certificate issued within previous six months of the date of affidavit fordealership in the prescribed format herein will only be treated as valid residencecertificate. 

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  Appendix – II A

Format of Letter to be given by the Applicant for making Spouse as partner

Place:Date:

To, ___________ ___________ ___________

Subject: Letter for induction of spouse as Co-owner / Partner for RODealership at Location __________, District_________, State

 ________, under_________ category Advertised on ___________

Dear Sir/Madam,

I write with reference to your letter ref. _______________ dated _______________ informingme the intent to award of RO Dealership at __________ District_________ under_________category Advertised on ___________, and would like to submit as under:-

I am married and name of my spouse is __________________. I am aware that as perTerms and Conditions of the Dealer Selection, my spouse will be co-owner i.e. 50% partnerof RO dealership with me unless my spouse is already gainfully employed and/or do not wish

to be made a partner.

** I shall complete all necessary documentation/formalities with respect to Partnership, etc.with my spouse before issuance of Letter of Award / signing of Agreement. I am also awarethat the Agreement will be signed by both of us jointly.

OR

** My spouse is already gainfully employed and/or do not wish to be made a partner. I shallsubmit Affidavit as per Appendix IIB affirming that he/she does not wish to be made a partnerbefore issuance of Letter of Award / signing of Agreement.

** Strike off whichever is not applicable.

Thanking you,

Yours faithfully

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 Appendix II B

Notarized Affidavit from Spouse in case she / he wishes/does not wish to become a partner

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

(To be submitted by Spouse of the individual LOI (Letter of Intent) holder before acceptance of Letterof Appointment/Signing of Dealership Agreement)

In the matter of RO dealership of Indian Oil Corporation* / Bharat Petroleum Corporation* / HindustanPetroleum Corporation* at___________ (Location) District_________ under_________ category

 Advertised on ___________.

I, _____________________________son / daughter / wife of ________________________________ Age _____ years resident of _________ do hereby solemnly declare:

1. That my husband / wife Shri/Smt. ___________________, has applied for the above ROdealership and _______________ (OMC name) has issued Letter of Intent vide letter ref no

 ___________ dated ____________ in favour of my husband / wife.

2. That I am aware, that as per Terms and Conditions of the Dealer Selection, I have to be inductedas co-owner i.e. 50% partner of RO dealership allotted to my husband / wife Shri/Smt.

 ___________________.

I wish to become a partner/co-owner in the dealership allotted to my husband / wife Shri / Smt.

 ____________. I also undertake that all necessary documentation and undertaking / affidavit as

required for award of dealership will be completed by me prior to issuance of LOA.

OR

That I am currently gainfully employed as mentioned below:-

Details of employment with Employer’s address.

Hence, I do not wish to be made a partner in the Dealership allotted to my husband / wifeShri/Smt. ___________________.

OR

That I do not wish to be made a partner in the Dealership allotted to my husband / wife Shri/Smt. ___________________ for personal reasons.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent

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 Appendix - III

Notarized Affidavit from the applicant w.r.t. employment in Pvt. Sector / drawal ofsalary/perks/emoluments from State / Central Government.

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

(To be submitted by individual LOI holder before acceptance of Letter of Appointment fordealership)

In the matter of RO dealership of Indian Oil Corporation* / Bharat Petroleum Corporation* /Hindustan Petroleum Corporation* at Location ___________ .

1. That I, _____________________________son / daughter / wife of ________________________________ Age _____ years resident of _________ dohereby solemnly declare as under:

2. That I, ___________________, have applied for RO dealership of Indian OilCorporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* atlocation __________ in Dist __________ in State __________ under category

 _________ and the Oil Company has issued Letter of Intent for the said Retail OutletDealership vide letter ref no ___________ dated ____________ .

3. I hereby declare that I am neither employed in private sector nor drawing anysalary/perks/emoluments from State / Central Government.

OR

I was employed and have resigned from the employment. Proof of acceptance ofresignation is attached.

4. I also affirm that during the tenure of the Dealership I will not take any employment inPvt. Sector and draw any salary /perks/emoluments from State / Central Government.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent

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  Appendix IV

Notarized Affidavit for offer of finance by members of ‘Family unit’

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

(To be given by the family member as defined in eligibi lity criteria other than applicant,for Finance)

I _____________________________________ Son/daughter/wifeof________________________________ age______years resident of

 _____________________do hereby solemnly affirm and say as under:-

1. That I am unmarried and my father*/mother*/unmarried brother* / unmarried sister*

(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

OR

That I am married and my unmarried son*/ unmarried daughter*/wife*/husband*(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

* Strike off whichever is not applicable.

2. That in case he/she is selected for RO dealership I will provide financial assistance to theextent of Rs. _____ lakhs, which I hold in my name, and which is mentioned at Clauseno. 10 of the application form submitted by(Shri/Smt/Kum)___________________________for RO dealership of IOC*/BPC*/HPC*at ____________________________

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

Solemnly affirmed and declared before me

This_________________________ day of ______________________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent and

Relationship with applicant

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 Appendix – V A

Notarized Affidavit for o ffer of land from family member and/or third partysupported by land documents – All the joint owners of the land have to submit this

affidavit individually.

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

I _____________________________________ Son/Daughter/wife

of________________________________ age______years resident of _____________________do hereby solemnly affirm and say as under:-

Clause for Family members

(“Family Unit” as defined in Multiple dealership norm under Clause “Disqualification”)

1. That I am unmarried and my father*/mother*/unmarried brother* / unmarried sister*(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

OR

That I am married and my unmarried son*/ unmarried daughter*/wife*/husband*(Shri/Smt/Kum)__________________________________(name) has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

Strike off whichever is not applicable.

2. That I, Shri/Smt _____________________, own a piece of land singly / jointly bearingGut/Survey No. _____________ at ___________________ (village/town), Taluka/Tehsil

 __________, Dist ___________ in the State of _____________ admeasuring _____ mt(frontage) x _____ mt (Depth) having area _____ sq. mts. as per the following details :

OR

That I, Shri/Smt _____________________, singly / jointly hold a piece of land on longterm lease basis (___ years w.e.f. __________) bearing Gut/Survey No. _____________at ___________________ (village/town), Taluka/Tehsil __________, Dist ___________ inthe State of _____________ admeasuring _____ mt (frontage) x _____ mt (Depth) havingarea _____ sq. mts. as per the following details :

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 Strike off whichever is not applicable.

3. That Shri/Smt/ M/s.(name of the Entity) ______________________ has applied for RetailOutlet dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'category against the advertisement appeared in __________________news paperdated__________________

4. That in case he/she/ M/s.(name of the Entity) is selected for RO dealership I will eithersell/transfer/lease the above mentioned piece of land to Oil Company or to Shri / Smt/

M/s.(name of the Entity) _______________ for setting of Retail Outlet facilities at theabove mentioned location as per the site plan duly signed by all co-owners. In case oflease, I further confirm that I have no objection if the subject piece of land leased to Shri /Smt _______________ is further leased/sub-leased to the Oil Company by him/her as perterms of the Oil Company.

