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HINDUSTAN PETROLEUM CORPORATION LIMITED<br />

(A Government <strong>of</strong> India Enterprise)<br />

NOTICE FOR APPOINTMENT OF RETAIL OUTLET DEALERS<br />

1. <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Limited proposes to appoint <strong>dealers</strong> <strong>for</strong> Retail Outlet Dealerships in KARNATAKA at the following Locations:<br />

Sl.<br />

No.<br />

Location Revenue District Category<br />

HPC<br />

Marketing<br />

Plan<br />

Estimated<br />

sales per<br />

Month<br />

Minimum plot size<br />

Frontage x Depth<br />

Reqd. invest.<br />

Rs. (Lakhs)<br />

excl. land cost<br />

Security Dep.<br />

Rs. (Lakhs)<br />

1 Chikmagalur Town Chikmagalur OP 2006 160 598 23 26 20 3<br />

2 Kadur on NH-206 Chikmagalur OP 2006 170 1575 35 45 20 3 NH-206<br />

3 Kadur Except on NH Chikmagalur OP 2006 150 598 23 26 20 3<br />

4 Puttur DK OP 2007 160 598 23 26 20 3<br />

5 Moodabidri except on NH DK OP 2006 160 598 23 26 20 3<br />

6 Pumpwell Circle to Adyar DK OP 2009 200 1575 35 45 20 3 NH-48<br />

7 Adyar to BC Road DK OP 2006 200 1575 35 45 20 3 NH-48<br />

8 Uppinangady on NH DK OP 2009 200 1575 35 45 20 3 NH-48<br />

9 Uppinangady to Nelyadi DK DC 2009 200 1575 35 45 20 3 NH-48<br />

10 Mangalore City DK OP 2009 200 598 23 26 20 3<br />

11 Pumpwell to Kottarchowki DK OP 2007 200 1575 35 45 20 3 NH-17<br />

12 Kottara to Panambur DK OP 2009 200 1575 35 45 20 3 NH-17<br />

13 Kulai to Mulky DK OP 2009 200 1575 35 45 20 3 NH-17<br />

14 Mangalore to Kaikamba DK OP 2009 200 1225 35 35 20 3 NH-13<br />

15 Kaikamba to Moodabidri DK DC 2009 200 1225 35 35 20 3 NH-13<br />

16 Between BC Road - Thumbe on NH-48 DK PH 2006 200 1575 35 45 20 3 NH-48<br />

17 Mangalore City DK OSP 2006 200 598 23 26 20 3<br />

18 Ujire DK SC 2010 100 NOT APPLICABLE<br />

19 B.C. Road DK OP (W) 2010 200 1575 35 45 20 3 NH-48<br />

20 Puttur DK DC 2010 160 598 23 26 20 3<br />

21 Surathkal to Kaikamba (MRPL D Gate) DK OP 2005 140 598 23 26 15 2<br />

22 Kulur to Kavoor except on NH DK OP 2010 140 900 30 30 15 2<br />

23 Mulky to Kaup DK / Udupi PMP (W) 2009 200 1575 35 45 20 3 NH-17<br />

24 Hassan Town - MG Road Hassan OP 2009 150 598 23 26 20 3<br />

25 Hassan Hassan PMP 2006 170 598 23 26 20 3<br />

26 Hassan Town on BM Road (except on NH-48) Hassan OP 2006 150 598 23 26 20 3<br />

27 Channaraya Patna on Mysore Road Hassan SC (W) 2009 150 NOT APPLICABLE SH-7<br />

28 Banavara Hassan DC 2010 140 1575 35 45 20 3 NH-206<br />

29 Byrapura Hassan PMP 2010 140 1575 35 45 20 3 NH-48<br />

30 Hirisave Hassan OP 2010 140 1575 35 45 20 3 NH-48<br />

31 Hassan Town - Gorur Road Hassan OP 2005 150 598 23 26 20 3 SH-21<br />

32 Shimoga Town Shimoga OP 2006 170 598 23 26 20 3<br />

33 Shimoga Bye Pass Shimoga PMP 2009 200 1225 35 35 20 3 NH-206<br />

34 Nidige Shimoga DC (W) 2009 200 1225 35 35 20 3 NH-206<br />

35 Shimoga Town on Savalanga Road Shimoga OP 2006 170 598 23 26 20 3<br />

36 Shimoga Town Shimoga DC 2006 170 598 23 26 20 3<br />

37 Shimoga Town Shimoga SC 2009 150 NOT APPLICABLE<br />

38 Anandapura Shimoga OP 2010 140 1575 35 45 20 3 NH-206<br />

39 Sagar Town except on NH Shimoga OP 2007 140 598 23 26 15 2<br />

40 Shikaripura Shimoga OP 2009 140 598 23 26 15 2<br />

41 Udupi Udupi OP 2003 180 598 23 26 20 3<br />

42 Manipal Udupi OP 2006 170 598 23 26 20 3<br />

43 Kundapura Town Udupi OP 2009 180 598 23 26 20 3<br />

44 Kaup to Udupi Udupi OP 2009 200 1575 35 45 20 3 NH-17<br />

45 Udupi to Brahmavara Udupi OP 2009 200 1575 35 45 20 3 NH-17<br />

46 Brahmavara to Kundapura Udupi OP 2009 200 1575 35 45 20 3 NH-17<br />

47 Kundapura to Maravanthe Udupi OP 2006 200 1575 35 45 20 3 NH-17<br />

48 Maravanthe to Ambaglu Udupi OP 2009 200 1575 35 45 20 3 NH-17<br />

49 Karkala Udupi OP 2007 170 598 23 26 20 3<br />

50 Ashirwad to Sasthan on NH-17 Udupi FF 2006 200 1575 35 45 20 3 NH-17<br />

51 Kaup on NH-17 Udupi PMP 2006 200 1575 35 45 20 3 NH-17<br />

52 Thekkatte Udupi OP 2010 180 1575 35 45 20 3 NH-17<br />

53 Udupi Udupi PMP 2010 180 598 23 26 20 3<br />

54 Panchanahalli Chikmagalur OP 2006 72 900 30 30 15 2<br />

55 Birur Town except on NH Chikmagalur OP 2003 72 900 30 30 15 2<br />

56 Kalasa Chikmagalur FF (W) 2010 72 900 30 30 15 2<br />

57 Karthikere Chikmagalur OP 2010 72 900 30 30 15 2 SH-57<br />

58 Bajpe to Kaikamba DK OP 2009 72 900 30 30 15 2<br />

59 Vittala DK OP 2009 72 900 30 30 15 2<br />

60 Bantwal DK OP 2009 72 900 30 30 15 2<br />

61 Mudipu DK PMP 2009 72 900 30 30 15 2<br />

62 Bajpe DK OP 2009 72 900 30 30 15 2<br />

63 Sampaje DK OP 2009 72 900 30 30 15 2<br />

64 Subramanya DK DC 2009 72 900 30 30 15 2<br />

65 Punjalkatte to Madanthyar DK OP 2009 72 900 30 30 15 2 SH-64<br />

66 Kinnigoli to Moodbidri DK OP 2003 72 900 30 30 15 2<br />

67 Bajpe to Kinnigoli DK OP 2006 72 900 30 30 15 2 SH-64A<br />

68 Ujjire to Dharmasthala DK FF 2009 72 900 30 30 15 2<br />

69 Vittala DK DC 2006 72 900 30 30 15 2<br />

70 Mudipu DK OP 2010 72 900 30 30 15 2<br />

71 Kateel DK OP 2010 72 900 30 30 15 2<br />

72 Kalladka to Vittala except on NH DK PH 2010 72 900 30 30 15 2<br />

73 Ujire to Kakkinje on SH-64 DK OP (W) 2006 72 900 30 30 15 2 SH-64<br />

74 Belur Hassan DC 2009 80 900 30 30 15 2 SH-57/<br />

SH-58<br />

75 Halebeedu Hassan PH 2009 72 900 30 30 15 2<br />

76 Ramanathapura Hassan OSP 2009 72 900 30 30 15 2<br />

77 Nugghehalli Hassan SC (W) 2009 72 NOT APPLICABLE<br />

78 J.C. Pura Hassan OP (W) 2010 72 900 30 30 15 2<br />

79 Hassan Town on NH-48 Hassan OP 2010 100 1575 35 45 20 3 NH-48<br />

80 Hosur Shimoga OP 2006 72 900 30 30 15 2<br />

81 Nagara Shimoga OP (W) 2010 72 900 30 30 15 2<br />

82 Siddapura Udupi PH 2009 72 900 30 30 15 2<br />

83 Bajagoli Udupi OP 2009 72 900 30 30 15 2<br />

84 Shirva Manchakal to Mudarangadi Udupi OP 2009 72 900 30 30 15 2<br />

85 Santhekatte Udupi PMP 2009 72 900 30 30 15 2<br />

86 Vandse Udupi OP 2009 72 900 30 30 15 2<br />

87 Padubidri to Karakala on SH-1 Udupi OP 2005 72 900 30 30 15 2 SH-1<br />

88 Haladi Udupi OP 2010 80 900 30 30 15 2<br />

89 Makkikatte Udupi OP (W) 2010 72 900 30 30 15 2<br />

90 Parkala Udupi OP 2010 72 900 30 30 15 2 SH-65<br />

91 Aldur Chikmagalur OP 2009 72 900 30 30 15 2<br />

92 Malleshwara Chikmagalur OP 2009 72 900 30 30 15 2<br />

93 Magundi Chikmagalur OP 2005 72 900 30 30 15 2<br />

94 Bellare DK OP 2006 72 900 30 30 15 2<br />

95 Kukkajee on University Road DK OP 2005 72 900 30 30 15 2<br />

96 Uppinangady to Belthangady DK OP 2009 72 900 30 30 15 2<br />

97 Dodda Methikurke Hassan OP 2009 72 900 30 30 15 2<br />

98 Alur Hassan SC 2009 72 NOT APPLICABLE<br />

99 Mandarthi Udupi OP 2005 72 900 30 30 15 2<br />

100 Mudoor Udupi OP 2009 72 900 30 30 15 2<br />

101 Petri Udupi OP 2005 72 900 30 30 15 2<br />

102 Uppunda Udupi OP 2007 72 900 30 30 15 2<br />

103 SH-17, Kengeri to Kumbalagodu (LHS) Bangalore Urban OP 2005 250 1225 35 35 20 3 SH-17<br />

104 Road from Yelhanka New Town to Vidyaranyapura Bangalore Urban OP 2009 200 900 30 30 20 3<br />

105 Hebbal to Yelahanka, on NH-7 Bangalore Urban OP 2009 250 1575 35 45 20 3 NH-7<br />

106 Ring Road, KR Puram to Marathalli Bangalore Urban OP 2009 250 598 23 26 20 3<br />

107 Varthur to Gunjur Road Bangalore Urban OP 2009 250 598 23 26 20 3<br />

108 Attibele on Sarjapur Road (SH-35), within 2km Bangalore Urban OP 2005 150 1225 35 35 20 3 SH-35<br />

from Attibele Junction<br />

109 Indiranagar Bangalore Urban DC (W) 2009 250 598 23 26 20 3<br />

110 Hormavu -Kalkere Road Off Outer Ring Road Bangalore Urban OP 2005 150 900 30 30 20 3<br />

111 Bangalore City Limits Bangalore Urban ST 2009 200 NOT APPLICABLE<br />

112 Magadi Road, between West <strong>of</strong> Chord Road & Bangalore Urban SC 2005 200 NOT APPLICABLE<br />

