`Restricted for Internal Use Only’

PSU OIL MARKETING COMPANY’S MANUAL

FOR

SELECTION

OF

DEALERS FOR REGULAR & RURAL RETAIL OUTLETS

24th November 2018

1 Version 1 / 24.11.2018
 Contents

Sr. No. Subject Page No.

Introduction 3
1 Identification of Locations 3
2 State Retail Marketing Plan (SRMP) 4
3 Reservation 4
4 Rostering of locations and Type of RO sites 5
5 Type of Retail Outlet Sites 6
6 Eligibility Criteria for Individual Applicants 7
7 Eligibility Criteria for Non-Individual Applicants 16
8 Eligibility Criteria for locations where land is not required 16
9 Direct Award of Dealership 17
10 Retail Outlet Management 17
11 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 20
15 Affidavit 23
16 Non-refundable Application Fee 23
17 Non-refundable fixed fee / Bidding amount 24
18 Selection procedure 24
19 Procedure for On-line draw of lots/opening of bids 29
20 Information update on web site 35
21 Field Verification of Credentials (FVC) 35
22 Letter of Intent 36
23 Selection process consequent to cancellation of candidature 37
and withdrawal of LOI
24 Grievance Redressal System 37
25 Retention of Files / Records 38
26 Time period for important activities 38
27 Commissioning of Dealership 39
28 Security Deposit / Fixed fee / Bid amount 39
29 Tenure of Dealership 40
30 False Information 40
31 Annexures 41-134
32 Appendices 135-182

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 GUIDELINES ON SELECTION OF DEALERS FOR REGULAR & RURAL RETAIL OUTLETS
THROUGH DRAW OF LOTS/BIDDING PROCESS

INTRODUCTION

The salient features of the selection guidelines are:

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

(ii) Different selection process for Corporation Owned Dealer Operated outlets, Dealer
Owned Dealer Operated outlets and Corporation Owned Dealer Operated outlets under
Corpus Fund Scheme.

(iii) Multiple Dealership Norm (MDN) has been relaxed for “B”/”DC” site ROs.

(iv) Existing unviable SKO dealers of OMCs will be eligible to apply.

1. IDENTIFICATION OF LOCATIONS

A. Locations for setting up Retail Outlets are identified by the respective oil company based on
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 / State Highway – Expected combined sales volume – 100 Kl p.m.

(iv) Rural ROs (E Class) – 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 / towns having
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 20 lakhs as
per 2011 census.

(iii) C Class Markets - All other Towns / Cities (Areas covered under Municipal limits of a
town) not covered under “A” & “B” class markets and locations not on National / State
Highways.

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

(v) E Class Markets - Retail outlets in Rural areas (Areas not covered under Municipal limits
of a town) other than A, B, C & D Class of markets .

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

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

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

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D. Rural Markets: Retail outlet locations falling under “E” Class of markets and having minimum
volume potential of 25 Kls as mentioned above. Rural RO cannot be developed on National /
State / Coastal Highways, Express ways, A, B & C 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 the examples
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.

Note: In case of stretches on SH/NH, the stretch of the locations should be minimum 2 KMs.

It should be ensured that there is no confusion/ambiguity in understanding of the

boundary/stretch, etc. of the location by all concerned.

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

2. STATE RETAIL MARKETING PLAN (SRMP)

Based on the list of identified feasible locations, respective oil company at State Office (IOCL)
/ Zonal Office (HPCL) / State Office (BPCL) level will finalize the SRMP for individual State as
per reservation criteria and rostering method given below. The SRMP would be identified as
SRMP: YYYY-YY (Financial Year).

3. RESERVATION

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

Category SC/ST OBC Open Total

Combined Category 1 (CC1)
Comprising of :-
(i) Defence Personnel & 2 2 4 8
(ii) Para Military Personnel/Central/State
Govt. and Central/State PSU employees
Combined Category 2 (CC2)
Comprising of :-
0 0 1 1
(i) Outstanding Sports Persons (OSP) &
(ii) Freedom Fighters (FF)
Physically Handicapped (PH) 1 1 1 3
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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 Standard distribution of locations in 200 point roster has been finalized covering all above
categories (Annexure B 1). The Distribution between SC and ST will vary in each state
depending on the ratio of SC / ST population in the state as given in Annexure C.

B. Reservations in states of Arunachal Pradesh, Meghalaya, Nagaland and Mizoram would

continue to be as under as approved by MOP & NG earlier: -

State Percentage of Regular & Rural RO Balance % to be awarded

Dealerships to be awarded to ST to ‘Open’ category
category
Arunachal Pradesh 70 30
Meghalaya 80 20
Nagaland 80 20
Mizoram 90 10

Standard distribution of locations in 100 point roster has been finalized covering above
categories for the above mentioned 4 North Eastern States (Annexure B 2).

4. ROSTERING OF LOCATIONS:

A. Separate Roster (State Retail Marketing Plan)

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

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

Locations finalized for setting up of Retail Outlets are to be placed under different categories
of reservation as per the slot allocated to each category under the ‘200 point’ roster
(Annexure-B1) for each State by the oil company so as to ensure the percentage reservation
for each category is achieved.

In the ‘200-point’ Roster, the allocation of a reserved category against a serial number is done
in such a way that when 200 numbers of Retail Outlets are planned in a state by an oil
company, the percentage of reservation for each category is achieved.

Previous roster(s) prepared during 2014-15 to be frozen because of change in reservation %

for PH category and calculation of backlog numbers as given in the Para C below.

Rostering of the identified locations will start afresh from Sr. No. 1. In order to achieve %
criteria under reservation for respective category, continuity is to be maintained in ‘200 point
roster’. For example at the time of preparation of the Roster, if there are say, only 50
locations, as and when fresh locations are identified for setting up of 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 is completed at 200, the next round of
roster serial number will start again from no. 1 for the state.

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

Locations finalized for setting up of Retail outlets in North Eastern States as mentioned in the
reservation table for the States of Arunachal Pradesh, Meghalaya, Nagaland and Mizoram
should be placed under different categories of reservation as per ‘100 point’ roster as given
in Annexure-B2.

In the ‘100-point Roster’, allocation of a reservation category against a serial number should
be done such that when 100 numbers of RO dealerships are planned, the percentage of each

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 category (of reservation) is achieved. Continuity should be maintained in the ‘100 point
roster’ and once the 100 roster serial numbers are completed, a new roster should be started
from roster serial number 1.

The locations would be allotted to the Roster numbers based on Draw of Lots. The same
would be conducted, by a Committee comprising of 3 members nominated by the Head of
Retail in State/Zonal/State Office.

C. Roster of earlier SRMPs and advertisement of Back Log locations

OMCs will work out the State-wise backlog (except for states of Arunachal Pradesh,
Meghalaya, Nagaland and Mizoram) for locations under SC/ST category as on 31.3.2018
based on the following for SRMP of 2018-19 :-

Backlog = ((Total No. of Retail Outlets as on 31.3.2018 + Total No. of pending LOIs (all
Categories) as on 31.3.2018 – Total No. of Retail Outlets existing prior to 23.9.1977)) * 22.5%
- (Total No. of Retail Outlets under SC/ST category as on 31.3.2018 + Total No. of pending LOIs
issued to SC/ST category as on 31.3.2018).

(For states of Arunachal Pradesh, Meghalaya, Nagaland and Mizoram, the concerned % of
reservation for ST to be used for calculation instead of 22.5%).

D. Simultaneous advertisement of locations under new SRMP

Backlog locations under SC/ST category, calculated as per Clause 4 C above, will be placed
before the locations of the new SRMP, in the advertisement whenever Backlog roster
locations and General roster locations are advertised simultaneously.

5. Type of Retail Outlet Sites

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

S.N. Type of Site Status of Land & Facilities

i. Locations under Corpus The offered land would be taken on
Fund Scheme (CFS sites) lease/purchased and fully developed as
Corporation owned site.
ii. Other Corporation Owned The offered land would be taken on
Sites (“CC”/ “A” sites) lease/purchased and fully developed as
Corporation owned site.
iii. Dealer Owned sites (“DC” The offered land and the super structure will be
/ “B” sites) developed 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.

Other locations will be developed as (ii) & (iii) by the respective OMCs as per their guidelines.

However, number of locations to be developed under CFS / “CC”/“A” sites in an

advertisement, including locations under Backlog roster, should be restricted to 40% of the
total number of locations.

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6. ELIGIBILITY CRITERIA FOR INDIVIDUAL APPLICANTS – PROPRIETORSHIP / PARTNERSHIP

Common Eligibility Criteria for all Categories applying as Individual (as on date of
application unless mentioned otherwise)

(i) Citizenship : Indian Citizen.

(ii) Residential status: Resident of India (as per Income tax rules1).

(iii) Age: Not less than 21 years and not more than 60 years 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:

Passed Minimum 10th (examination conducted by a Board/School).

Certificate issued by Armed Forces as equivalent to 10 th Class pass in accordance with

Ministry of Personnel, Public Grievances and Pensions (Dept. of Personnel and Training)
notification No. 15012/8/82-Estt (D) dated 12.02.1986 will also be considered.

For educational qualification from overseas universities / boards, equivalent certificate

issued by competent authority / State Government / Government of India should be
submitted by the applicants.

Minimum Educational qualification is not applicable to Freedom Fighters under CC2

category.

(v) Land (Applicable to all categories):

The applicants would be classified into three groups as mentioned below based on the
land offered or land not offered by them in the application form:-

Group 1: Applicants having suitable piece of land in the advertised location/area either
by way of ownership / long term lease for a period of minimum 19 years 11 months or as
advertised by the OMC.

Group 2: Applicants having Firm Offer for a suitable piece of land for purchase or long
term lease for a period of minimum 19 years 11 months or as advertised by the OMC.

Group 3: Applicants who have not offered land in the application.

Applications under Group 3 would be processed/advised to offer land (Annexure – D)

only in case no eligible applicant is found or no applicant get selected under Group 1 & 2.

In case land offered by all the applicants under Group 1 & Group 2 is found not
suitable/not meeting requirements, then these applicant/s under Group 1 & Group 2
along with applicants under Group 3 (who did not offer land along with application) would
be advised by the OMCs to provide suitable land in the advertised location / stretch,
within a period of 3 months from the date of issuance of intimation letter to them through

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.

7 Version 1 / 24.11.2018
SMS/e-mail (Annexure D). In case the applicant fails to provide suitable land within the
prescribed period or the land provided is found not meeting the laid down criteria, the
application would be rejected.

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 application and
should have minimum lease of 19 years and 11 months (as advertised by respective
oil company) from the date or after the date of advertisement but not later than the
date of application.

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

In case it is observed that the lease agreement for the land offered by the selected
applicant does not have a provision to sub-lease the land, in such cases the selected
applicant would be provided 21 days’ time from the date of intimation through
SMS/e-mail to make suitable amendment / addendum to the lease agreement and
submit the same to the concerned OMC (Annexure - E).

c) For Dealer owned sites (“B”/“DC” sites), the applicant should ensure that the land
arranged by the applicant is either registered in the applicant’s name or leased in
favour of the applicant for a minimum period of 19 years and 11 months (as advertised
by respective oil company), before issuance of LOA as per the conditions of LOI.

d) The applicant(s) under Group-1 should have documents to establish ownership of land
offered for the Dealership as on date of application, such as:-

 Khasra / Khatauni or any equivalent revenue document or certificate from

revenue official confirming status of the ownership of the land
 Registered Sale deed/Registered Gift deed.
 Registered Lease deed for a minimum period of 19 years and 11 months (as
advertised by respective oil company) .
 Any other type of ownership / transfer deed document
 Lease agreement or firm allotment letter issued by Government / Semi
Government bodies

e) The land owned by the family member(s) will also be considered as belonging to the
applicant (Group-1) subject to producing the consent letter in the form of affidavit
(Appendix III A) from the concerned family member(s).

For this purpose family members would comprise of:-

(i) Self
(ii) Spouse
(iii) Father/Mother including Step Father/Step Mother
(iv) Brother/Sister/Step Brother/Step Sister
(v) Son/Daughter/Step Son/Step Daughter
(vi) Son-in-law / Daughter-in-law
(vii) Parents-in-law
(viii) Grand Parents (both maternal & paternal)

f) For Group 2 applicants, the “firm offer” of land will include land offer from third party
based on Agreement to purchase/long term lease (as per terms and conditions of the

8 Version 1 / 24.11.2018
 OMCs). Offer letter should be in the form of an Affidavit (Appendix III A) along with
documents, mentioned in Clause (d) above, to establish the ownership of land offered
for the Dealership.

g) In case offer letter is from Power of Attorney holder (Registered), Offer letter should
be in the form of an Affidavit along with copy of POA and along with documents,
mentioned in Clause (d) above, to establish the ownership of land offered for the
Dealership.

h) The eligibility of applicant with regard to the Land (Group 1 or Group 2) will be decided
by Oil Company with reference to a confirmatory letter from an advocate (Appendix
III B) to be arranged by the applicant.

i) In case the applicant or family member(s) own the land jointly with third person, the
consent letter in the form of an Affidavit (Appendix III A) or Power Of Attorney
(Registered) clearly authorizing the applicant for such use of land from third person is
also required.

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

S. Situation of Share of Additional documents Evaluation

No ownership applicant in required as
. land
GROUP 1

1 Self Full Nil Owned

2 Self with Part / Nil Consent letter in the form of Owned

members of affidavit from members of
family or owned family - Appendix III A
exclusively by
family members
3  Self with other Part If the share of the applicant Owned
owners and/or family members is
more than or equal to land
 Family Nil required by the company.
members with Consent letter on stamp paper
other owner(s) or an affidavit or Power of
 Self with family Attorney from all Co-
Part owners(s) should be provided
members & – Appendix- III A.
other owners
4 Land owned by Full Allotment Letter from the Owned
Government/ Government/ Semi-
Semi- Government bodies in the
Government name of Self with specific
bodies mention for use of petrol
pump.
GROUP 2
Land owned by Part/Nil Consent letter in the form of
5 third party in affidavit / Power of Attorney Firm Offer
part or full

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 from other owner(s) -
Appendix III A

k) Each applicant will have to declare, in the application form, the category under which
offered land falls. Supporting the above, confirmatory letter from an advocate
(Appendix III B) giving details of the current ownership, documents relied upon and
the category under which the land falls (Group 1 or Group 2), as on date of application,
is also to be furnished as and when advised. The Group under which the applicant’s
land falls, would be determined based on the declaration given in the application and
confirmatory letter from the advocate regarding the same.

l) It should be the responsibility of the applicant to ensure that as on date of application:-

i. Offered land is of required dimension and abutting the Road boundary, after
leaving Right of Way (ROW) line of the road.
ii. The offered land is also not notified for acquisition.
iii. Land owner is in Possession of the land from the beginning / edge of ROW line.
iv. There is no other land including Govt. land between ROW and offered plot.

Note : In case it is found at later stage that the offered plot is not meeting any of
the above conditions then in such case the offered land would be rejected and
candidate will be given opportunity along with applicants under Group 3 by
intimation through SMS/e-mail (Annexure D).

m) Verification of the supporting documents submitted by the selected candidate, post

selection, will be carried out at the time of Scrutiny / Field Verification of Credentials
(FVC).

Note 1:

a. “Own’ means having ownership by way of Registered Sale deed, Registered Gift
deed, etc. or title of the property or registered long lease (as per individual OMC
norms) in the name of applicant / family member/s as defined in 6 (v)-e above.

b. If an applicant offers more than one land then, a confirmation in writing is to be

obtained by Land Evaluation Committee (LEC) from the applicant with regard to
the plot of land to be considered.

c. 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 one application
is received offering the same piece of land all such applications would be rejected
and allotment, if made, would be liable for cancellation.

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

e. There is no commitment by the Oil Company for taking the offered land from the
applicant. If an applicant, after selection, is unable to provide the land indicated in

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 the application within a period of 2 months (for Group 1) and 4 months (for Group
2) 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.

Note 2

In case of locations where the applicant has not offered the land in the application
(Group 3) or if the offered land of all applicants under Group 1 & Group 2 got rejected
due to not meeting the laid down criteria, then all such applicants shall be given an
opportunity to offer land or alternate land (as the case may be) in the advertised
location/stretch provided the applicant meet all other eligibility criteria.

A communication through SMS/e-mail would be sent to these applicants (Annexure

D) to offer land/ alternate land within a period of 3 months from the date of offer
letter.

On receipt of advice to offer land from OMCs the applicant should submit land offer
online and indicate the category under which the land falls (Group 1 or Group 2) on
the basis of the confirmatory letter from an advocate (Appendix III B). Upon selection,
the selected candidate would be required to submit all the relevant documents
pertaining to the land offered along with consent letter in the form of affidavit
(Appendix III A) and/or Power of Attorney (Registered), if applicable, along with
confirmatory letter from an advocate (Appendix III B).

The applicants would be classified into two groups i.e. Group 1 & Group 2 based on
the land offered by them.

In case the applicant(s) fail to offer alternate land within the specified period, the offer
would be withdrawn and application rejected under intimation to the applicant(s)
through SMS/e-mail (Annexure-F).

Only one opportunity would be given to the applicant, either for offering land (if
applicant has not offered any land along with application form) or for offering
alternate land (if the land offered by the applicant is found to be not meeting the laid
down criteria during Scrutiny/land evaluation/ rejection of land after selection, for
applicants who have offered land along with the application).

Note 3 : Opportunity to offer alternate land after FVC/issuance of LOI

There may be a situation, where the land offered by the candidate in the application
(including land/alternate land offered by Group 3/Group 1 & Group 2 applicants)
meets all the specifications as laid down in the advertisement and on the basis of
which LOI has been issued or proposed to be issued and the LOI holder or the selected
candidate to whom LOI is proposed to be issued would like to offer an alternate land,
due to whatsoever reason, such land may be considered by OMC subject to the
alternate land meeting all specifications and is within the advertised location/stretch.

In case applicant is selected and LOI has not been issued then on receipt of application
from the selected candidate offering alternate land, Land evaluation of the alternate
land will be done and if the land is found suitable, then LOI will be issued mentioning
the change in offered land. Annexure-G1 (For Other than SC/ST category “A/CC” site
RO), Annexure-G2 (For B site RO), Annexure-G3 (For SC/ST category “A/CC” site RO).

In case alternate land is offered after issuance of LOI, a letter would be issued
indicating acceptance of the alternate land offered, after Land evaluation (on land
being found suitable) and this would be treated as addendum to LOI (Annexure-G4).

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 In case the alternate land offered by the selected candidate/LOI holder is accepted by
the OMC and LOI/addendum to LOI is issued to the candidate, the alternate land
accepted by OMC would be treated as final and no further changes shall be accepted
(including the original site offered).

In case the alternate land offered by the selected candidate is found not meeting the
laid down criteria, the selected candidate would be intimated on the same (through
LOI) and LOI would be issued to the selected candidate referring to the originally
offered land.

In case the alternate land offered by the LOI holder is found not meeting the laid down
criteria, the LOI holder would be intimated on the same (through addendum to LOI –
Annexure - G4). In such case, the time period to make available the land (original site
offered along with the application) would remain valid as mentioned in the LOI from
the date of issuance of letter (addendum to LOI) intimating rejection of alternate
land.

This opportunity would be available to the LOI holder up to 90 days from the issuance
of LOI.

The above mentioned opportunity can be availed by the selected candidate (after
clearing FVC) / LOI holder only once.

Note 4 :

i. In case the selected candidate (after clearing FVC) avails the opportunity to offer
alternate land before issuance of LOI, the opportunity will not be available to the
candidate post issuance of LOI.

ii. One time opportunity to offer alternate land also will be available in case of failure of
rental negotiation. However, in this case, LOI holder can offer alternate land within
90 days of failed negotiation. Further, this opportunity will not be available to the LOI
holder in case he/she has availed the opportunity before issuance of LOI/post
issuance of LOI.

iii. Opportunity for offering alternate land after selection (post FVC) / issuance of LOI
would also be given to those applicants who may have availed such an opportunity
earlier (Prior to FVC ).

iv. In case after selection, if it is observed that the offered land is co-owned by multiple
persons and the selected candidate did not provide consent of all the co-owners, the
selected candidate would be given 21 days’ time to get consent of all the co-owners
for the offered land failing which the selection of the candidate will get rejected and
the candidate will get opportunity along with Group 3 applicants. (Annexure - E).

v. In case after selection, if it is observed that the offered land does not contain sub-
lease as required by OMC (for CFS / CC sites) the selected candidate would be given
21 days’ time to make suitable amendment / addendum to the lease agreement
failing which the selection of the candidate will get rejected and the candidate will
get opportunity along with Group 3 applicants. (Annexure - E).

12 Version 1 / 24.11.2018
(vi) Specific Eligibility Criteria for applying in different reserved categories is as under:

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 be required to submit
a copy of the certificate issued by the competent authority, notified by Govt. of India,
certifying that the candidate belongs to Schedule Caste / Schedule Tribe as per Appendix
– VI.

Note : Wherever applicable, the applicants would be required to submit Caste validity
certificate.

b) Other Backward Classes (OBC)

The candidates belonging to Other Backward Classes recognised as OBC by Government

of India (Central Government) under the Constitution of India and / or recognized by the
concerned State as OBC in which the location has been advertised will be eligible.

The candidates will be required to submit as and when advised by Oil Company, a
certificate issued by the competent authority notified by the Government of India and/or
by the concerned State in which the location has been advertised certifying that the
candidate belongs to Other Backward Classes recognized as OBC by a Resolution/Gazette
Notification issued by GOI (Central Government)/State Government. Along with the OBC
certificate (Appendix – VII A), the candidate also has to submit an undertaking (Appendix
– 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 the date of reckoning for OBC
status of the candidate and also for determining that the candidate does not fall in the
creamy layer. The undertaking should be of any date after the date of advertisement.

c) Defence Personnel (DEF)

Defence Personnel means personnel of armed forces (viz. Army, Navy, Air Force) and will
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 would be required
to submit as and when advised by Oil Company, the Eligibility Certificate in original, issued
from Directorate General of Resettlement (DGR), Ministry of Defence, Government of
India sponsoring the candidate for the RO Dealership for which he/she has applied.
Certificate of eligibility issued for one RO Dealership is not valid for another RO Dealership
and therefore a candidate can be considered to be eligible only if he/she has been
sponsored for the particular location with reference to current advertisement.

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

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 d) Government (including PMP) and Public Sector Personnel

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

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

Applicants under this category would be required to submit as and when advised by Oil
Company, a copy of relevant certificate from the concerned Organisation/Govt
Department signed by the Head of the Office or an Officer not below the rank of Under
Secretary to the Government – Appendix VIII.

e) Physically Handicapped Category (PH):

i. Applicants under this category should fulfil criteria covered under the target group as
defined under Section 2(t) of The Persons with Disabilities (Equal Opportunities,
Protection of Right and Full Participation) Act 1995 (also referred to as PwD Act, 1995)
and obtain a disability certificate from competent authority as prescribed in the
Notification dated 30.12.2009 issued by Ministry of Social Justice and Empowerment.

ii. Deaf, Dumb and Blind persons with minimum degree of 40% disability. Applicants under
this category would be required to submit a certificate (as per the standard format
given in the application) 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.

The applicants will be required to submit a copy of the certificate (Appendix IX-A or IX-B
or IX-C as applicable) as and when advised by Oil Company.

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 would be required to submit as when advised by
the Oil Company a certificate from the Recognised National Federation Organising
National Championships (as recognised by Department of Youth Affairs and Sports, Govt
of India) or from the Dept of Youth Affairs and Sports, Govt of India.

g) Freedom Fighter (FF) :

The applicant would be required to submit as when advised by the Oil Company a
certificate or Tamrapatra or an attested copy of the Pension order issued by the
Accountant General in pursuance of the sanction letter from the Ministry of Home Affairs,
GOI of their having been Freedom Fighters.

(vii) Specific Requirement of applicants applying under Partnership:

14 Version 1 / 24.11.2018
 In case of partnership, each partner should individually meet the eligibility criteria for
applying as an individual. However, the land owned by partner(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 (on-
line). They also would be required to submit a copy of the proposed partnership deed.

(viii) Specific Eligibility Criteria for existing SKO Dealers of OMCs:

Existing SKO dealers of OMCs (individual & partnership firms only) who are eligible under
categories as specified above can apply for RO dealership on fulfilling the following
conditions:

i. Existing SKO dealers of OMCs having an average allocation of less than 75 KL of SKO
per month during the immediate preceding 12 months prior to the month of
advertisement will be eligible to apply. The applicants have to submit the proof of such
allocation from allocating authority of the State Govt./Divisional/Territory/Regional
Office of the PSU Oil Marketing Company, as the case may be, as and when advised by
the OMC. Multiple Dealership/Distributorship norms will not be applicable for such
applicants.

ii. In case of allotment, the SKO dealer will have to surrender their SKO Dealership prior
to issuance of letter of appointment for RO dealership. To be eligible to apply for RO
dealership, the SKO dealer should not have been penalized for violation of Marketing
Discipline Guidelines within last 5 years preceding the date of advertisement or there
should not be any proceedings pending against the dealership under Marketing
Discipline Guidelines/Dealership Agreement, Kerosene Control Order or ESMA.

iii. Eligibility criteria as applicable to individual applicants/partnership firm applicants will

also be applicable to SKO Dealers.

Note : with regard to submission of documents by selected candidates:

1. All certificates/documents required for meeting Eligibility/Specific eligibility criteria

should be in possession of the applicant and valid as on date of application.

However certificates issued by Directorate General of Resettlement (DGR), Ministry

of Defence , Government of India for Defense personnel can be of a date after the
date of application but should be submitted within 10 days of intimation by Oil
Company.

Wherever Caste Validity certificate is required, the same shall be submitted by the
selected candidate within additional 10 days of stipulated time specified by the
concerned State Govt. for issuance of such certificate(from the date of intimation to
the selected candidate by the OMC).

2. In case certificates submitted by the applicants issued by various Govt. Officials are
not as per the given formats, the applicants would not be made ineligible if the
contents are as per Corporation’s requirements.

3. Applicable certificates/documents for Eligibility/Specific eligibility criteria would be

required to be submitted by the selected candidate within 10 days of intimation (after
draw of lots/bidding process).

Additional 10 days’ time shall be given in case the selected candidate fails to submit
the applicable certificates/documents. In case the selected candidate fails to provide

15 Version 1 / 24.11.2018
 applicable certificates/documents within this time period, his/her candidature would
be rejected under intimation through SMS/e-mail.

4. The selected candidate would be given opportunity to provide the rectified/corrected

documents under rectifiable deficiency within 21 days’ time. If the selected candidate
fails to provide the required corrected/rectified certificates/documents, within 21
days, his/her candidature would be rejected under intimation through SMS/e-mail.