That I have no objection if the above mentioned land is used for setting up of Retail Outletfacilities by Shri / Smt. / M/s.(name of the Entity) ___________________ at the abovementioned location, as per the site plan duly signed by all co-owners.

5. I hereby confirm that the said piece of land has not been offered by me to any otherperson for Retail Outlet dealership of this location against the above mentioned

advertisement.

6. I hereby verify that what has been stated above is true and correct to the best of myknowledge, and nothing has been concealed there from.

Solemnly affirmed and declared before me

This_________________________ day of ______________________________

Signature and Seal of SignatureMagistrate/Judge/Notary Public Name of Deponent and Relationship

with applicant

Name(s) of theowner of Land/ Leaseholder

Relationshipwith applicant*

Date of registrationof sale deed/giftdeed / lease deed/date of mutation

KhasraNo/Gut

No/Survey No

Dimensions of land 

Frontagein metre

Min.Depth in

metre

 Area ofthe land(Sq.m)

1.2.3.4.

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 Appendix – V B

Letter from Advocate w.r.t. land offered by the applicant confirming status of the landi.e whether the of fered land falls in Group 1 OR Group 2.

(TO BE TYPED ON LETTER HEAD OF THE ADVOCATE AND TO BE ADDRESSED TOTHE OMC)

(To be submitted by Applicants)

ToThe Divisional Manager / Territory Manager / Regional ManagerIOCL / BPCL / HPCL

Dear Sir,

Sub : Details of land offered by my client.

1. This is to inform you that I have perused the documents pertaining to the land atSurvey No/Gut No __________ (address of the plot) , Khasra / Khatauni

 ___________ at Village __________ offered by Shri/Smt/ M/s.(name of the Entity) __________________, who has applied for Retail Outlet dealership of M/sIOCL/BPCL/HPCL for the location _____________, Dist ____________ and that thisland falls in the advertised area / stretch.

2. I have also perused sub clause (vi) pertaining to land parameter under the clause 4ELIGIBILITY CRITERIA FOR APPLICANTS in the Brochure, which explains how aparticular piece of land falls under Owned land category (Group 1) or Firm offercategory (Group 2). In my opinion and as per the requirement of OMC (name of oilcompany), the piece of land offered by my client falls under:-

Group 1* : Yes/No

Group 2* : Yes/No

*Strike o ff whichever is not applicable.

3. I have also gone through the Lease agreement for the land at Survey No/Gut No __________ (address of the plot) , Khasra / Khatauni ___________ at Village __________ offered by Shri/Smt/ M/s.(name of the Entity) __________________,who has applied for Retail Outlet dealership of M/s IOCL/BPCL/HPCL for the location

 _____________, Dist ____________ and confirm that the lease agreement has aprovision to sub-lease the land to the Oil Company.

(Clause 3 above is applicable only for locations advertised under Corpus FundScheme (CFS sites), Other Corporation Owned Sites (“A”/ “CC” sites) and CompanyLeased sites and where the offered land is taken on Long term lease).

Place :

Date : 

Signature of Advocate ____________________Name & Seal of Advocate _______________________

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  Appendix – VI

Standard Format for SC/ST Category Certificate

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

This is to certify that Shri / Smt. / Kum* ______________ son / daughter* of ________________ of village / town * ______________ in District / Division* _______ of theState / Union / Territory* of ___________ belongs to the ________Caste / Tribes and his /her religion is ___________ which is recognised as a Scheduled Castes / Scheduled Tribesunder the Scheduled Castes / Scheduled Tribes lists (modification) order 1956* read with theBombay Re-organisation Act, 1960 and the Punjab Reorganisation Act 1956*.

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

The Constitution (Dadra & Nagar Haveli) Scheduled Castes Order, 1962*The Constitution (Pondicherry) Scheduled Castes Order, 1964*The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967*The Constitution (Nagaland) Scheduled Tribes Order, 1970*

Place : ____________ Signature : ______________Date : ____________ Designation : ______________

(with seal of office)State / Union Territory** Please delete the words, which are not applicableNote : The terms “Ordinarily reside(s)” used here will have the same meaning as in Section-

20 of the Representation of the People Act, 1950.

# Officers competent to issue Caste / Tribe certificates.i. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner /

 Additional Deputy Commissioner / Deputy Collector, 1st Class Stipendiary Magistrate / CityMagistrate *** Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra

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

ii. Chief Presidency Magistrate / Additional Chief Presidency Magistrate, PresidencyMagistrateiii. Revenue Officers not below the rank of Tehsildar.iv. Sub-divisional officer of the Divisional where the candidate and / or his family normallyresides.v. Administrative / Secretary to Administrator / Development Officer (Lakshadweep).

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

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 Appendix VII B

Declaration/undertaking as a notarized affidavit - for OBC Candidates only

(To be typed on appropr iate non-judicial stamp paper of required value)

I, ________________________________ son / daughter of Shri ________________________ resident of village/town/city ____________________________in the district _____________________ State / UnionTerritory of ____________ hereby declare that I belong to the ____________________community which is recognised as a backward class by the Government of India for thepurpose of reservation in services as per orders contained in Department of Personnel andTraining Office Memorandum No.36012/22/93- Estt. (SCT), dated 8/9/1993. It is alsodeclared that I do not belong to persons/sections (Creamy Layer) mentioned in Column 3 of

the Schedule to the above referred Office Memorandum, dated 8/9/1993, which is modifiedvide Department of Personnel and Training Office Memorandum No.36033/3/2004 Estt.(Res.)dated 14.10.2008 and any other subsequent amendments issued in this regard.

Signature of the CandidatePlace: _________________ (Deponent)Date: _________________

Declaration / Undertaking not signed by the candidate will be rejected.

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

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  Append ix – VIII

Standard Format for Paramilitary /Police/PSU/Government Personnel Category (CC1)

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

NAME & ADDRESS OF THE GOVT ORGANIZATION/DEPARTMENT/AGENCY ISSUING THECERTIFICATE

Reference NoDate

Eligibility Certificate for Paramilitary/Police/Government Personnel Category

1. @ This is to certify that Shri/Smt./Kum. ________ who was working in this office as ________had passed away on (date) _______ at (Place)___________. Shri/Smt./Kum. ________ has

been awarded ( name of gallantry award)________in recognition of the supreme sacrificemade while__________________, Shri/Smt./Kum. ( name of applicant) _________________(relationship ___________ ) was dependent on Shri/Smt./Kum. Shri/Smt./Kum.

 ____________ as per our records.

OR2. @This is to certify that Shri/Smt./Kum. ___________________________________who was

working in this office as ______ had passed away on (date) ________________ while inaction at (Place)______________ Shri/Smt./Kum. ( name of applicant) _________________ (relationship ___________ ) was dependent on Shri/Smt./Kum. ____________ as per ourrecords.