Kamakshipalaya<br />

113 Chandapura on NH-7 Bangalore Urban SC (W) 2009 120 NOT APPLICABLE NH-7<br />

114 Mahakavi Kuvempu Road, Rajajinagar, Bangalore Bangalore Urban DC 2009 150 598 23 26 20 3<br />

115 Subramanyapura Bangalore Urban DC 2009 180 598 23 26 20 3<br />

116 Peenya Industrial Area Bangalore Urban DC 2009 200 598 23 26 20 3<br />

117 Ring Road, Hebbal to Ramamurthy Nagar Jn. Bangalore Urban DC 2009 250 598 23 26 20 3<br />

118 BTM Layout Bangalore Urban DC 2009 200 598 23 26 20 3<br />

119 Tippassandra Bangalore Urban DC 2009 250 598 23 26 20 3<br />

120 Prakash Nagar/Rajaji Nagar, Bangalore City Bangalore Urban DC 2009 180 598 23 26 20 3<br />

121 Chamrajpet Bangalore Urban DC 2009 250 598 23 26 20 3<br />

122 SH -17, between Bangalore University Circle & Kengeri. Bangalore Urban DC 2009 200 1575 35 45 20 3 SH-17<br />

123 Attibele, on Anekal Road within 2 Km from Attibele Jn. Bangalore Urban DC 2009 150 598 23 26 20 3<br />

124 New BEL Junction to HMT Township Bangalore Urban DC 2009 200 598 23 26 20 3<br />

125 Malleswaram Bangalore Urban FF 2009 250 598 23 26 20 3<br />

126 Mysore Road, (Chamrajpet Flyover to Bangalore Urban FF 2009 250 598 23 26 20 3<br />

Bangalore University Circle)<br />

127 Kasturba Road Bangalore Urban FF 2009 250 598 23 26 20 3<br />

128 Bannerghatta Road, between Bilekehalli Junction Bangalore Urban OP 2009 200 598 23 26 20 3<br />

& Bannerghatta Town<br />

129 Cotton Pet, between Majestic to Mysore Road Fly Over Bangalore Urban OP 2009 200 598 23 26 20 3<br />

130 NH-7, Silk Board Junction to Attibele (RHS) Bangalore Urban OP 2009 250 598 23 26 20 3 NH-7<br />

Name <strong>of</strong><br />

NH / SH<br />

if applicable<br />

J<br />

Sl.<br />

No.<br />

Location Revenue District Category<br />

Area Frontage<br />

in<br />

Depth<br />

in<br />

Sq. Mtr. in Mtr. Mtr.<br />

A B C D E F G H I<br />

Area Frontage<br />

in<br />

Depth<br />

in<br />

Sq. Mtr. in Mtr. Mtr.<br />

A B C D E F G H I<br />

HPC<br />

Marketing<br />

Plan<br />

Estimated<br />

sales per<br />

Month<br />

Minimum plot size<br />

Frontage x Depth<br />

Reqd. invest.<br />

Rs. (Lakhs)<br />

excl. land cost<br />

Security Dep.<br />

Rs. (Lakhs)<br />

131 Airport Cargo Road, Nagwara Junction-Hegde Nagar Bangalore Urban OP (W) 2009 250 598 23 26 20 3<br />

132 Sultan Palya Bangalore Urban OP 2009 250 598 23 26 20 3<br />

133 Aiyappa Swamy Temple Road between Jalahalli Bangalore Urban OSP 2009 180 598 23 26 20 3<br />

134 Yelahanka to BIAL (LHS), NH-7 Bangalore Urban OSP 2009 250 1575 35 45 25 3 NH-7<br />

135 Basaveshwara Nagar Bangalore Urban PH 2009 150 598 23 26 20 3<br />

136 Uttarahalli to Kengeri Road Bangalore Urban PH 2009 150 598 23 26 20 3<br />

137 Hope Farm-Varthur-Marathahalli Bangalore Urban PH 2009 250 598 23 26 20 3<br />

138 RT Nagar Bangalore Urban PH 2009 200 598 23 26 20 3<br />

139 West <strong>of</strong> Chord Road between Magadi Road Junction Bangalore Urban PMP 2009 180 598 23 26 20 3<br />

and Mysore Road<br />

140 RPC Layout (Bangalore City) Bangalore Urban PMP 2009 250 598 23 26 20 3<br />

141 Yarabnagar / Eashwarinagar (Banashankari, 2nd Stage) Bangalore Urban PMP 2009 250 598 23 26 20 3<br />

142 Vijayanagara, Bangalore Bangalore Urban PMP 2009 250 598 23 26 20 3<br />

143 Ring Road between Magadi Road and Tumkur Road Bangalore Urban PMP 2009 250 598 23 26 20 3<br />

144 Sanjay Nagar Bangalore Urban PMP 2009 200 598 23 26 20 3<br />

145 Jeevanbhima Nagar Bangalore Urban PMP 2009 250 598 23 26 20 3<br />

146 Road From Benniganahalli to Kaggadasapura Bangalore Urban PMP 2009 200 598 23 26 20 3<br />

147 Peenya to Nelamangala Junction, NH-4 (RHS) Bangalore Urban PMP (W) 2009 250 1575 35 45 20 3 NH-4<br />

148 KR Puram - Hoskote LHS NH-4 Bangalore Urban PMP (W) 2009 200 1575 35 45 20 3 NH-4<br />

149 Hesaraghatta Bangalore Urban PMP (W) 2009 200 598 23 26 20 3<br />

150 Begur Main Road Bangalore Urban OP 2008 150 598 23 26 20 3<br />

151 Chandapura-Dommasandra Road Bangalore Urban OP (W) 2008 150 598 23 26 20 3<br />

152 Pattegarpalya Near Kuvempu Circle, Srinivas Nagar Bangalore Urban OP 2009 200 598 23 26 20 3<br />

153 Mahadevpura to Hope Farm (White Field) Road Bangalore Urban OP 2009 200 598 23 26 20 3<br />

154 Rehamath Nagar Main Road, RT Nagar Bangalore Urban OP 2009 200 598 23 26 20 3<br />

155 Moodarpalaya / Vijayanagar, Bangalore City Bangalore Urban OP 2009 200 598 23 26 20 3<br />

156 Tumkur Road between CMT & Jalahalli Cross Bangalore Urban OP 2010 200 598 23 26 20 3<br />

157 Outer Ring Road between Mysore Rd. & Kanakpura Rd. Bangalore Urban OP 2005 200 598 23 26 20 3<br />

158 Chamrajpet, 5th Main Road Bangalore Urban OP 2010 250 598 23 26 20 3<br />

159 Bangalore City - within BBMP Limits Bangalore Urban OP(W) 2009 150 598 23 26 20 3<br />

160 Kaggadaspura Main Road Bangalore Urban OP 2010 150 598 23 26 20 3<br />

161 Sarjapur Road between Dommasandra Circle & Bangalore Urban OP 2010 160 900 30 30 20 3<br />

Sarjapur Circle<br />

162 Vasantapura Main Road (between Uttarahalli Circle to Bangalore Urban OP 2005 200 598 23 26 20 3<br />

Kanakapura Road)<br />

163 KR Puram to Devasandra Road Bangalore Urban OP (W) 2009 180 598 23 26 20 3<br />

164 Nakundi Road, Marathhalli Bangalore Urban OP 2009 150 900 30 30 20 3<br />

165 Shampura Main Road Bangalore Urban OP 2009 150 520 20 26 20 3<br />

166 J.C. Nagar, Pipeline Road between West <strong>of</strong> Chord Road and Bangalore Urban OP 2009 150 598 23 26 20 3<br />

Laggere<br />

167 Rajarajeshwarinagar, Bangalore City Bangalore Urban DC (W) 2010 200 598 23 26 20 3<br />

168 Padmanabhanagar, Bangalore City Bangalore Urban PMP (W) 2010 150 598 23 26 20 3<br />

169 Ullala Upanagara, (<strong>of</strong>f Ring Road between Magadi Ring Road Bangalore Urban OP 2010 140 598 23 26 15 2<br />

& Nice Road)<br />

170 Kanakpura Road (NH-209) BetweenThalghatpura and Bangalore Rural OP 2005 250 1225 35 35 20 3 NH-209<br />

Harohalli<br />

171 Dobbespet on Dodballapur Road (NH-207) Bangalore Rural PMP 2009 200 1225 35 35 20 3 NH-207<br />

Between 131 Km and 137 Km<br />

172 NH-48 between Nelamangala Junction and Bangalore Rural OP 2008 300 1575 35 45 25 5 NH-48<br />

Mahadevapura (LHS)<br />

173 Hoskote to Narsapura on NH-4 (Right Hand Side) Bangalore Rural OP 2009 200 1575 35 45 20 3 NH-4<br />

174 Avalahalli - Budhigere Road Bangalore Rural ST (W) 2009 180 NOT APPLICABLE<br />

175 Devanhalli to Chikballappur Bye Pass (left Hand Side) on NH-7 Bangalore Rural DC 2009 250 1575 35 45 20 3 NH-7<br />

176 Balepur on NH-207 Bangalore Rural PH 2009 150 1575 35 45 20 3 NH-207<br />

177 NH-4, KR Puram to Hoskote (Right Hand Side) Bangalore Rural PH (W) 2009 200 1575 35 45 20 3 NH-4<br />

178 Nelamangala Junction to Kyatsandra on NH-4 (RHS) Bangalore Rural PH (W) 2009 200 1575 35 45 20 3 NH-4<br />

179 Avalahalli on NH-4 within 3 Km on either side <strong>of</strong> junction Bangalore Rural OP (W) 2009 200 1575 35 45 20 3 NH-4<br />

180 Koraluru - Mallasandra NH-207 Bangalore Rural OP (W) 2009 150 1225 35 35 20 3 NH-207<br />

181 Kodigehalli on NH-207 between Doddaballapur and Bangalore Rural OP 2009 150 1225 35 35 15 2 NH-207<br />

Doddabelavangala<br />

182 Nelamangala Junction to T. Begur on NH-4 (RHS) Bangalore Rural OP 2010 200 1575 35 45 20 3 NH-4<br />

183 Hoskote Town Limits Bangalore Rural OP (W) 2009 150 598 23 26 20 3<br />

184 Nandagudi Town Bangalore Rural OP 2009 140 900 30 30 15 2<br />

185 Dobbespet-Urdigere Road within 1 Km <strong>of</strong> Bangalore Rural OP 2009 150 1225 35 35 20 3 SH-3<br />

Dobbespet Police Station<br />

186 Mellur on Bangalore-Siddlaghatta Road Bangalore Rural SC 2009 140 NOT APPLICABLE<br />

187 Yelandur (within 1.5 Km on either side <strong>of</strong> the Bus Stand Chamrajnagar OP 2009 105 1225 35 35 15 2 NH-209<br />