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

Non-individual entity applicant means Government Bodies/Agencies, Societies registered

under Societies Registration Act 1860 / Societies registered under Co- operative Societies Act,
1912 or Co-operative Societies Act as enacted by concerned States, Charitable Trusts
registered with Charity Commissioner of respective State Government, Companies formed
under the Companies Act, 1956 / 2013, including Pvt. Ltd. companies.

Non-individual applicants are eligible to apply only under ‘Open’ category subject to the
following: -

(i) Residential status: The entity should be registered in India.

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

(iii) Land : With regard to land, all conditions covered for individuals would apply excepting
clauses given for land owned by family member(s). In other words, the offered land
should either be owned or on long lease in the name of entity for Group 1 and a firm offer
in the name of the entity for Group 2.

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

Note:

a. All Non-individual entities applying for the dealership should meet the Land requirement
as specified under Individual applicants to become eligible for the draw/bidding. The land
should be in the name of the entity and not in individual names. They should not have
any disqualification criteria specified under Clause “DISQUALIFICATION”.

b. Registered Societies / Charitable Trusts/ Companies will have to furnish appropriate

resolution to show that person making the application on its behalf is empowered to
make the same. Authorized signatory on behalf of the entity will also have to furnish an
undertaking that it will observe the relevant guidelines.

c. With regard to submission of documents by selected entities, time limits as given under
individual applicants would apply.

8. ELIGIBILITY CRITERIA FOR LOCATIONS WHERE APPLICANTS ARE NOT EXPECTED TO

ARRANGE LAND :

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

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

16 Version 1 / 24.11.2018
9. DIRECT AWARD OF DEALERSHIPS

Govt. agencies / Departments / PSUs can be considered for award of dealerships directly
without advertisement in addition to their eligibility to apply under OPEN category.

In addition, Policies approved by OMCs for direct allotment of dealerships under Corporate
tie ups as advised by MOP&NG vide letter No. P-38012/3/2008-IOC (Pt.) dated 15.9.2008
would continue.

10. RETAIL OUTLET MANAGEMENT

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

Further at the time of issuance of letter of appointment, the LOI holder will have to give
notarized affidavit stating that he/she is not employed in Private Sector or is not drawing any
salary/perks/emoluments from State / Central Government (Appendix - IV). The LOI holder
will also affirm that during the tenure of the Dealership he/she will not take up any
employment 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 to
day 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.e wife/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 employed and/or do not wish to be made a
partner. Spouses will be considered for partnership irrespective of any need to satisfy the
eligibility criteria for dealer selection. However, they should fulfil the provisions on multiple
dealership norms, conviction clause and the condition that they were not a signatory to a
terminated dealership/distributorship for proven 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 other necessary 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) before issue 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 from the
Spouse as per Appendix II B will be taken after award of LOI and necessary documentation
with respect to Registration of Partnership deed, etc. will be completed by the applicant(s)
prior to issuance of LOA. Dealership agreement will be signed with both the partners and LOA
will be issued.

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

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

17 Version 1 / 24.11.2018
12. BASIC FACILITIES REQUIRED FOR OPERATION OF RO DEALERSHIPS

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

S.N. Type of Facility TYPE OF SITE

“A” / “CC” site “B”/ “DC”
including CFS Site
locations

Provision of Facility by:

A Infrastructural Facilities:
i. Developed land with boundary Dealer Dealer
/compound wall as per Corpn.
Specification
ii. Tanks, Dispensing Units, Signages, Corpn. Corpn.
Automation, etc.
iii. Sales Office, Store Room, Toilet, Electrical Corpn. Dealer
Room, Water Connection, Yard Lighting,
etc.
iv. Generator / Invertor Dealer Dealer
v. Compressor with Electronic Gauge for Air Corpn. Dealer
Filling (As decided by OMC) / Dealer
vi. Driveway Corpn. Dealer
vii. Canopy (as per Corpn. requirement) Corpn. Dealer
B Customer Convenience Facilities:
i. Clean Drinking Water, Maintenance of Dealer Dealer
Neat & Clean Toilet, Telephone, etc.
A. Site specific additional facilities required for customer service such as Staff cum Change
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 Oil Company/Dealer Select
as applicable.

B. Firefighting & Safety Equipments

Dealer will provide Firefighting/Safety equipments at Retail Outlet as per the statutory
requirements and maintain them in good working condition at his/her own cost. Trained staff
should be available to handle and operate the same.

C. Investment Required:

The approximate investments required for development of infrastructure and facilities &
working capital requirement at New Retail Outlets will be indicated in the advertisement.

18 Version 1 / 24.11.2018
 The selected candidate shall undertake to make available the funds required for development
of desired infrastructure and facilities at the Outlet allotted to him and the working capital
for operation of the outlet.

D. Statutory Approvals / Licences :

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

E. Licence Fee:

For the investments made at the RO towards Land and infrastructure/facilities by the
Corporation, Licence Fee would be payable on per KL basis by the dealer as applicable from
time to time.

In case of Corporation owned “A” / “CC” site ROs, including ROs developed under Corpus
Fund Scheme for SC/ST category dealerships, the current Licence Fees including GST are as
under:-

Petrol : Rs. 472.77 / Kl

Diesel : Rs. 393.97 / Kl

For Dealer owned “B” / “DC” site ROs the current Licence Fees including GST are as under:-

Petrol : Rs. 233.45 / Kl

Diesel : Rs. 194.54 / Kl

13. SCHEME OF FINANCIAL ASSISTANCE TO SC/ST CATEGORY DEALERSHIPS UNDER “CORPUS

FUND SCHEME”

In respect of locations reserved for SC/ST categories, Financial assistance under Corpus Fund
Scheme will be given by the Oil Company on award of dealerships as under:

a) In respect of locations reserved for SC/ST categories, the Oil Company will make available
ready Retail Outlet with required facilities at its cost on the land offered by the candidate
and procured by the Company on mutually agreed terms and conditions.

b) Oil Company will also provide adequate working capital assistance / loan for a full
operation cycle (equivalent to 7 days Sales volume ) of the operation of the Dealerships.
Both working capital as well as SBI MCLR (Marginal Cost of Funds based Lending Rate) +
1% interest per annum or 11% p.a., whichever is lower, thereon will be recovered in 100
monthly installments commencing from the 13th month of commissioning of the
Dealership.

c) Initial working capital assistance shall be given for maximum 18 kl of MS and 18 kl HSD.
Eligibility will be calculated for MS and HSD separately.

Based on SBI MCLR (1-year MCLR) as on 1st of April every year, interest rate for Corpus
Fund loan will be revised for the outstanding loan amount.

19 Version 1 / 24.11.2018
 Augmentation of initial working capital assistance / loan provided at the time of
commissioning may be done through additional loan between two to four years after
commissioning due to increased sales and additional working capital requirement. The same
would be extended only if there has been no default /delay on repayment by the dealership
against the existing working capital assistance and shall be based on average monthly sale
during last 6 months. There should be a minimum 50% increase in sales (compared to
projected 2nd year volume of the RO) for qualifying for the additional loan. The revised
working capital loan as well as interest {SBI MCLR (Marginal Cost of Funds based Lending
Rate) + 1% interest per annum or 11% whichever is lower} thereon may be recovered in 100
monthly installments from the date of extending the additional loan.

Additional Corpus fund loan on growth volume can be given for maximum 18 KL of MS and
18 KL HSD.

In other words, the total loan amount would be:-

a) Outstanding of the initial corpus fund loan; plus

b) Amount equivalent to 7 days sales of the growth volume, subject to a maximum of 18 KL

of MS and 18 KL HSD. Eligibility would be calculated for MS & HSD separately.

The revision in rate of interest at the beginning of April of every year (as per the prevailing
MCLR of SBI for tenure of one year +1%) or 11% p.a., whichever is lower, would be applicable
on the outstanding amount.

14. DISQUALIFICATION

A. Individual Applicants :

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

(i) Fulfill Multiple dealership norms : Multiple Dealership norms as mentioned below will be
applicable for existing and future “A” / “CC” site RO dealerships.

Multiple Dealership norms means that the applicant or any other member of his/her
‘family unit’ should not hold a Corporation owned “A” / “CC” site RO/SKO-LDO dealership
or RO/SKO-LDO dealerships/LPG distributorships developed under Corpus Fund Scheme
and other Special category (DQ/Operation Vijay/Parliament attack beneficiary, etc.), or
Letter of Intent (LOI) for the same of any Oil Company.

Note :

a) Existing “B” / “DC” site RO/SKO-LDO dealers/LPG distributors {other than those
distributorships developed under Corpus Fund Scheme and other Special category
(DQ/ Operation Vijay/Parliament attack beneficiary, etc )}. and LOI holders including
members of his/her ‘family unit’ may apply for “B” / “DC” site RO dealerships.

b) Existing unviable SKO dealers of OMCs (individual & partnership firms only) can also
apply for RO dealerships (for both “A” / “CC” site & “B” / “DC” site ROs) as per Clause
6 (viii).

20 Version 1 / 24.11.2018
 ‘Family Unit’ in case of married applicant, shall consist of individual concerned, his/her
Spouse and unmarried son(s)/daughter(s). In case of unmarried person/ applicant, ‘Family
Unit’ shall consist of individual concerned, his/her parents and his/her unmarried
brother(s) and unmarried sister(s). In case of divorcee, ‘Family Unit’ shall consist of
individual concerned, unmarried son(s)/unmarried daughter(s) whose custody is given to
him/her. In case of widow/widower, ‘Family Unit’ shall consist of individual concerned,
unmarried son(s)/unmarried daughter(s).

Oil Company for this purpose would also include Private sector Oil Marketing Companies
as per Gazette notification of 2002 i.e. (1) Indian Oil Corporation Ltd. (2) Bharat Petroleum
Corporation Ltd. (3) Hindustan Petroleum Corporation Ltd. (4) Mangalore Refinery and
Petrochemicals Ltd. (5) Oil & Natural Gas Corporation Ltd. (6) Reliance Industries Ltd. (7)
Essar Oil/Nyara Energy (8) Shell Corporation or any other Oil Marketing Company as
defined by the Govt Of India / MOP&NG from time to time.

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 of

proven malpractices.

(iv) Not be Mentally unsound / totally paralyzed.

Further,

(v) 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.

(vi) To be eligible to apply for new RO dealership, existing RO/SKO-LDO Dealerships and LPG
Distributorships and their “family unit”, as defined under Dealership/Distributorship
Selection Guidelines, should not belong to a dealership/distributorship which has been
penalized for violation of Marketing Discipline Guidelines under major irregularities
within last 5 years (for RO/SKO-LDO Dealerships) and 4 years (for LPG Distributorships)
preceding the date of advertisement. Further, in case of any proceedings (Court cases,
Show Cause notices, etc.) pending against the dealership/distributorship under
critical/major irregularities for violation of Marketing Discipline Guidelines/Dealership
Agreement, Control Orders or ESMA, in case selected, the allotment will be conditional
and subject to the outcome of such proceedings.

The applicant has to be submit an undertaking to this effect.

Partnership firms

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

B. Non-Individual applicants (Entity)

The entity while meeting the eligibility criteria if do not satisfy any of the following
requirements 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:

21 Version 1 / 24.11.2018
 For Companies Registered under Companies Act 1956 or 2013 : The applicant company
will not be eligible for RO / SKO-LDO dealership if any Corporation owned “A” / “CC” site
RO/SKO-LDO dealership or RO/SKO-LDO dealerships/LPG distributorships developed
under Corpus Fund Scheme or Letter of Intent (LOI) for the same of any Oil Company is
held by the following:-

 The Company.
 Any of the Director or his family members (family as defined in the case of multiple
dealership 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 Corporation
owned “A” / “CC” site RO / SKO-LDO dealership or RO/SKO-LDO dealerships/LPG
distributorships developed under Corpus Fund Scheme or under other Special category
(DQ/ Operation Vijay/Parliament attack beneficiary, etc.) or Letter of Intent (LOI) for the
same of any Oil Company, acquire controlling stake in a company having RO / SKO-LDO
dealership/LPG distributorship then the RO/ SKO-LDO dealership /LPG distributorship of
the acquirer would be liable to be terminated.

(iii) If any individual, partnership firm, company, trust or society already holding RO / SKO-
LDO dealership/LPG distributorship acquires controlling stake in a company having a
Corporation owned “A” / “CC” site RO/SKO-LDO dealerships or RO/SKO-LDO dealerships
/LPG distributorships developed under Corpus Fund Scheme or under other Special
category (DQ/ Operation Vijay/Parliament attack beneficiary, etc.) or Letter of Intent (LOI)
for the same of any Oil Company, then the RO/ SKO-LDO dealership /LPG distributorship
of the acquirer would be liable to be terminated

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

(v) For the charitable trusts registered with the charity commissioner of the respective State
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 Corporation
owned “A” / “CC” site RO / SKO-LDO dealership or RO/SKO-LDO dealerships/LPG
distributorships developed under Corpus Fund Scheme or under other Special category
(DQ/ Operation Vijay/Parliament attack beneficiary, etc.) or Letter of Intent (LOI) for the
same of any Oil Company is held by such entities or any of the Member of the Governing
Body/Managing Body/Any such other Body or his family members (family as defined in
the case of multiple dealership norms for individuals).

(vi) None of the members of the Governing / Managing Committee of the Registered Societies
/Trusts/ Company incorporated under Companies Act 1956/2013 should have been
convicted for any criminal offence involving moral turpitude and / or economic offences
(other than freedom struggle) punishable under Law.

(vii) The Registered Societies / Trusts/ Company incorporated under Companies Act
1956/2013 should not have been convicted for any criminal offence involving moral
turpitude and / or economic offences (other than freedom struggle) punishable under
Law.

22 Version 1 / 24.11.2018
 (viii) The Registered Societies / Trusts/ Company incorporated under Companies Act
1956/2013 should not have been signatory to dealership/distributorship agreement of
any Oil Company, which was terminated for malpractices and / or for violations of
provisions of the Marketing Discipline Guidelines.

(ix) None of the members of the Governing / Managing Committee of the Registered Societies
/ Trusts/ Company incorporated under Companies Act 1956/2013 should have been
signatory to dealership/distributorship agreement of any Oil Company, which was
terminated for malpractices and / or for violations of provisions of the Marketing
Discipline Guidelines.

(x) To be eligible to apply for new RO dealership, the entity or none of the members of the
Governing / Managing Committee of the Registered Societies / Trusts/ Company
incorporated under Companies Act 1956/2013, should be a signatory to a
dealership/distributorship which has been penalized for violation of Marketing Discipline
Guidelines under major irregularities within last 5 years (for RO/SKO-LDO Dealerships)
and 4 years (for LPG Distributorships) preceding the date of advertisement. Further, in
case of any proceedings (Court cases, Show Cause notices, etc.) pending against the
dealership/distributorship under critical/major irregularities for violation of Marketing
Discipline Guidelines/Dealership Agreement, Control Orders or ESMA, in case selected,
the allotment will be conditional and subject to the outcome of such proceedings.

The applicant has to be submit an undertaking to this effect.

Note: Conditions mentioned above are not applicable to Government owned Companies
defined as major shareholding with the Government, Public Sector & Joint Sector Units or
Government 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).

Note :

 All affidavits should be submitted in original on stamp paper of appropriate value as

applicable 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.

16. NON-REFUNDABLE APPLICATION FEE

Non-refundable application fee payable at the time of application is as under:

For Regular ROs :

Locations reserved for SC/ST category Rs. 3000/-

Locations reserved for OBC category Rs. 5000/-
Other locations Rs. 10000/-

For Rural ROs:

Locations reserved for SC/ST category Rs. 2500/-

Locations reserved for OBC category Rs. 4000/-
Other locations Rs. 8000/-

23 Version 1 / 24.11.2018
17. NON-REFUNDABLE FIXED FEE / BIDDING AMOUNT

(i) In case of Dealer Owned sites i.e, “B” site / DC site ROs, as defined in Clause 5, a Non-
refundable fixed fee of Rs. 5 lakhs for Rural ROs and Rs. 15 lakhs for Regular ROs would
be payable within 15 days of receipt of NOC.

(ii) In case of Corporation owned sites i.e, “A” / “CC” site ROs (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.

The selected candidate would be required to pay the total bid amount (within 15 days of
receipt of NOC).

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

18. SELECTION PROCEDURE

Selection will be basically made through draw of lots or bidding process depending upon the
type of Retail outlet site as defined in Clause 5. This will also be indicated against each location
in the advertisement.

A. Draw of Lots

Selection through draw of lots amongst eligible candidates will be made for :

 Corporation Owned Dealer operated outlets under Corpus Fund Scheme ( CFS sites)
 Dealer Owned Dealer Operated outlets (“B” / “DC” sites)

B. Bidding Process

Selection through Bidding process will be made for Corporation Owned Dealer Operated Sites
(“A” / “CC” sites) except for Corpus fund locations mentioned above. However, in case of tie
in bid amount, selection will be made through Draw of Lots amongst tied up bidders.

C. Advertisement :

Selection will be done by inviting applications through advertisements in a capsule format in

newspapers (Annexure – H 1) - One English daily and one Regional Vernacular newspaper
having highest circulation in the State. The details of highest circulation are to be taken from
the Corporate Communication department of the Oil Company.

The detailed advertisement as per prescribed format (Annexure H 2) along with copy of
capsule advertisement published in Newspapers will be hosted in website
www.petrolpumpdealerchayan.in

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

The excel file of the advertisements released shall be sent to

www.petrolpumpdealerchayan.in in the prescribed format (Annexure H 3) before the date
of release of advertisement by the concerned State/Zonal/State Office for updating the
location details in the above portal for the applicants to apply against the locations advertised

24 Version 1 / 24.11.2018
D. Cut-off date for receipt of Applications:

The advertisement should specify the last date by which the application should be submitted.
The cut-off date should be minimum 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 of application. The same principle applies for release of
corrigendum, if any.

The facility for submission of on-line application will be withdrawn immediately after the cut-
off date.

If the applicant fails to submit his/her on-line application on the due date due to any technical
reasons whatsoever the company shall not be responsible and no request for subsequent
submission of the application will be entertained.

E. Publicity:

Copies of the advertisement should be put up on the Notice Boards of the OMC offices
controlling the locations covered in the advertisement and same should also be available on
the web site www.petrolpumpdealerchayan.in

Copy of advertisement should be forwarded by Registered Post / Speed Post to Rajya Sainik
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 - I)

Additionally, in order to ensure maximum response to the advertisements under various

categories, copies of advertisements may be forwarded to the respective District Collectors
/ District Magistrates office with a request to give wide publicity in the concerned Districts
(Annexure – J).

Brochure for Selection of Retail Outlet dealerships given in Annexure - K can be down loaded
from the website of OMCs/ www.petrolpumpdealerchayan.in free of cost.

Admin Manual (User Manual) for guidance of OMC officials with regard to the on-line process
of uploading details on the web portal www.petrolpumpdealerchayan.in and other related
processes is attached as Annexure - Q1.

F. Application :

Application are to be submitted only through on-line mode on prescribed web portal
www.petrolpumpdealerchayan.in .

All applicants desirous to apply shall submit their applications by visiting web portal
www.petrolpumpdealerchayan.in after registering on the same and submitting their
application form online, along with requisite application fee (to be submitted through
internet banking, credit card or debit card through the payment Gateway provided by SBI e-
Pay).

The applicant will have to register in the web portal www.petrolpumpdealerchayan.in for
creating a login id and password. The login id and password once created for an applicant will
be used for filling of on-line application in the web portal. Acknowledgement of successful
registration on the web portal www.petrolpumpdealerchayan.in will be sent by the portal
through SMS/e-mail.

25 Version 1 / 24.11.2018
 While registering an SMS alert will be sent to the prospective applicant intimating that the
details on the portal www.petrolpumpdealerchayan.in should be filled up diligently / carefully
as these details will be picked up automatically in the relevant field on the application form
and that there will be no further scope for editing after the registration process is completed.

An applicant can submit only one application for a location.

Application Format for appointment of RO dealership is attached as Appendix I A (for

individual applicants) & Appendix I B (Non-Individual applicants).

User Manual for guidance of the applicants to fill the on-line application form is attached as
Appendix I C.

The status of the application would be communicated through e-mail /SMS to the email id /
mobile number provided by the applicant while registering on the portal
www.petrolpumpdealerchayan.in.

The following information / status will be communicated through SMS/e-mail, to the eligible
applicants through the portal www.petrolpumpdealerchayan.in on successful submission of
application:

i. Acknowledgement of receipt of the application form submitted and acknowledgement of

the non-refundable application fee.

ii. Non-refundable application fee receipt would be auto-generated through portal

www.petrolpumpdealerchayan.in. (Annexure L) and forwarded.

iii. The list of candidates for the location as per priority Group –I, Group-II and Group-III will
be available in the portal www.petrolpumpdealerchayan.in.

iv. Intimation for the draw of lots / Bid opening date, venue and time.

v. Intimation regarding selection to the successful applicant in Draw of Lots / Bid opening.

vi. Intimation to the selected candidate for submitting required documents (for conducting
Land evaluation and Field Verification of Credentials) and remittance of 10% of Security
deposit (Initial Security Deposit - ISD) within 10 days from the date of intimation
(Annexure M 1).

vii. In case the candidate does not submit the documents and/or remit 10% of the Security
Deposit (Initial Security Deposit), a reminder will be sent with the notice period of another
10 days that in case the required documents are not submitted the candidature is liable
for rejection (Annexure M 2). In case the selected candidate fails to submit the
documents and/or remit 10% of the Security Deposit (Initial Security Deposit), within this
additional 10 days, his candidature will be rejected under intimation (Annexure M 3).

viii. Scrutiny of the documents would be carried out only after receipt of 10% of the Security
Deposit (Initial Security Deposit).

26 Version 1 / 24.11.2018
 ix. In case of rectifiable deficiency in the documents submitted, intimation to the selected
candidate to submit the required corrected documents within 21 days (Annexure M 4).

x. In case the rectified documents (for cases other than related to offered land) are not
submitted within stipulated time or the submitted rectified documents are not as per
requirement, intimation regarding rejection of his candidature will be sent to the selected
candidate (Annexure M 5). However, if documents related to offered land are not
submitted or the offered land cannot be accepted even after receiving rectified
documents relating to land, the applicant will be given intimation regarding consideration
of his/her candidature along with Group 3 applicants (Annexure M 6).

Note:

In the web portal, Divisional /Regional / Territory Manager shall acknowledge receipt of
Initial Security Deposit & documents from the selected candidate at the end of the
stipulated time period(s). In case the Initial Security Deposit/ documents have not been
submitted by the selected candidate within the stipulated time, same will also be updated
in the portal so that e-mail can be generated intimating additional time for submission of
ISD/documents or cancellation of the candidature to the applicant. In case of rectifiable
deficiency in documents, acknowledgement of receipt of rectifiable document or
otherwise to be indicated in the portal for intimating the cancellation of the candidature.

xi. Intimation to the candidate regarding date and time for visit of committee for land
evaluation giving 10 days’ time (Annexure M 7).

xii. In case land is not found suitable by LEC, intimation to the candidate regarding rejection
of the offered land and subsequent consideration of candidature along with Group 3
applicants (Annexure M 8).

xiii. In case land is found suitable, intimation to the candidate regarding date and time of FVC
giving 10 days’ time (Annexure M 9).

xiv. In case of rejection at FVC stage, intimation to the candidate regarding rejection of his
candidature (Annexure M 10).

xv. In case FVC is found OK, intimation to the selected candidate regarding issuance of LOI
and collection of the same from the concerned office of the OMC (Annexure M 11) giving
10 days’ time.

G. Person Applying For Different Locations

While application by a candidate can be made for different locations, the same should be
done separately in respect of each location along with applicable application fee in each case.

H. Submission of Financial Bid

In case of locations involving bidding process, the applicant will be required to submit the
Financial bid on-line at the time of making the application.

27 Version 1 / 24.11.2018
SELECTION THROUGH DRAW OF LOTS / BIDDING

All online draws / bid opening would be conducted through the software developed by MSTC
and hosted on the NIC (National Informatics Centre) server. All computerized draw of lots /
bid opening are to be conducted through the above software in coordination with NIC &
MSTC. The Draws are to be conducted by MSTC at the office of the District Collector/District
Magistrate as far as possible and the invited guests would be either DM/DC or the nominated
officials by DM/DM. Copies of the invitation letters to DM/DC as per Annexure – N along
with postal receipts should be kept as records.

In case there is no positive response from DM/DC, the draw to be held at any public
Halls/Hotels/OMC Offices. Alternate guests can be invited from amongst Govt./Semi Govt.
/Public undertakings departments like Consumer affairs, Food and Supplies, PESO, Judges,
Govt Banks, Defence Personnel etc. In case number of locations to be covered in a day is
high, two or more guests may be invited. Efforts will be made not to repeat the guest. Copies
of the invitation letters to the guests as per Annexure – N along with postal receipts should
be kept as records.

All registered applicants can see the status of their application on the portal
www.petrolpumpdealerchayan.in.The list of applicants eligible for Draw of lots/bidding will
be made available on the same portal.

List of applicants (Group 1, Group 2 & Group 3) will be prepared on the basis of the land
offered or land not offered in the application by the applicant. (Annexure – O1)

In case of locations involving selection through draw of lots, if there is only one eligible
applicant, no draw of lots is required. The lone eligible applicant would be declared
(Annexure – P1) as selected and e-mail will be triggered by the web site to the single eligible
applicant’s e-mail id (Annexure – P2).

In case of locations involving selection through bidding, if there is only one eligible applicant,
the bid of the lone eligible applicant will be opened in line with procedure for multiple
applicant location and he/she would be declared as selected (Annexure – P1) and e-mail will
be sent by the web portal to the single eligible applicant’s e-mail id. (Annexure – P2).

Draw of lots/Bid opening will be held first for the eligible applicants in Group 1. Draw of
lots/Bid opening for the eligible applicants of Group – 2 will be held only if there is no
applicant in Group 1 or applicants in Group 1 have been disqualified/not found suitable or
have withdrawn.

g. In case of more than one eligible applicant, selection of RO dealer for an advertised location
will be done through computerized draw of lots / bid opening from the eligible applicants for
that location. User Manual for conducting Online Computerized Draw of Lots / bid opening
has been attached as (Annexure – Q 2).

28 Version 1 / 24.11.2018
 h. In case draw of lots for a particular location has been carried out and the candidate selected
is found ineligible, then redraw would be carried out from amongst balance eligible
candidate of Group1 or Group 2 as applicable,

In case of bidding process for a particular location has been carried out and the candidate
selected is found ineligible, in that case the next highest bidder would be declared as
selected.

List of eligible candidates location-wise are to be reviewed by the concerned DM/RM/TM to

ensure that:-

 No draw is planned for a location where there is a single eligible applicant in a

particular Group.