OR

3. @This is to certify that Shri/Smt./Kum. (name of applicant)__________________________was working in our organization ________ and has been disabled on ( date) _________whileperforming duties at (place)________.

OR

4. @This is to certify that Shri/Smt./Kum. ___________________________________who wasworking in this office as ______ had passed away on (date) ________________ while on dutyat (Place)______________ Shri/Smt./Kum.( name of applicant) _________________ (relationship ___________ ) was dependent on Shri/Smt./Kum. ____________ as per ourrecords.

OR

5. @This is to certify that Shri/Smt./Kum. _________ was working in our organization ________

and has been disabled in peace on ( date) ----------- due to attributable causes.

@ Delete if not applicable.

 Attested Signatures of applicant

Place : ____________ Signature :Date : ____________ Name :

Designation:Office Seal:

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 Appendix – IX

Standard Format for PH Category Certi ficate #

NAME & ADDRESS OF THE INSTITUTE/HOSPITAL ISSUING THE CERTIFICATE

STANDARD FORMAT OF THE CERTIFICATECertificate No.____________Date____________

CERTIFICATE FOR THE PERSONS WITH DISABILITIES

This is to certify thatShri/Smt/Kum_____________________________________________________________Son/wife/daughter of Shri____________________________________________________

 Age_____________old male/female, Registration No.___________________ is a case of _______________________________________________________________ He/She is

physically disabled/visual disabled/speech & hearing disabled and has______% (_______per cent) permanent (physical impairment/visual impairment/speech & hearing impairment) inrelation to his/her ______________________________________________________

Note:-1. This condition is progressive/non-progressive/likely to improve/not likely to improve.*2. Re-assessment is not recommended/is recommended after a period of ____________

 __________________months/years.*

# Candidates would be considered eligible under this category in case the candidates areorthopaedically handicapped to the extent of minimum of 40% permanent (partial) disability of either

upper or lower limbs; or 50% permanent (partial) disability of both upper and lower limbs together. For

this purpose, the standards contained in the `Manual for Orthopaedic Surgeon in evaluating PermanentPhysically Impairment' brought out by the American Academy of Orthopaedic Surgeons, USA and

published on its behalf by the Artificial Limbs Manufacturing Corporation of India, G.T. Road, Kanpur,

shall apply.

Deaf, Dumb and blind persons with minimum 40% disability (speech, hearing and visual impairment)

will be eligible to apply for RO dealership under this category. However, totally blind persons will notbe eligible.

Candidate applying under this category should produce a certificate (as per the standard format givenin the application format) issued by a Medical Board duly constituted by the Central / State

Government as per the Gazette of India Extraordinary New Delhi, No 154 dated June 13, 2001 on

Guidelines for evaluation of various disabilities and procedure for certification.

*Strike out which is not applicable.

Sd/- Sd/- Sd/-(DOCTOR) (DOCTOR) (DOCTOR)Seal Seal Seal

Signature/Thumb impressionOf the patient.Countersigned by theMedial Superintendent/CMO/Head ofHospital (with seal)

Recent AttestedPhotographShowing thedisability tobe affixedHere.

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  9 I confirm that arrangement will be made for taking delivery of products on ex-MI basis from theconcerned OMCs within 4 months of intimation thereof from the OMC to this effect.

10 That I hereby confirm that I was never a signatory to dealership/distributorship agreement of any OilCompany, which was terminated for proven malpractices and / or for violations of provisions of the

Marketing Discipline Guidelines.11 a) That the funds as detailed in Clause No. 10 of the application form pertaining to Finance andaffidavit submitted by family members for provision of finance attached along with theapplication form (if applicable) are available with me as on date. I also understand that theminimum fund required, as per the advertisement, should be available with me as closingbalance on cut-off date for submission of application for eligibility. The original documents insupport of the claim would be made available to the Corporation at the time of FieldVerification.

b) I am aware that my claim, as above, if found to be at variance at any stage, would result inmy application /candidature becoming invalid for further consideration by the Oil Company.

c) In addition, in case I am selected for RO dealership, I undertake to arrange funds requiredfor development of requisite infrastructure and facilities as mentioned in the Advertisement

for the location.d) I am also aware that in the event of my inability to arrange the said funds, as mentioned inClause 10 of the application form and Para (c) above, as and when required by the OilCompany (Name of the Oil Company), the allotment shall be withdrawn and I will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

12 That the details mentioned in Clause No. 9 of the application form, affidavit submitted by Co-owner/s(if applicable) and confirmatory letter from Advocate attached along with the application formpertaining to Land :-

a) Are true and land documents in support of the claim have been attached along with theapplication form.

b) That in case I am selected for RO dealership, I undertake to arrange the said piece of plot asmentioned in the application form for setting up of retail outlet at location __________ in Dist

 __________ in State __________ for which I have made the application.

c) I am aware that my claim, as above, if not supported by required documents or in the eventbeing found to be at variance at any stage, would result in my application /candidature becominginvalid for further consideration by the Oil Company.

d) I am also aware that in the event of my inability to make available the said land required forsetting up the retail outlet as required by the Oil Company (Name of the Oil Company), withinthe period mentioned in the LOI, then the allotment can be withdrawn and I will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

e) I am also aware that in case of my selection for this RO dealership it will be binding on me tohand over the offered land duly developed up to the road level with good earth / murram , layerwise compacted as per standard engineering practices to the satisfaction of OMC and I willprovide retaining wall and compound wall of minimum height 1.5 mt, designed as per siteconditions and approved by OMC engineers.

f) I am also aware that in case the same piece of land offered by me for setting up of retail outlet atlocation __________ in Dist __________ in State __________ is offered by any other applicantfor the same purpose, my candidature for RO dealership will be rejected.

13 That I hereby confirm that I will neither take up any other employment nor will draw any

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salary/perks/emoluments from State/Central Government upon my appointment as a dealer.If I am already employed I will resign from the employment and produce proof of acceptance ofresignation by my employer before the acceptance of Letter of Appointment to be issued by the OilCompany.

14 I hereby confirm that I have not resigned as a sole proprietor from a dealership/distributorship of anyoil marketing company in favour of any of my family member/s as defined in the SelectionGuidelines.

15 I am married. I undertake to fulfill the conditions of ________________ (OMC) with regard to

inducting Spouse as Co-owner in the dealership if the dealership is awarded to me.

OR

I am unmarried. I undertake to inform the company of my marriage and undertake to fulfill the

conditions of ________________ (OMC) with regard to inducting Spouse as Co-owner in the

dealership within one year of my marriage if the dealership is awarded to me.

16 I undertake that I will observe all the relevant guidelines with regard to award/operation of the said

dealership issued by Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan PetroleumCorporation* / Government of India or any other statutory body from time to time.