On NH-209 )<br />

188 Kollegal Town, on NH-209 between Kollegal Bus Chamrajnagar OP 2009 150 598 23 26 20 3 NH-209<br />

Stand and Inspection Bungalow on MM Hills Road<br />

189 Hannur to R S Doddi on MM Hills Road Chamrajnagar OP 2009 140 900 30 30 15 2<br />

190 Chamrajnagar Town - Within 1 Km from Simha Theatre Chamrajnagar SC (W) 2009 140 NOT APPLICABLE<br />

191 Gauribidanur Town on Dodballapur Road (within 2 Km) Chikkaballapur OP 2009 150 900 30 30 20 3<br />

192 Chikballappur Bye Pass, NH-7 Chikkaballapur OP 2009 204 1575 35 45 20 3 NH-7<br />

193 Chikballapur Town Chikkaballapur OP 2009 150 598 23 26 20 3<br />

194 Kotaladinne on Madhugiri -Gauribidannur Road Chikkaballapur OP 2009 140 900 30 30 15 2<br />

195 Bagepalli on Sidlaghatta Road Chikballapur PH (W) 2010 140 900 30 30 15 2<br />

196 Kushal Nagar on SH -88 within 4 Kms from KSRTC Coorg OP 2009 150 1225 35 35 20 3 SH-88<br />

Bus Stand towards Madikeri<br />

197 Kudige - within 2 Kms from Kudige Circle Towards Coorg OP 2009 140 900 30 30 15 2<br />

Kushalnagar or Somwarpet<br />

198 Narsapura on NH-4 Kolar SC 2005 350 NOT APPLICABLE NH-4<br />

199 Kolar Town Limits Kolar OP 2010 180 598 23 26 20 3<br />

200 Halagur Town on NH-209 within 2 Km towards Malavalli Road Mandya OSP (W) 2009 100 1225 35 35 20 3 NH-209<br />

201 Mandya - within 3 .5kms from Mandya Bus Stand Mandya OP 2009 160 1225 35 35 20 3 SH-17<br />

on SH -17 towards Mysore<br />

202 Maddur on SH-17 towards Bangalore (RHS) Mandya OP (W) 2009 150 1225 35 35 20 3 SH-17<br />

within 5 Kms from Maddur Bus Stand<br />

203 Srirangapatna on SH-17 within 2 Kms from Pandavapura Circle Mandya OP (W) 2009 150 1225 35 35 20 3 SH-17<br />

204 Chinkurali on Pandavapura - CR Patna Road (SH-7) Mandya ST 2009 140 NOT APPLICABLE SH-7<br />

205 Mandya on Bannur Road- within 1.5 Kms from Police Station Mandya OP (W) 2009 140 900 30 30 15 2<br />

206 Nanjangud -within 2.5 Kms from Hullahalli Circle Mysore OP 2009 125 1225 35 35 15 2 NH-212<br />

on NH-212 Towards Gundlupet<br />

207 Mysore-between Sri Shivakumaraswamy Circle to Mysore OP 2009 150 598 23 26 20 3<br />

Andolana circle on Kuvempunagar Double Road<br />

208 Mysore, New Kantharaj Urs Road between Ring Road Junction Mysore OP 2009 150 598 23 26 20 3<br />

& Sharada Devi Nagar Circle<br />

209 Mysore Ring Road - within 1 Km on either side <strong>of</strong> Mysore OP 2009 150 900 30 30 20 3<br />

Bogadi Junction<br />

210 Channapatna on SH-17within 3 Km from Bus Stand Ramnagaram OP (W) 2005 200 1225 35 35 20 3 SH-17<br />

211 Archakarahalli on SH-17 LHS towards Mysore Ramnagaram OP (W) 2009 200 1225 35 35 20 3 SH-17<br />

212 Billikempanahalli Junction on SH-17 (within 0.5 Km from Ramnagaram OP 2009 125 1225 35 35 20 3 SH-17<br />

Tyagaraj School ) RHS towards Mysore<br />

213 Agalkote Village on Huliyurdurga - Magadi Road Ramnagaram OP 2009 140 900 30 30 15 2<br />

within 1 Km from Junction<br />

214 Tumkur Town, Someshwara Nagar on Upparahalli Rd. Tumkur OP 2009 200 520 20 26 20 3<br />

215 Between Guddadapalaya & Kibbanahalli Cross on NH-206 Tumkur OP (W) 2008 200 1575 35 45 20 3 NH-206<br />

216 Tiptur within 3 Km from the Bus Stand Tumkur OP 2009 150 598 23 26 20 3<br />

217 Tumkur Town Limits Tumkur OP (W) 2010 200 598 23 26 20 3<br />

218 Tumkur Town, B.H. Road between Kunigal Circle & Gubbi Gate Tumkur OP (W) 2009 250 598 23 26 20 3<br />

219 Huliyurdurga on Kunigal Road within 1.5 Km Tumkur OP 2009 140 900 30 30 15 2<br />

220 Jampenahalli Circle to Koratagere Tumkur OP 2009 140 900 30 30 15 2<br />

221 Nandi Cross Bangalore Rural PMP 2009 90 900 30 30 15 2<br />

222 Budigere Junction Bangalore Rural OP 2009 80 598 23 26 15 2<br />

223 Sampaje on SH-88 Coorg SC 2009 75 NOT APPLICABLE SH-88<br />

224 Madapura on SH-27 Coorg ST (W) 2009 75 NOT APPLICABLE SH-27<br />

225 Aniganahalli on Kolar Bangarpet Road Kolar OP 2009 80 900 30 30 15 2<br />

226 Halagur-within Town Limit on Channapatna Road Mandya OP 2009 75 598 23 26 15 2<br />

227 Jakkanahalli on SH-19 Mandya SC 2009 75 NOT APPLICABLE SH-19<br />

228 Basaralu on Mandya - Nagamangala Road Mandya SC (W) 2009 75 NOT APPLICABLE<br />

229 Sargur, within Town Limit on H D Kote - Nanjungud Rd. Mysore SC (W) 2009 75 NOT APPLICABLE<br />

230 Thambuchettipalayam Bangalore Urban OP 2005 110 900 30 30 15 2<br />

231 Alipur on Thondebhavi - Madhugiri Road Bangalore Rural OP (W) 2005 75 900 30 30 15 2<br />

232 Suguthuru on Kolar-Chinthamani Road Kolar OP 2009 90 900 30 30 15 2<br />

233 Panchavalli within 1 Km from Panchavalli Circle Mysore OP (W) 2009 100 900 30 30 15 2<br />

on Hunsur - Gonikoppal Road<br />

234 Belugumba, on the Road Connecting NH-48 and Magadi Ramnagaram ST 2009 75 NOT APPLICABLE<br />

235 Bevur on Channapatna to Huliyurdurga Road Ramnagaram OP (W) 2009 75 900 30 30 15 2<br />

236 Harohalli, within 10 Km on Jigani Road Ramnagaram OP (W) 2009 100 900 30 30 15 2<br />

237 Kudur Village within 1 Km from Santhe Circle on Solur Rd. Ramnagaram OP 2009 90 900 30 30 15 2<br />

238 Kailancha between Ramnagaram and Kanakapura Ramnagaram OP (W) 2009 80 900 30 30 15 2<br />

239 Kadaba (Gubbi Taluk) Tumkur OP 2009 75 900 30 30 15 2<br />

240 Y.N. Hosakote Village (Pavgada Taluk) Tumkur OP 2009 75 900 30 30 15 2<br />

241 K G Temple Road, Gubbi (Not on NH-209) Tumkur SC (W) 2009 75 NOT APPLICABLE<br />

242 Settikere Village Limits on Chikaanayakanahalli to Tiptur Rd. Tumkur ST 2009 75 NOT APPLICABLE<br />

243 Kesthur Village, Tumkur Tumkur OP 2009 75 900 30 30 15 2<br />

244 Kothmaranahalli Village, Tumkur Tumkur OP 2009 75 900 30 30 15 2<br />

245 Konehalli, Tiptur Taluk Tumkur OP (W) 2009 100 900 30 30 15 2<br />

246 Akkirampura Village Tumkur OP (W) 2009 80 900 30 30 15 2<br />

247 Kaimara, Badavanahalli Tumkur SC 2009 80 NOT APPLICABLE<br />

Name <strong>of</strong><br />

NH / SH<br />

if applicable<br />

J<br />

F U T U R E F U L L O F E N E R G Y Contd. in next page.......


A B C D E F G H I J<br />

A B C D E F G H I J<br />

F U T U R E F U L L O F E N E R G Y Contd. in next page.......<br />

Contd. in next page.......<br />

NOTES:<br />

1.<br />

i. (W) indicated in category means reserved <strong>for</strong> WOMEN only. LHS indicated in location means<br />

Left Hand Side, RHS indicated in location means Right Hand Side.<br />

ii.<br />

All the above locations are proposed to be developed on company owned basis. The applicant is<br />

required to lease only the land to HPCL. Superstructures on the land will be constructed by<br />

HPCL. The lease rental amounts <strong>for</strong> land in these cases will be paid to the landlord but will not be<br />

recovered from the <strong>dealers</strong>hip. Service Station License Fee (SSLF) will be recovered at higher<br />

rate from <strong>dealers</strong>hip, which is presently Rs. 47/- per KL <strong>for</strong> Petrol & Rs. 40/- per KL <strong>for</strong> Diesel.<br />

iii. The candidate should furnish along with the application, details <strong>of</strong> land, which he/she may make<br />

available <strong>for</strong> the Retail Outlet. Considering the location <strong>of</strong> the land from the point <strong>of</strong> view <strong>of</strong><br />

feasibility and commercial angle and rates acceptable to the company, applicants willing to<br />

transfer the land on long lease to HPCL would be given preference. The selected Candidates<br />

will be required to lease the plot <strong>of</strong> land land as defined in Sr. No. (ii) above <strong>for</strong> a period <strong>of</strong><br />

minimum 15 years with renewal option <strong>for</strong> another 15 years.<br />

iv.<br />

If an applicant, after selection, is unable to provide the land indicated by him/her in the<br />

application <strong>for</strong>m within a period <strong>of</strong> TWO months from the date <strong>of</strong> Letter <strong>of</strong> Intent (LOI), the<br />

Corporation will have the right to cancel the allotment <strong>of</strong> <strong>dealers</strong>hip/ distributorship made to<br />

him/her. The suitability <strong>of</strong> Land will be decided by HPCL. There is no commitment from HPCL <strong>for</strong><br />

taking the <strong>of</strong>fered Land from the applicant.<br />

v. The eligible candidates who have readily available site suitable <strong>for</strong> setting up <strong>of</strong> Retail Outlet or<br />

have a firm commitment from the land owner <strong>for</strong> purchase/lease <strong>of</strong> site should furnish along with<br />

their application the details <strong>of</strong> such land. The candidate will not be given the opportunity to <strong>of</strong>fer<br />

any other land subsequently. For this purpose, the land owned by member(s) <strong>of</strong> the family unit<br />

shall also be considered as belonging to applicant subject to consent in writing <strong>of</strong> the concerned<br />

member(s) <strong>of</strong> the family unit. The family unit in case <strong>of</strong> married applicant, <strong>for</strong> this purpose,<br />

would comprise <strong>of</strong> i) Spouse ii) unmarried Son (s)/ unmarried Daughter(s) and in case <strong>of</strong><br />

unmarried applicant would comprise <strong>of</strong> (i) his/her unmarried brother(s) /unmarried sister(s) and<br />

(ii) parents. The land on long term lease <strong>of</strong> a minimum <strong>of</strong> 15 years as on the date <strong>of</strong> application,<br />

will be treated as “owned” land <strong>for</strong> this purpose.<br />

vi. In case the land <strong>of</strong>fered is on National Highway, the same should meet the NHAI guidelines<br />

contained in Govt. <strong>of</strong> India, Ministry <strong>of</strong> Road Transport & Highways No. RW/NH-33023/19/99-<br />

DO-III dated 25.09.03/17.10.03 and further amendments if any, failing which the <strong>of</strong>fered land<br />

will not be considered <strong>for</strong> evaluation as above and the candidate will be treated at par with<br />

those candidates who have not <strong>of</strong>fered land. The <strong>of</strong>fered site should also meet norms <strong>of</strong><br />

statutory bodies like <strong>for</strong>est, explosive etc. and land should be convertible <strong>for</strong> commercial and<br />

petrol pump use.<br />

vii. The selected candidates <strong>for</strong> locations from Sl. No. 54 to102, 221 to 247 and 317 to 382 after<br />

placement <strong>of</strong> Letter <strong>of</strong> Intent, would be required to fill the land to the satisfaction <strong>of</strong> HPCL, upto<br />

plinth level including the retaining wall and <strong>of</strong>fer the same to HPCL <strong>for</strong> setting up the facilities.<br />

viii. The Dealer selection guidelines <strong>of</strong> HPCL including evaluation criteria can be accessed by the<br />

applicants at our website www.hindustanpetroleum.com The application <strong>for</strong>mat can also be<br />

downloaded from our website www.hindustanpetroleum.com These guidelines including the<br />

application <strong>for</strong>m, all the applicable guidelines on dealer selection and the drafts <strong>of</strong><br />

affidavits/declarations to be submitted along with the application <strong>for</strong>ms are also available in the<br />

<strong>for</strong>m <strong>of</strong> a Brochure also which can be procured at a cost <strong>of</strong> Rs.50/- from our <strong>of</strong>fice at the address<br />

mentioned below. All the candidates proposing to apply <strong>for</strong> <strong>dealers</strong>hip <strong>for</strong> any <strong>of</strong> the locations<br />

mentioned above must access our above mentioned website and/or procure the brochure on<br />

<strong>dealers</strong>hip selection guidelines applicable <strong>for</strong> advertisements effective February 2010, <strong>for</strong><br />

complete and detailed in<strong>for</strong>mation on dealer selection.<br />

ix. There is no requirement <strong>of</strong> land and superstructure <strong>for</strong> locations at Sr. No. 18, 27, 37, 77,<br />

98, 111, 112, 113, 174, 186, 190, 198, 204, 223, 224, 227, 228, 229, 234, 241, 242, 247, 294,<br />

299, 332, 333, 342, 355, 359, 365, 366, 367 and 368 as mentioned above.<br />

x. Applicants <strong>of</strong>fering agricultural land shall convert the same to Non Agricultural purposes more<br />

particularly <strong>for</strong> use <strong>of</strong> petrol pump & other allied purposes at their own expense and cost be<strong>for</strong>e<br />

<strong>of</strong>fering the same to HPCL. Any Charges pay to the local development authorities now or in<br />

future <strong>for</strong> utilising the land <strong>for</strong> petrol pump shall be paid by the applicant and will not be<br />

reimbursed by HPCL.<br />

xi. All the locations reserved <strong>for</strong> SC/ST, as per roaster, could not be advertised as land <strong>for</strong><br />

<strong>retail</strong> <strong>outlet</strong>s are yet to be obtained. The <strong>notice</strong> <strong>of</strong> <strong>appointment</strong> <strong>for</strong> Dealers <strong>for</strong> these<br />

locations will be released as and when land is obtained in compliance<br />

with Ministry <strong>of</strong> <strong>Petroleum</strong> and Natural Gas vide letter dated 17-11-2005. The<br />

advertisement <strong>for</strong> requirement <strong>of</strong> land <strong>for</strong> these locations have already been released by<br />

HPCL in Deccan Herald (English) and Prajavani (Kannada) on 17-02-2010.<br />

2. Eligibility Criteria :<br />

a. Applicant should be Indian Nationals (Affidavit to be furnished as per Appendix A & A1 as<br />

applicable)<br />

b. Category:-<br />

While only persons belonging to the following categories can apply against specific locations<br />

reserved / advertised <strong>for</strong> the respective category, any eligible person can apply against Open<br />

category. (Copy <strong>of</strong> certificate from the competent authority to be furnished as pro<strong>of</strong> <strong>of</strong> belonging<br />

to the category as applicable)<br />

Scheduled Caste/ Scheduled Tribe Category (SC/ST):<br />

Persons belonging to SC/ST category recognized under Constitution <strong>of</strong> India, should submit a<br />

caste certificate <strong>of</strong> 'Scheduled Caste/ Scheduled Tribe' category issued by a competent<br />

authority viz, District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/<br />

Additional Deputy Commissioner/ Deputy Collector/1st Class Stipendiary Magistrate/City<br />

Magistrate (Not below the rank <strong>of</strong> 1st Class Stipendiary Magistrate/ Sub-Divisional Magistrate/<br />

Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner/Chief Presidency<br />

Magistrate/Additional Chief Presidency Magistrate/ Presidency Magistrate. Revenue Officer<br />

not below the rank <strong>of</strong> Tehsildar. Sub Divisional Officer <strong>of</strong> the area where the candidate and/or his<br />

family normally resides Administrator/Secretary to Administrator/ Development Officer<br />

(Lakshadweep). Any other competent authority notified by the Government <strong>of</strong> India.<br />

The applicant (s) belonging to SC/ST category should ensure that the original caste validity<br />

certificate granted by the Caste Scrutiny Committee as per Gazette Notification <strong>of</strong> the<br />

respective State Government is produced at the time <strong>of</strong> interview, failing which their<br />

candidature/ application shall be rejected.<br />

Physically Handicapped Category (PH) :<br />

Persons belonging to this category should be orthopaedically handicapped to the extent <strong>of</strong> minimum<br />

<strong>of</strong> 40% permanent/partial disability <strong>of</strong> either upper or lower limbs or 50% permanent/partial disability<br />

<strong>of</strong> both upper and lower limbs together. For this purpose, the standards contained in the 'Manual <strong>for</strong><br />

Orthopaedic Surgeon in evaluating Permanent Physically Impairment' brought out by the American<br />

Academy <strong>of</strong> Orthopaedic Surgeons, USA and published on its behalf by the Artificial Limbs<br />

Manufacturing Corporation <strong>of</strong> India, G.T. Road, Kanpur, shall apply. In this connection the<br />

Govt. Notification No.154 published on 13.06.2001 by Ministry <strong>of</strong> Social Justice & Empowerment will<br />

be applicable. Totally Deaf, Dumb or Blind persons are also eligible.<br />

Please attach a copy <strong>of</strong> certificate from the Civil Surgeon/ Chief Medical Officer or Superintendent <strong>of</strong><br />

Government Hospital in the <strong>for</strong>mat enclosed as Appendix B.<br />

Defence Personnel Category (DC):<br />

Persons belonging to this category should be sponsored by Director General <strong>of</strong> Resettlement<br />

(DGR), Ministry <strong>of</strong> Defence, Government <strong>of</strong> India, as per the following inter-se priority.<br />

(a) Widows/dependants <strong>of</strong> Posthumous gallantry award winners.<br />

(b) War Widows/dependents <strong>of</strong> those who died in war.<br />

(c) War disabled.<br />

(d) Widows/dependents <strong>of</strong> those who died in harness due to attributable causes.<br />

(e) Disabled in peace due to attributable causes.<br />

Please attach a copy <strong>of</strong> certificate from Directorate General <strong>of</strong> Resettlement (DGR), Ministry <strong>of</strong><br />