 Opening of Bids of applicants under Group 2 is not carried out till applicants under
Group 1 are available for selection.

19. PROCEDURE FOR ONLINE DRAW OF LOTS/OPENING OF BIDS:

i. The concerned DM/RM/TM, on Industry basis, shall finalize the date of Online computerized
draw/opening of bids and the city/town, where the Online computerized draw/opening of
bids will be held. Wherever possible, locations can be clubbed for better coordination.
Industry should plan for the online computerized draw based on the factors like number of
applicants for each location, logistics, available time, etc.

ii. The District Magistrate (DM) or equivalent official, as per the revenue set up of the districts
covering the locations proposed for online computerized draw/opening of bids, (or alternate
guests in case of no positive response from DM/DC) shall be contacted by the concerned
DM/RM/TM.

iii. Where the Online computerized draws/opening of bids are planned to be conducted, the
concerned DM/RM/TM will have to make the following administrative arrangements required
for conducting the online computerized draw/opening of bids:

1) In coordination with the Office of the DM, venue and time is to be finalized. In case of no
positive response from DM/DC, alternate venue has to be finalized.
2) Projector and screen to be made available at the venue/hall.
3) Ensure availability of hi-speed internet connectivity.
4) Sound system to be made available at the venue/hall
5) Videography to be arranged and proceedings to be recorded in a single shot for a location
and CD to be made and kept in records by the concerned OMCs.
6) Concerned Police station authority should be informed about the draw of lots/bidding.

Needless to mention that other administrative arrangements for the draw/bid opening should
also be made by the concerned OMCs. All the expenses towards the arrangements made
should be shared amongst the OMCs in the ratio of 50:25:25 (IOC: HPC: BPC) even if there is a
single location for any OMC, where the draw is to be conducted. In case there are only two

29 Version 1 / 24.11.2018
 participating companies at any of the locations, the expenses will be shared equally. In case,
there is only single participating company the 100% expenses will be borne by the concerned
OMC.

iv. The concerned OMCs will also intimate the date, venue and time to the MSTC officials, so that
they can also plan to be present for conducting the Online computerized draw/opening of
bids.

v. Information will be sent to the eligible candidates through email / SMS (Annexure R) with a
notice period of 10 days inviting the candidate for the online computerized draw/opening of
bids for selection of RO dealer at a specified venue, date and time with a copy to the concerned
DM/RM/TM.

vi. Wherever the number of eligible candidates is two or more than two, the data of eligible
candidates in the prescribed format (Annexure O 2) where the draw/opening of bids is to be
held for each location will be transferred thru Web based service to the software made for
online computerized draw/opening of bids www.omconlinedraw.nic.in. For locations where
selection is through Bidding, the data of eligible candidate in the prescribed format to be
transferred for computerized bid opening even in case of single applicant.

vii. The concerned DM/RM/TM will nominate the OMC official and communicate the details of
the concerned OMC official (including name of the official, designation, email id and the
mobile number) to MSTC for creating login id and for generation of OTP.

viii. The concerned DM/RM/TM shall further ensure that requisite details to schedule
draw/opening of bid for a particular location of the OMC are updated on the website
www.petrolpumpdealerchayan.in.

ix. Attendance of all the applicants who have reported for draw of lots/opening of bids, shall be
recorded, after verifying their identity through a POI (Proof Of Identity - any one of the
documents Passport, Driving License, Voters’ Identity Card, PAN Card and Aadhaar Card).
Applicants should sign the attendance sheet (Annexure S). Draw of lots/opening of bids will
be conducted in the presence of only available eligible candidates. No representative shall be
allowed.

x. Two officials of the concerned OMC, nominated by DM/RM/TM concerned, will coordinate
the computerized draw. MSTC Ltd., Officials will conduct the computerized draw/bid opening,
in the presence of the available eligible candidates for the location and the invited guest.

xi. The concerned DM/RM/TM of the coordinating OMC shall request DM/DC to nominate one
officer of the rank of Tahsildar or above as guest to take out the Online computerized
draw/opening of bid for selection of RO dealer (or alternate guest in case of no positive
response from DM/DC). The DM/RM/TM shall request the nominated guest to provide mobile
number/email id for receipt of OTP required for the taking out the online computerized
draw/opening of bid.

30 Version 1 / 24.11.2018
 xii. DM/RM/TM shall also invite Hon’ble MPs of the concerned district(s) to witness online
computerized draw/ opening of bid proceedings (Annexure T).

xiii. Before start of actual online computerized draw process, demo of the Online computerized
draw/bidding process and the list of all eligible candidates for the location will be shown to
the available candidates.

xiv. MSTC will start the online computerized draw/opening of bid with the security feature of the
OTP to be received by the invited guest.

xv. The invited guest will be requested to initiate the process of online computerized draw of
lots/bid opening for a particular location.

xvi. List of eligible applicants of the location selected for the draw of lots/opening of bids, from
whom the computerised draw of lots/opening of bids shall be conducted will be displayed on
the screen along with the application serial number and the name of applicant.

xvii. Successful candidate will be selected from amongst the eligible candidates on random basis
for draw of lots and highest bidder in case of opening of bids.

xviii. The application serial number and name of the successful candidate would be declared for the
RO dealership for the location.

xix. The entire proceedings will be video graphed and the following information will be captured:

For locations involving Online computerized draw:

1. List of eligible candidates with application numbers

2. The details of the successful candidate displayed on the screen and captured by the video
camera with the serial number and name of the applicant.

For locations involving bidding process:

1. List of eligible candidates with application numbers and Bid amounts.

2. Display of name of highest bidder and bid amount (the successful candidate) on the screen
and captured by the video camera with the serial number and name of the applicant.

Note : In case of a tie w.r.t. to highest bid amount quoted by the applicants, then the process
of draw of lots would be followed for selection from amongst these applicants immediately
after the bidding process for the location. For this purpose the relevant steps of the process
mentioned for draw of lots shall be followed.

xx. The details of the successful candidate in the online computerized draw/bid opening for each
location will be sent to www.petrolpumpdealerchayan.in.

xxi. www.petrolpumpdealerchayan.in shall initiate an e-mail to the successful candidate in the

prescribed format with a copy to the concerned DM/RM/TM.

31 Version 1 / 24.11.2018
xxii. Online computerized draw/bid opening proceeding print out shall be taken immediately after
completion of online computerized draw/bid opening for obtaining necessary signatures of
concerned officials and same shall be hosted on www.petrolpumpdealerchayan.in (Annexure
U 1 & U 2)

xxiii. CDs of the videography has to be made for each location. CDs of the videography along with
the attendance sheet, Online computerized draw proceeding print out, etc., will be kept in the
safe custody of the concerned DM/RM/TM for the concerned location.

Online computerised Re-draw

Online computerized draw for selection would be held again from the remaining eligible
applicants in the following cases:

a. Rejection of selected candidate for various reasons

b. LOI is withdrawn from the selected candidate

The notice for the online computerised Re-draw should be intimated to the eligible candidates
through SMS/e-mail (Annexure M13).

Online computerized draw should be carried out following the procedure outlined above.

In case of rejection of selected candidate through bidding process for reasons mentioned in a &
b above, the next highest bidder will be considered for selection and intimation will be sent
(Annexure M14).

FINAL PROCESSING OF APPLICATION OF SELECTED CANDIDATE AND DOCUMENTS TO BE

SUBMITTED BY THE SELECTED CANDIDATE BEFORE FVC

Print out of the On-line application form of the selected candidate shall be taken by the
respective Region/Division/Territory Office from the web site www.petrolpumpdealerchayan.in
for further processing. The candidate selected in the draw of lots/bidding process for each
location will be intimated by e-mail/SMS to remit Initial Security Deposit (ISD) on-line & also
submit requisite documents within 10 days of the intimation. In case ISD is not paid and/or
documents are not submitted, applicant would be given another 10 days’ time to pay/ submit
the same. In case of non-payment of ISD and/or non-submission of documents within the
extended timeline, the candidature shall be cancelled under intimation to the selected candidate
through SMS/e-mail.

The list of documents required to be submitted depending on the category of location is given
below.

1. Documents applicable for all category:

a) Notarized Affidavit by the applicant as per Appendix-X A /X B (Standard Affidavit).

b) Proof of age (date of birth) i.e. – Self Attested Copy of 10th Std. Board Certificate /
Secondary School Leaving Certificate / Birth Certificate / Passport / Identity card issued
by Election Commission / Affidavit for age (Original). *

32 Version 1 / 24.11.2018
 c) Proof of educational qualification i.e. - Self Attested Copy of Certificate of passing 10 th
Std. issued by a Board / School conducting the examination or equivalent. *
d) Appendix – III B (Advocate’s letter) along with Appendix – III A (consent for offer of land)
if applicable.
e) Copy of land documents in support of ownership / lease rights.
f) Sketch/Site map of the offered land with dimension.

* not applicable for Non-individual applicants

2. Additional documents in support of specific Eligibility criteria:

Category Eligibility Certificate format

SC/ST Appendix VI
Appendix VI, VIII or DGR certificate/Discharge Order or Pension Order
SC/ST CC1
as applicable
SC/ST CC2 Appendix – VI, certificate applicable for OSP/FF
SC/ST PH Appendix – VI, IX-A / IX-B / IX-C
OBC Appendix – VII-A & VII-B
Appendix – VII-A, VII-B, VIII or DGR certificate/Discharge Order or
OBC CC1
Pension order as applicable
OBC CC2 Appendix – VII-A, VII-B, certificate applicable for OSP/FF
OBC PH Appendix – VII-A & VII-B, IX-A / IX-B / IX-C
Appendix VIII or DGR certificate/Discharge Order or Pension Order as
Open CC1
applicable
Open CC2 Certificate applicable for OSP/FF
Open PH Appendix – IX-A / IX-B / IX-C
Partnership Draft Partnership deed (for applicants under partnership)
applicants
Non-Individual Attested copy of Registration certificate / copy of Certificate of
applicants Incorporation of the entity from competent authority.
Non-Individual Attested copies of audited Profit and Loss a/c statement for
applicants preceding 3 financial years.
Non-Individual Authority letter & copy of Resolution specifying name of the
applicants authorized person for making application.
Proof of allocation of less than 75 Kls p.m. from allocating authorities.
SKO dealers
Copy of valid dealership agreement.

SCRUTINY OF APPLICATIONS

The Application Scrutiny Committee, comprising of 2 officers, shall be constituted by Divisional

Head / Regional Head / Territory Head.

ASC will scrutinize all the documents submitted by the selected candidate as per (Annexure V).

ASC will refer the land documents to the concerned panel advocate/Legal department of OMC
to ascertain the following:-

33 Version 1 / 24.11.2018
 (i) Whether the offered land falls within the Group specified by the applicant in the
application.

(ii) Whether there is suitable sub-lease clause available in the lease document to sub-lease
the land to the OMC, if applicable (Rectifiable deficiency).

(iii) Whether consent letter(s) from Owner(s)/Co-owners available, as applicable (Rectifiable

deficiency).

Note : As per opinion of panel advocate/Legal department of OMC, if the offered land is found
to be not falling in the group claimed by the applicant, it would be considered as non-rectifiable
deficiency for Group 1 applicants. Such applicants would be given opportunity along with
applicants under Group 3. Accordingly, candidate would be informed through e-mail/SMS. In case
of Group 2 applicants, if the offered land is found to be falling in Group 1, such applications would
be accepted and processed further.

In case of any rectifiable deficiency, 21 days’ time will be given to the applicant for submitting of
rectified documents. The intimation for rectifiable deficiency will be sent thru e-mail/SMS
(Annexure M 4). In case of non-submission of rectified documents within the timeline, the
candidature shall be cancelled under intimation to the selected candidate through SMS/e-mail
(Annexure M 5).

However, in case of non-rectification / non-submission of documents relating to rectifiable

deficiency as mentioned in (ii) & (iii) above for offer of land, the applicant would be given
opportunity along with applicants under Group 3 and intimated accordingly (Annexure M 6).

In case the candidate is not found to be eligible, the selection process will be continued with the
balance applicants under Group 1 or Group 2 as the case may be.

In case the candidate is found to be eligible after scrutiny or after receipt of the rectified
documents, if applicable, the ASC will submit the recommendation to the
Divisional/Regional/Territory head for formation of LEC to carry out evaluation of the offered
land.

I. Land Evaluation :

Before Land Evaluation, the concerned office of OMC should ensure that the site(s) of locations
advertised under Rural Marketing Plan was not on State Highways/National Highways and
meeting norms of Rural markets as on date of advertisement.

The Land Evaluation Committee shall be constituted by the concerned Divisional/ Regional/
Territory Manager comprising of 3 Officers consisting of Retail Sales 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 of 2 Officers comprising of Retail Sales
officer & Engg. Officer from concerned Divisional/ Regional/ Territory Office.

The concerned Divisional /Regional/Territory Office shall inform the selected candidate thru e-
mail/SMS at least 10 days before the day of visit by LEC for site evaluation (Annexure-M7). In
case of no response/non-availability of the selected applicant, the candidature shall be cancelled
under intimation to the selected candidate through SMS/e-mail. (Annexure M 8).

34 Version 1 / 24.11.2018
 (i) LEC will check the suitability of the land based on the defined parameters as applicable as
per Annexure – W1. LEC should also draw a sketch of the inspected site and also obtain
confirmation of the applicant / applicant’s representative as per Annexure – W2.

(ii) Evaluation of the offered land will be carried out to ascertain land being in advertised area
and suitable for development of RO – meeting norms. The parameters under 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 be rejected.

Note: Offered land should have minimum frontage & area as specified in advertisement.
Minimum Depth perpendicular to the frontage at least at one place, should be available
as specified in advertisement.

In case the offered land is found to be suitable, the LEC will submit the recommendation to
the Divisional/Regional/Territory head for carrying out FVC of the selected candidate.

In case land is not found suitable, the selected candidate will be informed about his
ineligibility and selection process will be continued with the balance applicants. However,
the candidate would be considered for selection along with Group 3 applicants and intimation
will be sent to the candidate (Annexure M 8).

20. INFORMATION UPDATE ON WEB SITE (www.petrolpumpdealerchayan.in)

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

(i) Advertisement - Name of newspaper, date, cutoff date, name of location and Category
– As per Annexure H 1.

(ii) Location wise no of applications received along with name of applicants under Group 1,
Group 2 & Group 3– As per Annexure O1.

(iii) Date of draw of lot/Bid opening – As per Annexure – X

(iv) Final result – As per Annexure – Y

(v) Details of Affidavits, submitted by selected candidate as per Appendix IV stating that
he/she is not employed in Private Sector or is not drawing any
salary/perks/emoluments from State / Central Government – Annexure Z.

Note:

In case there is no selection under Group 1, then process (iii) & (iv) to be carried out for Group
2 applicants.

21. FIELD VERIFICATION OF CREDENTIALS (FVC)

Based on the recommendation of the LEC, Field Verification of Credentials (FVC) will be
carried out by a two member committee nominated by head of Division/ Region/ Territory.

35 Version 1 / 24.11.2018
 The objective of the FVC is to verify the correctness of the details given by the candidate in
the application and the documents submitted thereafter. Field verification will be carried out
for the selected candidate as per Annexure - AA.

Intimation regarding FVC will be given to the selected candidate 10 days in advance by SMS/e-
mail (Annexure M9). In case of any request for change of date/extension the next date will
be given by mutual consent (Annexure M9). However, the rescheduled date cannot be more
than 10 days from the originally proposed FVC date.

In case of no response/non-availability of the selected applicant on the revised scheduled

date, the candidature shall be cancelled under intimation to the selected candidate through
SMS/e-mail (Annexure M10).

22. LETTER OF INTENT

If the information given in the application by the applicant is found to be correct, and no
selection related complaint / court case is pending for decision, Letter of Intent will be issued
to the selected candidate by Head of Division/Regional/Territory Office after approval of the
Retail Head of State/Zonal/State. (Annexure – G1, Annexure - G2 & Annexure - G3).

Head of the Division/Regional/Territory office will issue the LOI in person to the selected
candidate. For this purpose, intimation will be sent to the selected candidate through SMS/e-
mail for collecting the LOI within 10 days (Annexure M 11). In case of no response/any
request for change of date/extension of date, the date may be extended by another 10 days
and intimation will be sent to the selected candidate through SMS/e-mail (Annexure M 11).
In case of no response/non-collection of LOI by the selected candidate on the revised
scheduled date, the candidature shall be cancelled under intimation to the selected candidate
through SMS/e-mail (Annexure M 12).

The dealer select, after receipt of LOI is required to make the offered land available in
developed condition as per clause 12 (e) of affidavit (Appendix X A) or as per clause 11 (e) of
affidavit (Appendix X B) and fulfill the other requisite conditions as mentioned 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 this purpose, failing which OMC can
withdraw the LOI and proceed further with selection process.

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

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

a) Extension of LOI:

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

b) Withdrawal of LOI

In case selected candidate is unable to provide the land / develop facilities within the
specified 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 his reply
decision to withdraw LOI can be taken by Competent Authority as per internal policy of
individual OMCs. In such situations Initial Security Deposit would be forfeited.

36 Version 1 / 24.11.2018
 The Initial Security Deposit would also be forfeited if the selected candidate is unable to
submit the total bidding amount/fixed fee within the stipulated time or he withdraws for
any reason, his selection would be treated as cancelled and LOI withdrawn.

23. SELECTION PROCESS CONSEQUENT TO CANCELLATION OF CANDIDATURE / WITHDRAWAL

OF LOI

In case candidature of selected candidate is cancelled due to any discrepancy found post
Draw of Lots, i.e. during Application Scrutiny/Land Evaluation/FVC or LOI is withdrawn, draw
for selection would be held again from the remaining eligible candidates.

Similarly, in the event of rejection of candidature selected through bidding process, next
highest bidder will be considered for selection.

In case of locations involving Draw of Lots, the remaining applicants would be advised by e-
mail/SMS (Annexure M 13). In case only one remaining applicant, he/she should be advised
regarding his selection and submission of documents/Initial Security Deposit as per Annexure
M 1.

In case of locations involving bidding, the second highest bidder would be advised by e-
mail/SMS regarding his selection and submission of documents/Initial Security Deposit -
Annexure M 14. The same process would be followed for the subsequent bidder/s in case of
no response / withdrawal / rejection of the second highest bidder.

24. GRIEVANCE REDRESSAL SYSTEM

Any complaint should be accompanied by a fee of Rs. 5000/-, only in the form of demand
draft 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 including eligibility will
be disposed off as under:-

(i) Complaints received before or after draw of lots/bidding process along with requisite fee
of Rs. 5000/-, will be kept in record and investigation carried out after 30 days of Draw 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 will
not be entertained.

(iii) Representation from applicants against rejection of his/her candidature will be verified
and disposed of immediately by the Divisional/Regional Head/Territory Manager before
proceeding to next stage. For such cases, fee of Rs. 5000/- will not be applicable.

(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 complainant
through Registered Post, asking him to submit details of allegation with a view to prima
facie substantiate the allegations along with supporting documents, if any, within 20 days
from date of dispatch of letter (Annexure - AB). While seeking documents and details,
the complainant will be advised that if during the investigations, complaint is found to be
false and/or without substance, the Oil Company reserves the right to take action against
the complainant as provided under the law and fee forfeited.

(vi) In case a complaint is received against an applicant, who has not been selected in draw
of lots/bidding process, the same will be kept in abeyance. In case the LOI against selected

37 Version 1 / 24.11.2018
 candidate is cancelled and the applicant against whom the complaint was received gets
selected in the next draw or on account of bidding process, the complaint will only then
be investigated.

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

(viii) In case complaint is received without the requisite fee of Rs. 5000/-, or received
after 30 days of declaration of results, the complaint would not be entertained and
complainant would be advised reasons for the same (Annexure - AB).

(ix) Head of State/Zonal/State office will examine response of the complainant and if it is
found that the complaint does not have specific and verifiable allegations, the same will
be filed and complaint fee will be forfeited. Complainant will be advised accordingly
(Annexure – AC).

(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/State office to do the investigation
and submit a report. Thereafter, decision on the complaint will be taken by the Head of
State/Zonal/State office as under:-

a) Complaints not substantiated:

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

b) Established Complaints:

In case of established complaint, the complainant will be advised accordingly

(Annexure - AD) and suitable action should be taken. In this case the complaint fee
collected of Rs.5000/- will be refunded.

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

25. RETENTION OF FILES / RECORDS

The entire record including Video recording duly labeled pertaining to selection will be
preserved 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 of minimum
3 years from the date of final disposal of complaint/ court case. The application of selected
candidate along with all documents should be permanently maintained in the record along
with FVC, LOI, LOA and agreement.

26. TIME PERIOD FOR CERTAIN IMPORTANT ACTIVITIES

a) Notice of advertisement 30 days

b) Minimum notice period to candidate for Draw of Lots / Bid 10 days
c) Time for submission of documents by selected candidate 10 days
d) Additional time in case of non-submission of documents by 10 days
selected candidate in 10 days
e) Receipt of response from selected candidate on rectifiable 21 days
deficiencies

38 Version 1 / 24.11.2018
27. COMMISSIONING OF THE DEALERSHIP

A candidate who has been given the ‘Letter of Intent’ (LOI) would be required to fulfil the
terms and conditions as contained therein, so as to commission the dealership within the
stipulated 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 – AE along with

executed copy of dealership agreement will be given.

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

28. SECURITY DEPOSIT (SD) / INITIAL SECURITY DEPOSIT (ISD)

The selected candidate shall have to deposit the following :-

 An interest free refundable security deposit as mentioned below before issuance of LOA.

Regular ROs

Open category – Rs. 5 Lakhs

OBC category – Rs. 4 Lakhs
SC/ST category – Rs. 3 Lakhs

Rural ROs

Open category – Rs. 4 Lakhs

OBC category – Rs. 3 Lakhs
SC/ST category – Rs. 2 Lakhs

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

10 % of the applicable security deposit amount as mentioned above is payable by the

selected candidate as Initial Security Deposit (ISD) within 10 days of draw of lots/bid
opening. However this amount would be adjusted against the total security deposit
amount payable.

(iii) ISD (10 % of Security Deposit) would be forfeited in the following cases:-

 Where the selected candidate fails to submit required

Certificates/documents/rectified documents within the stipulated time.

 The selected candidate is found ineligible during selection process at any stage
except for rejection of land.

 Where the LOI holder is unable to submit the total bidding amount/fixed fee within
the stipulated time.

 Where the selected candidate/LOI holder withdraws candidature for any reason.

 Where LOI is cancelled for non-compliance of LOI conditions and cancellation of

selection for any reason.

39 Version 1 / 24.11.2018
29. TENURE OF DEALERSHIP

The tenure of the dealership shall be for an initial period of xx years (as per terms & conditions
of concerned Oil Company) and renewable every xx years thereafter (as decided by the
concerned Oil Marketing Company) as advertised by the Oil Company.

30. FALSE INFORMATION

If any statement made in the application or in the documents enclosed therewith or

subsequently submitted in pursuance of the application by the candidate at any stage is found
to have been suppressed / misrepresented / incorrect or false, then the application is 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 the candidate / dealer shall
have no claim whatsoever against the respective Oil Company.