17 That if any information/declaration given by me in my application or in any document submitted byme in support of application for the award of the RO dealership or in this affidavit shall be found tobe untrue or incorrect or false, …………..(Name of OMC) would be within its rights to withdraw theletter of intent / terminate the dealership (if already appointed) and that I would have no claim,whatsoever, against the Corporation for such withdrawal / termination.

If an individual stayed in India for 182 days or more in the previous Financial year, he is treated asresident of India as per Income Tax Rules irrespective of his citizenship. If the stay is less than 182days he is a non-resident.

* Strike off whatever is not applicable. 

I hereby verify that what has been stated above is true and correct to the best of my knowledge and nothingmaterial has been concealed there from.

Signature of Deponent(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal ofMagistrate/Judge/Notary public

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 APPENDIX X-BNotarized Affidavit

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

(To be submitted by non-individual applicants)

In the matter of RO dealership at___________ (Location) of Indian Oil Corporation* / BharatPetroleum Corporation* / Hindustan Petroleum Corporation* whereas _______________ (Name ofthe Registered Society*/Company*/Charitable Trust*) ________________ (Location) has appliedfor RO dealership of ________(name of the Oil Company) Ltd., at ___________.

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

 ___________ do hereby solemnly declare:

1. That through a resolution passed by the Registered Society*/Company*/Charitable Trust* I havebeen authorized to apply for the said dealership on behalf of the RegisteredSociety*/Company*/Charitable Trust*. A copy of the resolution/authorization is enclosed herewithforming part and parcel of this affidavit.

2. That the said Registered Society is duly registered under Societies Registration Act 1860 or 1912or Societies Registration Act enacted by the State Government of ______ * /Company formedunder the companies act 1956 or 2013* /Charitable Trust* is registered with Charity Commissionerof State Government of ______________* (name of the State) on ________(date of registration/incorporation) and a photocopy of the certificate of registration is enclosed herewith forming partand parcel of this affidavit.

3. That our Registered Society*/Company* had made net profit during the previous consecutive 3

financial Years as certificate by Chartered Accountant (Not applicable for Charitable Trusts).4. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that we willobserve all the relevant guidelines with regard to award/operation of the said dealership issued byIndian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* /Government of India or any other statutory body from time to time.

5. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that we willoperate the dealership through our own entity.

6. That all members of the Society belong to the same category for which RO dealership has beenadvertised. A copy of certificate to this effect from Registrar of Society and a list giving names of allthe members of the Society is enclosed herewith forming part and parcel of this affidavit.(Applicable only in case of Regd. Societies apply ing under ‘other than open category ’)

7. That neither our Registered Society*/Company*/Charitable Trust* nor any Member of the GoverningBody/Managing Body/Any such other Body of this Registered Society*/ Charitable Trust*/ Directorsof company* has been convicted by any court of law for any criminal offence involving moralturpitude and/or economic offences (other than freedom struggle) punishable under Law.

8. That neither this entity nor any of the Member of its Governing Body/Managing Body/Any suchother Body of this Registered Society*/ Charitable Trust*/ Directors of company* was never asignatory to dealership/distributorship agreement of any Oil Company, which was terminated formalpractice and/or for violation of Marketing Discipline Guidelines.

(Clause 7 & 8 above is not applicable to Government owned Companies defined as majorshareholding with the Government, Public Sector & Joint Sector Units or Governmentadministered Organization)

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

OR

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

10. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake thatarrangement will be made for taking delivery of products on ex-MI basis from the Oil Companywithin 4 months of intimation thereof from the Oil Company to this effect.

11.a) That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that the

details mentioned in Clause No. 10 of the application form pertaining to Finance are availablewith us as on date. I on behalf of the Registered Society*/Company*/Charitable Trust* alsoaffirm that the minimum fund required as per eligibility criteria would be available with us asclosing balance on cut-off date for submission of application as per the advertisement. Theoriginal documents in support of the claim would be made available to the Corporation at thetime of Field Verification.

b) We are aware that our claim, as above, if found to be at variance at any stage, would result inour application /candidature becoming invalid for further consideration by the Oil Company.

c) In addition, in case we are selected for RO dealership, we undertake to arrange Rs. _  _____________________ required for development of requisite infrastructure andfacilities as mentioned in the Advertisement for the location __________ in Dist __________ inState __________ for which we have made the application.

d) We are also aware that in the event of our inability to arrange the said funds, as mentioned inClause 10 of the application form and Para (c) above, as and when required by the OilCompany (Name of the Oil Company), the allotment shall be withdrawn and we will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

12. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that thedetails mentioned in Clause No. 9 of the application form and confirmatory letter from

 Advocate attached along with the application form pertaining to Land :-

a) Are true and land documents in support of the claim have been attached along with theapplication form.

b) That in case we are selected for RO dealership, we undertake to arrange the said piece of plot

as mentioned in the application form for setting up of retail outlet at location __________ in Dist __________ in State __________ for which we have made the application.

c) We are aware that our claim, as above, if not supported by required documents or in the eventbeing found to be at variance at any stage, would result in our application /candidature becominginvalid for further consideration by the Oil Company.

d) We are also aware that in the event of our inability to make available the said land required forsetting up the retail outlet as required by the Oil Company (Name of the Oil Company), within theperiod mentioned in the LOI, then the allotment can be withdrawn and we will have noclaim/damages whatsoever against the Oil company (Name of the Oil Company).

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e) We are also aware that in case of our selection for this RO dealership, it will be binding on us tohand over the offered land duly developed up to the road level with good earth / murram , layerwise compacted as per standard engineering practices to the satisfaction of OMC and we willprovide retaining wall and compound wall of minimum height 1.5 mt, designed as per siteconditions and approved by OMC engineers.

f) We are also aware that in case the same piece of land offered by us for setting up of retail outletat location __________ in Dist __________ in State __________ is offered by any otherapplicant for the same purpose, our candidature for RO dealership will be rejected.

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

*Strike out whatever is not applicable.

I hereby verify that what has been stated above is true and correct to the best of my knowledge andnothing material has been concealed there from.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of Signature of DeponentMagistrate/Judge/Notary public (Name in block letters)

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  Appendix – XIA

 Appl ication Format For Indiv idual Appl icants(FORM TO BE FILLED UP IN CAPITAL LETTERS USING BLUE / BLACK BALL POINT PEN) 

For Office Use

Not to be filled byapplicant

Sr. No. oflocation in theadvertisement

Sr. No. ofapplication asper listing of

 AOC

D D - M M - Y Y Y Y

 APPLICATION FOR RETAIL OUTLET DEALERSHIP

Particulars of applicationfee (Rs.)

In Nos.

Latest Passport SizePhotograph

with specimensignature on

the photograph 

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable At

In favour of (Full name ofThe Oil Company)

Note:

For Regular ROs:

(Enclose Application fee of Rs. 1000/- (one thousand only) for all applicants except SC/ST locations. Application fee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 500/- (Five hundred only)on enclosing SC/ST certificate.