Defence, Government <strong>of</strong> India sponsoring the candidate <strong>for</strong> the <strong>dealers</strong>hip <strong>for</strong> which he/she has<br />

applied.<br />

Certificate <strong>of</strong> Eligibility issued <strong>for</strong> one particular location/<strong>dealers</strong>hip will not be valid <strong>for</strong> another<br />

location/<strong>dealers</strong>hip. The certificate can be submitted by 25-06-2010 in case presently not<br />

available.<br />

Outstanding Sports Persons Category (OSP):<br />

The following persons will be eligible:<br />

(a) Arjuna Awardees.<br />

(b) Winners <strong>of</strong> Medals at Olympics / Asian/Commonwealth Games and Recognised World<br />

Champions.<br />

(c) National Champions under the Recognised National Championships.<br />

(d) National Adventure Awardees.<br />

Candidates should attach a copy <strong>of</strong> certificate from the Recognised National Federation Organising<br />

National Championships (as recognised by Department <strong>of</strong> Youth Affairs and Sports, Government <strong>of</strong><br />

India) or from the Department <strong>of</strong> Youth Affairs and Sports, Government <strong>of</strong> India.<br />

Paramilitary/ Police/ Government Personnel Category (PMP):<br />

The following persons will be eligible:<br />

The personnel <strong>of</strong> Paramilitary/Police Personnel including persons having served in BSF, CRPF,<br />

CISF, ITBP, Railway Protection Force, Special Reserved Police, Special Armed Police, Coast<br />

Guards, Assam Rifles etc., as designated by Central Government and Police Forces <strong>of</strong> the States,<br />

Customs and Central Excise Department, Narcotics Control Bureau, En<strong>for</strong>cement Directorate,<br />

Economic Intelligence Bureau, Directorate General <strong>of</strong> Anti-Evasion and Directorate <strong>of</strong> Revenue<br />

Intelligence and those serving in different Departments <strong>of</strong> Central/State Governments who are<br />

incapacitated OR disabled while per<strong>for</strong>ming their duties and their widows/ dependants in case <strong>of</strong><br />

their death while per<strong>for</strong>ming duties.<br />

Inter-se priority <strong>for</strong> PMP category:<br />

(a) Widows/ dependents <strong>of</strong> Posthumous gallantry award winners.<br />

(b) Widows / dependents <strong>of</strong> persons having died in action.<br />

(c) Persons disabled on duty.<br />

(d) Widows / dependants <strong>of</strong> persons who died while in service.<br />

(e) Disabled in peace due to attributable causes.<br />

Please attach a copy <strong>of</strong> certificate from the concerned organization/ Government Department<br />

signed by the Head <strong>of</strong> Office or an Officer not below the rank <strong>of</strong> Under Secretary to the Government<br />

Indicating that the applicant belongs to any <strong>of</strong> the above:<br />

Freedom Fighter Category (FF):<br />

Persons belonging to this category should produce a copy <strong>of</strong> certificate or Tamrapatra from the<br />

Ministry <strong>of</strong> Home Affairs, Government <strong>of</strong> India or an attested copy <strong>of</strong> the pension order issued by the<br />

Accountant General in pursuance <strong>of</strong> the sanction letter from the Ministry <strong>of</strong> Home Affairs <strong>for</strong> the grant<br />

<strong>of</strong> Swatantrata Sainik Samman Pension under 'Freedom Fighter Pension Scheme' as pro<strong>of</strong> <strong>of</strong> his /<br />

her being a freedom fighter.<br />

c. Age:<br />

As on the date <strong>of</strong> Application (in completed years): Not less than 21 years. Enclose an attested<br />

copy <strong>of</strong> either Matriculation or Secondary School Leaving Certificate indicating date <strong>of</strong> birth, identity<br />

card issued by Election Commission or an affidavit as pro<strong>of</strong> <strong>of</strong> age.<br />

d. Educational Qualification :<br />

Minimum Matriculation or recognised equivalent. Enclose an attested copy <strong>of</strong> either matriculation or<br />

equivalent and other qualification certificates as pro<strong>of</strong>. The eligibility criterion on educational<br />

qualification is not applicable in respect <strong>of</strong> applicants applying <strong>for</strong> <strong>dealers</strong>hips reserved <strong>for</strong> FF, OSP,<br />

PMP & DC. However persons applying <strong>for</strong> these categories would be assessed <strong>for</strong> educational<br />

qualification.<br />

e. Multiple Dealership Norm (relationship clause) :<br />

For Individuals including Partnerships<br />

Persons desirous <strong>of</strong> applying should not be having either letter <strong>of</strong> Intent (LOI) or Dealership/<br />

Distributorship <strong>of</strong> MS/HSD/SKO-LDO / LPG <strong>of</strong> any Oil Company in his/her own name or in the name<br />

<strong>of</strong> family members in his/her family unit.<br />

Family unit, in case <strong>of</strong> married applicant, <strong>for</strong> this purpose, would comprise <strong>of</strong> i) Spouse<br />

ii) unmarried Son (s)/ unmarried Daughter(s) and in case <strong>of</strong> unmarried applicant would comprise <strong>of</strong><br />

(i) his/her unmarried brother(s) /unmarried sister(s) and (ii) parents.<br />

For Non-Individual entities:<br />

For Companies registered under Companies Act 1956:<br />

i. The applicant company will not be eligible <strong>for</strong> RO/SKO/LPG <strong>dealers</strong>hip/distributorship, if any<br />

RO/SKO/LPG <strong>dealers</strong>hip/ distributorship or Letter <strong>of</strong> Intent (LOI) is held by the applicant<br />

Company or by any <strong>of</strong> the following :<br />

a. Any <strong>of</strong> the Director or his family members (family as defined in the case <strong>of</strong> multiple<br />

<strong>dealers</strong>hip norms <strong>for</strong> individuals)<br />

b. Holding company or Subsidiary company.<br />

c. Any other company or Firm where share holders (put together) <strong>of</strong> the applicant company<br />

have controlling stake i.e. 51% or more.<br />

ii.<br />

If any individual, partnership firm, company, organized body, trust or society, already holding RO<br />

<strong>dealers</strong>hip, SKO/LPG distributorship acquire controlling stake in a company having RO<br />

<strong>dealers</strong>hip, SKO/LPG distributorship, then the RO <strong>dealers</strong>hip, SKO/LPG distributorship <strong>of</strong> the<br />

acquirer is liable to be terminated.<br />

iii. Government owned Companies defined as major shareholding with the Government, Public<br />

Sector & Joint Sector Units or Government administered Organizations will be exempted from<br />

the multiple <strong>dealers</strong>hip norms as per existing policy adopted by OMCs.<br />

For organized bodies, charitable trusts registered with the Charity Commissioner <strong>of</strong> the<br />

respective State Government and Societies registered under Societies Registration<br />

Act, 1860.<br />

Such entities will not be eligible <strong>for</strong> RO/SKO/LPG <strong>dealers</strong>hip/distributorship if any RO/SKO/<br />

LPG <strong>dealers</strong>hip/distributorship or Letter <strong>of</strong> Intent (LOI) is held by it or by any Member <strong>of</strong> the<br />

Governing Body/Managing Body/any such other Body or his family members (family as defined<br />

in the case <strong>of</strong> multiple <strong>dealers</strong>hip norms <strong>for</strong> individuals).<br />

f) Residence Certificate:<br />

The locations <strong>for</strong> Sl Nos. 91 to 102, 230 to 247 and 352 to 382 are advertised <strong>for</strong> award <strong>of</strong><br />

Dealerships and setting up <strong>of</strong> <strong>retail</strong> <strong>outlet</strong>s in rural locations and are branded as<br />

“Hamara Pumps”. The applicant should be a resident <strong>of</strong> the concerned District to qualify <strong>for</strong><br />

such candidature, a pro<strong>of</strong> <strong>of</strong> residence certificate from the competent authority must be<br />

attached with the application (as per Appendix C). The sites <strong>of</strong>fered <strong>for</strong> these locations<br />

shall not be on NH & SH.<br />

3. Disqualification:<br />

(a) Person who has been convicted or against whom charges have been framed by a Court <strong>of</strong> Law<br />

<strong>for</strong> any criminal <strong>of</strong>fence involving moral turpitude/economic <strong>of</strong>fences (other than Freedom Struggle),<br />

would not be eligible to apply.<br />

(b) Totally paralysed or mentally unsound persons (Who suffer from insanity) are not eligible to<br />

apply under any category.<br />

(c) Signatories <strong>of</strong> <strong>dealers</strong>hip/distributorship agreements which were terminated by any oil<br />

company <strong>for</strong> proven malpractices / adulteration are not eligible to apply.<br />

(d) Guilty <strong>of</strong> wilfully giving wrong in<strong>for</strong>mation:<br />

The applicant will have to furnish an affidavit covering point nos. 2 (a), 2 (e), 3(a) and 3(c) in this<br />

regard as per Appendix A.<br />

Married Women applicant with change <strong>of</strong> name after marriage should submit a copy <strong>of</strong> the<br />

marriage certificate or an affidavit in support <strong>of</strong> the maiden name and name after marriage.<br />

4. Partnerships : In case <strong>of</strong> partnership, each partner should individually meet the specified eligibility<br />

criteria and also should submit separate application <strong>for</strong>ms along with separate application fee.<br />

However, the applications should be clubbed together. If called <strong>for</strong> interview, all <strong>of</strong> them must appear<br />

<strong>for</strong> interview. They also have to submit a copy <strong>of</strong> the proposed partnership deed along with<br />

application <strong>for</strong>m.<br />

5. Registered Co-operative Societies/ Consumer Co-operative Societies are eligible to apply<br />

under any category provided all the members <strong>of</strong> the society belong to the category <strong>for</strong> which the<br />

location has been advertised <strong>for</strong> and also provided that the individual members should meet the non<br />

conviction clause including the society as an entity. Moreover, the society should be making net<br />

pr<strong>of</strong>it <strong>for</strong> the last 3 financial years. For any society applying <strong>for</strong> location reserved <strong>for</strong> women<br />

category, all the members should be women. The members individually and the society as an entity<br />

also should not haven been a signatory to <strong>dealers</strong>hip/distributorship terminated by any oil company<br />

<strong>for</strong> proven adulteration / malpractice. The Society has to furnish appropriate resolution to show<br />

that the person making the application is empowered to make the same. Parameters relating to<br />

educational qualification and personality would not be applicable to such societies.<br />

6. Organised Bodies: Organised Bodies such as registered bus/truck associations etc., Charitable<br />

Trust and corporate houses i.e. Government Organisations/Bodies, PSUs, Public Limited<br />

Companies incorporated under Companies Act, 1956 are eligible to apply under OPEN category.<br />

Parameters relating to educational qualification and personality will not be applicable in their cases.<br />

Pvt. Ltd. Companies are not eligible to apply.<br />

7. Scrutiny <strong>of</strong> application <strong>for</strong>m:<br />

The valid application received up to the time/date specified in the advertisement will be scrutinised<br />

by a team <strong>of</strong> <strong>of</strong>ficers and the candidate found eligible as per the eligibility criteria and other terms and<br />

conditions will be called <strong>for</strong> a personal interview. The document submitted by the applicant along<br />

with the application <strong>for</strong>m will be scrutinised and the land details/document will be evaluated by a<br />

team, including the site visit as may be necessary to establish the suitability <strong>of</strong> the <strong>of</strong>fered land, if any,<br />

<strong>for</strong> setting up <strong>of</strong> a <strong>retail</strong> <strong>outlet</strong>. Ineligible applicant will not be called <strong>for</strong> the interview and will be<br />

advised in writing along with reason <strong>for</strong> the rejection <strong>of</strong> their application.<br />

........Continued<br />

* In respect <strong>of</strong> Land/Finance parameters as indicated in Dealer selection guidelines the ownership<br />

<strong>of</strong> Land/Finance by the members(s) <strong>of</strong> the family unit is also considered as owned/belonging to the<br />

applicant subject to consent in writing <strong>of</strong> the concerned member(s) <strong>of</strong> the family unit. The family unit<br />

in case <strong>of</strong> married applicant, <strong>for</strong> this purpose, would comprise <strong>of</strong> i) Spouse ii) unmarried Son (s)/<br />

unmarried Daughter(s) and in case <strong>of</strong> unmarried applicant would comprise <strong>of</strong> (i) his/her unmarried<br />

brother(s)/unmarried sister(s) and (ii) parents.<br />

Minimum qualifying marks:<br />

Open category : 60 % <strong>of</strong> the total applicable marks<br />

Reserved category including Open (W) : 50 % <strong>of</strong> the total applicable marks<br />

i. Scheduled caste/Scheduled tribe candidates <strong>for</strong> locations reserved <strong>for</strong> them and war widows<br />

applying <strong>for</strong> <strong>dealers</strong>hips will not be judged under the heads “Capability to provide infrastructure<br />

and facilities” and “capability to provide Finance”.<br />

ii.<br />

Subject to their application and request, widows and unmarried women above 40 years <strong>of</strong> age,<br />

without earning parents, <strong>for</strong> locations reserved <strong>for</strong> women will not be judged under the heads<br />