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

40 Version 1 / 24.11.2018
 Annexure A 1
Report on Feasibility: Proposed Retail Outlet at

Location :______________________________,Dist. :_________State : ____________

1.Class of Market 2.Existing Trading Area / 3.LSA /
(A/B/C/D1(NH)/D2(SH)/E): Monopoly: Remote Area:
4. Trading Area Potential: MS & HSD sales from T.A. ROs for last 12 months.
Name Of RO Distance from Oil Co. MS HSD
Proposed Location
IOC
BPC
HPC
Pvt.
Sub Total IOC
Sub Total BPC
Sub Total HPC
Sub Total Pvt.
Total
Note: In case of New / Monopoly Market based on the assessment of potential.
5. Assesment of Potential of Proposed location:
a. Traffic (High / Expected % Growth in Reason for Growth in Traffic:
Medium / Low): Traffic:

b.Present TA Growth Expected % Growth in Expected T.A. Whether the proposed RO

(Sales Vol.in KLPM): TA Potential in KLPM: meets volume norms of the
market
MS: HSD: MS: HSD: MS HSD YES NO

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

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

1st Year
2nd Year
3rd Year
6. 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 of operation) 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

41 Version 1 / 24.11.2018
 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 location
d. Any other information

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

4. Illustrative Sketch of Location on divided carriage-way

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

K
M

IOC

BPC

HPC

Prop.
RO Prominent
land mark

K Annexure – B1
M
200 Point Roster

42 Version 1 / 24.11.2018
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: -

Roster Roster Roster Roster

Category Category Category Category
No. No. No. No.
1 Open 51 SC/ST PH 101 Open 151 Open
2 OBC 52 Open 102 OBC 152 Open
3 SC/ST 53 Open 103 Open 153 OBC
4 Open 54 OBC 104 Open 154 SC/ST
5 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 OBC
8 Open 58 OBC 108 Open 158 SC/ST
9 Open 59 Open 109 SC/ST 159 Open
10 OBC 60 SC/ST 110 OBC 160 Open
11 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/ST
14 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 Open
17 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 OBC
20 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-1
23 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-CC2 174 Open
25 SC/ST CC-1 75 Open PH 125 OBC CC-1 175 Open PH
26 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 Open
29 SC/ST 79 Open 129 Open 179 OBC
30 Open 80 OBC 130 Open 180 SC/ST
31 Open 81 Open 131 OBC 181 Open
32 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 OBC
35 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-1
38 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 Open

43 Version 1 / 24.11.2018
 41 Open 91 OBC 141 Open 191 OBC
42 OBC 92 SC/ST 142 Open 192 Open
43 SC/ST 93 Open 143 OBC 193 Open
44 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
47 SC/ST 97 Open 147 OBC 197 Open
48 Open 98 Open 148 Open 198 SC/ST
49 Open 99 OBC 149 SC/ST PH 199 OBC
50 OBC PH 100 SC/ST 150 OBC PH 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/ST category.
SC/ST-PH Physically Handicapped (PH) belonging to SC/ST Category
OBC Other Backward Classes Category
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-PH Physically Handicapped (PH) belonging to OBC Category
Open Open Category
Open CC1 Combined category 1 consists of Defence personnel / Para Military Personnel
/ Central & State Govt. employees / Central & State Govt. PSU employees.
Open CC2 Combined Category 2 consists of Outstanding Sports Persons (OSP) and
Freedom Fighters (FF).
Open- PH Physically Handicapped

44 Version 1 / 24.11.2018
 Annexure – B2

100 POINT ROSTER FOR NORTH EASTERN STATES

ROSTER FOR MEGHALAYA & ROSTER FOR MIZORAM ROSTER FOR AURNACHAL PRADESH
NAGALAND
Roster Category Roster Category Roster Category Roster Category Roster Category Roster Category
No. No. No. No. No. No.
1 ST 51 ST 1 ST 51 ST 1 ST 51 Open
2 ST 52 ST 2 ST 52 ST 2 Open 52 ST
3 ST 53 ST 3 ST 53 ST 3 ST 53 ST
4 ST 54 ST 4 ST 54 ST 4 ST 54 ST
5 Open 55 Open 5 ST 55 ST 5 Open 55 Open
6 ST 56 ST 6 ST 56 ST 6 ST 56 Open
7 ST 57 ST 7 ST 57 ST 7 Open 57 ST
8 ST 58 ST 8 ST 58 ST 8 ST 58 ST
9 ST 59 ST 9 ST 59 ST 9 ST 59 ST
10 Open 60 Open 10 Open 60 Open 10 ST 60 ST
11 ST 61 ST 11 ST 61 ST 11 Open 61 Open
12 ST 62 ST 12 ST 62 ST 12 ST 62 ST
13 ST 63 ST 13 ST 63 ST 13 ST 63 ST
14 ST 64 ST 14 ST 64 ST 14 ST 64 ST
15 Open 65 Open 15 ST 65 ST 15 Open 65 Open
16 ST 66 ST 16 ST 66 ST 16 Open 66 Open
17 ST 67 ST 17 ST 67 ST 17 ST 67 ST
18 ST 68 ST 18 ST 68 ST 18 ST 68 ST
19 ST 69 ST 19 ST 69 ST 19 ST 69 ST
20 Open 70 Open 20 Open 70 Open 20 ST 70 ST
21 ST 71 ST 21 ST 71 ST 21 Open 71 Open
22 ST 72 ST 22 ST 72 ST 22 ST 72 ST
23 ST 73 ST 23 ST 73 ST 23 ST 73 ST
24 ST 74 ST 24 ST 74 ST 24 ST 74 ST
25 Open 75 Open 25 ST 75 ST 25 Open 75 Open
26 ST 76 ST 26 ST 76 ST 26 Open 76 Open
27 ST 77 ST 27 ST 77 ST 27 ST 77 ST
28 ST 78 ST 28 ST 78 ST 28 ST 78 ST
29 ST 79 ST 29 ST 79 ST 29 ST 79 ST
30 Open 80 Open 30 Open 80 Open 30 ST 80 ST
31 ST 81 ST 31 ST 81 ST 31 Open 81 Open
32 ST 82 ST 32 ST 82 ST 32 ST 82 ST
33 ST 83 ST 33 ST 83 ST 33 ST 83 ST
34 ST 84 ST 34 ST 84 ST 34 ST 84 ST
35 Open 85 Open 35 ST 85 ST 35 Open 85 Open
36 ST 86 ST 36 ST 86 ST 36 Open 86 Open
37 ST 87 ST 37 ST 87 ST 37 ST 87 ST
38 ST 88 ST 38 ST 88 ST 38 ST 88 ST
39 ST 89 ST 39 ST 89 ST 39 ST 89 ST
40 Open 90 Open 40 Open 90 Open 40 ST 90 ST
41 ST 91 ST 41 ST 91 ST 41 Open 91 Open
42 ST 92 ST 42 ST 92 ST 42 ST 92 ST
43 ST 93 ST 43 ST 93 ST 43 ST 93 ST
44 ST 94 ST 44 ST 94 ST 44 ST 94 ST
45 Open 95 Open 45 ST 95 ST 45 Open 95 Open
46 ST 96 ST 46 ST 96 ST 46 Open 96 Open

45 Version 1 / 24.11.2018
47 ST 97 ST 47 ST 97 ST 47 ST 97 ST
48 ST 98 ST 48 ST 98 ST 48 ST 98 ST
49 ST 99 ST 49 ST 99 ST 49 ST 99 ST
50 Open 100 Open 50 Open 100 Open 50 ST 100 ST

46 Version 1 / 24.11.2018
 Annexure – C

State-wise Allotment of Roster number between SC and ST

% of SC/ST
Total
w.r.t. Total SC
State / SC/ST
Sr. & ST (based Roster Sr. No. for
Union bifurcation
No. on Census
Territory out of 45
2011)
SC ST SC ST SC ST
Andaman &
1 0 100 0 45 NIL ALL
Nicobar
All Except
7, 29, 43, 65, 74, 7, 29, 43, 65, 74,
Andhra
2 70 30 32 13 83, 100, 114, 132, 83, 100, 114, 132,
Pradesh
149, 154,167, 149, 154,167, 189.
189.
7, 20, 38, 47, 65, All Except
74, 83, 96, 109, 7, 20, 38, 47, 65,
3 Assam 36 64 16 29 118, 136, 149, 74, 83, 96, 109,
154, 167, 185, 118, 136, 149, 154,
194. 167, 185, 194.
All Except
4 Bihar 93 7 42 3 47, 132, 140.
47, 132, 140.
5 Chandigarh 100 0 45 0 ALL NIL
12, 20, 56, 69, 74, All Except
87, 100, 127, 140, 12, 20, 56, 69, 74,
6 Chattisgarh 30 70 13 32
158, 180, 189, 87, 100, 127, 140,
194 158, 180, 189, 194
Dadra & All Except
7 3 97 2 43 92, 176
Nagar Haveli 92, 176
12, 20, 56, 69, 74, All Except
87, 100, 127, 140, 12, 20, 56, 69, 74,
8 Daman & Diu 29 71 13 32
158, 180, 189, 87, 100, 127, 140,
194 158, 180, 189, 194
9 Delhi 100 0 45 0 ALL NIL
All Except
10 Goa 15 85 7 38 12, 34, 60, 96, 12, 34, 60, 96, 132,
132, 149, 180 149, 180
All Except
3, 12, 25, 34, 51,
3, 12, 25, 34, 51,
60, 78, 96, 114,
11 Gujarat 31 69 14 31 60, 78, 96, 114,
132, 149, 163,
132, 149, 163, 180,
180, 198
198
12 Haryana 100 0 45 0 ALL NIL

47 Version 1 / 24.11.2018
 All Except
Himachal 12, 34, 43, 60, 96,
13 82 18 37 8 12, 34, 43, 60, 96,
Pradesh 132, 149, 180
132, 149, 180
7, 16, 34, 43, 56, All Except
69, 74, 83, 105, 7, 16, 34, 43, 56,
Jammu &
14 38 62 17 28 118, 132, 145, 69, 74, 83, 105,
Kashmir
149, 158, 167, 118, 132, 145, 149,
185, 194. 158, 167, 185, 194.
All Except
3, 12, 25, 34, 51,
3, 12, 25, 34, 51,
60, 78, 96, 114,
15 Jharkhand 32 68 14 31 60, 78, 96, 114,
132, 149, 163,
132, 149, 163, 180,
180, 198
198
All except
12, 20, 56, 69, 74,
12, 20, 56, 69, 74,
16 Karnataka 71 29 32 13 87, 100, 127, 140,
87, 100, 127, 140,
158, 180, 189,
158, 180, 189, 194
194
All Except
12, 34, 60, 96, 132,
17 Kerala 86 14 39 6 12, 34, 60, 96,
149
132, 149
18 Lakshadweep 0 100 0 45 NIL ALL
All Except
7, 16, 25, 34, 43,
7, 16, 25, 34, 43,
56, 69, 74, 83, 96,
Madhya 56, 69, 74, 83, 96,
19 43 57 19 26 105, 118, 132,
Pradesh 105, 118, 132, 145,
145, 149, 158,
149, 158, 167, 185,
167, 185, 194
194
All Except
7, 16, 25, 34, 43, 7, 16, 25, 34, 43,
56, 69, 74, 83, 96, 56, 69, 74, 83, 96,
20 Maharashtra 56 44 25 20 105, 118, 127, 105, 118, 127, 132,
132, 145, 149, 145, 149, 158, 167,
158, 167, 185, 185, 194
194
All Except
21 Manipur 8 92 3 42 7, 47, 149
7, 47, 149
All Except
7, 16, 25, 34, 43,
7, 16, 25, 34, 43,
56, 69, 74, 83, 96,
56, 69, 74, 83, 96,
22 Odisha 43 57 19 26 105, 118, 132,
105, 118, 132, 145,
145, 149, 158,
149, 158, 167, 185,
167, 185, 194
194
23 Puduchery 100 0 45 0 ALL NIL
24 Punjab 100 0 45 0 ALL NIL
All Except 7, 16, 25, 34, 43,
25 Rajasthan 57 43 26 19
7, 16, 25, 34, 43, 56, 69, 74, 83, 96,

48 Version 1 / 24.11.2018
 56, 69, 74, 83, 96, 105, 118, 132, 145,
105, 118, 132, 149, 158, 167, 185,
145, 149, 158, 194
167, 185, 194
12, 34, 60, 96, All Except
26 Sikkim 12 88 5 40
132 12, 34, 60, 96, 132
All Except
27 Tamilnadu 95 5 43 2 47, 145.
47, 145.
All except
7, 16, 34, 43, 51, 7, 16, 34, 43, 51,
56, 69, 74, 83, 56, 69, 74, 83, 105,
28 Telengana 62 38 28 17
105, 118, 132, 118, 132, 145, 158,
145, 158, 167, 167, 185, 194
185, 194
7, 20, 38, 47, 65, All Except
74, 83, 96, 109, 7, 20, 38, 47, 65,
29 Tripura 36 64 16 29 118, 136, 149, 74, 83, 96, 109,
154, 167, 185, 118, 136, 149, 154,
194. 167, 185, 194.
Uttar All Except
30 97 3 44 1 47
Pradesh 47
All Except
12, 34, 60, 96, 132,
31 Uttarakhand 87 13 39 6 12, 34, 60, 96,
149
132, 149
All Except
12, 34, 43, 60, 96, 12, 34, 43, 60, 96,
32 West Bengal 80 20 36 9
132, 149, 180, 132, 149, 180, 198
198

49 Version 1 / 24.11.2018
 Annexure – D

Format of Letter to the applicants who have not offered land in the application / Format of
letter to those applicants whose land was rejected during scrutiny / Land evaluation / after
selection
(On the Letterhead of OMC)

e-mail
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. ___________ on the
subject.

2. Application without land : You had not offered any land in the application for the
development of the subject Retail Outlet. You are hereby advised to submit your offer for a
suitable land in the advertised location / stretch meeting all laid down criteria. Please submit
the requisite details regarding the plot proposed to be offered through the on-line portal
www.petrolpumpdealerchayan.com within 3 months from the date of this letter.

OR

ASC stage

3. You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was not found to be in Group 1 (owned land) as indicated by you in the
application. Accordingly, you were advised vide e-mail dated ----------- that you would be
considered for further selection for this location along with applicants under Group 3. You
are hereby advised to submit your offer for an alternate suitable land in the advertised
location / stretch meeting all laid down criteria. Please submit the requisite details regarding
the plot proposed to be offered through the on-line portal
www.petrolpumpdealerchayan.com within 3 months from the date of this letter.

OR

LEC stage

50 Version 1 / 24.11.2018
4. You had offered a piece of land admeasuring …meters approx. (frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable during land evaluation. Accordingly, you were advised
vide e-mail dated ----------- that you would be considered for further selection for this location
along with applicants under Group 3. You are hereby advised to submit your offer for an
alternate suitable land in the advertised location / stretch meeting all laid down criteria.
Please submit the requisite details regarding the plot proposed to be offered through the on-
line portal www.petrolpumpdealerchayan.com within 3 months from the date of this letter.

OR

Any stage after selection

5. You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet. Subsequently it was found that that the offered land is not meeting criteria due one
or more of the following reasons :

a) Offered land is of not required dimension and abutting the Road boundary, after leaving
Right of Way (ROW) line of the road.
b) The offered land is notified for acquisition.
c) Land owner is not in Possession of the land from the beginning / edge of ROW line.
d) There is other land including Govt. land between ROW and offered plot.

Accordingly, you were advised vide e-mail dated ----------- that you would be considered for
further selection for this location along with applicants under Group 3. You are hereby
advised to submit your offer for an alternate suitable land in the advertised location / stretch
meeting all laid down criteria. Please submit the requisite details regarding the plot proposed
to be offered through the on-line portal www.petrolpumpdealerchayan.com within 3 months
from the date of this letter.

6. Further please note that you would be required to submit a confirmatory letter from an
advocate {Appendix III B} giving details of the land offered i.e. current ownership, documents
relied upon and the category under which the land falls (Group 1 or Group 2) and also submit
all the relevant documents pertaining to the land offered along with consent letter in the
form of affidavit {Appendix III A}, if applicable, as and when advised by Oil Company.

7. In case you fail to submit your offer for a suitable land in the advertised location / stretch
meeting all laid down criteria through the web portal within a period of 3 months from the
date of this letter your application for the subject Retail Outlet dealership is liable to be
rejected.

Thanking you,

51 Version 1 / 24.11.2018
Yours faithfully
For (Name of OMC)
(Signature & Name with designation of Divisional / Territory/ Regional Manager)

52 Version 1 / 24.11.2018
 Annexure – E

Format of Letter to Selected candidate to rectify the deficiencies regarding offered land (sub-
lease clause / consent of owner and/or co-owners)

(On the Letterhead of OMC)

e-mail
Ref: No. Date:

To,
___________

Subject: Application for award of RO Dealership at __________ District_________

under_________ category Advertised on ___________

Dear Sir,

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

You are requested to submit the following documents to our office at above-mentioned address.

1. You are requested to carry out suitable amendment in the lease document to incorporate
the provision of sub-lease clause as the Land lease document provided by you does not
contain sub-lease clause.

and / or

2. You are requested to provide consent of land owner and/or co-owners of the offered land
as the same has not been submitted by you as per Appendix III A.

In case you do not comply with the above within 21 days from the date of this letter your
application will be treated as ineligible.

However, your candidature may get considered for selection along with Group 3 applicants as
per guidelines.

Thanking you.

Yours faithfully
For ( Name of OMC)

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

53 Version 1 / 24.11.2018
 Annexure – F

Format of Letter to the applicants whose offered land / alternate land got rejected
(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. ___________ on the
subject.

(For applicants Group 3 – Land not offered with application)

2. You had not offered any land in the application for the development of the subject Retail
Outlet. Vide our letter no. _________ dated _______, you were advised to offer land in the
advertised location/stretch.

However, no offer of land has been received from you.

OR

Subsequently, vide your letter no. _________ dated _______, you have offered / you have
offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has been found not suitable.

(For applicants Group 1 & 2 – whose land got rejected)

3. You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable.

Vide our letter no. _________ dated _______, you were advised to offer land in the
advertised location/stretch.

However, no offer of alternate land has been received from you.

OR

54 Version 1 / 24.11.2018
 Subsequently, vide your letter no. _________ dated _______, you have offered / you have
offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has also been found not suitable.

4. In view of the above, we regret to inform you that your candidature has not been found to
be eligible for allotment of the above RO Dealership.

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

Thanking you,

Yours faithfully
For (Name of OMC)

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

55 Version 1 / 24.11.2018
 Annexure – G 1

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 subsequent Bid opening
/ draw of lot held at …………………… (Location where Bid opening / 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 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 development of the
subject Retail Outlet. You have to make available this land within 2 months from the date of
this letter failing which this offer is liable to be withdrawn. (For Group 1)

OR

You had 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 development of the
subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______, you have
offered / you have offered to arrange an alternate suitable piece of land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. You have to make available this
land within 2 months / 4 months from the date of this letter failing which this offer is liable
to be withdrawn. (For Group 1)

OR

You had 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 development of the

56 Version 1 / 24.11.2018
subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______, you have
offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found not suitable.
Hence, you have to make available land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet within 2 months from the date of this letter failing which this offer is
liable to be withdrawn. (For Group 1)

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found suitable.
You have to make available this land within 2 months / 4 months from the date of this letter
failing which this offer is liable to be withdrawn. (For Group 1)

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which was suitable. Again , vide
your letter no. _________ dated _______, you have offered / you have offered to arrange an
alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. ,
which has been found suitable. You have to make available this land within 2 months / 4
months from the date 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 …meters approx.(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 land within 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 2).

OR

You have offered to arrange a suitable piece of land admeasuring …meters approx.(frontage)
X ….mtrs (depth) at survey no. …as indicated by you in the application for the development
of the subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______,
you have offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found suitable. You have
to make available this land within 2 months / 4 months from the date of this letter failing
which this offer is liable to be withdrawn. (For Group 2).

57 Version 1 / 24.11.2018
 OR

You have offered to arrange a suitable piece of land admeasuring …meters approx.(frontage)
X ….mtrs (depth) at survey no. …as indicated by you in the application for the development
of the subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______,
you have offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found not suitable.
Hence, you have to make available land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet within 4 months from the date of this letter failing which this offer is
liable to be withdrawn. (For Group 2).

OR

You had offered to arrange a piece of land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet, which was found not suitable. Subsequently, vide your letter no.
_________ dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found suitable. You have to make available this land within 2 months / 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 2).

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which was suitable. Again , vide
our letter no. _________ dated _______, you have offered / you have offered to arrange an
alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. ,
which has been found suitable. You have to make available this land within 2 months / 4
months from the date of this letter failing which this offer is liable to be withdrawn. (For
Group 2)

OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has been found suitable. You have to make available this land
within 2 months / 4 months from the date of this letter failing which this offer is liable to be
withdrawn. (For Group 3).

OR

58 Version 1 / 24.11.2018
 You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which was found suitable . Again vide your letter no. _________
dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found suitable. You have to make available this land within 2 months / 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 3).

OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has been found suitable. Again vide your letter no. _________
dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found not suitable. Hence, you have to make available land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …as indicated by you earlier and was found
suitable for the development of the subject Retail Outlet within 2 months /4 months from
the date of this letter failing which this offer is liable to be withdrawn. (For Group 3)

Note : applicable conditions, as above, should be suitably incorporated in the LOI.

2. As and when advised by the Corporation, the site offered by you should be duly developed
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 construct necessary retaining
wall and compound wall of 1.5 meters height, designed as per site conditions as per approval
of Corporation as committed under Clause 12 (e)/11(e) of affidavit submitted by you along
with application. Subsequently, the land would be required to be transferred on lease for a
minimum period of XX years with renewable option at rentals mutually agreed upon / sold to
…………… (OMC name ). Kindly note that in case the site as offered by you for leasing/sale to
..................(OMC NAME) for putting up the Retail Outlet is not made available for
lease/purchase as per the advice of the Corporation, this Letter Of Intent 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 …………on the
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) on its
sole discretion such as Canopy, Service Station or any other facility as may be decided by
..................(OMC NAME) from time to time.

59 Version 1 / 24.11.2018
4. For the facilities that may be provided by the Corporation as aforesaid, you would be required
to pay license fee as may be decided by the Corporation and applicable to you from time to
time. At present, the license fee (incl. GST) recoverable is Rs. 472.77/KL for MS and Rs.
393.97/KL for HSD.

5. The corporation will not be held liable for any loss or damage on account of delay that may
be caused in providing you the facilities mentioned above, whatever may be the cause of the
failure or delay.

6. You will provide at the retail outlet other mandatory facilities like _______ (to be specified
by the OMC).

7. You will ensure all financial and other arrangements for operating the retail outlet dealership.

In case you are unable to arrange funds required for development of desired infrastructure
and facilities at the Outlet allotted and the working capital for operation of the outlet as
mentioned in the Advertisement for the location, this LOI can be withdrawn 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 the
constitution of the partners as existing at the time of application without the approval of the
Company, except your spouse as per terms and conditions of the OMC (Name).

9. It will always be a basic condition for the award of MS / HSD retail outlet dealership that you
shall be paying attention towards day to day working of the dealership by personally
managing the affairs of the dealership you will give us a written undertaking to this effect and
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 resignation by
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 site where
the Retail Outlet is planned. You will also assist us in getting the requisite NOC from
appropriate Authorities.

11. You will deposit with us a Demand Draft for Rs ……….drawn on any scheduled bank in favour
of ..................(OMC NAME) payable at …………. towards security Deposit (after setting off the
Initial Security Deposit amount ) at the time 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 time of expiry of agreement between you and the
Corporation. However, if such expiry of agreement is consequent to proven

60 Version 1 / 24.11.2018
 adulteration/malpractice at the dealership, this amount will be forfeited. Moreover, this
Corporation reserves its right to adjust this amount towards any dues to it.

12. You will also remit an amount of Rs. ……………. towards Non-refundable Bid amount, by way
of a Demand Draft for Rs ……….drawn on any scheduled bank in favour of ..................(OMC
NAME) payable at …………. Within 15 days of receipt of NOC.

13. You will be notified by the corporation, in writing, after the facilities mentioned above are
made available and are ready for commissioning the dealership. Immediately on receipt of
the 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.

14. If we find that the progress made by you towards the above is not to our satisfaction, this
offer is liable to be withdrawn.

15. Please note that you are required to fulfill the conditions with regard to inducting Spouse as
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 of
any of the following events:-

a) If it is found that you have suppressed and / or misrepresented any material facts in
your application.

b) In case you are found to be convicted for any criminal / economic offence involving
moral turpitude.

c) 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 or
fail to fulfill the terms & conditions of LOI, then LOI can be withdrawn. In such situations
Initial Security Deposit (ISD) would be forfeited.

The Initial Security Deposit (ISD) would also be forfeited if you are unable to submit the total
bidding amount within the stipulated time or withdraw for any reason, your selection would
be treated as cancelled and LOI withdrawn.

18. This letter is merely a letter of intent and is not to be construed as a ‘firm offer’ of dealership
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 signing of our standard
dealership agreement between you and us.

61 Version 1 / 24.11.2018
Should you require any further details / guidelines, please get in touch with our office at the
address mentioned below :
……………….
……………….
Please note the following:

Note : You have one time option to offer alternate land meeting all specifications in the
advertised location/stretch within 90 days of this LOI provided you have not availed such
opportunity of providing alternate land after FVC (Field Verification of Credentials).

Please acknowledge receipt of this letter.

Thanking you,

Yours faithfully

For ..................(OMC NAME)

DULY CONSTITUTED ATTORNEY

ACKNOWLEDGEMENT

I/we hereby accept this Letter of Intent with all the terms and conditions stipulated therein.

I/We do hereby confirm that I/we am/are eligible for allotment of Retail Outlet dealership as per
applicability of Multiple Dealership Norm defined under Clause “Disqualification” in the “
Brochure for Selection of Dealers for Regular & Rural Retail Outlets” and I am / We are not
disqualified for allotment of Retail Outlet dealership under other conditions mentioned therein.

Place : Signature :

Date : Name :

62 Version 1 / 24.11.2018
 Annexure – G2

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 subsequent draw 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 following terms & conditions:-

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 development of the subject
Retail Outlet. You have to make available this land within 2 months from the date of this letter
failing which this offer is liable to be withdrawn. (For Group 1)

OR

You had 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 development of the
subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______, you have
offered / you have offered to arrange an alternate suitable piece of land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. You have to make available this
land within 2 months / 4 months from the date of this letter failing which this offer is liable
to be withdrawn. (For Group 1)

OR

You had 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 development of the

63 Version 1 / 24.11.2018
subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______, you have
offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found not suitable.
Hence, you have to make available land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet within 2 months from the date of this letter failing which this offer is
liable to be withdrawn. (For Group 1)

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found suitable.
You have to make available this land within 2 months / 4 months from the date of this letter
failing which this offer is liable to be withdrawn. (For Group 1)

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which was suitable. Again , vide
your letter no. _________ dated _______, you have offered / you have offered to arrange an
alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. ,
which has been found suitable. You have to make available this land within 2 months / 4
months from the date 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 …meters approx.(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 land within 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 2).

OR

You have offered to arrange a suitable piece of land admeasuring …meters approx.(frontage)
X ….mtrs (depth) at survey no. …as indicated by you in the application for the development
of the subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______,
you have offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found suitable. You have

64 Version 1 / 24.11.2018
to make available this land within 2 months / 4 months from the date of this letter failing
which this offer is liable to be withdrawn. (For Group 2).

OR

You have offered to arrange a suitable piece of land admeasuring …meters approx.(frontage)
X ….mtrs (depth) at survey no. …as indicated by you in the application for the development
of the subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______,
you have offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found not suitable.
Hence, you have to make available land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet within 4 months from the date of this letter failing which this offer is
liable to be withdrawn. (For Group 2).

OR

You had offered to arrange a piece of land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet, which was found not suitable. Subsequently, vide your letter no.
_________ dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found suitable. You have to make available this land within 2 months / 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 2).

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which was suitable. Again , vide
our letter no. _________ dated _______, you have offered / you have offered to arrange an
alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. ,
which has been found suitable. You have to make available this land within 2 months / 4
months from the date of this letter failing which this offer is liable to be withdrawn. (For
Group 2)

OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has been found suitable. You have to make available this land
within 2 months / 4 months from the date of this letter failing which this offer is liable to be
withdrawn. (For Group 3).

65 Version 1 / 24.11.2018
 OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which was found suitable . Again vide your letter no. _________
dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found suitable. You have to make available this land within 2 months / 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 3).

OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has been found suitable. Again vide your letter no. _________
dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found not suitable. Hence, you have to make available land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …as indicated by you earlier and was found
suitable for the development of the subject Retail Outlet within 2 months /4 months from
the date of this letter failing which this offer is liable to be withdrawn. (For Group 3)

Note : applicable conditions, as above, should be suitably incorporated in the LOI.

2. For making the land available as required above, you will ensure that the land arranged by
you is either registered in your name or it should be leased to you for a minimum period of
XX years

3. As and when advised by the Corporation, the site offered by you would be duly developed 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 construct necessary retaining
wall and compound wall of 1.5 meters height, designed as per site conditions as per approval
of Corporation as committed under Clause 12 (e) of affidavit submitted by you along with
application. Kindly note that in case the site as offered by you for putting up the Retail Outlet
is not developed as per the advice of the Corporation, this Letter Of Intent 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 to the sales
building, Yard lighting, water connection / bore well and staff room as mentioned in the
Brochure and after obtaining necessary clearances/approvals/licences as applicable in each
case.

66 Version 1 / 24.11.2018
5. In addition, you will also provide the following basic facilities at your cost at the Retail Outlet
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 may be
decided by ..................(OMC NAME) from time to time would also be required to be
developed 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, you will be required
to pay license fee as may be decided by the Corporation and applicable to you from time to
time. At present, the license fee (incl. GST) recoverable is Rs. 233.45/KL for MS and Rs.
194.54/KL for HSD.

9. The corporation will not be held liable for any loss or damage on account of delay that may
be caused in providing you the facilities mentioned above whatever may be the cause 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 and
operation of the dealership are not made available as and when required, this LOI can be
withdrawn 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 the
constitution of the partners as existing at the time of application without approval of the
Company, except your spouse as per terms and conditions of the OMC (Name).