For Rural ROs:

(Enclose Application fee of Rs. 100/- (one hundred only) for all applicants except SC/ST locations. Applicationfee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 50/- (Fifty only) on enclosing SC/STcertificate.

Initial Down Payment (IDP) Details for locations involv ing Bidding (Strike off if no t applicable)

Particulars of IDP(Rs.)

In Nos.

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable At

In favour of (Full name ofthe Oil Company)

Note:

For Regular ROs: Enclose IDP of Rs. 150000/- (One lakh fifty thousand only) for allapplicants.

For Rural ROs: Enclose IDP of Rs. 50000/- (Fifty thousand only) for all applicants.

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1 Name of the Location

2 District

3 State

4 Category*

* Please attach copy of Eligibility certificate for respective category in respect of reserved locations asmentioned below:

Category EligibilityCertificate format

Category Eligibility Certificateformat

Category Eligibility Certificateformat

SC/ST Appendix VI OBC Appendix – VII-A &VII-B

OpenCC1

 Appendix VI, VIII or DGRcertificate/Discharge Orderor Pension Order asapplicable

SC/STCC1

 Appendix VI, VIII orDGRcertificate/DischargeOrder or PensionOrder as applicable

OBCCC1

 Appendix VI, VIII orDGRcertificate/DischargeOrder or PensionOrder as applicable

OpenCC2

 Appendix – IX orcertificate applicable forOSP/FF

SC/STCC2

 Appendix – VI, IX orcertificateapplicable forOSP/FF

OBCCC2

 Appendix – VII-A,VII-B, IX or certificateapplicable forOSP/FF

5 Advertised on(Date)

In

(Please write Newspaper name)6 Type of applicant Proprietor / Partner If “Partner” please use separate application form for

each partner and club them together. Also attach acopy of the Proposed partnership deed.

7  Appl icant sho uld enc lose Af f idavi t as per the format given in Appendix – XA 7.1 Name

(Mr/Mrs/Kumari)First name Middle name Surname

7.2 Father’s/Husband’sName (Mr)

First name Middle name Surname7.3 Address

District Pin Code

Tel. No. Mob. No.Email id PAN No.

7.4 Indian Citizen Yes No Resident of India as per IT Rules Yes No

If “No” applicant is not eligible Resident of Revenue District(Please attach residence certificatein case of Rural ROs)

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State

7.5 Gender(Tick mark whichever is applicable)

Male Female

7.6 Date of Birth Age (Proof to be

attached) as on date ofaffidavitDD MM YYYY Years Months Days

7.7 Marital status(Tick mark whichever is applicable) 

Single Married Widow / Widower Divorcee

7.8 Name of spouse(if married)

Mr. /Mrs.

Spouse employed(Tick mark whichever is

applicable)

Yes No

8 Educational Qualification (attach copy of qualify ing certificate as per Eligibility criteria)

Qualification Name of Board/University/Institution Degree Year of Passingi) Graduation

ii) 10+2 Pass

iii) 10th Pass

9 Land Details (Please read Clause no. 4 (vi) of Broc hure before prov iding the information below)Copy of proo f of ownership of land to be attached.

Name(s) ofthe owner ofLand /Leaseholder

Relationshipwithapplicant**

Date ofregistrationof saledeed/giftdeed / leasedeed/ dateof mutation

Location of theland withrespect toReferencepoint / Landmark (Specifyland mark /Reference

point anddistance fromthe same)

KhasraNo/Khatouni/

GutNo/Survey

No

Dimensions of land*

Frontagein metre

Depthin

metre

 Area(Sq.m)

a) Are you willing to transfer the land on sale/long lease to Oil Company ? YES/NO

If yes, at what rate / terms. _____________________________________________________________________________________________ 

b) The above piece of plot owned by me / my family member (as defined under multiple dealership norm)

either by way of ownership / long term lease would be made available for a period of minimum ___ yearsas advertised by the Oil Company(Name of the Oil Company).

That as per the documents and report from advocate attached along with the application form, my/our

offer qualifies for being considered under “GROUP 1” as defined in Clause 4 (vi) of the Brochure for retailoutlet dealer selection by the Oil Company(Name of the Oil Company).

OR

b) The said piece of plot belonging to ___________________ has been offered to me /us for putting up a

retail outlet of the Oil Company (Name of the Oil Company). The above is being given as “Firm Offer”and is for purchase / long term lease for a period of minimum _____ years as advertised by the Oil

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Company.

That as per the documents and report from advocate attached along with the application form, my/our

offer qualifies for being considered under “GROUP 2” as defined in clause 4 (vi) of the Brochure for retail

outlet dealer selection by the Oil Company(Name of the Oil Company).

(Tick Mark either a OR b as applicable, Strike of f the o ther clause)

Note :

The same land cannot be offered by more than one applicant for a particular RO location. In case morethan one application is received offering the same land all such applications would be rejected.

In case land belongs to member of 'Family Unit' / Others, attach notarized affidavit as per Appendix –V A  is to be submitted. Each applicant will have to attach a confirmatory letter from an advocate(Appendix – V B)  giving details of the current ownership, documents relied upon and the category

under which the land falls (Group 1 or Group 2).

c. The said piece of land, has been offered for purchase/ long lease/sub-lease to the Oil Company for a

period of minimum _____years as required by the Oil Company (Name of the Oil company) and as pertheir terms and condition. (For location advertised under Corporation Owned Dealer Operated/CFS sites)  

OR

d. The offered piece of land, also has the provision for sub-lease to the Oil Company (in case of long termlease) If required by the Oil Company (Name of the Oil company) at any stage in future. (For location

advertised under Dealer Owned Dealer Operated sites)(Tick Mark either c OR d as applicable, Strike of f the o ther clause)

* Please attach site map giving dimensions of the plot that will be used for the proposed Retail Outletout of the total land offered. 

10 Finance (Please read Clause no. 4 (v) of Brochure before provid ing the in formation below)(Please attach copies o f relevant supporting d ocuments/certificates as applicable)

a.)  AMOUNT IN SAVINGS BANK ACCOUNT IN SCHEDULED BANK/ POST OFFICE as on the date of affidavit inthe name of applicant and members of 'family unit'. Attach notarized affidavit as per format given inAppendix - IV from member(s) of 'family unit'.

S.N

Name of Bank S.B.A/c. No Name of Acco unt Holder

Relationshipwith Applicant**

 Amount in Rs. As on date o f

affidavit

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.) b.)  Free and un-encumbered Fixed Deposits in Scheduled Banks, Post Office, Listed Companies /

Government Organisation / Public Sector Undertaking of State and Central Government, Kisan VikasPatra, NSC (Redemption value of the instruments as certified by Chartered Accountant will beconsidered. Certificate from Chartered Accountant to be attached.)

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S.

N

Type of Financial

instrument -FD/NSC/KVP, etc.

Reference

Numberwith date

Name(s)

of theholder

Relation with

applicant**

Initial

investment Amoun t

Redemption

Value(Amount in

Rs.)