“Capability to provide infrastructure and facilities” and “capability to provide Finance”. These<br />

applicants will be required to indicate in the application <strong>for</strong>m itself whether they would like to<br />

avail the facilities. In case, this is not indicated in the application <strong>for</strong>m, it will be construed that<br />

these applicants would like to get evaluated in line with other applicants i.e they should also be<br />

assessed under the Heads - “Capability to provide infrastructure and facilities” and “capability to<br />

provide Finance”. For determining the priority to be given to such candidates over other women<br />

candidates, the marks secured by other women under these two parameters will be excluded<br />

by the total marks secured by them.<br />

8. Evaluation <strong>of</strong> candidates<br />

Each candidate will be assessed under the<br />

following parameters:<br />

a) Capability to provide land and<br />

infrastructure/facilities* 35 marks 35 marks<br />

b) Capability to provide finance* 25 marks 25 marks<br />

c) Educational qualification 15 marks Not Applicable<br />

d) Capability to generate business 10 marks 25 marks<br />

e) Age 4 marks 4 marks**<br />

f) Experience 4 marks 4 marks**<br />

g) Business ability /acumen 5 marks 7 marks<br />

h) Personality 2 marks Not Applicable<br />

Total 100 marks 100marks<br />

Individual candidates<br />

including partnerships:<br />

Non-individual entities<br />

248 Mahalingpur, within 3 Kms Towards Gurlapur Bagalkot PMP (W) 2009 100 598 23 26 15 2<br />

249 Jamkhandi Town, within 3 Kms from Basaveshwara Bagalkot OP (W) 2010 120 598 23 26 15 2<br />

Circle on Jamkhandi-Mudhol Road<br />

250 Mudhol Town, (within 3 Kms from Bus Stand on Mantur Rd) Bagalkot OSP 2010 120 598 23 26 15 2<br />

251 Sandur Byepass (Donemalai Cross - Yeshwantnagar) Bellary OP (W) 2009 210 1225 35 35 20 3<br />

252 Bellary Ring Road Bellary PMP 2009 150 1225 35 35 20 3<br />

253 Bellary Bypass Bellary OP (W) 2010 160 1225 35 35 20 3<br />

254 Hospet Bypass Bellary OP 2010 210 1225 35 35 20 3<br />

255 Korekuppa - P.K.Halli Bellary PH 2010 160 1575 35 45 20 3 NH-63<br />

256 Kudtini - KPTCL Plant Bellary OP 2010 160 1575 35 45 20 3 NH-63<br />

257 Bellary City Bellary PMP (W) 2010 150 598 23 26 20 3<br />

258 Hospet Town Bellary PMP 2010 130 598 23 26 20 3<br />

259 Harugeri Town Belgaum DC (W) 2010 100 598 23 26 15 2<br />

260 Belgaum on NH-4 LHS Towards Hubli Belgaum OSP (W) 2010 160 1575 35 45 20 3 NH-4<br />

261 Modage Belgaum OP 2010 150 1225 35 35 20 3 SH-20<br />

262 Machhe on NH-4A Belgaum OP 2010 160 1575 35 45 20 3 NH- 4A<br />

263 Ganeshpur Belgaum OP 2010 140 598 23 26 20 3<br />

264 Belgaum -Mahatma Phule Road Belgaum OP 2010 140 598 23 26 20 3<br />

265 Belgaum, Vadgaon Belgaum DC 2010 160 598 23 26 20 3<br />

266 Humnabad, Right Side <strong>of</strong> Abhishek Dhaba Bidar OP 2010 150 7200 90 80 20 3 NH-9<br />

267 Halbarga Bidar DC 2010 130 598 26 23 20 3<br />

268 Bidar Old City Main Road Bidar PMP (W) 2010 130 598 26 23 20 3<br />

269 Bijapur City, within 4 Kms towards Bagalkot from Bus Stand Bijapur OP(W) 2009 140 598 26 23 20 3<br />

270 Bijapur City, Station Road Bijapur OP 2009 150 598 26 23 20 3<br />

271 Bijapur Town, between Ambedkar Circle & Gol Gumbaz Bijapur DC 2009 140 1225 35 35 20 3 SH-12<br />

272 Bijapur City, Manguli Road (not on NH-13) Bijapur PMP 2010 150 900 30 30 20 3<br />

273 SH-48 (Siddapura-Haliyura Road) Chitradurga OP 2010 160 1225 35 35 20 3 SH-48<br />

274 Chitradurga Town Chitradurga OP 2010 130 600 20 30 20 3<br />

275 Hiriyur Town (Main Road) Chitradurga OP 2010 140 598 23 26 20 3<br />

276 Hosadurga (Holalkere Road) Chitradurga OP 2010 150 1225 35 35 20 3<br />

277 Davangere Town Davangere OP (W) 2010 150 598 23 26 20 3<br />

278 Davangere Town Davangere PMP 2009 150 598 23 26 20 3<br />

279 Hebbal Davangere OP 2010 160 1575 35 45 20 3 NH-4<br />

280 Davangere Town - Shivali Talkies Rd. Davangere OP 2010 130 598 23 26 20 3<br />

281 Harihar Town Davangere DC 2010 140 598 23 26 20 3<br />

282 NH-4 between 374 and 388 Km Stones, RHS towards Hubli Dharwad/Haveri OP 2009 250 1575 35 45 20 3 NH-4<br />

283 Hubli City on Airport Road Dharwad OSP (W) 2009 150 598 23 26 20 3<br />

284 Hubli City, Keshwapur Circle (within 5 Km Radius) Dharwad FF (W) 2009 150 598 23 26 20 3<br />

285 Hubli City, Sirur Park Dharwad OP 2009 150 598 23 26 20 3<br />

286 NH-218 between Hebsur and Yamanur on RHS Dharwad OP (W) 2010 200 2025 45 45 20 3 NH-218<br />

287 Dharwad City, within 3 Kms from Mental Hospital Dharwad OP 2010 150 598 23 26 20 3<br />

on Kelageri Road<br />

288 Dharwad City, within 3 Kms from New Bus Stand Dharwad OP 2010 200 598 23 26 20 3<br />

Towards Belgaum<br />

289 Dharwad City, within 4 Kms from Toll Naka on Kalghatgi Rd. Dharwad OP (W) 2010 150 900 30 30 20 3<br />

290 Hubli City, Hosur Dharwad OP 2010 200 598 26 23 20 3<br />

291 Hubli City, Unkal Lake to KSRTC Depot Dharwad PH (W) 2010 150 598 23 26 20 3<br />

292 Hubli City, Sai Nagar Dharwad PMP 2010 150 598 23 26 20 3<br />

293 Banagitti Gudihal Dharwad OP 2010 150 1225 35 35 20 3 SH-1<br />

294 Shirguppi on NH-63 Dharwad SC 2010 210 NOT APPLICABLE NH-63<br />

295 Nigadi Dharwad OP (W) 2010 150 1225 35 35 20 3 SH-28<br />

296 NH-63, Lakkundi to Hallikere Gadag OP 2010 200 2025 45 45 20 3 NH-63<br />

297 Ron,on State Highway Gadag DC 2010 150 1225 35 35 20 3<br />

298 Gajendragad Gadag OP 2010 150 1225 35 35 20 3 SH-30<br />

299 Laxmeshwar Gadag ST (W) 2010 150 NOT APPLICABLE<br />

300 Darga Road, Gulbarga Gulbarga OP (W) 2009 90 600 20 30 15 2<br />

301 Gulbarga Bangalore Road Left Side after Jail 10 Kms<br />

from Gulbarga Gulbarga PMP (W) 2010 110 1575 35 45 15 2 NH-218<br />

302 Ring Road, Gulbarga Afzalpur to Aland Road Gulbarga OP 2010 120 598 26 23 15 2<br />

Right Side Towards New Raghavendra Colony<br />

303 Ring Road, Gulbarga. In between Dhanavantari Hospital and Gulbarga OP 2010 140 598 26 23 20 3<br />

Railway Cross Left side from Hospital<br />

304 Jewargi Road, In front <strong>of</strong> Radio Station, Be<strong>for</strong>e Central Jail Gulbarga OP 2010 110 900 30 30 15 2<br />