12. It will always be a basic condition for the award of MS / HSD retail outlet dealership that you
shall be paying attention towards day to day working of the dealership by personally
managing the affairs of the dealership you will give us a written undertaking to this effect and
shall not assign or part with the same to any other person (s).

67 Version 1 / 24.11.2018
 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 resignation by
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 in favour
of ..................(OMC NAME) payable at …………. towards security Deposit ( after setting of the
Initial Security Deposit amount )at the time 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 time of expiry of agreement between you and the
Corporation. However, if such expiry of agreement is consequent to proven
adulteration/malpractice at the dealership, this amount will be forfeited. Moreover, this
Corporation reserves its right to adjust this amount towards any dues to it.

14. You will also remit an amount of Rs. ……………. towards Non-refundable Fixed fee, by way of a
Demand Draft for Rs ……….drawn on any scheduled bank in favour of ..................(OMC
NAME) payable at …………. Within 15 days of receipt of NOC.

15. You will be notified by the corporation, in writing, after the facilities mentioned above are
made available and are ready for commissioning the dealership. Immediately on receipt of
the 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.

16. If we find that the progress made by you towards the above is not to our satisfaction, this
offer is liable to be withdrawn.

17. Please note that you are required to fulfill the conditions with regard to inducting Spouse as
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 of
any of the following events:-

a) In case you or any of your family members (as defined under disqualification criteria
of dealer selection guidelines) receive anytime or have received a letter of intent for
any other “A/CC” site RO dealership or LPG distributorship from our company or any
other oil marketing company either in your individual capacity or in partnership with
any other individual(s).

b) In case you or any of your family member gets inducted as partner or proprietor in
“A/CC” site RO dealership or LPG distributorship of our company or any other oil
marketing company.

68 Version 1 / 24.11.2018
 c) If it is found that you have suppressed and / or misrepresented any material facts in
your application.

d) In case you are found to be convicted for any criminal / economic offence involving
moral turpitude.

e) 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 or
fail to fulfill the terms & conditions of LOI, then LOI can be withdrawn. In such situations Initial
Security Deposit (ISD) would be forfeited.

The Initial Security Deposit (ISD) would also be forfeited if you are unable to submit the total
bidding amount within the stipulated time or withdraw for any reason, your selection would
be treated as cancelled and LOI withdrawn.

The LOI would also be withdrawn and selection cancelled, if you are unable to submit the
Non-refundable fixed fee within the stipulated time. In such situations Initial Security Deposit
(ISD) would be forfeited.

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 of disassociation
from ………. (OMC NAME), you will execute a lease or will sub lease the land together with
structures thereon to the company if the company so desires, for a period not exceeding 30
years at normal yearly rental (excluding Municipal Taxes) which shall not be more than 10 %
of the then prevailing market value of the land and the structures standing thereon.

22. This letter is merely a letter of intent and is not to be construed as a ‘firm offer’ of dealership
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 signing of our standard
dealership agreement between you and us.

23. This allotment would be liable for cancellation in the event of adverse decision in the
proceedings (Please specify the proceeding) pending against the dealership/distributorship
held by you/member(s) of your family unit (as defined in the Dealership Selection Guidelines)
under critical/major irregularities for violation of Marketing Discipline Guidelines/Dealership
Agreement, Control Orders or ESMA. You will not be entitled for any claim, damages, etc. in
case of cancellation of allotment in such an eventuality. (This clause is applicable for those

69 Version 1 / 24.11.2018
 dealerships/distributorships against whom proceedings are pending as confirmed in the
application)

Should you require any further details / guidelines, please get in touch with our office at the
address mentioned below :
……………….
……………….
Note : You have one time option to offer alternate land meeting all specifications in the
advertised location/stretch within 90 days of this LOI provided you have not availed such
opportunity of providing alternate land after FVC.

Please acknowledge receipt of this letter.

Thanking you,
Yours faithfully
For ..................(OMC NAME).

DULY CONSTITUTED ATTORNEY

ACKNOWLEDGEMENT

I / we hereby accept this Letter of Intent with all the terms and conditions stipulated therein.

I/We do hereby confirm that I/we am/are eligible for allotment of Retail Outlet dealership as per
applicability of Multiple Dealership Norm defined under Clause “Disqualification” in the “
Brochure for Selection of Dealers for Regular & Rural Retail Outlets” and I am / We are not
disqualified for allotment of Retail Outlet dealership under other conditions mentioned therein.

I/We confirm that in the event of any proceedings pending against the dealership/distributorship
(Court cases, Show Cause notices, etc.), on account of critical/major irregularities for violation of
Marketing Discipline Guidelines/Dealership Agreement, Control Orders or ESMA, held by me/us
or my family unit / any member/s of our organization (as defined under Multiple dealership norm
for individuals/non-individuals of Disqualification criteria), the allotment made will be conditional
and subject to the outcome of such proceedings. I/We understand that I/we will also not be
entitled for any claim, damages, etc. in case of cancellation of allotment in the event of adverse
verdict in such pending proceedings.

Place : Signature :

Date : Name :

70 Version 1 / 24.11.2018
 Annexure – G3

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 subsequent draw of lot
/ Bidding held at …………………… (Location where Draw of Lot / Bid opening 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 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 development of the
subject Retail Outlet. You have to make available this land within 2 months from the date of
this letter failing which this offer is liable to be withdrawn. (For Group 1)

OR

You had 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 development of the
subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______, you have
offered / you have offered to arrange an alternate suitable piece of land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. You have to make available this
land within 2 months / 4 months from the date of this letter failing which this offer is liable
to be withdrawn. (For Group 1)

OR

71 Version 1 / 24.11.2018
You had 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 development of the
subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______, you have
offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found not suitable.
Hence, you have to make available land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet within 2 months from the date of this letter failing which this offer is
liable to be withdrawn. (For Group 1)

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found suitable.
You have to make available this land within 2 months / 4 months from the date of this letter
failing which this offer is liable to be withdrawn. (For Group 1)

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which was suitable. Again , vide
your letter no. _________ dated _______, you have offered / you have offered to arrange an
alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. ,
which has been found suitable. You have to make available this land within 2 months / 4
months from the date 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 …meters approx.(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 land within 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 2).

OR

You have offered to arrange a suitable piece of land admeasuring …meters approx.(frontage)
X ….mtrs (depth) at survey no. …as indicated by you in the application for the development
of the subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______,
you have offered / you have offered to arrange an alternate land admeasuring …meters

72 Version 1 / 24.11.2018
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found suitable. You have
to make available this land within 2 months / 4 months from the date of this letter failing
which this offer is liable to be withdrawn. (For Group 2).

OR

You have offered to arrange a suitable piece of land admeasuring …meters approx.(frontage)
X ….mtrs (depth) at survey no. …as indicated by you in the application for the development
of the subject Retail Outlet. Subsequently, vide your letter no. _________ dated _______,
you have offered / you have offered to arrange an alternate land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been found not suitable.
Hence, you have to make available land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet within 4 months from the date of this letter failing which this offer is
liable to be withdrawn. (For Group 2).

OR

You had offered to arrange a piece of land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet, which was found not suitable. Subsequently, vide your letter no.
_________ dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found suitable. You have to make available this land within 2 months / 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 2).

OR

You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs (depth) at
survey no. …as indicated by you in the application for the development of the subject Retail
Outlet, which was found not suitable. Subsequently, vide your letter no. _________ dated
_______, you have offered / you have offered to arrange an alternate land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which was suitable. Again , vide
our letter no. _________ dated _______, you have offered / you have offered to arrange an
alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. ,
which has been found suitable. You have to make available this land within 2 months / 4
months from the date of this letter failing which this offer is liable to be withdrawn. (For
Group 2)

OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has been found suitable. You have to make available this land
within 2 months / 4 months from the date of this letter failing which this offer is liable to be
withdrawn. (For Group 3).

73 Version 1 / 24.11.2018
 OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which was found suitable . Again vide your letter no. _________
dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found suitable. You have to make available this land within 2 months / 4 months from the
date of this letter failing which this offer is liable to be withdrawn. (For Group 3).

OR

You have not offered any land in the application for the development of the subject Retail
Outlet. Subsequently, vide your letter no. _________ dated _______, you have offered / you
have offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …. , which has been found suitable. Again vide your letter no. _________
dated _______, you have offered / you have offered to arrange an alternate land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …. , which has been
found not suitable. Hence, you have to make available land admeasuring …meters
approx.(frontage) X ….mtrs (depth) at survey no. …as indicated by you earlier and was found
suitable for the development of the subject Retail Outlet within 2 months /4 months from
the date of this letter failing which this offer is liable to be withdrawn. (For Group 3)

Note : applicable conditions, as above, should be suitably incorporated in the LOI.

2. As and when advised by the Corporation, the site offered by you would be duly developed 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 construct necessary retaining
wall and compound wall of 1.5 meters height, designed as per site conditions as per approval
of Corporation as committed under Clause 12 (e)/11(e) of affidavit submitted by you along
with application. Subsequently, the land would be required to be transferred on lease for a
minimum period of XX years with renewable option at rentals mutually agreed upon / sold to
…………… (OMC name ). Kindly note that in case the site as offered by you for leasing/sale to
..................(OMC NAME) for putting up the Retail Outlet is not made available for
lease/purchase as per the advice of the Corporation, this Letter Of Intent 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 …………on the
said site to be taken on lease/purchase by ..................(OMC NAME) with appropriate
structures, storage tanks and pumps.

74 Version 1 / 24.11.2018
 Additional facilities (site specific) may also be developed by ..................(OMC NAME) on its
sole discretion such as Canopy, Service Station or any other facility as may be decided by
..................(OMC NAME) from time to time.

4. For the facilities that may be provided by the Corporation as aforesaid, we will recover from
you license fee as may be decided by the Corporation and applicable to you from time to
time. At present, the license fee (incl. GST) recoverable is Rs. 472.77/KL for MS and Rs.
393.97/KL for HSD.

5. The corporation will not be held liable for any loss or damage on account of delay that may
be caused in providing you the facilities mentioned above, whatever may be the cause of the
failure or delay.

6. You will provide at the retail outlet other mandatory facilities like _______ (to be specified
by the OMC).

7. For enabling you to operate the dealership, Working capital, as may be determined by the
Corporation at it’s sole discretion to be utilized only for the purpose of taking delivery of
MS/HSD/Lubes from the Corporation to maintain supply.

The above working capital will carry interest as per the policy of the Corporation.

The aforesaid working capital along with the interest, 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 the
constitution of the partners as existing at the time of application without the approval of the
Company, except your spouse as per terms and conditions of the OMC (Name).

9. It will always be a basic condition for the award of MS / HSD retail outlet dealership that you
shall be paying attention towards day to day working of the dealership by personally
managing the affairs of the dealership. You will give us a written undertaking to this effect
and 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 resignation by
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 site where
the Retail Outlet is planned. You will also assist us in getting the requisite NOC from
appropriate Authorities.

11. You will deposit with us a Demand Draft for Rs ……….drawn on any scheduled bank in favour
of ..................(OMC NAME) payable at …………. towards security Deposit ( after setting of the

75 Version 1 / 24.11.2018
 Initial Security Deposit amount) at the time 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 time of expiry of agreement between you and the
Corporation. However, if such expiry of agreement is consequent to proven
adulteration/malpractice at the dealership, this amount will be forfeited. Moreover, this
Corporation reserves its right to adjust this amount towards any dues to it.

12. You will be notified by the corporation, in writing, after the facilities mentioned above are
made available and are ready for commissioning the dealership. Immediately on receipt of
the 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, this
offer is liable to be withdrawn.

14. Please note that you are required to fulfill the conditions with regard to inducting Spouse as
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 of
any of the following events:-

a) In case you or your close relatives like spouse, unmarried son(s) and unmarried
daughter(s) receive anytime or have received a letter of intent for any other
dealership or distributorship from our company or any other oil company either in
your individual capacity or in partnership with any other individual(s).

b) If it is found that you have suppressed and / or misrepresented any material facts in
your application.

c) In case you are found to be convicted for any criminal / economic offence involving
moral 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 to
fulfill of terms & conditions of LOI or withdraw for any reason, then LOI can be withdrawn
and selection cancelled. In such situations Initial Security Deposit (ISD) would be forfeited.

17. This letter is merely a letter of intent and is not to be construed as a ‘firm offer’ of dealership
to you. The dealership will be allotted to you on your complying with the terms and conditions

76 Version 1 / 24.11.2018
 spelt out herein above by issuance of appointment letter along with signing of our standard
dealership agreement between you and us.

Should you require any further details / guidelines, please get in touch with our office at the
address mentioned below :
……………….
……………….

You have one time option to offer alternate land meeting all specifications in the advertised
location/stretch within 90 days of this LOI provided you have not availed such opportunity of
providing alternate land after selection.

Please acknowledge receipt of this letter.

Thanking you,
Yours faithfully

For ..................(OMC NAME).

DULY CONSTITUTED ATTORNEY

ACKNOWLEDGEMENT

I hereby accept this Letter of Intent with all the terms and conditions stipulated therein.

I do hereby confirm that I am eligible for allotment of Retail Outlet dealership as per applicability
of Multiple Dealership Norm defined under Clause “Disqualification” in the “Brochure for
Selection of Dealers for Regular & Rural Retail Outlets” and I am not disqualified for allotment of
Retail Outlet dealership under other conditions mentioned therein.

Place : Signature :

Ref : Date :

77 Version 1 / 24.11.2018
 Annexure – G 4
ADDENDUM TO LOI

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 Letter of Intent dated …………….. for the award of MS/HSD Retail Outlet
dealership at the above location wherein you were required to arrange land admeasuring
…meters approx.(frontage) X ….mtrs (depth) at survey no. …. , for construction of the subject
Retail Outlet allotted to you.
Subsequently, vide your letter no. _________ dated _______, you have offered / you have
offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth)
at survey no. …. , which has been found suitable. You have to make available this land within 2
months / 4 months from the date of this letter failing which subject LOI is liable to be withdrawn.
OR
Subsequently, vide your letter no. _________ dated _______, you have offered / you have
offered to arrange an alternate land admeasuring …meters approx.(frontage) X ….mtrs (depth)
at survey no. …. , which has been found not suitable. Hence, you have to make available land
admeasuring …meters approx.(frontage) X ….mtrs (depth) at survey no. …as indicated in the
Letter of Intent for the development of the subject Retail Outlet within 2 months (for Group 1)
or within 4 months (for Group 2) from the date of this letter failing which your LOI is liable to be
withdrawn.
All other terms and conditions of the subject LOI shall remain unchanged.
Please acknowledge receipt of this letter.
Thanking you,
Yours faithfully
For ..................(OMC NAME).

DULY CONSTITUTED ATTORNEY

AKNOWLEGEMENT

I hereby accept this addendum Letter of Intent dated ………………with all the terms and conditions
stipulated therein.

78 Version 1 / 24.11.2018
Place : Signature :

79 Version 1 / 24.11.2018
 Annexure – H 1

Format for Advertisement in Newspaper (CAPSULE ADVERTISEMENT)

Notice for appointment of Regular / Rural Retail Outlet (Petrol Pump) Dealerships

(Name of OMC) proposes to appoint Retail Outlet dealers at various locations in the State / UT of
…………….

The detailed Advertisement and Brochure are available in the website

www.petrolpumpdealerchayan.in.

Application for RO dealership along with online payment of Non-refundable application fee, as
applicable, should be submitted on-line by date (dd/mm/yyyy).

The facility for submission of on-line application will be withdrawn immediately after the cut-off
date as mentioned above.

APPLICANTS, IN THEIR OWN INTEREST, SHOULD CAREFULLY GO THROUGH THE “BROCHURE”

AND UNDERSTAND CONDITIONS OF SELECTION BEFORE SUBMITTING THEIR APPLICATION.

The Corporation 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 Newspapers vis a vis vernacular
dailies, the direction/information indicated in English paper would prevail.

Corrigendum, if any, will be published only in the Web site www.petrolpumpdealerchayan.in.

For purchase of Brochure and any information with regard to the advertisement, candidates may
contact the following address:-

Address 1/Contact No. For districts ----------------------------------------------

Address 2/Contact No. For districts ----------------------------------------------

Annexure – H 2

80 Version 1 / 24.11.2018
 Format for Advertisement in Website

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. Name Reven Type Estimate Category Type Minimum Finance to Mode Fixed Secur
N of ue of d of Dimension (in be arranged of Fee / ity
o locati Distric RO monthly Site* M.)/Area of the site by the Select Minimu Depo
on t Sales (in Sq. M.). * applicant ion m Bid sit
Potentia amoun
l# t
1 2 3 4 5 6 7 8 9a 9b 10 11 12
CC /
SC DC / Esti
CFS mat
ed
SC CC-1
fun
SC PH Estim d
ST ated req
ST CC-1 worki uire
ng d
ST PH Draw
capit for
Regu OBC of
MS+HSD Front Dep Are al dev
lar / Lots /
in Kls OBC CC- age th a requi elo
Rural Biddi
1 reme pm
ng
OBC PH nt for ent
OPEN opera of
tion infr
OPEN
of RO astr
CC-1
uct
OPEN ure
CC-2 at
OPEN RO
PH

# Volumes indicated are based on market conditions and may undergo change. Applicants are
advised to make their own assessment of potential.

* 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 contains detailed
guidelines of selection procedure for dealership along with Application form and other relevant
details. The Brochure is available at a cost of Rs. 100/- from the Corporation Offices at the
addresses mentioned below. It is also hosted in the Corporation Website
(www.bharatpetroleum.in/www.hindustanpetroleum.com/www.iocl.com/
www.petrolpumpdealerchayan.in ) and can be downloaded free of cost.

81 Version 1 / 24.11.2018
APPLICANTS, IN THEIR OWN INTEREST, SHOULD CAREFULLY GO THROUGH THE “BROCHURE”
AND UNDERSTAND CONDITIONS OF SELECTION BEFORE SUBMITTING THEIR APPLICATION.
Application for RO dealership along with online payment of Non-refundable application fee, as
applicable (detailed below), should be submitted on-line by dd/mm/yyyy.

Type Type Catego Applica Typ Typ Categor Applicati

of RO of ry tion e of e of y on fee in
Site fee in RO Site Rs.
Rs.

Regula CFS SC/ST 3000 Rura CFS SC/ST 2500

r CC OBC 5000 l CC OBC 4000
ROs CC Open 10000 ROs CC Open 8000
DC OBC 5000 DC OBC 4000

DC Open 10000 DC Open 8000

The facility for submission of on-line application will be withdrawn immediately after the cut-off
date as mentioned above.

The tenure of the dealership shall be for an initial period of xx years and renewable every xx years
thereafter.

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

The Corporation 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 vis vernacular
dailies, the direction/information indicated in English paper would prevail. Similarly, contents of
Brochure in English will be final and will prevail upon in case of any dispute.

For purchase of Brochure and any information with regard to the advertisement, candidates may
contact the following address:-

Address 1 For Districts -----------------------------------------

Address 2 For Districts -----------------------------------------

82 Version 1 / 24.11.2018
 Annexure – H 3

Format in Excel to be provided to the Administrator for updating the details in portal for
online application (www.petrolpumpdealerchayan.in)

TITLE COMPANY STATE Territor Revenue Name Of Type of Estimate Category Type of Minimu
y/Regio District Location RO d SC Site m
nal/Divi (Regular/ monthly SC CC-1 (CC/DC Frontage
sional Rural) Sales SC CC-2 /CFS) of Site
Office Potential SC PH (in M)
(MS+HSD ST
) in Kls ST CC-1
ST CC-2
ST PH
OBC
OBC CC-1
OBC CC-2
OBC PH
OPEN
OPEN CC-
1
OPEN CC-
2
OPEN PH
1 2 3 4 5 6 7 8 9 10 11
Appointment of Within 3
Retail Outlet Km of
PUNJA JALAND JALANDH
Dealerships in BPC Talwandi Rural 100 SC CFS 35
B HAR AR
the State of sanghera
Punjab By BPCL on
Appointment of Between
Retail Outlet Km Stone
PUNJA BATHIN
Dealerships in HPC FAZILKA No 58 to Regular 150 OPEN DC 45
B DA
the State of 62, On
Punjab By HPCL Fazilka
Abohar
Appointment of City(WML)
Retail Outlet PUNJA BATHIN , on
IOC FAZILKA Regular 200 OBC cc 30
Dealerships in B DA Abohar
the State of Fazilka
Punjab By IOCL Road
The locations shown above are
examples for guidance Contd/-

Minimu Minimu Estimated Estimated Mode of Fixed Security Advertisem Advertiseme Location LOCATION
m Depth m Area working fund selection Fee / Deposit ent Start nt Last Date Sl. No. FEASIBILITY
of Site of site capital required for (Draw of Min bid ( Rs in DD-MM- DD-MM- NO
(in M) (in Sq. requirement developmen Lots/Biddi amount Lakhs) YYYY YYYY
M.). for t of ng) ( Rs in
operation of infrastructur Lakhs)
RO (Rs in e at RO (Rs
Lakhs) in Lakhs )
12 13 14 15 16 17 18 19 20 21 22
Draw of
35 1225 0 0 0 2 1/12/2018 31/12/2018 1 1234
lots
Draw of Should be
35 1575 25 70 15 5 1/12/2018 31/12/2018 1
lots kept Blank
Draw of Should be
30 900 25 90 30 4 1/12/2018 31/12/2018 1
lots kept Blank

Annexure - I

REF NO : DATE :

83 Version 1 / 24.11.2018
 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 the
state of …….... A copy of the advertisement giving details of the locations, etc. for which
candidates 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 brochure containing
application form and other relevant details are also hosted in the website
(www.petrolpumpdealerchayan.in).

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

84 Version 1 / 24.11.2018
 Annexure - J

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 the
state of …….... wherein ____ number of locations pertaining to _______ district are also included.
A copy of the advertisement giving details of the locations, etc. for which candidates can submit
application is enclosed.

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

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

85 Version 1 / 24.11.2018
 Annexure - K

BROCHURE

FOR

SELECTION OF DEALERS FOR REGULAR & RURAL RETAIL OUTLETS

Note : Brochure is given as separate attachment.

Annexure L

86 Version 1 / 24.11.2018
Non-refundable application fee receipt auto-generated through the system/portal

(Sample Receipt for illustration purpose only)

87 Version 1 / 24.11.2018
 Annexure M 1

Format of Letter to Applicant advising to submit eligibility documents / Initial Security

Deposit, after selection

(On the Letterhead of OMC)

By e-mail

Ref: No. Date:

To,
___________

Subject: Application for award of RO Dealership at __________

District_________ under_________ category Advertised on ___________

Dear Sir,

Please refer to your online application reference number ______________ submitted for award
of the subject RO dealership.

Please also refer to the Brochure on Retail Outlet dealer selection applicable for the subject
location and available on the portal www.petrolpumpdealerchayan.in.

We are pleased to inform you that you have been declared as successful candidate in the Draw
of Lots / Bid Opening conducted on _________________ for selection of RO dealership at the
subject location.

You are requested to remit online Rs._______________,towards Initial Security Deposit and
submit the set of documents as specified below within 10 days at the address given below for
processing your application for award of Retail Outlet dealership at the above location.

Documents applicable for all category:

a) Notarized Affidavit by the applicant as per Appendix-X A /X B (Standard Affidavit), as

applicable.
b) Proof of age (date of birth) i.e. – Self Attested copy of 10th Std. Board Certificate /
Secondary School Leaving Certificate / Birth Certificate / Passport / Identity card issued
by Election Commission / Affidavit for age (Original). *
c) Proof of educational qualification i.e. - Self Attested Copy of Certificate of passing 10 th
Std. issued by a Board / School conducting the examination or equivalent. *
d) Appendix – III B (Advocate’s letter) along with Appendix – III A (for offer of land) if
applicable.
e) Copy of land documents in support of ownership / lease rights.

88 Version 1 / 24.11.2018
 f) Sketch of the offered land with dimension.

* Not applicable for Non-individual applicants

Additional documents in support of specific Eligibility criteria:

Category Eligibility Certificate format

SC/ST Appendix VI
Appendix VI, VIII or DGR certificate/Discharge Order or
SC/ST CC1
Pension Order as applicable
SC/ST PH Appendix – VI, IX-A / IX-B / IX-C
OBC Appendix – VII-A & VII-B
Appendix – VII-A, VII-B, VIII or DGR certificate/Discharge
OBC CC1
Order or Pension order as applicable
OBC PH Appendix – VII-A & VII-B, IX-A / IX-B / IX-C
Appendix VIII or DGR certificate/Discharge Order or
Open CC1
Pension Order as applicable
Open CC2 Certificate applicable for OSP/FF
Open PH Appendix – IX-A / IX-B / IX-C
Partnership Draft Partnership deed (for applicants under partnership)
applicants
Attested copy of Registration certificate / copy of
Non-Individual
Certificate of Incorporation of the entity from competent
applicants
authority.
Non-Individual Attested copies of audited Profit and Loss a/c statement
applicants for preceding 3 financial years.
Copy of Authority letter / Resolution specifying name of
Non-Individual
the authorized person for signing application form.
applicants
Proof of allocation of less than 75 Kls p.m. from allocating
SKO dealers
authorities. Copy of valid dealership agreement.

Verification of all attested photo copies shall be done with the original documents during the
Field Verification of Credentials (FVC).

It is expected that you are in possession of original documents wherever photo copies of
documents are submitted.

Please note that your candidature is liable to be cancelled in case Initial Security Deposit is not
remitted or the documents listed above are not submitted within 10 days from the date of this
intimation.

Your candidature is liable to be rejected if you are not able to present the original documents at
the time of FVC on the designated date and time or during the FVC if it is found that the

89 Version 1 / 24.11.2018
information submitted by you in your on-line application is false/incorrect/misrepresented
affecting your eligibility.

Thanking you,

Yours faithfully
For (Name of OMC)

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

90 Version 1 / 24.11.2018
 Annexure M 2

Format of Reminder Letter to Applicant advising to submit eligibility documents / Initial

Security Deposit

(On the Letterhead of OMC)

By e-mail

Ref: No. Date:

To,
___________

Subject: Application for award of RO Dealership at __________

District_________ under_________ category Advertised on ___________

Dear Sir,

We write with reference to our letter dated ______________ advising you to remit Initial Security
Deposit amount and submit the specified documents within 10 days at the address given below
for processing your application for award of Retail Outlet dealership at the above location.

We regret we have not received the Initial Security Deposit and/or documents within the
stipulated time. You are once again advised to submit the specified documents at our office at
the address given below within 10 days from the date of this intimation.

Please note that your candidature is liable for rejection in case you fail to submit Initial Security
Deposit and/or the specified documents within the stipulated time without any further notice.