TOTAL AMOUNT (in Rs.) TOTAL AMOUNT IN WORDS (in Rs.)

c.)  Free and un-encumbered Bonds, Shares of Listed Companies in demat form and Listed Mutual Funds(Certificate to be enclosed from a Chartered Accountant / Depository Participant certifying the marketvalue based on NAV on last working day of previous month of application for mutual funds. For sharesof listed companies in demat form, the market value on last working day of previous month ofapplication to be considered). For these Funds only 60% of the value as certified by the charteredaccountant / Depository Participant to be given.

S.N

Type of Financialinstrument -

Bonds/Shares/MF

ReferenceNumber with

date

Name(s)of theholder

Relationwith

applicant**

Initialinvestment Amount

CertifiedValue

(Amount inRs.)

60% ofthe

certifiedvalue

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.)

TOTAL AMOUNT (in Rs.) (a+b+c)

TOTAL AMOUNT IN WORDS (in Rs.) (a+b+c)

** Please qualify the relationship “Unmarried brother”, “Unmarried sister”, “Unmarried son”, Unmarrieddaughter, etc. wherever necessary.

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Note :

The funds mentioned above should be available with the applicant as on the date of affidavit. Furtherthe applicant should ensure that the minimum funds required for eligibility are also available as closingbalance on the cut-off date for submission of application. Wherever available funds on the cut-off date

of submission of application are found to be less than the funds required for eligibility, candidature ofthe applicant will be cancelled.

12. UNDERTAKING BY THE APPLICANT

a. I am aware that eligibility for Retail Outlet Dealership will be decided based on the information given inthe application above. On verification by the Oil Company if it is found that the information given by meis incorrect/ false/ misrepresented then my candidature will stand cancelled and I will be declaredineligible for the Retail Outlet Dealership.

b. I also confirm that I am in possession of the supporting documents in original in respect of theinformation given by me in this application and if selected, failure to present these documents inoriginal will result in cancellation of selection due to submission of false/unsupported information in thisapplication.

c. I am fully aware that if I am unable to provide suitable site mentioned above for setting up of the RetailOutlet as per the Oil Company’s standard layout, then the allotment of dealership made to me will becancelled.

d. I am also aware that in the event of my inability to arrange the funds required for development ofrequisite infrastructure and facilities as specified by the Oil Company (Name of the Oil Company) in theadvertisement, the allotment can be withdrawn and I will have no claim/damages whatsoever againstthe Oil company (Name of the Oil Company).

e. I am fully aware that I will not be appointed as Retail Outlet Dealer if I am employed. I shall have toresign from the service and produce proof of acceptance of my resignation from my employer beforeissuance of Letter of Appointment.

I am also aware that I cannot take up any other employment nor can draw anysalary/perks/emoluments from State/Central Government upon my appointment as a dealer.

f. I confirm that none of my family members (as per definition of family under multiple dealership norm)

are employees of any Oil Marketing Companies.g. I am fully aware that If selected I shall be paying attention towards day to day working of the dealership

by personally managing the affairs of the dealership and will not be eligible for taking up anyemployment.

h. I undertake to fulfill the conditions of ________________ (OMC) with regard to inducting Spouse asCo-owner in the dealership if the dealership is awarded to me.

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

 j. That, if selected, I undertake that I will pay a non-refundable Fixed fee of Rs. _____________ as perthe policy of the Corporation (applicable for Dealer owned sites).

ORThat, if selected, I undertake that I will pay a non-refundable Final Bid amount (applicable forCorporation owned sites except for Corpus fund ROs).

I, _________________________________________________________daughter of /son of/ wife ofShri__________________________________ hereby confirm that the information given above is true andcorrect. Any wrong information /misrepresentation/ suppression of facts will make me ineligible for this ROdealership. That if any information/declaration given by me in my application or in any document submittedby me in support of application for the award of the RO dealership shall be found to be untrue or incorrector false, the …………..OMC* would be within its rights to withdraw the letter of intent / terminate thedealership (if already appointed) and that I would have no claim, whatsoever, against the Corporation forsuch withdrawal / termination.Place : _____________ Signature of applicant_______________________**Date :______________ Name of applicant_____________________________  

**The date mentioned in the affidavit will be treated as date applicable for the purpose of evaluating theeligibility criteria. 

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 App endix- XI B

 Appl ication Format For Non-Indiv idual Applicants(FORM TO BE FILLED UP IN CAPITAL LETTERS USING BLUE / BLACK BALL POINT PEN) For Office Use

Not to be filled byapplicant

Sr. No. oflocation in theadvertisement

Sr. No. ofapplication asper listing of

 AOC

D D - M M - Y Y Y Y

 APPLICATION FOR RETAIL OUTLET DEALERSHIP

Particulars of applicationfee (Rs.)

In Nos. Latest Passport SizePhotograph of the

authorized signatorywith specimensignature on

the photograph 

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable at

In favour of (Full name ofThe Oil Company)

Note:

For Regular ROs:

(Enclose Application fee of Rs. 1000/- (one thousand only) for all applicants except SC/ST locations. Application fee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 500/- (Fivehundred only) on enclosing SC/ST certificate.

For Rural ROs:

(Enclose Application fee of Rs. 100/- (one hundred only) for all applicants except SC/ST locations. Application fee for SC/ST (incl. CC1 & CC2 under SC/ST category) locations is Rs. 50/- (Fifty only) onenclosing SC/ST certificate.

Initial Down Payment (IDP) Details for locations involv ing Bidding (Strike off if not applicable)

Particulars of IDP(Rs.)

In Nos.

In words

DemandDraft No.

Date

Drawn on(Bank)

Payable At

In favour of (Full name ofthe Oil Company)

Note:

For Regular ROs: Enclose IDP of Rs. 150000/- (One lakh fifty thousand only) for allapplicants.

For Rural ROs: Enclose IDP of Rs. 50000/- (Fifty thousand only) for all applicants.

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1 Name of the Location

2 District

3 State

4 Category*

Non-individual applicant means Government Bodies/Agencies, Organized Bodies, Societies registeredunder Societies Registration Act 1860, / Societies registered under Co- operative Societies Act, 1912or Co-operative Societies Act as enacted by concerned States, Charitable Trusts registered withCharity Commissioner of respective State Government, Companies formed under the Companies Act,1956 / 2013 (except Pvt. Ltd. companies).

5 Advertised on(Date)

In

(Please write Newspaper name)

6 Type of applicant Registered Society/Company/Charitable Trust/Govt. Organization

(Please tick mark whichever is applicable)7  Appl icant should enc lose Aff idavi t as per the format given in Append ix – XB  

7.1 Name of authorizedperson

First name Middle name Surname

7.2 Father’s/Husband’sName (Mr)

First name Middle name Surname

7.3 Address

District Pin Code

Tel. No. Mob. No.

Email id PAN No.