305 Sedam Town, 0.5 Km Right Side Towards Gulbarga OP 2010 120 598 23 26 15 2<br />

Cement Factory be<strong>for</strong>e BPCL Retail Outlet<br />

306 Kamalapur, within 2 Km distance from Kamalapur<br />

Junction towards Gulbarga, Right Side Gulbarga OP 2010 150 900 30 30 20 3<br />

307 Haveri City, within 2 Km from Bus Stand towards B'lore Haveri OP 2010 150 900 30 30 20 3<br />

308 Ranebennur, within 2kms from Bus Stand on PB Road Haveri OP 2010 200 900 30 30 20 3<br />

309 Guttal Haveri OP 2010 150 1225 35 35 20 3 SH-2<br />

310 Haveri Bypass Haveri FF 2010 150 2025 45 45 20 3 NH-4<br />

311 Koppal City (on Hospet-Gadag Road) Koppal OP 2009 130 598 26 23 20 3<br />

312 NH-13, Budgumpa Cross to Simla Cross, between 279 Koppal OP 2010 350 7200 90 80 25 5 NH-13<br />

Kms to 286 Kms Stone, on RHS from Bijapur to Hospet<br />

313 Manvi, Near Mallikarjuna Cinema Theater Raichur PMP 2009 80 900 30 30 15 2<br />

314 Raichur, Sirwar Road Right Side between 2 & 3 Km Mile Stones Raichur OP (W) 2010 80 600 20 30 15 2<br />

315 Karwar Town, SH Uttar Kannada PH (W) 2010 150 1225 35 35 20 3<br />

316 Halyal Uttar Kannada PH 2010 125 900 30 30 15 2<br />

317 Lokapur, within 2 Kms. on Yadwad Road Bagalkot OP 2010 80 1225 35 35 15 2 SH-44<br />

318 Kumbarhalli (Jamkhandi-Bijapur Road) Bagalkot PH (W) 2010 80 1225 35 35 15 2 SH- 65<br />

319 Kottur Town Bellary OP (W) 2009 80 900 30 30 15 2 SH-2<br />

320 Metri Bellary DC (W) 2010 80 1225 35 35 15 2 SH-29<br />

321 Narsapura Bellary OP (W) 2010 80 1225 35 35 15 2<br />

322 Konnur, Dhoopdal Cross towards Konnur Police Station Belgaum OP 2009 80 900 30 30 15 2<br />

323 Chinchli towards Raibagh Road Belgaum OP (W) 2010 80 900 30 30 15 2 SH-73<br />

324 Hidkal Near Bus Stand (Raibagh Taluk) Belgaum FF (W) 2010 80 1225 35 35 15 2 SH-31<br />

325 Sankratti Belgaum DC 2010 80 1225 35 35 15 2 SH-73<br />

326 Khadaklat Cross Belgaum DC (W) 2010 80 1225 35 35 15 2 SH-73<br />

327 Kudchi, towards Jamkhandi Road within 1 Km Belgaum OP (W) 2010 80 900 30 30 15 2 SH-31<br />

328 Jamboti Near Hebbanhatti Cross Belgaum PMP 2010 80 900 30 30 15 2<br />

329 Chandargi Belgaum OP 2010 80 900 30 30 15 2<br />

330 Sindogi Belgaum PMP 2010 80 900 30 30 15 2<br />

331 Raksi Belgaum OP (W) 2010 80 900 30 30 15 2<br />

332 Nidjoshi Belgaum SC 2010 80 NOT APPLICABLE<br />

333 Sampagaon Belgaum SC 2010 80 NOT APPLICABLE<br />

334 Bidar Road, 2 Km Distance from Navabad to Humnabad, Bidar OP (W) 2010 80 900 30 30 15 2<br />

Right Side<br />

335 Devar Hippargi Bijapur DC (W) 2009 80 1225 35 35 15 2 SH-12<br />

336 Basavana Bagewadi Bijapur PH (W) 2009 80 598 23 26 15 2<br />

337 Challakere (1 Km from the circle) Chitradurga OP (W) 2010 80 900 30 30 15 2<br />

338 Kalahally Chitradurga PH 2010 80 900 30 30 15 2<br />

339 Savalanga Davangere PH (W) 2009 80 900 30 30 15 2<br />

340 Byaladahalli Davangere OP 2010 80 900 30 30 15 2<br />

341 Devanayakanahalli Davangere OP 2010 90 900 30 30 15 2<br />

342 Anagudu Davangere SC 2010 80 NOT APPLICABLE<br />

343 Gulbarga on SH-19 Gulbarga DC 2009 80 1225 35 35 15 2 SH-19<br />

344 Gulbarga Hosur Road Gulbarga PMP 2009 80 598 23 26 15 2<br />

345 Gulbarga, Sedam Road, 5 to 6 Kms from Gulbarga Gulbarga PMP 2010 80 900 30 30 15 2 SH-10<br />

Ring Road Junction, Rightside Towards Sedam<br />

346 Gulbarga Shahbad Rd. Right Side Near Bankoor Cross Gulbarga OP 2010 80 900 30 30 15 2<br />

347 Hallur Haveri OP 2010 80 1225 35 35 15 2 SH-26<br />

348 Malanayakanahalli Haveri OP (W) 2010 80 1225 35 35 15 2 SH-26<br />

349 Tadas Haveri OP 2010 80 1225 35 35 15 2 SH-69<br />

350 Sirwar, Lingsugur Road. on SH-20 between Mile Stones Raichur OP 2010 80 900 30 30 15 2<br />

<strong>of</strong> 34 and 35 Left Side.<br />

351 Shorapur. Towards Bangalore on High Way within 5 Km Yadgir PH 2009 80 900 30 30 15 2<br />

from Junction<br />

352 Ingalgi (Mudhol - Anagwadi Road) Bagalkot OP 2010 80 900 30 30 15 2<br />

353 Rugi Cross (Mudhol-Yadwad Road) Bagalkot OP (W) 2010 80 900 30 30 15 2<br />

354 Katageri Bagalkot OP 2010 80 900 30 30 15 2<br />

355 Vajramatti Bagalkot SC (W) 2010 90 NOT APPLICABLE<br />

356 Alagwadi Belgaum OP (W) 2010 80 900 30 30 15 2<br />

357 Kotalgi Belgaum OSP (W) 2010 80 900 30 30 15 2<br />

358 Hullur Belgaum OP 2010 80 900 30 30 15 2<br />

359 Harugere Belgaum SC 2010 90 NOT APPLICABLE<br />

360 Yelluru Village (on Yellur-Vadgaon Road) Belgaum Op 2010 80 900 30 30 15 2<br />

361 Karwad, Bidar Mannakhelli Road, 15 Km from Bidar Bidar PMP (W) 2010 80 900 30 30 15 2<br />

362 Dargah Road Bijapur OP (W) 2009 80 900 30 30 15 2<br />

363 Yenkanchi (15 Km from Sindagi on Shahpur Road) Bijapur DC (W) 2010 80 900 30 30 15 2<br />

364 Mathodu Chitradurga OP 2009 80 900 30 30 15 2<br />

365 Dummi Chitradurga SC 2010 90 NOT APPLICABLE<br />

366 Bharamsagar Chitradurga ST 2010 90 NOT APPLICABLE<br />

367 Madadakere Chitradurga SC 2010 90 NOT APPLICABLE<br />

368 Sirigere Saslu Chitradurga SC 2010 90 NOT APPLICABLE<br />

369 Sasvehalli Davangere OP 2010 80 900 30 30 15 2<br />

370 Hiremegalagere Davangere PH 2010 80 900 30 30 15 2<br />

371 Holesirigiri Circle Davangere PMP 2010 80 900 30 30 15 2<br />

372 Hole Itagi Gadag OP 2010 80 900 30 30 15 2<br />

373 Mundargi Gadag DC 2010 80 900 30 30 15 2<br />

374 Shirhatti Gadag OP (W) 2009 80 900 30 30 15 2<br />

375 Shigli Gadag OP 2010 80 900 30 30 15 2<br />

376 Madbul Cross, on Sedam Road Gulbarga DC 2010 80 900 30 30 15 2<br />

377 Nimbarga. Gulbarga OP 2010 80 900 30 30 15 2<br />

378 Mallabad, Gulbarga Hosur Road, Gulbarga OP 2010 80 900 30 30 15 2<br />

379 Hirekerur Haveri OP 2009 80 900 30 30 15 2<br />

380 Sriramnagar Koppal OP 2010 80 900 30 30 15 2<br />

381 Devadurg, towards Jalahalli Village, Opposite K I A D B Land Raichur PH (W) 2010 80 900 30 30 15 2<br />

382 Nayakal Village, Yadgir-Shahapur Road Yadgir OP (W) 2010 80 900 30 30 15 2


........Continued<br />

Age**<br />

Note: At least one year <strong>of</strong> experience <strong>of</strong> providing services in a particular sector will entitle<br />

the candidate <strong>for</strong> full marks. No marks will be awarded <strong>for</strong> service/experience <strong>of</strong> less than<br />

1 year.<br />

iv. Locations reserved under DC and PMP Category:- In respect <strong>of</strong> the candidates securing<br />

minimum qualifying marks, the inter-se-priority marks given by the competent authority (max.<br />

40) will be added to the above and accordingly the final merit position decided.<br />

v. The marks awarded to the candidates placed in the merit panel, displayed on the <strong>notice</strong>- board<br />

by the selection committee after their interview shall be subject to scrutiny, subsequently by a<br />

Senior <strong>of</strong>ficer <strong>of</strong> the Corporation on whose satisfactory report, the Head Zone shall ratify the<br />

displayed Merit Panel, which then only shall be considered to be final.<br />

9. Other terms and conditions:<br />

(a) The candidate selected <strong>for</strong> <strong>dealers</strong>hip shall be a working dealer and shall be paying attention<br />

towards day to day working <strong>of</strong> the <strong>dealers</strong>hip by personally managing the affairs <strong>of</strong> the<br />

<strong>dealers</strong>hip. He/she will not be eligible <strong>for</strong> taking up any other employment. If the selected person<br />

is already employed, be<strong>for</strong>e issuance <strong>of</strong> Letter <strong>of</strong> Appointment by the oil company, should<br />

produce the pro<strong>of</strong> <strong>of</strong> acceptance <strong>of</strong> his/her resignation by his/her employer.<br />

(b) On selection, the candidate will be required to deposit with the oil company a security deposit,<br />

ranging from Rs. 2 lakhs to Rs. 5 lakhs as mentioned in the advertisement as per the policy <strong>of</strong><br />

HPCL. Such deposit will have to be made at the time <strong>of</strong> <strong>appointment</strong> as dealer. This amount<br />

called the security deposit is refundable at the time <strong>of</strong> resignation / termination and will not carry<br />

any interest. HPCL also reserve its right to adjust any dues to it from this amount at the time <strong>of</strong><br />

resignation/termination. However, in case such termination is due to proven<br />

adulteration/malpractices then the deposit amount will be <strong>for</strong>feited. SC/ST allottees, war<br />

widows and widows and women above 40 years <strong>of</strong> age without earning parents, availing<br />

facilities under corpus fund scheme will be exempted from payment <strong>of</strong> such security deposit.<br />

(c) Other things being equal, Unmarried women above 40 years <strong>of</strong> age without earning parents and<br />

Widows will be given preference over others in all women categories. Widows have to submit<br />

death certificate <strong>of</strong> her husband and also an affidavit stating that she has not re-married as per<br />

Appendix A.<br />

10. Provision <strong>for</strong> Basic Facilities at the Retail Outlet :<br />

(a ) The applicant on selection should be capable to raise necessary funds <strong>for</strong> effectively operating<br />

the <strong>dealers</strong>hip to the satisfaction <strong>of</strong> HPCL.<br />

(b) Following basic facilities will be provided by each dealer at the Retail Outlet.<br />

Drinking Water, Free Air (@), First Aid kit with medicines, Toilet @, Pollution under Control<br />

Equipment, viz., PUC (@) wherever it is mandatory, Telephone, Adequate illumination.<br />

Facilities marked with @ will be provided by HPCL to those <strong>dealers</strong> who are entitled <strong>for</strong><br />

financial assistance under 'Corpus Fund Scheme' and <strong>outlet</strong>s developed under Co-Owned<br />

category.<br />

11. SCHEME OF FINANCIAL ASSISTANCE TO SC/ST CATEGORY DEALERSHIP UNDER<br />

CORPUS FUND SCHEME<br />

For those selected under Scheduled Caste / Scheduled Tribe Category HPCL shall make the<br />

provision <strong>for</strong> the following facilities as per Corpus Fund Scheme : -<br />

(i) RETAIL OUTLETS: (a) Land and its development, (b) Sales Room, (c) Drive way,<br />

(d) Compound wall/barbed wire fencing, (e) Culverts/Hume Pipes, (f) Air facility, (g) Storage tank<br />

and pump, (h) Toilet, (i) Telephone without STD/ISD (Rental and call charges to be borne by<br />

dealer), (j) PUC facility (where mandatory).<br />

(ii) In addition, HPCL will also provide adequate working capital LOAN <strong>for</strong> a full operation cycle <strong>for</strong><br />

operation <strong>of</strong> the <strong>dealers</strong>hip. Both, the working capital loan as well as 11% per annum interest<br />

thereon will be recovered in 100 (hundred) equal monthly installments commencing from the<br />

13th month <strong>of</strong> commissioning <strong>of</strong> the <strong>dealers</strong>hip.<br />

12. CORPUS FUND SCHEME FOR WAR WIDOWS & WIDOWS AND UNMARRIED WOMEN ABOVE<br />

40 YEARS OF AGE AND WITHOUT EARNING PARENTS<br />

On their application and subject to satisfaction <strong>of</strong> HPCL, unmarried women above 40 years <strong>of</strong> age<br />

without earning parents and widows, selected <strong>for</strong> <strong>dealers</strong>hip in all categories will be entitled to a<br />

<strong>retail</strong> <strong>outlet</strong> developed by the Corporation and also the financial assistance under the corpus fund<br />

scheme. War widows will also be eligible <strong>for</strong> the Corpus Fund facilities, in case <strong>dealers</strong>hip is allotted<br />

to them.<br />

13. Application should be submitted on plain paper in the prescribed <strong>for</strong>mat given in the<br />

advertisement, along with all enclosures and a non-refundable application fee <strong>of</strong> Rs.1,000/-<br />

(Rupees One Thousand Only), by a Crossed Account Payee Demand Draft/Pay order (Rs.<br />

500/- in case <strong>of</strong> SC/ST candidates along with proper documentary evidence <strong>of</strong> caste/ tribe) <strong>for</strong><br />

regular ROs. and Rs. 100/- (Rs. 50/- in respect <strong>of</strong> SC/ST candidates) in case <strong>of</strong> Hamara Pumps<br />

(in Rural areas) shown at Sl. Nos. 91 to 102, 230 to 247 and 352 to 382, drawn on any<br />

Scheduled Bank in favour <strong>of</strong> <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd., payable at, (see details<br />

below) to our Office at the following address :<br />

For Serial No. 1 to 102<br />

For Serial No. 103 to 247<br />

Senior Regional Manager Chief Regional Manager,<br />

Mangalore Retail Regional Office Bangalore Retail Regional Office<br />

HINDUSTAN PETROLEUM HINDUSTAN PETROLEUM<br />

CORPORATION LIMITED CORPORATION LIMITED<br />

(A. Govt. <strong>of</strong> India Enterprise) (A. Govt. <strong>of</strong> India Enterprise)<br />

1st Floor, Deo Gratias Building, No.77, Old Madras Road,<br />

Chilimbi,<br />

Doorvaninagar, P.O.<br />

Urwa Stores,<br />

Krishnarajapuram,<br />

MANGALORE - 575006 BANGALORE - 560 016<br />

DD/Pay Order <strong>for</strong> the above<br />

locations should be payable<br />

at Mangalore<br />

Evaluation <strong>of</strong> Non-Individual entities<br />

Years <strong>of</strong> existence Marks<br />

Sector Marks<br />

DD/Pay Order <strong>for</strong> the above<br />

locations should be payable<br />

at Bangalore<br />

Experience**<br />

Upto to 3 years <strong>of</strong> Existence 0 <strong>Petroleum</strong> sector 4<br />

From 3 years upto 5 yrs 2 Automobile /Transport service 2<br />

Equal to or more than 5 years 4<br />

Any other Service other than<br />

mentioned above<br />

For Serial No. 248 to 382<br />

Chief Regional Manager,<br />

Belgaum Retail Regional Office<br />

HINDUSTAN PETROLEUM<br />

CORPORATION LIMITED<br />

(A. Govt. <strong>of</strong> India Enterprise)<br />

HPCL Complex,<br />

Sambhaji Road,<br />

Rani Chennamma Nagar,<br />

BELGAUM - 590 006.<br />

DD/Pay Order <strong>for</strong> the above<br />

locations should be payable<br />

at Belgaum<br />

GENERAL TERMS AND CONDITIONS :<br />

(a) While any individual meeting the eligibility criteria as mentioned above can apply under Open<br />

Category, <strong>for</strong> any location reserved <strong>for</strong> a particular category the individual meeting all the eligibility<br />

criteria specified <strong>for</strong> that category only can apply.<br />

(b)<br />

Filled application along with relevant enclosures complete in all respects to be submitted so as to<br />

reach the <strong>of</strong>fice address mentioned above on or be<strong>for</strong>e 15.00 hrs. on 26-04-2010 All the<br />

pages <strong>of</strong> application along with enclosures should be serial numbered and total number <strong>of</strong><br />

pages to be indicated on top <strong>of</strong> the application.<br />

(c) The company reserves the right to cancel/withdraw/ amend this advertisement or extend the due<br />

date at its sole discretion without assigning any reason.<br />

(d ) No addition /deletion/ alteration will be permitted in the application once it is submitted.<br />

(e) No additional documents whatsoever will be accepted or considered after the cut <strong>of</strong>f date <strong>of</strong> the<br />

application.<br />

(f) Applications received after the cut-<strong>of</strong>f date including postal delay, and those without<br />

accompanying valid documents including application fee or incomplete in any respect will not be<br />

considered and no correspondence will be entertained by HPCL in such cases whatsoever.<br />

(g) All affidavits have to be submitted in original along with the application.<br />

Individual applicants & partnerships (individually)….. As per Appendix A.<br />

Co-op societies/organized bodies………as per Appendix A1.<br />

Banker's certificate as per Appendix A2 (except by candidates applying <strong>for</strong> locations reserved <strong>for</strong><br />

SC/ST).<br />

Affidavit with regard to tapping <strong>of</strong> sales potential from prospective customers as per<br />

Appendix A3.<br />

PH category persons have to submit certificate as per Appendix B.<br />

Residence Certificate <strong>of</strong> candidates applying <strong>for</strong> "Hamara Pumps" in rural markets<br />

(Appendix C). Location Sl. No. 91 to 102, 230 to 247 and 352 to 382.<br />

Death certificate in case <strong>of</strong> war widows/ widows.<br />

(h) In respect <strong>of</strong> all documents /certificates, only attested copies are to be attached along with the<br />

application. Originals <strong>of</strong> such documents / certificates will have to be brought at the time <strong>of</strong><br />

interview, if called <strong>for</strong>.<br />

(i) Applicants willing to apply <strong>for</strong> more than one location can do so in separate application <strong>for</strong>m and<br />

also enclosing separate Demand Draft/Pay Order as application fee. Each application should be<br />

complete in all respects.<br />

(j) If any statement made in the application or in the document enclosed therewith or subsequently<br />

submitted in pursuance <strong>of</strong> the application by the candidate at any stage is found to be incorrect or<br />

false, the application is liable to be rejected without assigning any reason and in case the applicant<br />

has been appointed as a dealer, the <strong>dealers</strong>hip is liable to be terminated. In such cases the<br />

candidate / dealer shall have no claim whatsoever against HPCL.<br />

(k) The envelope containing the application, duly filled in, should be superscribed as under :<br />

"This application is <strong>for</strong> a <strong>dealers</strong>hip <strong>of</strong> a new <strong>retail</strong> <strong>outlet</strong> at .................................. (location)''.<br />