Thanking you,

Yours faithfully
For (Name of OMC)

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

91 Version 1 / 24.11.2018
 Annexure M 3

Format of Letter to Applicants found ineligible due to non-submission of eligibility documents

and/or remit 10% of the Security Deposit

(On the Letterhead of OMC)

e-mail
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. ___________ on the
subject.

2. Please also refer to our letter ref. ________dated ___________and wherein you were
advised to submit Initial Security Deposit & the specified documents. However, we have not
received

o Initial Security Deposit

o The specified documents.

3. We have further given you an opportunity to submit Initial Security Deposit and/or the
specified documents vide our letter ref. ______________ dated___________.

4. However, we have not received any response from you.

5. In view of the above, we regret to inform you that your candidature stands cancelled and
Initial Security Deposit (in case paid) is forfeited as per guidelines.

Thanking you,

Yours faithfully
For (Name of OMC)

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

92 Version 1 / 24.11.2018
 Annexure – M 4

Format of Letter to Applicants to rectify the deficiencies noticed in the submitted documents
(On the Letterhead of OMC)

e-mail
Ref: No. Date:

To
___________

Subject: Application for award of RO Dealership at __________ District_________

under_________ category Advertised on ___________

Dear Sir,

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

You are requested to submit the following details / documents by close of work on
________(date) to our office at the address mentioned below:

1. ______________
2. ______________

Please note that your candidature is liable for rejection in case you fail to submit the specified
details/documents within the stipulated time without any further notice.

Thanking you.

Yours faithfully
For ( Name of OMC)
(Signature & Name with designation of Divisional / Territory/ Regional Manager)

Applicants should be asked to submit the following in case they are incomplete / not as
per format. (This list is not exhaustive)

a. You have not stated ________________ as required in the affidavit. You are requested to
submit a fresh affidavit (Appendix X A / X B) as per the format given in the Brochure.
b. Defective/incomplete Letter of consent from owners/co-owners of land not attached as
Affidavit as per format in Appendix III A.
c. Letter of confirmation from advocate as per format in Appendix III B.
d. Land document with sub-lease clause

93 Version 1 / 24.11.2018
 Annexure M 5

Format of Letter to Applicants found ineligible due to non-submission of documents under

rectifiable deficiency (Other than land)

(On the Letterhead of OMC)

e-mail

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. ___________ on the
subject.

2. Please also refer to our letter ref. ________dated ___________and wherein you were
advised to submit certain documents/corrected documents.

3. However, we have not received any response and/or required documents from you within
the stipulated time.

4. In view of the above, we regret to inform you that your candidature stands cancelled as per
guidelines.

Thanking you,

Yours faithfully
For (Name of OMC)

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

94 Version 1 / 24.11.2018
 Annexure M 6

Format of Letter to Applicants found ineligible due to non-submission of documents under

rectifiable deficiency ( Only w.r.t offered land)

(On the Letterhead of OMC)

e-mail

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. ___________ on the
subject.

2. Please also refer to our letter ref. ________dated ___________and wherein you were
advised to submit certain documents/corrected documents regarding your offered land.

3. However, we have not received any response/required documents from you within the
stipulated time.

4. In view of the above, we regret to inform you that your candidature has been found ineligible.
However, your candidature may get considered for selection along with Group 3 applicants
as per guidelines.

Thanking you,

Yours faithfully
For (Name of OMC)

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

95 Version 1 / 24.11.2018
 Annexure – M 7

Letter for intimation of visit by Land Evaluation Committee (LEC)

On Letter Head of Divisional/Territory/Regional Office

e-mail
Ref: No. DATE

To
___________

Subject: Application for award of RO dealership at __________ District_________

under_________ category Advertised on ___________

Please refer to your application received by us as Application form No. ___________ on the
subject.

This is to inform you that our Land Evaluation Committee (LEC) will visit the site offered by you
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 Designation

Officer-in- Charge.
Annexure M 8

Format of Letter to Applicants found ineligible due to rejection of land by LEC / After
selection

96 Version 1 / 24.11.2018
 (On the Letterhead of OMC)

e-mail

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. ___________ on the
subject and our letter dated _________ informing you about the visit of Land Evaluation
Committee for evaluation of your offered land.

OR

Please refer to your application received by us as Application form No. ___________ on the
subject. You had offered a piece of land admeasuring …meters approx.(frontage) X ….mtrs
(depth) at survey no. …as indicated by you in the application for the development of the
subject Retail Outlet. Subsequently it was found that that the offered land is not meeting one
or more of the following reasons:

a) Offered land is of required dimension and abutting the Road boundary, after leaving Right
of Way (ROW) line of the road.
b) The offered land is also not notified for acquisition.
c) Land owner is in Possession of the land from the beginning / edge of ROW line.
d) There is no other land including Govt. land between ROW and offered plot.

2. *You or your authorized representative was not available at the site for carrying out the Land
evaluation on ________________.

OR

*This is to inform you that the Land Evaluation Committee visited the site offered by you on
________________ and found the same to be not meeting the required norms.

3. In view of the above, we regret to inform you that your candidature has been found ineligible.
However, your candidature may get considered for selection along with Group 3 applicants
as per guidelines.

97 Version 1 / 24.11.2018
Thanking you,

Yours faithfully
For (Name of OMC)

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

Note : *Strike off whichever is not applicable.

98 Version 1 / 24.11.2018
 Annexure M 9

Letter for intimation for carrying out Field Verification of Credentials (FVC)

On Letter Head of Divisional/Territory/Regional Office

e-mail
Ref: No. DATE

To
___________

Subject: Application for award of RO dealership at __________ District_________

under_________ category Advertised on ___________

Please refer to your application received by us as Application form No. ___________ on the
subject.

This is to inform you that our Officers will visit on _____________for carrying out Field
Verification of Credentials (FVC).

OR

We write with reference our letter dated _________ informing you about Field Verification of
Credentials (FVC) of the details given in the application form. However, you were not present to
verify the details on the day informed to you for carrying out FVC. Hence, in order to give you
one time opportunity, we propose to carry out the Field Verification of Credentials (FVC) on
________.

You are requested to be present personally along with photo identity card issued by any
government department and original documents submitted in connection with your application
for verification by the Officers.

In case of your failure to produce the original documents for verification by the Officers, your
candidature is liable to be cancelled.

Thanking you,

Yours faithfully
for ( Name of OMC)

Signature & Name with Designation

Officer-in- Charge.

Annexure M 10

Format of Letter to Applicants found ineligible at FVC stage

99 Version 1 / 24.11.2018
 (On the Letterhead of OMC)

e-mail

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. ___________ on the
subject.

2. This is to inform you that during Field Verification of Credentials, you failed to produce the
original documents for verification by the Officer / the documents produced by you were at
variance with the documents submitted/information given in the application.

3. In view of the above, we regret to inform you that your candidature stands cancelled.

Thanking you,

Yours faithfully
For (Name of OMC)

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

100 Version 1 / 24.11.2018

 Annexure M 11
Letter for intimation for issuance of LOI
On Letter Head of Divisional/Territory/Regional Office

e-mail
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.

We are pleased to inform you that you have been found eligible for award of RO dealership at at
__________ District_________ under_________ category Advertised on ___________.

We, therefore, request you to visit our office by ________ and collect the Letter of Intent (LOI)
for subject RO dealership.

OR

We write with reference our letter dated _________ informing you to collect the Letter of Intent
(LOI) for the subject RO dealership. However, you did not report to collect the LOI. Hence, in
order to give you one time opportunity, we request you visit our office by ________ and collect
the Letter of Intent (LOI) for subject RO dealership.

Please bring the original Affidavit (made after the date of this letter) as per format Appendix
XA/XB, as applicable given in the Brochure.

In case of your failure to collect the Letter of Intent (LOI) for subject RO dealership by the above
mentioned date, your candidature is liable to be cancelled.

Thanking you,

Yours faithfully
for ( Name of OMC)

Signature & Name with Designation

Officer-in- Charge.

Annexure M 12

Format of Letter to Applicants cancelling LOI

(On the Letterhead of OMC)

101 Version 1 / 24.11.2018

 e-mail

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. ___________ on the
subject and our letters dated ______________ and ______________ advising you to visit our
office and collect the Letter of Intent (LOI) with respect to your application for the above
Retail Outlet.

2. We regret that you failed to collect the Letter of Intent (LOI) within the specified time, as was
advised to you.

3. In view of the above, we regret to inform you that your candidature stands cancelled.

Thanking you,

Yours faithfully
For (Name of OMC)

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

102 Version 1 / 24.11.2018

 Annexure M 13

Format of Letter to applicants for Redraw in view of Cancellation of candidature / withdrawal

of LOI
(On the Letterhead of OMC)

By e-mail
Ref: No. Date:

To,
___________

Subject: Application for award of RO Dealership at __________ District_________

under_________ category Advertised on ___________

Dear Sir,

Please refer to your online application reference number ______________ submitted for award
of the subject RO dealership.

This is to inform you that the candidature of the selected applicant for the subject location has
been cancelled.

Hence, as per provisions of Dealer Selection Guidelines, it is proposed to conduct the Draw of
Lots among the remaining eligible applicants.

Therefore, you are requested to be present personally along with photo identity card issued by
any government department, 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.
2. Request for change in date and time of draw of lots will not be entertained.
3. Request for authorizing and/or sending representative for the draw of lots will not be
entertained.

Thanking you,
Yours faithfully
For (Name of OMC)
(Signature & Name with designation of Divisional / Territory/ Regional Manager)
Annexure M 14

Format of Letter intimating selection next highest bidder in view of Cancellation of

candidature / withdrawal of LOI

103 Version 1 / 24.11.2018

 (On the Letterhead of OMC)

By e-mail

Ref: No. Date:

To,
___________

Subject: Application for award of RO Dealership at __________

District_________ under_________ category Advertised on ___________

Dear Sir,

Please refer to your online application reference number ______________ submitted for award
of the subject RO dealership.

This is to inform you that the candidature of the selected applicant for the subject location has
been cancelled.

Hence, as per provisions of Dealer Selection Guidelines, we are pleased to inform you that you
have been declared as successful candidate for selection of RO dealership at the subject location.

You are requested to remit online Rs._______________,towards Initial Security Deposit and
submit the set of documents as specified below within 10 days at the above address.

Documents applicable for all category:

a) Notarized Affidavit by the applicant as per Appendix-X A /X B (Standard Affidavit), as

applicable
b) Proof of age (date of birth) i.e. – Self Attested Copy of 10th Std. Board Certificate /
Secondary School Leaving Certificate / Birth Certificate / Passport / Identity card issued
by Election Commission / Affidavit for age (Original). *
c) Proof of educational qualification i.e. - Self Attested Copy of Self Attested Copy of
Certificate of passing 10th Std. issued by a Board / School conducting the examination or
equivalent. *
d) Appendix – III B (Advocate’s letter) along with Appendix – III A (for offer of land) if
applicable.
e) Copy of land documents in support of ownership / lease rights.
f) Sketch of the offered land with dimension.

* Not applicable for Non-individual applicants

Additional documents in support of specific Eligibility criteria:

104 Version 1 / 24.11.2018

 Category Eligibility Certificate format
SC/ST Appendix VI
Appendix VI, VIII or DGR certificate/Discharge Order or
SC/ST CC1
Pension Order as applicable
SC/ST PH Appendix – VI, IX-A / IX-B / IX-C
OBC Appendix – VII-A & VII-B
Appendix – VII-A, VII-B, VIII or DGR certificate/Discharge
OBC CC1
Order or Pension order as applicable
OBC PH Appendix – VII-A & VII-B, IX-A / IX-B / IX-C
Appendix VIII or DGR certificate/Discharge Order or
Open CC1
Pension Order as applicable
Open CC2 Certificate applicable for OSP/FF
Open PH Appendix – IX-A / IX-B / IX-C
Partnership Draft Partnership deed (for applicants under partnership)
applicants
Attested copy of Registration certificate / copy of
Non-Individual
Certificate of Incorporation of the entity from competent
applicants
authority.
Non-Individual Attested copies of audited Profit and Loss a/c statement
applicants for preceding 3 financial years.
Non-Individual Copy of Authority letter / Resolution specifying name of
applicants the authorized person for signing application form.
Proof of allocation of less than 75 Kls p.m. from allocating
SKO dealers
authorities. Copy of valid dealership agreement.

Verification of all attested photo copies will be done with the original document during the Field
Verification of Credentials (FVC).

It is expected that you are in possession of original documents wherever photo copies of
documents are submitted.

Please note that your candidature is liable to be cancelled in case Initial Security Deposit is not
remitted or the documents listed above are not submitted within 10 days from the date of this
intimation.

Your candidature is liable to be rejected if you are not able to present the original documents at
the time of FVC on the designated date and time or during the FVC if it is found that the
information submitted by you in your on-line application is found to be
false/incorrect/misrepresented affecting your eligibility.

Thanking you,

Yours faithfully
For (Name of OMC)

105 Version 1 / 24.11.2018

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

106 Version 1 / 24.11.2018

 Annexure - N

Specimen of Letter for Inviting Guest

Registered Post / Speed Post

Ref: No. Date

To,
___________

___________

Dear Sir,

You may be aware, Oil Marketing Companies have formulated policy for selection of Retail outlet
dealership through a transparent process that involves computerized draw of lots / opening of
bids for selection of the RO dealership in the presence of distinguished guests and eligible
applicants apart from Company officials.

We shall be much honored with your presence for the draw/bid opening 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.

You are also requested to kindly depute one officer, not below the rank of Tehsildar, to initiate
the process of on-line Draw of Lots / Bid opening. Details of the person being nominated for the
said purpose may please be advised to us.

Thanking you,

Yours faithfully
for (Name of OMC)

(Signature & Name with Designation)

Officer-in- Charge
Annexure – O 1

List of applicants in Group 1 / Group 2 / Group 3 (based on land offered)

for Selection of RO Dealership

107 Version 1 / 24.11.2018

 (To be hosted on Web site)

Name of Divisional/ Territory/ Regional Office:

Name of Location__________________________ Category________________

Name of District __________________________ ,State____________________

S.NO. NAME OF APPLICANT APPLICATION FORM NO. Group

Date_________

Signature
Name
Head of Divisional/Territory/Regional Office

108 Version 1 / 24.11.2018

 Annexure – O 2

List of applicants for Draw of Lots / Bid opening

Name of Divisional/ Territory/ Regional Office:

Name of Location__________________________ Category________________

Name of District __________________________, State_______________

S.NO. NAME OF APPLICANT APPLICATION FORM NO. Group 1 / Group 2

Date_________

Signature
Name
Head of Divisional/Territory/Regional Office

109 Version 1 / 24.11.2018

 Annexure – P 1

Format for Declaration of Results

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

On the 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 __________________________ , State ____________________

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 for selection of RO dealership for the above location is not required to be held as
there is only one eligible candidate as per details below:

(Strike off whichever is not applicable)

The following applicant is declared as selected:

S.NO. NAME OF APPLICANT APPLICATION FORM NO.

Date_________

Signature :
Name:
Head of Divisional / Territory / Regional Office

Annexure – P 2
e-mail

110 Version 1 / 24.11.2018

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

Dear Sir / Madam,

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

Name of Location__________________________ Category________________

Name of District __________________________, State____________________

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

111 Version 1 / 24.11.2018

 Annexure – Q 1
Admin User Manual
(for On-line application and other processes)

Annexure – Q 2
Admin User Manual

112 Version 1 / 24.11.2018

(for On-line Draw of Lots and Bid opening process)

113 Version 1 / 24.11.2018

 Annexure - R

Call Letter for Draw of Lot / Opening of bid for Selection of RO dealership
On Letter Head of Divisional/Territory/Regional Office

E mail

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 award of
above-mentioned RO dealership.

We are pleased to inform you that you have qualified for draw of lot / bidding process for
selection of RO dealership. You are requested to be present personally along with photo identity
card issued by any government department, 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 will not be entertained.

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

Yours faithfully

for ( Name of OMC)

Signature & Name with Designation
Officer-in- Charge.

114 Version 1 / 24.11.2018

 Annexure – S

Attendance Sheet of Eligible Applicants Present At the Draw of lots / Opening of bids for
Selection of RO dealership

Name of Divisional/ Territory/ Regional Office:

Date of Draw / Opening of Bid:

Place:

Name of Location__________________________ Name of District _____, State _______

Sr. No. of Location in advertisement: __________ Category________________

S.NO. NAME OF APPLICATION SIGNATURE OF THE

APPLICANT FORM NO. APPLICANT

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

Name & designation Name & designation

115 Version 1 / 24.11.2018

 Annexure - T

Specimen of Letter for Inviting Hon’ble MP

Registered Post / Speed Post

Ref: No. Date

To,
___________

___________

Dear Sir,

You may be aware, Oil Marketing Companies have formulated policy for selection of Retail outlet
dealership through a transparent process that involves computerized draw of lots / opening of
bids for selection of the RO dealership in the presence of distinguished guests and eligible
applicants apart from Company officials.

We shall be much honored with your esteemed 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

116 Version 1 / 24.11.2018

 Annexure – U 1

Format for Recording Proceeding of the Draw of lots

for Selection of RO dealership

Date :
Place:

Name of Location__________________________ Category_________________

Name of District __________________________, State_____________________

1. Applicants who have qualified were informed about the ‘draw of lots’ vide
communication (e-mail) dated________.

2. List of applicants qualified for draw of lots is attached.

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)

4. The two company officials nominated for conducting the draw of lots are
___________&________________.(names with designations)

5. The VIPs/Guests present were ___________(Names and designations)

6. The computerized Draw of Lots was initiated by the invited guest ____________.

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

Nominated MSTC Official

Name & designation
Annexure – U 2

Format for Recording Proceeding of the bidding process

117 Version 1 / 24.11.2018

 for Selection of RO dealership

Date :
Place:

Name of Location__________________________ Category_________________

Name of District __________,State____________ Min. Bid amount : Rs.

1. Applicants who have qualified were informed about the bid opening process vide
communication( e-mail) dated________.
2. List of applicants qualified for bidding process is attached.
3. _____________ number of applicants who have qualified for the bidding process were
present at the time of Bid opening. List is attached. (Attach Attendance record)
4. The two company officials nominated for conducting the bidding process are
___________ &____________(names with designations)
5. The VIPs/Guests present were ___________(Names and designations)
6. The computerized Opening of Bids was initiated by the invited guest ____________
7. Details of Financial Bids opened are given below:-

Sr. No. Name of the applicant Sr. No. of Bidding Ranking of

the Amount Bid
application (Rs.)

8. 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.
9. Video recording carried out by (Agency name)
10. 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

Nominated MSTC Official

Name & designation

118 Version 1 / 24.11.2018

 Annexure - V

Format for Scrutiny of Applications for RO Dealership

(to be used by ASC)

Name of Divisional/ Territory/ Regional Office :

Location: District: State: Category:

Application form number _______________________________

Name : Shri/Smt/Kumari _______________________________
Father’s/Husband’s Name ______________________________
Name of spouse if applicable____________________________

ELIGIBILITY
S.No Particulars Applicability Yes No
Notarized Affidavit as per Appendix X A ( for individual applicant)/ Appendix All
X B ( for non-individual applicant) – Check all clauses as per standard format
are available
All stamp papers for affidavits purchased in the name of Deponent All
Proof of Age submitted - between 21 to 60 years (for individual applicant) & All except FF
3 years from date of registration for entities.
Proof of educational qualification submitted All Individual
applicant
Letter from advocate as per Appendix IIIB attached All
Affidavit as per Appendix IIIA (if applicable), for offer of land, attached All
Land documents in support of ownership/lease rights submitted All
Applicant falls under Group 1 (Owned land) after verifying land documents All
from Company advocate / Legal department
Applicant falls under Group 2 (Firm offer) after verifying land documents All
from Company advocate / Legal department
In case of application under partnership, whether separate application form Partnership
received from each partners and applications clubbed
In case of application under partnership, whether draft partnership deed Partnership
received
Eligibility certificate for the category ( for individual applicant / Partnership / As per
Regd. Society) attached as applicable – SC/ST, OBC, CC1, CC2, PH – as per Category
Appendix VI, VII A, VII B, VIII & IX A, IX B, IX C.,FF category, OSP category,
DGR certificate
Authorization / Resolution as signatory attached ( Applicable for non – All Non-
individual applicants) Individual
applicant
Attested copy of Registration certificate / copy of Certificate of All Non-
Incorporation of the entity from competent authority Individual
applicant
Certificate of Chartered Accountant certifying that the concerned Registered
Registered Society / Company has made profits during the previous 3 Society /
financial years Company

119 Version 1 / 24.11.2018

 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

/ TO BE CONSIDERED UNDER GROUP 3.

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

Name & Designation Name & Designation

Signature with Name & Designation of Officer In- Charge

Observation on scrutiny of rectifiable documents submitted by the applicant:

Rectifiable deficiency Document submitted / not Observation (document

submitted found Ok or not)
a.
b.
c.

CANDIDATE IS: ELIGIBLE / INELIGIBLE / TO BE CONSIDERED UNDER GROUP 3

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

Name & Designation Name & Designation

Signature with Name & Designation of Officer In- Charge

Annexure – W1

Format for Land Evaluation by LEC

Retail Outlet Site Evaluation Parameters

Location

120 Version 1 / 24.11.2018

Sr. No District :
Category: State :
7 Land Details :

Name of Applicant
Sl.No. Evaluation Parameter Yes No
1 Land in advertised area / stretch
2 Land dimensions 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 site
given) – 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. Any
deviations to be highlighted.

Member 1 Member 2 Member 3

(In case of NH)

121 Version 1 / 24.11.2018

 Annexure – W2
Layout Sketch of land offered 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 and
site has been inspected by the Company Officials as mentioned below. Further I also confirm
that:-

i. Offered land is of required dimension and abutting the Road boundary, after leaving
Right of Way (ROW) line of the road.
ii. The offered land is also not notified for acquisition.
iii. Land owner is in Possession of the land from the beginning / edge of ROW line.
iv. There is no other land including Govt. land between ROW and offered plot.

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

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

Member 1 Member 2 Member 3

(In case of NH)

122 Version 1 / 24.11.2018

 Annexure – X

List of applicants for Draw of Lots / Bid opening

for Selection of RO Dealership

Name of Divisional/ Territory/ Regional Office:

Name of Location__________________________ Category________________

Name of District __________________________ State____________________

S.NO. NAME OF APPLICANT APPLICATION Group Date of Draw of

FORM NO. Lots/Bid opening

Date_________

Signature
Name
Head of Divisional/Territory/Regional Office

123 Version 1 / 24.11.2018

 Annexure – Y

On the 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 __________________________ State____________________

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 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:

S.NO. NAME OF APPLICANT APPLICATION FORM NO.

Date_________

Signature :
Name:
Head of Divisional / Territory / Regional Office

124 Version 1 / 24.11.2018

 Annexure - Z

Details of Candidate select from whom Notarized Affidavit obtained w.r.t. employment in Pvt.
Sector / drawal of salary/perks/emoluments from State / Central Government.

Sr. No. Name of the District State Name of Selected Date of

Location candidate Affidavit

Note : Copy of standard draft affidavit should also be made available on this site

125 Version 1 / 24.11.2018

 Annexure – AA

Format for Field Verification of Credentials Paste

for RO dealership Photograph of
the selected
candidate.
Verify
signature and
identity
identity

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/daughter 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 each item
has been verified as under: -

Item Particulars to be Documents to be Documents Information given

No verified verified provided by the in the application
applicant is verified with
Yes/No. original
document and
found
correct/incorrect-
Remark
A B C D E
1 Category (except for Certificate issued by
open) the competent
authority
2 Status of applicant Whether application is
for Individual / Non
individual applicant

126 Version 1 / 24.11.2018

 3 Date of Birth / Date Proof of age should be
of incorporation supported by copy of
10th Standard Board
Certificate / 10th Std.
School Leaving
Certificate/ Birth
Certificate / Passport /
Affidavit for age /
Identity card issued by
Election Commission
/Copy of Registration
Certificate

4 Marital Status Notarized Affidavit as

per format Appendix-
XA /Marriage
Certificate (if available)
5 Educational Original certificate of
Qualification qualification
6 Verification of For Group 1 : Original
original land Registered Sale Deed/
documents gift Deed/ lease deed.
pertaining to the In case of inherited
offered land found property verify
suitable by LEC. mutation. Date of
relevant deeds /
mutation has to be
before or on the date
of application.
For Group 2 : In case of
firm offer, above
mentioned required
documents are to be
arranged by the
applicant at the time of
FVC.

Clause 9 of Appendix I-
A/I-B and relevant
clauses of Appendix III-
A and III-B to be
checked.

The information given in the application has been verified and the comments as applicable are
given above.

127 Version 1 / 24.11.2018

In case any other information given in the application is found to be in variance from your
findings, please give particulars

Any Other remarks:

Signature with Name & Designation Signature with Name & Designation (Member 1)
(Member 2)

Note:

1. During the field investigation, the Officer should verify the supporting documents of each
and every item mentioned in the application by the selected candidate. The Officer should
verify the documents with the originals / information given along with the application and
endorse the copies submitted in pursuance to the application (Please attach copies of
the original documents), stating that “verified with original and found correct.” In case
selected candidate is unable to produce supporting documents for 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 done which

may include verification of authenticity of the documents / claim of applicant from
competent authority/agency.

3. The Officer should sign all the pages of the FVC report including the supporting documents
taken from the candidates.

128 Version 1 / 24.11.2018

 ANNEXURE - AB

LETTER TO BE ADDRESSED TO THE COMPLAINANT FOR SUBMISSION OF DOCUMENTARY

EVIDENCE TO SUBSTANTIATE COMPLAINT

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.

a) We are unable to process your complaint for the following reasons :-

(i) The requisite complaint fee of Rs. 5000/- 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
ANNEXURE - AC

129 Version 1 / 24.11.2018

LETTER TO BE ADDRESSED TO THE COMPLAINANT IN CASE COMPLAINT IS NOT 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 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 investigation , 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
ANNEXURE - AD

LETTER TO BE ADDRESSED TO THE COMPLAINANT IN CASE COMPLAINT IS SUBSTANTIATED

Registered Post / Speed Post

REF NO: DATE:

To,

130 Version 1 / 24.11.2018

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. 5000/- (Rupees Five 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

131 Version 1 / 24.11.2018

 Annexure AE
LETTER OF APPOINTMENT

On OMC letter head

Ref : Date :

To

Shri _______________________
___________________________

Dear Sir,

Sub : Proposed MS/HSD Retail Outlet Dealership at Location : ……………….,

District…………..State……………..- Category : …. (Customer / SAP Code____________)

We refer to our Letter of Intent of Ref: dated …………….. for the award of MS/HSD Retail
Outlet dealership at the above location and your acceptance to all the terms and conditions
mentioned therein.

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 a
Proprietorship/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
shall be 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 this letter.