8 Details of Registered Society/Company/Charitable Trust/Govt. Organization

a) Name

b) Address of Regd.Office

District Pin Code

Tel. No.1 Tel. No.2

Email id PAN No.

Note : The entity should be registered in India. In case of Rural ROs, the Society should be registeredin the same District for which Rural RO is advertised.

c) Date of Registration/Incorpo ration (DD/MM/YYYY)

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

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financial years as certified by C.A.(Please attach copy of certificate)

i)

ii)

iii)

Note  : Only Registered Societies/Companies making a profit for previous three consecutive financialyears as certified by a Chartered Accountant are eligible to apply.

e) In case of Registered Societies applying under other than Opencategory - whether all members of the Registered Society belong to thesame category for which RO dealership has been advertised? (If 'No',you are not eligible to apply') (Please attach relevant certificate fromRegistrar of Societies and list giving names of all members of thesociety)

Yes No

9 Land Details (Please read Clause no. 4 (vi) of Brochure before providing the informationbelow)

Copy of proof of ownership o f land to be attached.

Name(s) ofthe owner ofLand /Leaseholder

Relationshipwithapplicant**

Date ofregistrationof saledeed/giftdeed /leasedeed/ dateof mutation

Location ofthe land withrespect toReferencepoint / Landmark (Specifyland mark /Referencepoint anddistance fromthe same)

KhasraNo/Khatouni

/GutNo/Survey

No

Dimensions of land*

Frontage inmetre

Frontage inmetre

Frontage inmetre

c) Are you willing to transfer the land on sale/long lease to Oil Company ? YES/NO

If yes, at what rate / terms. _____________________________________________________________________________________________ 

a) The above piece of plot owned by us either by way of ownership / long term lease, would be

made available for a period of minimum ___ years as advertised by the Oil Company(Name ofthe Oil Company).

That as per the documents and report from advocate attached along with the application form,

our offer qualifies for being considered under “GROUP 1” as defined in clause 4 (vi) of thebrochure for retail outlet dealer selection by the Oil Company(Name of the Oil Company).

OR

b) The said piece of plot belonging to ___________________ has been offered to us for putting upa retail outlet of the Oil Company (Name of the Oil Company). The above is being given as “Firm

Offer” and is for purchase / long term lease for a period of minimum _____ years as advertised

by the Oil Company.

That as per the documents and report from advocate attached along with the application form,

our offer qualifies for being considered under “GROUP 2” as defined in clause 4 (vi) of the

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brochure for retail outlet dealer selection by the Oil Company(Name of the Oil Company).

(Tick Mark either a OR b as applicable, Strike off the other c lause)

Note :

The same land cannot be offered by more than one applicant for a particular RO location. Incase more than one application is received offering the same land all such applications would

be rejected.

In case land belongs to co-owners / Others, notarized affidavit as per Append ix – V A is to be

submitted. Each applicant will have to attach a confirmatory letter from an advocate

(Appendix V-B)  giving details of the current ownership, documents relied upon and thecategory under which the land falls (Group 1 or Group 2).

c) The said piece of land, has been offered for purchase/ long lease/sub-lease to the Oil Company

for a period of minimum _____years as required by the Oil Company (Name of the Oilcompany) and as per their terms and condition. (For location advertised under Corporation

Owned Dealer Operated/CFS sites) OR

d) The offered piece of land, also has the provision for sub-lease to the Oil Company (in case of

long term lease) If required by the Oil Company (Name of the Oil company) at any stage infuture. (For location advertised under Dealer Owned Dealer Operated sites)

(Tick Mark either c OR d as applicable, Strike off the other c lause)

* Please attach site map giving dimensions of the plo t that will be used for the prop osed RetailOutlet out of the total land offered. 

10 Finance (Please read Clause no. 4 (v) of Brochure before prov iding the information below)(Please attach copies of relevant suppo rting documents/certificates as applicable)

a) AMOUNT IN SAVINGS BANK ACCOUNT IN SCHEDULED BANK/ POST OFFICE as on the dateof affidavit in the name of applicant.

S.N Name of Bank S.B.A/c. No

Name of AccountHolder

 Amo unt in Rs. As ondate of affidavit

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.) b)  Free and un-encumbered Fixed Deposits in Scheduled Banks, Post Office, Listed Companies /

Government Organisation / Public Sector Undertaking of State and Central Government, KisanVikas Patra, NSC (Redemption value of the instruments as certified by Chartered Accountantwill be considered. Certificate from Chartered Accountant to be attached.)

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S.N Type of Financialinstrument -

FD/NSC/KVP, etc.

ReferenceNumberwith date

Name(s) of theholder

Initial investment Amo unt

Value(Amount inRs.)

TOTAL AMOUNT (in Rs.) 

TOTAL AMOUNT IN WORDS (in Rs.)

c)  Free and un-encumbered Bonds, Shares of Listed Companies in demat form and Listed Mutual

Funds (Certificate to be enclosed from a Chartered Accountant / Depository Participant certifyingthe market value based on NAV on last working day of previous month of application for mutualfunds. For shares of listed companies in demat form, the market value on last working day ofprevious month of application to be considered). For these Funds only 60% of the value ascertified by the chartered accountant / Depository Participant to be given.

S.N Type ofFinancial

instrument -Bonds/Shares/

MF

ReferenceNumber

with date

Name(s) of theholder

Initialinvestment Amount

CertifiedValue

(Amountin Rs.)

60% of thecertified

value

TOTAL AMOUNT (in Rs.)

TOTAL AMOUNT IN WORDS (in Rs.)

TOTAL AMOUNT (in Rs.) (a+b+c)

TOTAL AMOUNT IN WORDS (in Rs.) (a+b+c)

Note :

The funds mentioned above should be available with the applicant as on the date of affidavit. Furtherthe applicant should ensure that the minimum funds required for eligibility are also available as closingbalance on the cut-off date for submission of application. Wherever available funds on the cut-off dateof submission of application are found to be less than the funds required for eligibility, candidature ofthe applicant will be cancelled.

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12. UNDERTAKING BY THE APPLICANT

a. We are aware that eligibility for Retail Outlet Dealership will be decided based on the

information given in the application above. On verification by the Oil Company if it is found that the

information given by us is incorrect/ false/ misrepresented then our candidature will stand cancelledand we will be declared ineligible for the Retail Outlet Dealership.

b. We also confirm that we are in possession of the supporting documents in original in respect of

the information given by us in this application and if selected, failure to present these documents in

original will result in cancellation of selection due to submission of false/unsupported information in this

application.

c. We are fully aware that if we are unable to provide suitable site mentioned above for setting up

of the Retail Outlet as per the Oil Company’s standard layout, then the allotment of dealership made to

us will be cancelled.

d. We are also aware that in the event of our inability to arrange the funds required fordevelopment of requisite infrastructure and facilities of the RO as specified by the Oil Company (Name

of the Oil Company) in the advertisement, the allotment can be withdrawn and we will have no

claim/damages whatsoever against the Oil company (Name of the Oil Company).

e. I also confirm on behalf of M/s ______________, that my Organisation will manage the Retail

Outlet dealership by itself and not on contract basis.

f. That, if selected, we undertake that we will be depositing an interest free Security deposit as

per the policy of the Corporation.

g. That, if selected, we undertake that we will pay a non-refundable Fixed fee of Rs.