(l) All applicants should submit a fresh affidavit in Appendix A or Appendix A-1 as the case may be,<br />

at the time <strong>of</strong> interview.<br />

(m) Applications not submitted strictly in accordance with the terms and conditions <strong>of</strong> this<br />

advertisement will be liable to be rejected without assigning any reason.<br />

(n) The applicant would carefully go through the brochure available on our web site and available at a<br />

cost <strong>of</strong> Rs.50/- at the address <strong>of</strong> our Regional Office as given under clause No.13 be<strong>for</strong>e<br />

submitting their applications.<br />

(o) A person selected <strong>for</strong> <strong>dealers</strong>hip after issuance <strong>of</strong> letter <strong>of</strong> <strong>appointment</strong> will have to execute a<br />

<strong>dealers</strong>hip agreement with HPCL as per the terms <strong>of</strong> HPCL.<br />

(p) This is purely a business proposition and not an application <strong>for</strong> job in HPCL and has normal<br />

business risks and also do not guarantee any assured returns or pr<strong>of</strong>its.<br />

(q) This is only an application and not an <strong>of</strong>fer <strong>of</strong> <strong>dealers</strong>hip.<br />

(r) Complaints against dealer selection received after one month from the date <strong>of</strong> publication <strong>of</strong> the<br />

result <strong>of</strong> interview will not be entertained. Ef<strong>for</strong>ts will be made to ensure that the complaints are<br />

disposed <strong>of</strong>f within 3 months from the date <strong>of</strong> receipt <strong>of</strong> response <strong>of</strong> the complainant. The disposal<br />

<strong>of</strong> complaints will be done by way <strong>of</strong> speaking order by the appropriate authority. The complainant<br />

will be advised in writing about disposal <strong>of</strong> the complaint.<br />

(s) Pending disposal <strong>of</strong> complaints, LOI will be kept in abeyance.<br />

(t) Disposal <strong>of</strong> complaints will be as per the established complaint redressal system as specified in<br />

the dealer selection guidelines.<br />

1<br />

APPLICATION FOR HPCL RETAIL OUTLET (PETROL PUMP) / SKO-LDO DEALERSHIP<br />

(Please go through the “Brochure” available on our website or at our<br />

Regional Offices carefully be<strong>for</strong>e filling in this application <strong>for</strong>mat)<br />

Passport Size<br />

Photograph<br />

with specimen<br />

signature on<br />

the photograph<br />

Location (at) .................................Rev. Dist............................. State ..............................<br />

Category ...............................................................(OP/OP-W/ SC/SC-W/ ST/ ST-W/ PH/ PH-W/ PMP/PMP-<br />

W/ DC/ DC-W/ FF/ FF-W/ OSP/ OSP-W): (Please attach copy <strong>of</strong> certificates as pro<strong>of</strong> from the respective<br />

competent authorities).<br />

Advertised on ......................................in ...................................... by HINDUSTAN PETROLEUM<br />

(Date) (Name <strong>of</strong> Newspaper) CORPORATION LTD.<br />

Status : Individual/ Partnership/Regd. Co-operative Society/Organised Body/Corporate House/ Fleet<br />

Operator/Charitable Trust (Tick as applicable)<br />

1. Individual : ( Individuals to enclose Affidavit as per APPENDIX 'A')<br />

(a) Name (in Block Letters) : Mr./Ms. .....................................................................................................<br />

(b) Father's/ Husband's Name: ...............................................................................................................<br />

(c) Address: ............................................................................................................................................<br />

................................................................................................PIN: ...................................................<br />

Telephone No. :............................... E-Mail Address: ........................................................................<br />

(d) Nationality: .................................................................<br />

(e) Date <strong>of</strong> Birth : ...... Completed Age as on date <strong>of</strong> application : .................. (Pro<strong>of</strong> to be attached)<br />

(f) Educational Qualification (s) : ..................................................................... (Pro<strong>of</strong> to be attached)<br />

(g) Resident <strong>of</strong> :.......................... Town:........................................... District...................................State<br />

(Residence Pro<strong>of</strong> to be attached in case <strong>of</strong> "Hamara Pumps")<br />

(h) Gender : ...................................................... (Male / Female)<br />

(i) Marital Status: ........................................... (Unmarried/Married/Widow/Widower/Divorcee)<br />

(j) In case <strong>of</strong> married applicant please give: Full Name <strong>of</strong> Spouse: ..................<br />

Full Name <strong>of</strong> unmarried Children: 1. ............................. 2. ............................. 3. ............................<br />

(k) In case <strong>of</strong> unmarried applicant please give:<br />

1. Full name <strong>of</strong> Father: .................................... 2. Full name <strong>of</strong> Mother: ....................................<br />

3. Full name(s) <strong>of</strong> unmarried brother(s) / unmarried sister(s) ......................................................... .<br />

In case <strong>of</strong> unmarried woman above 40 years <strong>of</strong> age :<br />

• Are your parents (Mother / Father) earning ? YES/ NO<br />

• Do you wish to avail the Corpus Fund facilities YES/NO<br />

In case <strong>of</strong> widows,<br />

• Please advise the date <strong>of</strong> expiry <strong>of</strong> your husband (DD/MM/YY)<br />

• Do you wish to avail the Corpus Fund facilities YES/NO<br />

Please attach death certificate <strong>of</strong> your husband & also affidavit that you are not remarried.<br />

Married Women applicants with change <strong>of</strong> name after marriage should submit a copy <strong>of</strong> the marriage<br />

certificate or an affidavit in support <strong>of</strong> the maiden name and name after marriage.<br />

In case <strong>of</strong> War Widows, please attach supporting documents issued by competent authority.<br />

2. Are you or any <strong>of</strong> your following close relatives is dealer or LOI holder <strong>of</strong> any MS-HSD/ SKO-LDO<br />

<strong>dealers</strong>hip or LPG distributorship <strong>of</strong> any oil company?<br />

In case <strong>of</strong> married applicant: (i) Spouse (ii) Unmarried sons/unmarried daughters: YES/ NO<br />

In case <strong>of</strong> unmarried applicant (i) Parent (ii) Unmarried brothers/unmarried sisters:<br />

YES/NO<br />

If yes, please furnish details : .....................................................................................................................<br />

3. Gross Income during last financial year ended (state year) ................................. Gross Income in<br />

Rs .................................. (Attach Certificate)<br />

4. Present occupation : ...............................................................................................................................<br />

5. In case you are an Income Tax Assessee, please furnish PAN NO: ..............................................................<br />

6. Do you have business / selling experience? if yes, give full details .................................................<br />

............................................................................................................................... (attach addl. sheets)<br />

7. Do you have experience <strong>of</strong> supervision <strong>of</strong> personnel ? if Yes, give full details.<br />

.............................................................................................................................. (attach addl. sheets)<br />

8. Please attach a separate sheet giving your detailed plans to run the <strong>dealers</strong>hip.<br />

9. In case <strong>of</strong> partnership, please give name <strong>of</strong> each <strong>of</strong> the partners and attach Proposed Partnership Deed.<br />

Application <strong>of</strong> all the partner(s) should be attached together while submission:..................<br />

.................................................................................................................................................................<br />

10. Were you a signatory to a <strong>retail</strong> <strong>outlet</strong> / SKO-LDO <strong>dealers</strong>hip / LPG distributorship <strong>of</strong> any Oil company<br />

terminated <strong>for</strong> proven adulteration / malpractice? If yes, give details. Otherwise submit an affidavit as per<br />

APPENDIX 'A'.<br />

11. Registered Co-op. Society/Organised Body: (Organised bodies can apply under 'OPEN'<br />

category only)<br />

(a) Name <strong>of</strong> the Society/Organized Body : .............................................................................................<br />

(b) Address : ......................................................................................................... PIN:.........................<br />

Telephone No.: ................................. E-Mail Address: ......................................................................<br />

(Enclose affidavit as per APPENDIX 'A1')<br />

Copies <strong>of</strong> audited Pr<strong>of</strong>it & Loss account statement <strong>for</strong> the previous 3 financial years to be enclosed<br />

12. Land details (to be provided by all applicants) :<br />

(a) Do you have a suitable site readily available at the<br />

location where the <strong>dealers</strong>hip has been advertised ? Yes / No<br />

If Yes, City/Town/Village ..................... District ....................... State: ...............................................<br />

Survey No : ............... Hissa No.: ................... Name <strong>of</strong> the Road: ..................................................<br />

NH No. / SH No. / Other Road : ..................... Nearest Km Stone :...................... Total land area :<br />

(Acre/Sq.m) .................................... (Site map with dimensions to be attached)<br />

(b) Name <strong>of</strong> the owner <strong>of</strong> the land : ....................................................................... (pro<strong>of</strong> to be attached)<br />

(c) Relationship <strong>of</strong> land owner with the applicant : .....................................................................................<br />

(d) Are you willing to transfer the land on sale/long lease to the oil Co. ? Yes / No<br />

If yes, at what rate/ terms. ....................................................................................................................<br />

(In case the applicant is not the land owner, consent letter & Legal documents from the Land<br />

owner to be enclosed)<br />

13. Give details <strong>of</strong> source <strong>of</strong> funds: (to be provided by all applicants)<br />

The details to cover free & unencumbered Bank Accounts/Govt. Securities/ fixed deposits, bankers/<br />

financial institution certificate <strong>for</strong> credit worthiness(in the enclosed APPENDIX A2 / loans, UTI,NSC,<br />

Bonds, Shares <strong>of</strong> public limited companies etc., details <strong>of</strong> other assets like immovable property (land,<br />

building etc.). Movable properties like vehicle etc., any other sources <strong>of</strong> income like from interest, rent,<br />

business etc. (please attach pro<strong>of</strong> in all cases). The details under “Finance” may be provided in the<br />

following <strong>for</strong>mat: (Attach Separate sheet as required)<br />

Type Details <strong>of</strong> a/c No. etc Name <strong>of</strong> the holder Relationship Amount (Rs.)<br />

NOTE : Candidates applying under Category reserved <strong>for</strong> SC/ ST and War widows need not provide<br />

details under para 12 & 13. Widows and Unmarried women above 40 years <strong>of</strong> age without<br />

earning parents applying against locations reserved <strong>for</strong> Women Category and proposing to<br />

avail Corpus Fund Scheme Facilities also need not provide details under 12 and 13 above.<br />

14. Wherever applicants state that they would be having tie up on sales volume with prospective customers<br />

they would be required to submit an affidavit along with application, from such prospective customers in the<br />

prescribed <strong>for</strong>mat as per Appendix A 3.<br />

15. Have you ever been convicted by a court <strong>of</strong> law <strong>for</strong> any criminal <strong>of</strong>fence involving moral turpitude and / or<br />

economic <strong>of</strong>fence (other than freedom struggle)? (Applicable to individuals, partners, members <strong>of</strong> Co-op.<br />

society, Co-op. society as an entity and also organized body as an entity)<br />

Please state YES or NO ..................................................................<br />

16. Demand Draft/ Pay order No. ..................... dated...........................<strong>for</strong> Rs. ......................... drawn on<br />

....................................... (State Bank's name) in favour <strong>of</strong> <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Limited<br />

payable at .................................. is enclosed.<br />

NOTE : Affidavits to be enclosed in original. In respect <strong>of</strong> all other certificates / documents, duly<br />

attested Photo copy/True copy ONLY need be attached along with the application. However,<br />

originals <strong>of</strong> all these will have to be brought at the time <strong>of</strong> interview, if called <strong>for</strong>.<br />

17. Any other in<strong>for</strong>mation:<br />

18. UNDERTAKING:-<br />

I undertake to produce Originals <strong>of</strong> all the attachments enclosed with this application at the time <strong>of</strong><br />

interview, if called and is aware that in the event I fail to produce the Originals, my application <strong>for</strong> <strong>dealers</strong>hip<br />

will be disqualified. I am fully aware that M/s <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd. under its policy will not<br />

appoint me as their dealer if I am employed. I shall have to resign from the service and produce pro<strong>of</strong> <strong>of</strong><br />

acceptance <strong>of</strong> my resignation by my employer to HPCL be<strong>for</strong>e issuance <strong>of</strong> Letter <strong>of</strong> Appointment <strong>for</strong> the<br />

<strong>dealers</strong>hip.<br />

That, If selected, I undertake that I will be required to deposit an interest Free Security Deposit as per the<br />

policy <strong>of</strong> HPCL.<br />

I, ..................................................................................................................................................<br />

hereby certify that the in<strong>for</strong>mation given above is true to the best <strong>of</strong> my knowledge and belief. Any wrong<br />

in<strong>for</strong>mation / suppression <strong>of</strong> facts will disqualify me from being considered <strong>for</strong> the <strong>dealers</strong>hip.<br />

Place:<br />

Signature<br />

Date : (Name in block letters)<br />

Encl. : Total <strong>of</strong> ............................. no. <strong>of</strong> documents with this application,<br />

Encl. : Checklist <strong>for</strong> supporting documents/affidavits.<br />

APPENDIX- A3<br />

(to be obtained from the prospective customers and to be submitted by the<br />

applicant along with the application)<br />

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)<br />

AFFIDAVIT<br />

I, ................................................................................................................................... son / daughter / wife <strong>of</strong><br />

.................................................................................................................................. Age ..................... years<br />

residing at ............................................................... do hereby solemnly affirm and say as under :<br />

1. ..................................................... (Name <strong>of</strong> applicant), son / daughter <strong>of</strong> ................................................,<br />

resident <strong>of</strong> ................................................................................................................................................<br />

(address) has applied <strong>for</strong> Retail Outlet <strong>dealers</strong>hip at ................................................................ (location) <strong>of</strong><br />

.............................................................................................................. (name <strong>of</strong> Oil Co.).<br />

2. I am having approx. consumption <strong>of</strong> ................. KL per month <strong>of</strong> .......................................................<br />

(name <strong>of</strong> product) required <strong>for</strong> ................................................... (purpose).<br />