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
shall be deemed to have commenced with effect from ________ and shall remain in force
for a period 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 such terms as may be deemed fit by this Corporation. Notwithstanding
anything contained in this clause, the appointment of the dealership can be terminated

132 Version 1 / 24.11.2018

 by the Corporation before the expiry of the period, as mentioned herein, of the extended
period, as the case may be, in terms and conditions of the aforesaid enclosed Dealership
Agreement / DPSL.

We acknowledge receipt of the following :-

i) Interest free Security Deposit of Rs. __________.

ii) Non-Refundable fixed fee / Bidding amount of Rs.____________.
(Strike off whichever is not applicable)

This security deposit will not carry any interest and is refundable on expiry of the
Dealership Agreement/DPSL. However, if the dealership is terminated for proven
adulteration/ malpractice then this security deposit amount will be forfeited. Moreover
Corporation reserves its rights to adjust any payment that may be due to it from this
amount at the time of termination of this dealership/ expiry of the DPSL agreement.

2. LICENSE FEE : In terms of clause ____ of the Dealership Agreement / DPSL, you will be
charged for present, the following License Fee :

MS :
HSD :

(Strike off whichever is not applicable)

This will be subject to revision as provided in the said clause of Dealership Agreement /
DPSL.

3. TERMS OF PAYMENT : RTGS / Core Banking / e-payment through any Scheduled Bank in
favour of M/s. ______________ Corporation Limited. The RTGS / Core Banking / e-payment
should cover full value of the supplies indented for.

4. SUPPLIES : MS / HSD will be supplied in bulk tank lorries (owned / hired by the Corporation)
against indents submitted by you at ________ (Name of OMC) ________ Installation/Depot
or any other location as may be advised to you from time to time at Corporation’s selling
rate .

5. SELLING RATES : Your selling rate to the public ex the above Retail Outlet shall be as on
date Rs. _______ Per Litre for MS and Rs._____ Per litre for HSD, which will be subject to
revision without notice at any time.

6. LICENSES AND REGISTRATION : Please get the necessary Registrations completed and
obtain the requisite Licenses from the Statutory Authorities which are required for
operation of Retail Outlet.

7. MANAGEMENT : We expect you to manage the dealership efficiently and to our satisfaction
and tap the full sales potential of the site. You and your representative(s) should render
courteous and satisfactory service to the motoring public.

133 Version 1 / 24.11.2018

8. We are also enclosing a copy of the extant Marketing Discipline Guidelines and other
relevant stationery that would be required for operation of Retail Outlet.

9. The subject appointment will also be governed by all terms and conditions of Dealership
Agreement / DPSL executed between you and the Corporation hereafter.

Please note that you cannot store or sell any other products from the aforesaid Retail Outlet
premises without taking the Corporation’s prior written permission.

Thanking you,

Yours faithfully,

For ..................(OMC NAME).

DULY CONSTITUTED ATTORNEY

ACKNOWLEDGEMENT CUM UNDERTAKING

1) I /We hereby accept this Letter of Appointment.

2) I am not employed / I was employed and have resigned from my employment. Proof of
acceptance of resignation by my employer has been submitted to the Corporation. (for
individual entity).

3) Affidavit as per Appendix XA or XB and Appendix IV (as applicable) is submitted.

(Note : for Individual applicant Affidavit as per Appendix – XA and Appendix IV to be obtained
For non-individual applicants Affidavit as per Appendix – XB to be obtained)

Place : Signature :
Ref : Date :

134 Version 1 / 24.11.2018

 Appendix – IA

Application Format For Individual Applicants

(FORM TO BE FILLED UP IN CAPITAL LETTERS)
Application No. ----
Application date D D - M M - Y Y Y Y
APPLICATION FOR RETAIL OUTLET DEALERSHIP
Particulars of application fee
(Rs.)
Latest Passport Size
Transaction No. Photograph
with specimen
Transaction Date signature on
& Time the photograph
Payment Mode

Type of Category Application Type Category Application

RO fee in Rs. of RO fee in Rs.
Regular SC/ST 3000 Rural SC/ST 2500
OBC 5000 OBC 4000
Open 10000 Open 8000
Note : Same application fee is applicable for sub-categories under particular main category.

1 Sr. No of location in
advertisement
2 Name of the Location

3 District

4 State

5 Category*

* Eligibility certificate for respective category in respect of reserved locations as mentioned

below will be required- ( Applicant has to declare that certificates as applicable are available with
him/her and will be submitted as and when advised by OMC)

Category Eligibility Certificate Category Eligibility Certificate Category Eligibility Certificate format
format format
SC/ST Appendix VI OBC Appendix – VII-A & VII-
B
SC/ST CC1 Appendix VI, VIII or OBC CC1 Appendix – VII-A, VII-B, Open CC1 Appendix – VIII or
DGR certificate/ VIII or DGR certificate/ DGR certificate/
Discharge Order or Discharge Order or Discharge Order or Pension
Pension order as Pension order as order as applicable
applicable applicable
Open CC2 Appendix–Certificate
applicable for OSP/FF
SC/ST PH Appendix – VI, IX A / IX OBC PH Appendix – VII-A, VII- Open PH Appendix – IX A / IX B / IX C
B / IX C B, IX A / IX B / IX C
Existing unviable SKO dealer Proof of allocation of less than 75 Kls p.m. from allocating authorities. Copy of valid dealership
agreement.

135 Version 1 / 24.11.2018

6 Advertised on In
(Date)
(Please write Newspaper name)
7 Type of Site of Location CC/DC/CFS 8 Type of RO Regular/ Rural

9 Group of the Applicant Group 1, Group 2, Group 3 (

on the Basis of Applicant without offer of
Advocate’s letter with land )
applicant on land being
offered.
10 Type of applicant Proprietor / Partner If “Partner” please use separate application form for each
partner and club them together.

11 Applicant would be required to submit Affidavit in original as per the format given in Appendix – XA of Brochure on
intimation by OMC upon selection.
11.1 Name
(Mr/Mrs/Kumari)
First name Middle name Surname
11.2 Father’s/Husband’s
Name (Mr)
First name Middle name Surname
11.3 Address

District State Pin Code

Tel. No. Mob. No.

Email id PAN No.
11.4 Indian Citizen Yes No Resident of India as per IT Rules Yes No

If “No” applicant is not eligible If “No” applicant is not eligible

11.5 Gender Male Female

(Tick mark whichever is applicable)
11.6 Date of Birth Age (Proof to be
submitted as when
DD MM YYYY asked by OMC ) as on Years Months Days
date of application
11.7 Marital status Single Married Widow / Widower Divorcee
(Tick mark whichever is applicable)
11.8 Name of spouse Mr. / Mrs.
(if married)
Spouse employed (Tick Yes No
mark whichever is
applicable)
12 Educational Qualification (Proof of qualifying certificate as per Eligibility criteria would be required to be submitted as
and when asked by OMC)
Qualification Name of Board/University/Institution Degree Year of Passing
i) 10th Pass

Land Details (Please read Clause no. 4 (vi) of Brochure before providing the information below)

136 Version 1 / 24.11.2018

13 Copy of proof of ownership of land would be required to be submitted as & when advised by OMC ( Gr 1 & Gr 2)

(Not required for applicants under Group 3): For Group 3: I/ we do not have suitable land at present. In case no one
gets selected or no one is available from Gr 1 and Gr 2 and Applicants under Gr 3 are considered, I/we shall arrange
land as advised by OMC, for consideration in further selection process.)
Name(s) of the Relationship Date of Location of Khasra No / Dimensions of land*
owner of Land / with registration of the land Khatouni / Gut
Lease holder applicant** sale deed/gift with respect No / Survey No
deed / lease to Reference
deed/ date of point / Land
mutation mark Frontage in Depth Area
(Specify land metre in (Sq.m)
mark / metre
Reference
point and
distance
from the
same)

a) Are you willing to transfer the land on sale/long lease to Oil Company ? YES/NO (only for CC/CFS sites)

If yes, at what rate / terms.

_____________________________________________________________________________________________

b) The above piece of plot owned by me / my family member (as defined under Clause 4(v) e of Brochure ) either by way of
ownership / long term lease would be made available for a period of minimum 19 years and 11 months as advertised by the
Oil Company (Name of the Oil Company).

That as per the documents and report from advocate available with me/us, my/our offer qualifies for being considered under
“GROUP 1” as defined in Clause 4 (v) of the Brochure 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 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 Company.

That as per the documents and report from advocate, available with me/us, my/our offer qualifies for being considered under
“GROUP 2” as defined in clause 4 (v) of the Brochure for retail outlet dealer selection by the Oil Company(Name of the Oil
Company).

(Tick Mark either b ( Gr 1 ) OR c ( Gr 2) as applicable)

Note :

In case land belongs to member of 'Family ' / Others, notarized affidavit as per Appendix – III A should be available which is
to be submitted when asked by OMC. Each applicant should have a confirmatory letter from an advocate (Appendix – III B)
giving details of the current ownership, documents relied upon and the category under which the land falls (Group 1 or Group
2) before submitting the application.

137 Version 1 / 24.11.2018

 d. The said piece of land, has been offered for purchase/ long lease/sub-lease to the Oil Company for a period of minimum 19
years and 11 months as required by the Oil Company (Name of the Oil company) and as per their terms and conditions. (For
location advertised under Corporation Owned Dealer Operated (CC)/CFS sites).
Site map giving dimensions of the plot that will be used for the proposed Retail Outlet out of the total land offered will be required
to be submitted by the applicant upon intimation by OMC.
14 Requirement of Finance : I undertake that funds as mentioned in the advertisement will be made available by me/us as
when required for setting up of RO and operation of RO (thereon depending upon category of RO site).

a ) Fund for development of infrastructure for RO (Rs. ------------------) **

b ) Working capital for operation of RO . (Rs. ------------------) **
15 Are you a Dealer/Distributor or a member of his/her “family unit” (as defined under Dealership/Distributorship Selection
Guidelines) holding a RO/SKO-LDO Dealership or LPG Distributorship of any Oil Company which has been penalized for
violation of Marketing Discipline Guidelines under major irregularities within last 5 years (for RO/SKO-LDO Dealerships)
and 4 years (for LPG Distributorships) preceding the date of advertisement?
Yes / No (if yes, not eligible)
16 Are you a Dealer/Distributor or a member of his/her “family unit” (as defined under Dealership/Distributorship Selection
Guidelines) holding a RO/SKO-LDO Dealership or LPG Distributorship of any Oil Company against which proceeding(s)
is/are going on for violation of Marketing Discipline Guidelines under Critical/Major irregularities within last 5 years (for
RO/SKO-LDO Dealerships) and 4 years (for LPG Distributorships) preceding the date of advertisement?
Yes / No

15. UNDERTAKING BY THE APPLICANT

a. I am 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 me is incorrect/ false/ misrepresented, then my candidature will stand
cancelled and I will be declared ineligible for the Retail Outlet Dealership.
b. I also confirm that I am in possession of the supporting documents in original in respect of the
information given by me in this application and if selected, failure to present these documents in
original will result in cancellation of selection due to submission of false/unsupported
information in this application.
c. I am fully aware that if I am 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
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 the advertisement, the allotment can be withdrawn and I will have no
claim/damages whatsoever against the Oil company (Name of the Oil Company).
e. I am also aware that in the event of my inability to arrange the funds required towards working
capital for operation of the RO as specified by the Oil Company (Name of the Oil Company) in the
advertisement, the allotment can be withdrawn and I will have no claim/damages whatsoever
against the Oil company (Name of the Oil Company.
f. I am fully aware that I will not be appointed as Retail Outlet Dealer if I am employed. I shall have
to resign from the service and produce proof of acceptance of my resignation from my employer
before issuance of Letter of Appointment.
g. I am also aware that I cannot take up any other employment nor can draw any
salary/perks/emoluments from State/Central Government upon my appointment as a dealer.
h. I confirm that none of my family members (as per definition of family under multiple dealership
norm) are employees of any Oil Marketing Companies.

138 Version 1 / 24.11.2018

i. 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 any employment.
j. 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.
k. That, if selected, I undertake that I will be depositing an interest free Security deposit of Rs.
_____________ as per the policy of the Corporation.
l. That, if selected, I undertake that I will pay the non-refundable Fixed fee of Rs. _____________
as per the policy of the Corporation (applicable for Dealer owned sites). (For DC sites)
OR
That, if selected, I undertake that I will pay the non-refundable Final Bid amount (applicable for
Corporation owned sites except for Corpus fund ROs). (For CC Sites)
m. I am also aware that the same land cannot be offered by more than one applicant for a particular
RO location against the same advertisement. In case it is found that the same piece of land as
offered by me has been offered by other applicant(s) for this location then my candidature for
RO dealership will be rejected / dealership terminated, if already appointed.
n. That I am of sound mental health and I am not totally paralysed.
o. That I have never been convicted for any criminal offence involving moral turpitude and/or
economic offences (other than freedom struggle).
p. That I hereby confirm that I was never a signatory to dealership/distributorship agreement of any
Oil Company, which was terminated for proven malpractices and / or for violations of provisions
of the Marketing Discipline Guidelines.
q. I do hereby confirm that I am eligible for allotment of Retail Outlet dealership as per applicability
of Multiple Dealership Norm defined under Clause “Disqualification” in the “ Brochure for
Selection of Dealers for Regular & Rural Retail Outlets” and do not disqualify for allotment of
Retail Outlet dealership under other conditions mentioned therein.
r. I confirm that in the event of any proceedings pending against the dealership/distributorship
(Court cases, Show Cause notices, etc.), on account of critical/major irregularities for violation of
Marketing Discipline Guidelines/Dealership Agreement, Control Orders or ESMA, held by me or
my family unit (as defined under Multiple dealership norm for individuals/non-individuals of
Disqualification criteria), the allotment made will be conditional and subject to the outcome of
such proceedings. I understand that I will also not be entitled for any claim, damages, etc. in case
of cancellation of allotment in the event of adverse verdict in such pending proceedings.
s. I hereby confirm that my candidature has never been rejected/selection cancelled/dealership or
distributorship terminated by any of the OMCs for providing false information/misrepresentation
of facts/submitting false/fake documents while applying for RO/SKO-LDO Dealership / LPG
Distributorship.

I, _________________________________________________________daughter of /son of/ wife of

Shri__________________________________ hereby confirm that the information given above is
true and correct. Any wrong information /misrepresentation/ suppression of facts will make me
ineligible for this RO dealership. That if any information/declaration given by me in my application
or in any document submitted by me in support of application for the award of the 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 I would have
no claim, whatsoever, against the Corporation for such withdrawal / termination.

139 Version 1 / 24.11.2018

Place : _____________ Signature of applicant_______________________
**Date :______________ Name of applicant_____________________________
**The date mentioned in the application will be treated as date applicable for the purpose of
evaluating the eligibility criteria.

140 Version 1 / 24.11.2018

 Appendix- I B

Application Format For Non-Individual Applicants

Application No. ----

Application date D D - M M - Y Y Y Y
APPLICATION FOR RETAIL OUTLET DEALERSHIP
Particulars of
application fee (Rs.)
Latest Passport Size
Transaction No.
Photograph
Transaction Date &
Time
Payment Mode

Type of Category Application Type Category Application

RO fee in Rs. of RO fee in Rs.
Regular Open 10000 Rural Open 8000

1 Sr. No of location in
advertisement
2 Name of the Location

3 District

4 State

5 Category

Non-individual applicant means Government Bodies/Agencies, Societies registered under Societies

Registration Act 1860 / Societies registered under Co- operative Societies Act, 1912 or Co-operative Societies
Act as enacted by concerned States, Charitable Trusts registered with Charity Commissioner of respective State
Government, Companies formed under the Companies Act, 1956 / 2013.

6 Advertised on In (Please write Newspaper name)

(Date of advertisement)
7 Type of site CC / DC
8 Type of RO Regular / Rural
9 Group of applicant on the Group 1 / Group 2
basis of Advocate’s letter
with applicant on land being
offered
10 Type of applicant Registered Society/Company/Charitable Trust/Govt. Organization
(Please tick mark whichever is applicable)
11 Applicant should submit Affidavit as per the format given in Appendix – XB as and when advised by
Oil Company
11.1 Name of authorized person

First name Middle name Surname

11.2 Father’s/Husband’s
Name (Mr)
First name Middle name Surname

141 Version 1 / 24.11.2018

11.3 Address

District State Pin Code

Tel. No. Mob. No.

Email id PAN No.

12 Details of Registered Society/Company/Charitable Trust/Govt. Organization

a) Name

b) Address of Regd. Office

District State Pin Code

Tel. No. Mob. No.

Email id PAN No.

Note : The entity should be registered in India.

c) Date of Registration/Incorporation (DD/MM/YYYY)

(Copy of certificate will be required to be produced as and
when advised)
d) Profit/ loss made during the last 3 financial Profit After tax (Rs) Loss (Rs)
years as certified by C.A. (Copy of certificate
will be required to be produced as and
when advised)
i)
ii)
iii)
Note : Only Registered Societies/Companies making a profit for previous three consecutive financial years as
certified by a Chartered Accountant are eligible to apply.
Land Details (Please read Clause no. 4 (vi) of Brochure before providing the information below)
13 Copy of proof of ownership of land would be required to be submitted as and when advised by Oil
Company.

Name(s) of the Date of Location of the Khasra Dimensions of land*

owner of Land / registration of land with respect No/Khatouni/
Leaseholder sale deed/gift to Reference point Gut
deed / Regd lease / Land mark No/Survey
deed/ date of (Specify land mark No
mutation / Reference point Frontag Dept Area
and distance from e in h in (Sq.m)
the same) metre metr
e

142 Version 1 / 24.11.2018

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 19 years 11 months as advertised by the Oil Company (Name of the Oil
Company).

That as per the documents and report from advocate available with us, our offer qualifies for being
considered under “GROUP 1” as defined in clause 4 (v) of the brochure 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 “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 (v) of the brochure for retail
outlet dealer selection by the Oil Company(Name of the Oil Company).

(Tick Mark either b OR c as applicable)

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 co-owners / Others, notarized affidavit as per Appendix – III A is to be submitted
when asked by Oil Company. Each applicant should have a confirmatory letter from an advocate
(Appendix III-B) giving details of the current ownership, documents relied upon and the category
under which the land falls (Group 1 or Group 2) before submitting the application.

d) The said piece of land, has been offered for purchase/ long lease/sub-lease to the Oil Company for a
period of minimum 19 years 11 months as required by the Oil Company (Name of the Oil company) and
as per their terms and conditions (For location advertised under Corporation Owned Dealer Operated
sites).
Site map / layout sketch giving dimensions of the plot that will be used for the proposed Retail Outlet out of
the total land offered will be submitted by us upon intimation by OMC)
14 Requirement of Finance : We undertake that funds as mentioned in the advertisement will be made
available by us as when required for setting up of RO and operation of RO thereon (depending upon
category of RO site).

a ) Fund for development of infrastructure for RO (Rs. ------------------) **

b ) Working capital for operation of RO . (Rs. ------------------) **

15 Are you a Dealer/Distributor or a member of the organization (as defined under Disqualification criteria
of Multiple Dealership Norm for Non-individuals in Dealership/Distributorship Selection Guidelines)
holding a RO/SKO-LDO Dealership or LPG Distributorship of any Oil Company which has been penalized
for violation of Marketing Discipline Guidelines under major irregularities within last 5 years (for RO/SKO-
LDO Dealerships) and 4 years (for LPG Distributorships) preceding the date of advertisement ?
Yes / No (if Yes, not eligible)
16 Are you a Dealer/Distributor or a member of the organization (as defined under Disqualification criteria
of Multiple Dealership Norm for Non-individuals in Dealership/Distributorship Selection Guidelines) of

143 Version 1 / 24.11.2018

 any Oil Company against which proceeding(s) is/are going on for violation of Marketing Discipline
Guidelines under Critical/Major irregularities within last 5 years (for RO/SKO-LDO Dealerships) and 4
years (for LPG Distributorships) preceding the date of advertisement?
Yes / No

17. 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
cancelled and 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 for
development 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. We are also aware that in the event of our inability to arrange the funds required towards
working capital for operation 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).
f. I also confirm on behalf of M/s ______________, that my Organization will manage the
Retail Outlet dealership by itself and not on contract basis.
g. That, if selected, we undertake that we will be depositing an interest free Security deposit
as per the policy of the Corporation.
h. 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).
i. We are also aware that the same land cannot be offered by more than one applicant for
a particular RO location against the same advertisement. In case it is found that the same piece
of land as offered by us has been offered by other applicant(s) for this location then our
candidature for RO dealership will be rejected and the dealership terminated (if already
appointed).
j. That we have never been convicted for any criminal offence involving moral turpitude
and/or economic offences (other than freedom struggle).
k. That we hereby confirm that we were never a signatory to dealership/distributorship
agreement of any Oil Company, which was terminated for proven malpractices and / or for
violations of provisions of the Marketing Discipline Guidelines.
l. We do hereby confirm that we are eligible for allotment of Retail Outlet dealership as per
applicability of Multiple Dealership Norm defined under Clause “Disqualification” in the “
Brochure for Selection of Dealers for Regular & Rural Retail Outlets” and do not disqualify for
allotment of Retail Outlet dealership under other conditions mentioned therein.
m. We confirm that in the event of any proceedings pending against the
dealership/distributorship (Court cases, Show Cause notices, etc.), on account of critical/major
irregularities for violation of Marketing Discipline Guidelines/Dealership Agreement, Control
Orders or ESMA, held by us or any member/s of our organization (as defined under Multiple
dealership norm for individuals/non-individuals of Disqualification criteria), the allotment made
will be conditional and subject to the outcome of such proceedings. We understand that we will

144 Version 1 / 24.11.2018

 also not be entitled for any claim, damages, etc. in case of cancellation of allotment in the event
of adverse verdict in such pending proceedings.
n. We hereby confirm that our candidature has never been rejected/selection
cancelled/dealership or distributorship terminated by any of the OMCs for providing false
information/misrepresentation of facts/submitting false/fake documents while applying for
RO/SKO-LDO Dealership / LPG Distributorship.

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.

Signature of applicant_______________________

**Date :______________ Name of applicant_____________________________

**The date mentioned in the application will be treated as date applicable for the purpose of
evaluating the eligibility criteria.

145 Version 1 / 24.11.2018

 Appendix – I C

USER MANUAL

FOR

Petrol Pump Dealer Chayan Portal

https://www.petrolpumpdealerchayan.in

146 Version 1 / 24.11.2018

This portal is created for Online application for Selection of petrol pump Retail Outlet
dealership for various locations. To apply for dealerships, applicant must the following
steps.

 Register on the Portal www.petrolpumpdealerchayan.in/

 Login the Portal
 Select the advertisement
 Choose the Location to apply
 Fill the application form
 Make online payment

Step 1: Registration

Applicant must have to register on the portal to apply for dealership.

To register:

Go to www.petrolpumpdealerchayan.in

Click on Register button available at Home Page (See Screen Shot 1)

Fill the all details in the form. (See Screen Shot 3)

Click on Generate OTP button. OTP will be sent to given Mobile No.

Enter the OTP in the field and submit the form.

A success message will be displayed on the screen. Now registration has been
completed successful.

Note:

 Email Id will be used as username at the time of login.

 Password will be sent to your registered Email Id. User can change his/her
password any time.
 Password must be of 8 Characters - at least 1 Number, 1 Special Character
and 1 alphabet.

Step 2: Login the Portal

After registration, applicant can login with his/her login credentials.

Go to www.petrolpumpdealerchayan.in

 Click on Login button available at home page (See Screen Shot 1)

 Enter Email id as username. (See Screen Shot 2)
 Enter password that you received in your email Id. Applicant logged in
successfully will be directed to applicant dashboard.

147 Version 1 / 24.11.2018

Step 3: Fill the Application Form

After successfully logged in the portal, applicant will be able to see the following
options as Menu

1. Dashboard: Here user can see two options 1. Available Advertisement 2.

Applied Advertisement.

2. Available Advertisement: Here user can find all the advertisement state wise for
which user has not applied.

3. Applied advertisement: Here user can see details of advertisement for which
he/she has applied.

4. Profile: Here user can edit their details filed at the time of registration expect Email
Id and Mobile No.

5. Change Password: Here user can change the password.

Now applicant has to click on Available Advertisement link/Button and select the
advertisement for which he/she wants to apply. All the location will be displayed
under that particular advertisement after clicking on ‘View Details’.

To fill the application form, follow the below mentioned process.

 All the locations available under that advertisement will be displayed on the
screen. (See Screen Shot 5)

 Select the location for which he/she want to apply. (See Screen Shot 4)

 Click on Apply Button to apply for that location.

 After clicking applicant will be directed to the application form. Here

applicant can see all the details of that particular location. (See Screen Shot
6)
 Scroll down to see application form and start filling application form
carefully.

 Scroll down to get the save button to save the application form.

Application form can be edited any time and can be saved temporary if it was not
submitted finally.

Once application was saved, go to Applied Advertisement button/link to edit the

application form. Applied Advertisement link is available at left side menu and
Applied Advertisement is available on Applicant’s Dashboard.

After filling complete details in application form, hit the “Submit & Proceed to Pay”
to pay the application fee online.

Once application form is submitted successfully, it cannot be edited or changed.

Applicant can see ‘Save’ button if he/she want to save the application temporarily
and fill it later.

148 Version 1 / 24.11.2018

 Application can see a ‘Cancel’ button also. Applicant can cancel his/her application
after clicking this button.

Step 4: Make Online Payment

After filling in the application form, applicant has to pay application fees online.

Without payment, application will not be proceed and will be rejected.

To make the online payment, follow the below process.

Go to Applied Advertisement link.

All the applications of logged-in applicant will be displayed on the screen. (See
Screen Shot 7)

If application is finally submitted and payment is to be made, then a button of

“Pay Online Payment” is displayed there.

Applicant have to click on that button and will be directed to the checkout page.
(See Screen Shot 8)

Click on the Checkout button.

Applicant will be directed to Payment Gateway page. (See Screen Shot 9)

Complete the payment.

After successful payment done, applicant can download a PDF copy of

application. In the PDF, all details will be shown that was filled by applicant.

Now application is completed. All the details of application will be sent to

applicant’s email id.

Note:

o Applicant cannot apply for same location if already applied. However

he/she can apply for different location.
o Applicant should fill the application form carefully. Once application form is
submitted and a PDF copy of the online application is generated,
details cannot be edited.