 _____________ as per the policy of the Corporation (applicable for Dealer owned sites).

OR

That, if selected, we undertake that we will pay a non-refundable final Bid amount as per the policy of

the Corporation (applicable for Corporation owned sites except for Corpus fund ROs).

I, __________________________________________daughter of /son of/ wife of

Shri______________________ hereby confirm that I have been authorized to submit this application on

behalf of M/s____________________ and the information given above is true and correct. Any wrong

information /misrepresentation/ suppression of facts will make us ineligible for this RO dealership. That if

any information/declaration given by us in our application or in any document submitted by us in support of

application for the award of the RO dealership shall be found to be untrue or incorrect or false, the

…………..OMC* would be within its rights to withdraw the letter of intent / terminate the dealership (if

already appointed) and that we would have no claim, whatsoever, against the Corporation for such

withdrawal / termination.

Place : _____________ Signature of applicant_______________________**Date :______________ Name of applicant_____________________________  

**The date mentioned in the affidavit will be treated as date applicable for the purpose of evaluating theeligibility criteria.

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  Appendix XI - C

FINANCIAL BID

 Application for Award of Dealership at Location ______________ Dist. _________________State ___________under ____________ Category advertised on ________________ (Date).

Name of the Applicant(s) / Entity :

 Address of the applicant(s) / Entity :

I/We hereby quote Rs. __________ (Rupees __________________ only) as Bid amount forallotment of Retail Outlet dealership at the above mentioned location.

Signature of the Applicant(s) / Authorized signatory of the Entity

Date :

Place :

Note

1. The Minimum bid amount is Rs. 10 lakhs for Rural RO and Rs. 30 lakhs for RegularRO.

2. In case of discrepancy in the amounts mentioned in Figures and Words, the amountmentioned in Words will prevail.

3. FINANCIAL BID SHOULD BE PUT IN A SEPARATE SEALED ENVELOPE ANDSUPERSCRIBED “FINANCIAL BID”.

4. APPLICATIONS WITH OPEN FINANCIAL BIDS OR FINANCIAL BIDS NOTSUPERSCRIBED ON THE ENVELOPE WOULD BE REJECTED.

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 Appendix XII – A

Name of Location/Distr ict/State:

Name of applicant: 

Check list for Individual Applicants

S.No Document / Activity to be checked Page No. SubmittedYes/No/NA

From To

1 Completely filled application format with signature andphotograph (with signature on photograph)

2 Application fee

3 IDP (For locations involving bidding process)

4 For locations under reserved categories – Attested copyof Category Certificate from competent authority as peradvertisement/Brochure.

5 In case of partnership firm – Attested copy of proposedpartnership deed

6 In case of partnership firm – whether application of allpartners is attached together

7 Notarized Affidavit in original as per format given in Appendix - X A

8 Attested copy of Residence certificate issued bycompetent authority in case of Rural ROs

9 Attested copy of certificate regarding age

10 Attested copy of certificate regarding educationalqualification

11 Attested copy of Offered land documents –Khasra/Khatouni or any equivalent document fromRevenue officials / Registered sale deed / Registeredlease deed / ownership transfer deed issued

12 Where the applicant is not the land owner – Notorizedaffidavit by all owners or co-owners including familymembers individually to be enclosed

13 Confirmation letter from the Advocate on land definingGroup 1 or Group 2

14 Sketch of the land with dimension (site map)

15 Attested copy of Savings Bank/Fixed Deposit/Term

Deposit in Scheduled Bank/ Post office/ listedCompanies/Government Organization / PSU Kisan VikasPatra, NSC, Bonds, mutual funds and share certificates

16 Certificate from Chartered Accountant / Depositoryparticipant pertaining to Bonds, Mutual funds and shares

17 Attested copies of documents pertaining to Financeowned by Family Unit – Notarized affidavit fromconcerned member of the family with the ownershipdetails of funds

18 Application submitted in sealed envelop with name & Sr.no of the location (as per the advertisement)superscribed on the envelop.

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19 In case of locations involving bidding process, the Application along with enclosures (including IDP) shouldbe put in a separate sealed envelope and Financial biddocuments should be put in another separate sealedenvelope. These envelopes should be clearly marked as

 – “Application form with enclosures” and “Financial Bid”and both these envelops should be put inside anothersealed envelope with name & Sr. no of the location (asper the advertisement) superscribed on the envelope andsubmitted.

20 Any other document attached

21 Total Number of pages in the application form along withattached documents

THIS IS NOT AN EXHAUSTIVE LIST. THE APPLICANT(S) SHOULD CAREFULLY GO

THROUGH THE “ BROCHURE” BEFORE SUBMITTING THEIR APPLICATION(S).

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 Appendix XII-B

Name of Location/Distr ict/State:

Name of applicant:

Check list for Non-Individual Applicants

S.No Document / Activity to be checked Page No. SubmittedYes/No/NAFrom To

1 Completely filled application format with signature andphotograph (with signature on photograph)

2 Application fee

3 IDP (For locations involving bidding process)

4 For locations under reserved categories – Attested copy

of Category Certificate from competent authority as peradvertisement/Brochure (For registered societiesapplying under "other than Open" category).

5 Notarized Affidavit in original as per format given in Appendix - X B

6 Attested copy of Residence certificate issued bycompetent authority in case of Rural Ros

7 Attested copy of Offered land documents –Khasra/Khatouni or any equivalent document fromRevenue officials / Registered sale deed / Registeredlease deed / ownership transfer deed issued.

8 Where the applicant is not the land owner – Notorized

affidavit by all owners or co-owners including familymembers individually to be enclosed

9 Confirmation letter from the Advocate on land definingGroup 1 or Group 2

10 Sketch of the land with dimension (Site map)

11 Attested copy of Savings Bank/Fixed Deposit/TermDeposit in Scheduled Bank/ Post office/ listedCompanies/Government Organization / PSU Kisan VikasPatra, NSC, Bonds, mutual funds and share certificates

12 Certificate from Chartered Accountant / Depositoryparticipant pertaining to Bonds, Mutual funds and shares

13 Authority letter / resolution specifying name of authorizedperson for signing application form

14 Attested copy of Registration certificate / copy ofCertificate of incorporation of the entity from competentauthority

15 Attested copies of audited Profit & Loss Accountsstatements for the preceding 3 financial years

16 Application submitted in sealed envelop with name & Sr.no of the location (as per the advertisement)superscribed on the envelop.

17 In case of locations involving bidding process, the Application along with enclosures (including IDP) should

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