3. I hereby confirm that in case the <strong>dealers</strong>hip is awarded to above applicant, I will be taking my supplies<br />

through him to the extent <strong>of</strong> ................... KL per month subject to the commercial terms and conditions<br />

agreed mutually.<br />

4. I hereby confirm that this type <strong>of</strong> commitment has not been given to any other candidate applied <strong>for</strong> the<br />

above location.<br />

5. I hereby certify that what has been stated above is true to the best <strong>of</strong> my knowledge and belief and nothing<br />

material has been concealed therefrom.<br />

Solemnly affirmed and declared be<strong>for</strong>e me<br />

This .......................... day <strong>of</strong> ......................<br />

.................................................................... ....................................................................<br />

Signature and Seal <strong>of</strong> Signature <strong>of</strong> person making affidavit<br />

Magistrate/Judge/Notary Public (Name in block letters)<br />

F U T U R E F U L L O F E N E R G Y<br />

APPENDIX- A<br />

(TO BE TYPED ON APPROPRIATE NON- JUDICIAL STAMP PAPER OF<br />

REQUIRED VALUE) AFFIDAVIT FOR INDIVIDUALS & PARTNERS<br />

I, ..................................................... son/daughter/wife <strong>of</strong> ....................................... Age ........................<br />

years residing at .............................................................................................................................. do hereby<br />

solemnly affirm and say as under :<br />

1. That I am an Indian National.<br />

2. That I am unmarried. That neither I nor my Father, Mother, unmarried brother(s), unmarried sister(s) have<br />

<strong>dealers</strong>hips/distributorships or hold Letter <strong>of</strong> Intent <strong>for</strong> Retail Outlet or SKO-LDO <strong>dealers</strong>hip or LPG<br />

distributorship <strong>of</strong> any Oil Company.<br />

OR<br />

That I am married. That neither I nor my spouse, unmarried son(s) / unmarried daughter(s) have<br />

<strong>dealers</strong>hips / distributorships or hold Letter <strong>of</strong> Intent <strong>for</strong> Retail Outlet or SKO-LDO <strong>dealers</strong>hip or LPG<br />

distributorship <strong>of</strong> any Oil Company.<br />

3. @ That I am an unmarried woman above 40 years <strong>of</strong> age without earning parents.<br />

4. @ That I am a widow and not re-married.<br />

[ @ DELETE THESE IF NOT APPLICABLE ]<br />

5. I have never been convicted and / or no charges have been framed by a Court <strong>of</strong> Law against me <strong>for</strong> any<br />

criminal <strong>of</strong>fence involving moral turpitude / economic <strong>of</strong>fences (other than freedom struggle).<br />

6. I hereby confirm that I was never a signatory to a <strong>dealers</strong>hip/distributorship agreement <strong>of</strong> any oil company,<br />

which was terminated <strong>for</strong> proven adulteration/malpractices.<br />

7. That against item no.13 <strong>of</strong> my application <strong>for</strong>m details <strong>of</strong> various sources <strong>of</strong> funds required <strong>for</strong> setting up<br />

and operation <strong>of</strong> the <strong>dealers</strong>hip has been furnished. I undertake that these funds will be made available <strong>for</strong><br />

the purpose stated above. In case it is found that the same is not made available as and when required, the<br />

<strong>of</strong>fer <strong>of</strong> <strong>dealers</strong>hip, at any stage, can be withdrawn and that I will have no claim/damages whatsoever<br />

against the oil company.<br />

8. I hereby certify that what has been stated above is true to the best <strong>of</strong> my knowledge and belief and nothing<br />

material has been concealed there<strong>of</strong>. If any in<strong>for</strong>mation/declaration given by me in my /our application or in<br />

any document submitted by me/us in support <strong>of</strong> application <strong>for</strong> the award <strong>of</strong><br />

.....................................................<strong>dealers</strong>hip or in this affidavit shall be found to be untrue or incorrect or<br />

false, <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd would be within its rights to withdraw the letter <strong>of</strong> intent /<br />

terminate the <strong>dealers</strong>hip (if already appointed) and that we would have no claim, whatsoever, against<br />

<strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd. <strong>for</strong> such withdrawal/ termination.<br />

Solemnly affirmed and declared be<strong>for</strong>e me<br />

This ............................ day <strong>of</strong> ...................<br />

................................................................ ................................................................<br />

Signature and Seal <strong>of</strong><br />

Signature <strong>of</strong> person making affidavit<br />

Magistrate/Judge/Notary public (Name in block letters)<br />

APPENDIX - A1<br />

(To be submitted by Registered Co-operative Societies, Organised bodies,<br />

Fleet Operators, Charitable Trusts and Corporate Houses)<br />

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)<br />

AFFIDAVIT<br />

In the matter <strong>of</strong> ............... <strong>dealers</strong>hip <strong>of</strong> , <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd, at ................... (Location)<br />

Whereas ................. (Name <strong>of</strong> the Co-operative Society*/organised body*) ........................ (Location) has<br />

applied <strong>for</strong> RO <strong>dealers</strong>hip <strong>of</strong> , <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd at ..........................<br />

I, ................................... son/daughter/wife <strong>of</strong> ........................................... Age ....................... years resident<br />

<strong>of</strong> .................................. in the capacity <strong>of</strong> ............................... do hereby solemnly declare :<br />

1. That through a resolution passed by the Co-operative society*/organised body* I have been authorised to<br />

apply <strong>for</strong> the said <strong>dealers</strong>hip. A copy <strong>of</strong> the resolution/authorisation is enclosed herewith <strong>for</strong>ming part and<br />

parcel <strong>of</strong> this affidavit.<br />

2. That the said Co-operative Society*/organised body* is duly registered and a photocopy <strong>of</strong> the registration<br />

certificate is enclosed herewith <strong>for</strong>ming part and parcel <strong>of</strong> this affidavit.<br />

3. That the said Co-operative Society / organised body is a pr<strong>of</strong>it making body during last 3 consecutive<br />

Financial years. (Delete if not applicable). A copy <strong>of</strong> certificate from chartered accountant is enclosed<br />

herewith <strong>for</strong>ming part and parcel <strong>of</strong> this affidavit.<br />

4. That on behalf <strong>of</strong> the Co-operative Society*/organised body*, I undertake that I will observe all the relevant<br />

guidelines with regard to award/operation <strong>of</strong> the said <strong>dealers</strong>hip issued by the, <strong>Hindustan</strong> <strong>Petroleum</strong><br />

Corporation Ltd. /Government <strong>of</strong> India or any other statutory body from time to time.<br />

5. That all members <strong>of</strong> the Co-operative Society belong to the reserved category <strong>for</strong> which the location has<br />

been advertised including <strong>for</strong> women and none <strong>of</strong> the members have been convicted and / or no charges<br />

have been framed by a Court <strong>of</strong> law against them <strong>for</strong> criminal <strong>of</strong>fences involving moral turpitude and / or<br />

economic <strong>of</strong>fences (other than freedom struggle). Moreover, none <strong>of</strong> the members was ever signatory to a<br />

<strong>dealers</strong>hip/distributorship <strong>of</strong> any oil company, which was terminated <strong>for</strong> proven adulteration/malpractices.<br />

A copy <strong>of</strong> the certificate to this effect from the Registrar <strong>of</strong> Co-operative Societies is enclosed herewith<br />

<strong>for</strong>ming part and parcel <strong>of</strong> this affidavit .(applicable <strong>for</strong> co-operative societies/consumer societies only).<br />

6. That the Co-operative Society*/organised body* does not have any criminal records nor does it have any<br />

criminal charges framed against it by court <strong>of</strong> law involving moral turpitude and/or economic <strong>of</strong>fences.<br />

7. That the Co-operative Society*/organised body* was never a signatory to a <strong>dealers</strong>hip/ distributorship<br />

agreement <strong>of</strong> any oil company, which was terminated <strong>for</strong> proven adulteration / malpractices.<br />

8. That the applicant company hereby confirms that the applicant company or any <strong>of</strong> the following do not hold<br />

RO/SKO/LPG <strong>dealers</strong>hip/distributorship or Letter <strong>of</strong> Intent (LOI) :<br />

a. Any Director or his family members (family as defined in the case <strong>of</strong> multiple <strong>dealers</strong>hip norms <strong>for</strong><br />

individuals)<br />

b. Holding company or Subsidiary company.<br />

c. Any other company or Firm where share holders (put together) <strong>of</strong> the applicant company have<br />

controlling stake i.e. 51% or more.<br />

OR<br />

Organized bodies, charitable trusts registered with the Charity Commissioner <strong>of</strong> the respective State<br />

Government and Societies registered under Societies Registration Act, 1860, hereby confirm that no<br />

RO/SKO/LPG <strong>dealers</strong>hip/distributorship or Letter <strong>of</strong> Intent (LOI) is held by it or by any Member <strong>of</strong> the<br />

Governing Body/Managing Body/any such other Body or his family members (family as defined in the<br />

case <strong>of</strong> multiple <strong>dealers</strong>hip norms <strong>for</strong> individuals).<br />

9. @ That against item no.13 <strong>of</strong> my application <strong>for</strong>m details <strong>of</strong> various sources <strong>of</strong> funds required <strong>for</strong> setting up<br />

and operation <strong>of</strong> the <strong>dealers</strong>hip have been furnished. I undertake that these funds will be made available <strong>for</strong><br />

the purpose stated above. In case it is found that the same is not made available as and when required, the<br />

<strong>of</strong>fer <strong>of</strong> <strong>dealers</strong>hip, at any stage, can be withdrawn and that I will have no claim/damages whatsoever<br />

against the <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd.<br />

10. I hereby verify that what has been stated above is true to the best <strong>of</strong> my knowledge and belief and nothing<br />

material has been concealed therefrom. If any in<strong>for</strong>mation/declaration given by me in my application or in<br />

any document submitted by me in support <strong>of</strong> my application <strong>for</strong> the award <strong>of</strong> the <strong>dealers</strong>hip or in this<br />

affidavit shall be found to be untrue or incorrect or false, <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd. would be<br />

within its rights to withdraw the Letter <strong>of</strong> Intent / terminate the <strong>dealers</strong>hip (if already appointed) and that I<br />

would have no claim, whatsoever, against , <strong>Hindustan</strong> <strong>Petroleum</strong> Corporation Ltd. <strong>for</strong> such withdrawal/<br />

termination.<br />

*strike out whatever is not applicable.<br />

Solemnly affirmed and declared be<strong>for</strong>e me<br />

This ........................ day <strong>of</strong> ........................................<br />

................................................................. .................................................................<br />

Signature and Seal <strong>of</strong><br />

Signature <strong>of</strong> person making affidavit<br />

Magistrate/Judge/Notary Public (Name & Designation in block letters)<br />

APPENDIX- A2<br />

(To be submitted by all applicants except those applying under category<br />

reserved <strong>for</strong> SC/ST and War Widows)<br />

To whomsoever it may concern<br />

Shri /Ms /M/s. ...................................... is a customer <strong>of</strong> this bank / institution <strong>for</strong> last ................ years and he/<br />

she / they, is/are enjoying the following facilities <strong>of</strong> our bank / institution:<br />

a.<br />

b.<br />

c.<br />

During the above period, the dealing <strong>of</strong> Shri / Ms/ M/s ..............................................with the bank and he /her /<br />

their conduct has been satisfactory. In case, a <strong>dealers</strong>hip is allotted to him / her / them, we will be willing to<br />

extend a loan <strong>of</strong> Rs. ................................. Rupees .........................................(in words).<br />

Signature Office Seal :<br />

Name and Designation : Date :<br />

APPENDIX 'B'<br />

CERTIFICATE OF MEDICAL OFFICER FOR PHYSICALLY HANDICAPPED CANDIDATES<br />

Certified that I, Dr ............................................................Registration No ............................have, this<br />

............................ day <strong>of</strong> ........................... examined the candidate, whose particulars are given below:<br />

1. Name : .........................................................................................<br />

2. Identification Marks : .........................................................................................<br />

3. Sex : ...............................<br />

4. Father's / Husband's Name : .........................................................................................<br />

5. Approximate Age : ..............................<br />

6. (A) Orthopaedically Handicapped<br />

i) Nature <strong>of</strong> disability (tick the relevant from the following) : Post Polio Paralysis, Hemiplegia,<br />

Quadriplegia, Congenital, Hemipelvectomy, Cheopats Wrist.<br />

ii) Extent <strong>of</strong> disability<br />

iii) Estimate percentages<br />

iv) Use <strong>of</strong> appliance (if any)<br />

v) Any operation done or indicated<br />

(B) Handicapped by way <strong>of</strong> “being blind”<br />

(C) Handicapped by way <strong>of</strong> “being dumb”<br />

(D) Handicapped by way <strong>of</strong> “being deaf”<br />

7. Any other particulars to clarify : The nature and extent <strong>of</strong> disability that the surgeon might like to<br />

point out :<br />

Place : .................................................<br />

Date : ................<br />

Signature <strong>of</strong> Orthopaedic Surgeon / Countersigned by Civil Surgeon /<br />

Eye Surgeon / ENT Surgeon Chief Medical Officer / Supt. Govt. Hospital<br />

Note:<br />

Designation<br />

(Seal)<br />

APPENDIX 'C'<br />

RESIDENCE CERTIFICATE<br />

This is to certify that Shri/Smt/Kum ......................................................................................Son/Daughter <strong>of</strong><br />

............................................................................................................ is a resident <strong>of</strong> .....................................<br />

District.................................................. State.............................................................<br />

Signature <strong>of</strong> Competent Authority as per Government Notification <strong>of</strong> Governenment <strong>of</strong> Karnataka.<br />

Residence certificate issued within previous six months <strong>of</strong> the date <strong>of</strong> application in the<br />

prescribed <strong>for</strong>mat herein will only be treated as valid residence certificate.

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