149 Version 1 / 24.11.2018

Screen Shots:
Screen Shot 1: Click here to register Click Here to
Login
Click here for admin
login

Screen Shot 2:

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Screen Shot 3:

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Screen Shot 4:

Screen Shot 5:

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Screen Shot 6:

153 Version 1 / 24.11.2018

Screen Shot 7:

Screen Shot 8:

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Screen Shot 9:

155
 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 RO Dealership at Location
__________, District_________, State ________, under_________ category Advertised on
___________

Dear Sir/Madam,

I write with reference to your letter ref. _______________ dated _______________ informing
me 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 per Terms

and Conditions of the Dealer Selection, my spouse will be co-owner i.e. 50% partner of 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 wishes to 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 aware
that 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 partner
before issuance of Letter of Award.

** Strike off whichever is not applicable.

Thanking you,

Yours faithfully

156
 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 Letter of Appointment/Signing of Dealership Agreement)

In the matter of RO dealership of Indian Oil Corporation* / Bharat Petroleum Corporation* /

Hindustan Petroleum 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 RO
dealership 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
inducted as 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 / wife
Shri/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.

157
Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of Signature

Magistrate/Judge/Notary Public Name of Deponent

158
 Appendix – III A

Notarized Affidavit for offer of land from family member and/or third party supported
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 REQUIRED VALUE)

I _____________________________________ Son/Daughter/wife
of________________________________ age______years resident of
_____________________do hereby solemnly affirm and say as under:-

1. *I understand that as per definition, Family members for offer of land under “Owned”
category for Selection of Dealer for Regular and Rural Retail Outlets, comprise of (i) Self (ii)
Spouse (iii) Father/Mother including Step Father/Step Mother (iv) Brother/Sister/Step
Brother/Step Sister (v) Son/Daughter/Step Son/Step Daughter (vi) Son-in-law / Daughter-
in-law (vii) Parents-in-law (viii) Grand Parents (both maternal & paternal).

That I am a member of Family of

(Shri/Smt/Kum)__________________________________(name), as per definition for
Selection of Dealer for Regular and Rural Retail Outlets, who has applied for Retail Outlet
dealership of IOC*/BPC*/HPC* at _______________(location) under '__________'
category against the advertisement appeared in __________________ news paper
dated__________________.

(*Delete the above two paragraphs of Clause 1, if the land owner is not a family member)

That I, Shri/Smt/Kum _____________________, 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 long term
lease basis (___ years w.e.f. __________) 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 :

159
 Name(s) Relationshi Date of Khasra No/Gut
Dimensions of land
of the p with registration No/Survey No
owner applicant* of sale
of Land * deed/gift
Min. Area of
/ Lease deed /
Frontage Depth in the land
holder lease deed/
in metre metre (Sq.m)
date of
mutation
1
2
3
4
*Strike off whichever is not applicable.
** Please qualify the relationship i.e. (i) Self (ii) Spouse (iii) Father/Mother including Step
Father//Step Mother (iv) Brother/Sister/Step Brother/Step Sister (v) Son/Daughter/Step
Son/Step Daughter (vi) Son-in-law / Daughter-in-law (vii) Parents-in-law (viii) Grand
Parents (both maternal & paternal)

2. That Shri/Smt/ Kum / M/s.(name of the Entity) ______________________ has applied for
Retail Outlet dealership of IOC*/BPC*/HPC* at _______________(location) under
'__________' category against the advertisement appeared in __________________news
paper dated__________________

3. That in case he/she/ M/s.(name of the Entity) is selected for RO dealership I will either
sell/transfer/lease the above mentioned piece of land to Oil Company or to Shri / Smt /
Kum / M/s.(name of the Entity) _______________ for setting of Retail Outlet facilities at
the above mentioned location as per the site plan duly signed by me/all co-owners. In case
of lease, I further confirm that I have no objection if the subject piece of land leased to Shri
/ Smt / Kum / M/s. (name of the Entity) _______________ is further leased/sub-leased to
the Oil Company by him/her as per terms of the Oil Company.

That I have no objection if the above mentioned land is used for setting up of Retail Outlet
facilities by Shri / Smt. / Kum / M/s.(name of the Entity) ___________________ at the
above mentioned location, as per the site plan duly signed by me/all co-owners.

4. I hereby confirm that the said piece of land has not been offered by me to any other person
for Retail Outlet dealership of this location against the above mentioned advertisement.

160
5. I hereby verify that what has been stated above is true and correct to the best of my
knowledge, and nothing has been concealed there from.

Solemnly affirmed and declared before me

This_________________________ day of ______________________________

Signature and Seal of Signature

Magistrate/Judge/Notary Public Name of Deponent and Relationship with

applicant

161
 Appendix – III B

Letter from Advocate w.r.t. land offered by the applicant confirming status of the land i.e
whether the offered land falls in 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)

To
The Divisional Manager / Territory Manager / Regional Manager
IOCL / 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 Survey
No/Gut No __________ (address of the plot) , Khasra / Khatauni ___________ at Village
__________ offered by Shri/Smt/Kum/M/s. (name of the Entity)
__________________, who has applied 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 perused and understood the definition for member of Family for selection of
Dealer for Regular and Rural Retail Outlets, pertaining to land parameter under the
clause 4 of ELIGIBILITY 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
land offered by my client falls under:-

Group 1* : Yes/No
Group 2* : Yes/No

*Strike off 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/Kum/M/s. (name of the Entity)
__________________, who has applied for Retail Outlet dealership of M/s

162
 IOCL/BPCL/HPCL for the location _____________, Dist ____________ and confirm 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
(CFS sites), Other Corporation Owned Sites (“A”/ “CC” sites) and where the offered land
is taken on Long term lease).
Place :
Date :
Signature of Advocate ____________________
Name & Seal of Advocate
_______________________

163
 Appendix - IV

Notarized Affidavit from the applicant w.r.t. employment in Pvt. Sector / drawal of
salary/perks/emoluments from State / Central Government.

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

(To be submitted by individual LOI holder before acceptance of Letter of Appointment for
dealership)

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 _________ do
hereby solemnly declare as under:

2. That I, ___________________, have applied for RO dealership of Indian Oil

Corporation* / Bharat Petroleum Corporation* / Hindustan Petroleum Corporation* at
location __________ in Dist __________ in State __________ under category _________
and the Oil Company has issued Letter of Intent for the said Retail Outlet Dealership vide
letter ref no ___________ dated ____________ .

3. I hereby declare that I am neither employed in private sector nor drawing any
salary/perks/emoluments from State / Central Government.

OR

I was employed and have resigned from the employment. Proof of acceptance of
resignation is attached.

4. I also affirm that during the tenure of the Dealership I will not take any employment in
Pvt. Sector and draw any salary /perks/emoluments from State / Central Government.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of Signature

Magistrate/Judge/Notary Public Name of Deponent

Appendix – V

164
Sketch along with dimensions of the offered land

165
 Appendix – VI
Standard Format for SC/ST Category Certificate

The form of the certificate to be produced by Scheduled Castes / Scheduled Tribes candidates.

This is to certify that Shri / Smt. / Kum* ______________ son / daughter* of ________________ of village / town
* ______________ in District / Division* _______ of the State / Union / Territory* of ___________ belongs to the
________Caste / Tribes and his / her religion is ___________ which is recognised as a Scheduled Castes /
Scheduled Tribes under the Scheduled Castes / Scheduled Tribes lists (modification) order 1956* read with the
Bombay Re-organisation Act, 1960 and the Punjab Reorganisation Act 1956*.

The Constitution (Jammu & Kashmir) Scheduled Castes Order, 1956*

The Constitution (Andaman & Nicobar Islands) Scheduled Tribes Order, 1956*
The Constitution (Dadra & Nagar Haveli) Scheduled Castes Order, 1962*
The Constitution (Pondicherry) Scheduled Castes Order, 1964*
The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967*
The Constitution (Nagaland) Scheduled Tribes Order, 1970*

Place : ____________ Signature : ______________

Date : ____________ Designation : ______________
(with seal of office)
State / Union Territory*
* Please delete the words, which are not applicable
Note : The terms “Ordinarily reside(s)” used here will have the same meaning as in Section-20 of the
Representation of the People Act, 1950.

# Officers competent to issue Caste / Tribe certificates.

i. District Magistrate / Additional District Magistrate / Collector / Deputy Commissioner / Additional Deputy
Commissioner / Deputy Collector, 1st Class Stipendiary Magistrate / City Magistrate *** Sub-Divisional Magistrate
/ Taluka Magistrate / Executive Magistrate / Extra Assistant Commissioner.
*** (Not below the rank of 1st Class Stipendiary Magistrate)
ii. Chief Presidency Magistrate / Additional Chief Presidency Magistrate, Presidency Magistrate
iii. Revenue Officers not below the rank of Tehsildar.
iv. Sub-divisional officer of the Divisional where the candidate and / or his family normally resides.
v. Administrative / Secretary to Administrator / Development Officer (Lakshadweep).

Note: A candidate who claims to belong to one of the Scheduled Castes / Scheduled Tribes should submit in
support of his / her claim, a certificate in original, with a copy thereof in the form given above, issued at any time
by a competent authority # notified by the Government of India, of the district in which his parents (or surviving
parents) ordinarily reside who has been designated by the State Government concerned as competent to issue
such a certificate. If both his parents are dead, the officer signing the certificate should be of the District in which
the candidate himself ordinarily resides otherwise than for the purpose of his own education. In case of any
doubt about the genuineness of the certificate, the same may be got verified through the concerned District
Magistrate / Deputy Commissioner.

166
 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 by a 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 /

Daughter of Shri / Smt. _____________________________________ of
Village/Town__________________ District/Division __________
________________________ of the ________________________ State/Union Territory,
belongs to the _______________Community which is recognized as a backward class by Govt.
of India (Central Govt.)/State Govt. as under:

Sr. Resolution No./Notification Date of Gazette Concerned State /

No. No. issued by Govt. of Notification issued by Union Territory
India/State Govt. Govt. Of India/State
Govt.

Shri / Smt. / Kum. ______________________________________________and / or his/her

family ordinarily 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 in Column 3 of the Schedule to the Government of India, Department of Personnel
& Training O.M. No. 36012/22/93-Estt.(SCT) dated 08/09/93 which is modified vide Govt. of
India, Department of Personnel & Training OM No. 36033/1/2013 Estt.(Res.) dated
27/05/2013 and any other subsequent amendments 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
Representation of the People Act, 1950.

b) The authorities competent to issue Caste Certificates for Other Backward Classes are
indicated below:

167
 (i) District Magistrate / Additional Magistrate / Collector / Deputy Commissioner /
Additional Deputy Commissioner / Deputy Collector / Ist Class Stipendiary Magistrate /
Sub-Divisional Magistrate / Taluka Magistrate / Executive Magistrate / Extra Assistant
Commissioner (not below the rank of Ist Class Stipendiary Magistrate).
(ii) Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency
Magistrate.
(iii) Revenue Officer not below the rank of “Tehsildar” and (iv) Sub-Divisional Officer of the
area where the candidate and / or his/her family resides.

c) The date of undertaking (Affidavit as per Appendix VII B) submitted along with the
application form will be treated as date of reckoning for OBC status of the candidate and
also for determining that the candidate does not fall in the creamy layer. The candidate
should furnish the relevant OBC certificate in the prescribed format shown above or as
issued by the competent authority containing relevant details as mentioned above.

168
 Appendix VII B

Declaration/undertaking as a notarized affidavit - for OBC Candidates only

(To be typed on appropriate non-judicial stamp paper of required value)

I, ________________________________ son / daughter of Shri ________________________

resident of village/town/city ____________________________in the district
_____________________ State / Union Territory of ____________ hereby declare that I
belong to the ____________________ community which is recognised as a backward class by
the Government of India for the purpose of reservation in services as per orders contained in
Department of Personnel and Training Office Memorandum No.36012/22/93- Estt. (SCT),
dated 8/9/1993. It is also declared that I do not belong to persons/sections (Creamy Layer)
mentioned in Column 3 of the Schedule to the above referred Office Memorandum, dated
8/9/1993, which is modified vide Department of Personnel and Training Office Memorandum
No.36033/3/2004 Estt.(Res.) dated 14.10.2008 and any other subsequent amendments issued
in this regard.

Signature of the Candidate

Place: _________________ (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
any time.

169
 Appendix – 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
Secretary to the Government on Official Letter-Head of the Organization / Government
Office issuing the Certificate)

NAME & ADDRESS OF THE GOVT ORGANIZATION/DEPARTMENT/AGENCY ISSUING THE

CERTIFICATE

Reference No
Date
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 sacrifice made while__________________, Shri/Smt./Kum. ( name of
applicant) _________________ (relationship ___________ ) was dependent on
Shri/Smt./Kum. Shri/Smt./Kum. ____________ as per our records.

OR
2. @This is to certify that Shri/Smt./Kum. ___________________________________who
was working in this office as ______ had passed away on (date) ________________
while in action at (Place)______________ Shri/Smt./Kum. ( name of applicant)
_________________ ( relationship ___________ ) was dependent on Shri/Smt./Kum.
____________ as per our records.
OR

3. @This is to certify that Shri/Smt./Kum. (name of

applicant)__________________________ was working in our organization ________
and has been disabled on ( date) _________while performing duties at
(place)________.
OR

4. @This is to certify that Shri/Smt./Kum. ___________________________________who

was working in this office as ______ had passed away on (date) ________________
while on duty at (Place)______________ Shri/Smt./Kum.( name of applicant)
_________________ ( relationship ___________ ) was dependent on Shri/Smt./Kum.
____________ as per our records.
OR

170
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:

171
 Appendix IX A
Form II
Disability certificate
( In cases of amputation of permanent Paralysis of limbs and in cases of blindness)
( See rule 4)
( NAME AND ADRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFICATE)

Recent PP size attested

photograph( showing
face only) of the
person with disability)
Certificate No.
Date:

This is to certify that I have carefully examined Shri/Smt/Kum.___________________

Son/wife/daughter of Shri___________ Date of Birth ____________
Age_________ years, Male/Female_________ ( DD/MM/YYYY) Registration No. __________
Permanent resident of House No._________ Ward/Village/Street_____________ Post Office_______
District___________ State ______ whose photograph is affixed above, and am satisfied that:
(A) He/She is a case of ( Please tick as applicable)

 Loco-motor disability
 Blindness

( B) The diagnosis in his/her case is ___________

THE GAZETTEE OF INDIA: EXTRAORDINARY ( PART II-SEC. 3 (1))

(A) She /He has _______%( in figure) _________ percent ( in words) permanent physical impairment/
Blindness in relation to his/her__________ (part of body) as per guidelines( to be specified)
(B) She/He is not totally paralyzed or mentally unsound or suffers from insanity or deprived of cognitive
Faculties.
2. The applicant has submitted the following document as proof of residence:

Nature of Document Date of Issue Details of authority issuing certificate

(Signature and seal of Authorized Signatory of notified Medical Authority)

Signature/Thumb Impression of the person in

whose favor disability certificate is issued.

172
 Appendix IX-B
FORM – III
Disability Certificate
( In case of multiple disability)
( NAME AND ADRESS OF THE MEDICAL AUTHORITY ISSUING THE
CERTIFICATE)
Recent PP size
attested
photograph(
showing face
only) of the
person with
disability)

Certificate No.
Date:
This is to certify that I have carefully examined Shir/Smt/Kum.___________________
Son/wife/daughter of Shri___________ Date of Birth ____________
Age_________ years, Male/Female_________ ( DD/MM/YYYY) Registration No. __________
Permanent resident of House No._________ Ward/Village/Street_____________ Post
Office_______
District___________ State ______ whose photograph is affixed above, and am satisfied that:
(A) He/She is a case of Multiple Disability. His/ Her extent of permanent physical
impairment/disability have been evaluated as per guidelines ( to be specified) for the
disability ticked below, and shown against the relevant disability in the table below:

Disability Affected part of Diagnosis Permanent

the body physical
impairment
mental disability (
in %)
Loco-motor @
disability
Low Vision #
Blindness Both eyes
Hearing $
impairment
Mental X
retardation
Mental illness X

(B) In the light of the above, his/her over all permanent physical impairment as per
guidelines ( to be specified) is as follows:

173
 In figures________________% in words _____________ percent

(C) She/He is not totally paralyzed or mentally unsound or suffers from insanity
deprived of cognitive faculties
2. This condition is progressive/non progressive/ likely to improve/ not likely to improve.
3. Reassessment of disability is:
(i) not necessary
OR
(ii) is recommended after_____________ years _________months, and therefore this
certificate shall be valid till __________ _____________
(DD) (MM ( YY)
@ e.g. Left/Right/both arms/legs
# e.g. single eye/both eyes
$ e.g. Left/Right/both ears.
4 The applicant has submitted the following document as proof of residence:-
Name of Document Date of Issue Details of authority
issuing certificate

5 Signature and seal of the medical Authority.

Name and seal of Member Name and seal of Member Name and seal of Member
Chairperson

Signature /Thumb
impression of the person
in whose favour
disability certificate is
issued

174
 Annexure IX-C
Form IV
Disability Certificate
( In case other than those mentioned in FORM II and III)
(NAME AND ADRESS OF THE MEDICAL AUTHORITY ISSUING THE CERTIFICATE)
( See rule 4)
Recent PP size
attested
photograph(sh
owing face
only) of the
person with
disability)
Certificate No.
Date:
This is to certify that I have carefully examined Shri/Smt/Kum.___________________
Son/wife/daughter of Shri___________ Date of Birth ____________
Age_________ years, Male/Female_________ ( DD/MM/YYYY) Registration No. __________
Permanent resident of House No._________ Ward/Village/Street_____________ Post
Office_______
District___________ State ______ ,whose photograph is affixed above, and am satisfied that
he/She is a case of _________ disability. His/ Her extent of permanent physical
impairment/disability have been evaluated as per guidelines ( to be specified) and is shown
against the relevant disability in the table below:

Sr. Disability Affected part Diagnosis Permanent

No of the body physical
impairment
mental
disability ( in
%)
1 Loco-motor @
disability
2 Low Vision #
3 Blindness Both eyes
4 Hearing E
impairment
5 Mental X
retardation
6 Mental illness X
( Please strike out the disabilities which are not applicable).
2. The above condition is progressive/non progressive/ likely to improve/ not likely to
improve.

175
 I Reassessment of disability is:
(1) not necessary
OR
(2 ) is recommended after_____________ years _________months, and therefore
this certificate shall be valid till __________ _____________________
(DD) (MM ( YY)
3. She/He is not totally paralyzed or mentally unsound or suffers from insanity or
deprived of cognitive faculties
@ e.g. Left/Right/both arms/legs
# e.g. single eye/both eyes
$ e.g. Left/Right/both ears.
4 The applicant has submitted the following document as proof of residence:-
Name of Document Date of Issue Details of authority
issuing certificate

( Authorized signatory of notified medical Authority)

( Name and Seal)

Countersigned
( Counter signature and seal of the CMO/ Medical Superintendent/Head
of Government Hospital, in case the certificate is issued by a Medical
authority who is not a Government servant ( with seal))

Signature /Thumb
impression of the person in
whose favour disability
certificate is issued

Note : In case this certificate is issued by a medical authority who is not a government servant
, it shall be valid only if countersigned by Chief Medical Officer of the District.
Note: The Principal rules were published in the Gazette of India vide notification number
S.O.908 ( E) dated the 31st December, 1996.

176
 Appendix – X A
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED
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 Rules 1)
2 That my date of birth is d d / m m / y Y y y
That I have passed the Matriculation / 10th Std. Examination conducted by Board in y y y y
3 the year / Certificate issued by Armed Forces as equivalent to 10 th Class pass in the
year
4 That I hereby confirm that I am eligible for allotment of Retail Outlet dealership as per applicability
of Multiple Dealership Norm defined under Clause “Disqualification” in the “ Brochure for Selection
of Dealers for Regular & Rural Retail Outlets” and do not disqualify for allotment of Retail Outlet
dealership under other conditions mentioned therein.
5 That I hereby confirm that none of my family members (as defined under Clause “DISQUALIFICATION”
of brochure) are employees of this Oil Marketing Company (IOC/BPC/HPC).
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 economic
offences (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
Company, which was terminated for proven malpractices and / or for violations of provisions of the
Marketing Discipline Guidelines.
11 a) In case I am selected for RO dealership, I undertake to arrange funds required for development
of desired infrastructure and facilities at the Outlet allotted and the working capital for operation
of the outlet as mentioned in the Advertisement for the location.

b) I am also aware that in the event of my inability to arrange the said funds, as mentioned in Para
(a) above, the allotment shall be withdrawn and I will have no claim/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 of Co-owner/s (if
applicable) and confirmatory letter from Advocate pertaining to Land :-

177
 a) Are true and land documents in support of the claim would be submitted as and when advised by
the Oil Company.

b) That in case I am selected for RO dealership, I undertake to arrange the said piece of plot as
mentioned 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 event being
found to be at variance at any stage, would result in my application /candidature becoming invalid
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 for
setting up the retail outlet as required by the Oil Company (Name of the Oil Company), within the
period mentioned in the LOI, then the allotment can be withdrawn and I will have no
claim/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 to hand
over the offered land duly developed up to the road level with good earth / murram , layer wise
compacted as per standard engineering practices to the satisfaction of OMC and I will provide
retaining wall and compound wall of minimum height 1.5 mt, designed as per site conditions 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 at
location __________ in Dist __________ in State __________ is offered by any other applicant
for 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
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 of
resignation by my employer before the acceptance of Letter of Appointment to be issued by the Oil
Company.
14 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.
15 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 Petroleum
Corporation* / Government of India or any other statutory body from time to time.
16 That if any information/declaration given by me in my application or in any document submitted by
me in support of application for the award of the 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 the
letter of intent / terminate the dealership (if already appointed) and that I would have no claim,
whatsoever, against the Corporation for such withdrawal / termination.

178
 17 Only for applicants applying under the category of SKO dealers* (*Strike off whatever is not
applicable)
a. That I am the sole proprietor of SKO dealership of ________________ (OMC Name) in the Name
and style of ________ at _________________(Location) operating below an average allocation of
75KL of SKO per month during the immediate preceding 12 month prior to the month of
advertisement for the RO dealership.
b. That I have not been penalized for violation of marketing Discipline Guidelines within last 5 years
preceding the date of advertisement and / or there are no proceeding pending against my
dealership under marketing Discipline Guidelines, Dealership Agreement, Kerosene Control Order
or ESMA.
c. That I am aware that if I am selected for the RO dealership, I will have to surrender my SKO
dealership before being appointed as RO dealer by IOC/BPC/HPC.
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 nothing
material has been concealed there from.

Signature of Deponent
(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

179
 APPENDIX X-B
Notarized Affidavit

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

(To be submitted by non-individual applicants)

In the matter of RO dealership at___________ (Location) of Indian Oil Corporation* / Bharat

Petroleum Corporation* / Hindustan Petroleum Corporation* whereas _______________
(Name of the Registered Society*/Company*/Charitable Trust*) ________________
(Location) has applied for 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 have been authorized to apply for the said dealership on behalf of the Registered
Society*/Company*/Charitable Trust*. A copy of the resolution/authorization is enclosed
herewith forming part and parcel of this affidavit.
2. That the said Registered Society is duly registered under Societies Registration Act 1860 or
1912 or Societies Registration Act enacted by the State Government of ______ * /Company
formed under the companies act 1956 or 2013* /Charitable Trust* is registered with Charity
Commissioner of State Government of ______________* (name of the State) on
________(date of registration/ incorporation) and a photocopy of the certificate of
registration is enclosed herewith forming part and parcel of this affidavit.
3. That our Registered Society*/Company* had made net profit during the previous
consecutive 3 financial 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
will observe all the relevant guidelines with regard to award/operation of the said
dealership issued by Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan
Petroleum Corporation* / Government of India or any other statutory body from time to
time.
5. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake that we
will operate the dealership through our own entity.
6. That neither our Registered Society*/Company*/Charitable Trust* nor any Member of the
Governing Body/Managing Body/Any such other Body of this Registered Society*/
Charitable Trust*/ Directors of company* has been convicted by any court of law for any
criminal offence involving moral turpitude and/or economic offences (other than freedom
struggle) punishable under Law.

7. That neither this entity nor any of the Member of its Governing Body/Managing Body/Any
such other Body of this Registered Society*/ Charitable Trust*/ Directors of company* was

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 never a signatory to dealership/distributorship agreement of any Oil Company, which was
terminated for malpractice and/or for violation of Marketing Discipline Guidelines.

(Clause 6 & 7 above is not applicable to Government owned Companies defined as major
shareholding with the Government, Public Sector & Joint Sector Units or Government
administered Organization)

8. That we hereby confirm that we are eligible for allotment of Retail Outlet dealership as per
applicability of Multiple Dealership Norm defined under Clause “Disqualification” in the
“Brochure for Selection of Dealers for Regular & Rural Retail Outlets” and do not disqualify
for allotment of Retail Outlet dealership under other conditions mentioned therein.

9. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake 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.
a) That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake
that in case we are selected for RO dealership, we undertake to arrange funds required
for development of desired infrastructure and facilities at the Outlet allotted and the
working capital for operation of the outlet as mentioned in the Advertisement for the
location.
b) We are also aware that in the event of our inability to arrange the said funds, as
mentioned in Para (a) above, the allotment shall be withdrawn and we will have no
claim/damages whatsoever against the Oil company (Name of the Oil Company).

11. That on behalf of the Registered Society*/Company*/Charitable Trust* I undertake

that the details mentioned in Clause No. 9 of the application form and confirmatory
letter from Advocate pertaining to Land :-

a) Are true and land documents in support of the claim would be submitted as and when
advised by the Oil Company.

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
event being found to be at variance at any stage, would result in our application
/candidature becoming invalid 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 for setting up the retail outlet as required by the Oil Company (Name of the Oil
Company), within the period mentioned in the LOI, then the allotment can be withdrawn

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 and we will have no claim/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 to hand over the offered land duly developed up to the road level with good earth
/ murram, layer wise compacted as per standard engineering practices to the satisfaction
of OMC and we will provide retaining wall and compound wall of minimum height 1.5
mt, designed as per site conditions 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
outlet at location __________ in Dist __________ in State __________ is offered by any
other applicant for the same purpose, our candidature for RO dealership will be rejected.

12. That If any information/declaration given in this application or in any document submitted
in support of application for the award of the dealership or in this affidavit shall be found
to be untrue or incorrect or false, Indian Oil Corporation* / Bharat Petroleum Corporation*
/ Hindustan Petroleum Corporation* would be within its rights to withdraw the letter of
intent / terminate the dealership (if already appointed) and that we would have no claim,
whatsoever, against Indian Oil Corporation* / Bharat Petroleum Corporation* / Hindustan
Petroleum Corporation* for such withdrawal/termination.

*Strike out whatever is not applicable.

I hereby verify that what has been stated above is true and correct to the best of my
knowledge and nothing material has been concealed there from.

Solemnly affirmed and declared before me

This ___________day of ________________

Signature and Seal of Signature of Deponent

Magistrate/Judge/Notary public (Name in block letters)

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