final full page advt. (june) - Hindustan Petroleum Corporation Limited

Sr.
No.
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HINDUSTAN PETROLEUM CORPORATION LIMITED
( A G o v e r n m e n t o f I n d i a E n t e r p r i s e )
NOTICE FOR APPOINTMENT OF RETAIL OUTLET DEALERS
1. HINDUSTAN PETROLEUM CORPORATION LIMITED PROPOSES TO APPOINT DEALER FOR RETAIL OUTLET
DEALERSHIPS IN THE STATE OF PUNJAB, HARYANA & HIMACHAL PRADESH AT THE FOLLOWING LOCATIONS :
Location District Category
HPC Proposed Proposed Estimated
Estimated Amount
MARKETING to be to be Sales Minimum Plot investment of
PLAN developed developed Potential size in mtr. required
Security
of the site
from
on on
(Frontage &
Deposit
applicant
Company Company in KL per Depth)
Rs ( lacs), (Rs
leased owned month.
excluding lacs)
basis, basis,
Frontage
land
Depth Area cost of
refer note refer note
A B C D E F G H I J K L M N
HIMACHAL PRADESH
1 WITHIN 2 KMS OF VILLAGE CHACHIOT LIMITS MANDI DEF(W) HPC MK.PL.-RUR NO YES 85 20 20 400 10 2
2 BETWEEN GARKHAL - KASAULI ROAD SOLAN PH (W) HPC MK.PL.-RUR NO YES 80 20 20 400 10 2
3 BETWEEN CHAIL & KUFRI ON CHAIL KUFRI ROAD SOLAN PMP (W) HPC MK.PL.-RUR NO YES 80 20 20 400 10 2
4 PAONTA SAHIB (WML) SIRMOUR OP HPC MK. PL. NO YES 200 20 20 400 20 3 NH-72
5 WITHIN 2 KMS OF BILASPUR CITY ON BILASPUR OP HPC MK. PL. NO YES 240 20 20 400 25 3 NH-21
BILASPUR - SUNDERNAGAR ROAD
6 BETWEEN NALAGARH & BADDI ON NH-21A SOLAN OP HPC MK. PL. NO YES 220 20 20 400 20 3 NH-21A
7 BETWEEN THEOG AND MATIANA ON NH-22 SHIMLA OP HPC MK. PL. NO YES 220 20 20 400 25 3 NH-22
8 NURPUR WML KANGRA DEF. HPC MK. PL. NO YES 120 20 20 400 20 2 NH-20
9 GHUMARWIN UPTO 1KM OF MC LIMITS HAMIRPUR OP HPC MK. PL. NO YES 105 20 20 400 12 2 NH-88
10 KARSOG / SNARLI
MANDI OP HPC MK. PL. NO YES 115 20 20 400 12 2
11 MANALI TO SOLANG NALA KULLU OP HPC MK. PL. NO YES 120 20 20 400 12 2 NH-21
12 WITHIN 2KMS ON EITHER SIDE OF KEYLONG, LAHUL SPITI OP HPC MK. PL. NO YES 120 20 20 400 12 2 NH-21
ON KEYLONG-GONDLA ROAD ON NH-21
13 WITHIN 2 KM ON EITHER SIDE OF VILL. SATAUN SIRMOUR OP HPC MK. PL. NO YES 65 20 20 400 10 2
14 WITHIN 2 KM OF KALKHAR VILLAGE LIMITS MANDI OP(W) HPC MK. PL. NO YES 110 20 20 400 12 2 SH
ON NERCHOWK-JAHOO ROAD
15 BETWEEN SANJAULI COLLEGE TO DHALLI SHIMLA OP HPC MK. PL. NO YES 200 20 20 400 20 3
ON SANJAULI BYE PASS ROAD
16 KULLU WML (ON NH-21) KULLU OP HPC MK. PL. NO YES 140 20 20 400 15 2 NH-21
17 WITHIN 2 KM OF HATKOTI-KENCHIYA(CROSSING) SHIMLA OP HPC MK. PL. NO YES 100 20 20 400 12 2 SH-1
TOWARDS SHIMLA ON SHIMLA ROAD
18 WITHIN 2KMS OF VILLAGE PARROR LIMITS KANGRA OP HPC MK. PL. NO YES 80 20 20 400 12 2
19 WITH IN 2 KMS OF VILLAGE TARGALI LIMITS KULLU OP(W) HPC MK. PL. NO YES 90 20 20 400 12 2
(TEHSIL- BANJAR) ON EITHER SIDE
20 WITHIN 1KM OF ARKI TOWN LIMIT SOLAN OP(W) HPC MK. PL. NO YES 70 20 20 400 10 2
21 KANGRA TOWN (WML) KANGRA OP HPC MK. PL. NO YES 95 20 20 400 12 2 NH-88
22 WITIN 2 KM OF VILLAGE THURAL LIMIT KANGRA OP HPC MK. PL. NO YES 120 20 20 400 25 2
23 WITHIN 2KM OF BARSAR ON BARSAR-UNA ROAD HAMIRPUR OP HPC MK. PL. NO YES 75 20 20 400 10 2 SH
24 WITHIN 2 KMS OF VILLAGE BARU LIMITS HAMIRPUR OP HPC MK. PL. NO YES 80 20 20 400 10 2
25 WITHIN 2 KMS ON EITHER SIDE OF VILLAGE OEL UNA OP HPC MK. PL. NO YES 105 20 20 400 12 2
LIMITS ON GAGRET - UNA ROAD
26 WITHIN 4 KM FROM CHAIL BAZAR SOLAN OP HPC MK. PL. NO YES 90 20 20 400 10 2
TOWARDS KANDAGHAT ROAD
27 WITHIN 4 KM ON EITHER SIDE OF KHARSI CHOWK BILASPUR OP HPC MK. PL. NO YES 80 20 20 400 10 2
KHARSI KANEATA/BRAHMANA
28 WITHIN 2KMS OF VILLAGE SANTOSHGARH LIMITS UNA OSP(W) HPC MK. PL. NO YES 80 20 20 400 10 2
29 WITHIN 2KMS OF VILLAGE SUJANPUR LIMITS HAMIRPUR OP (W) HPC MK. PL. NO YES 70 20 20 400 10 2
30 WITHIN 2KMS OF VILLAGE GUMMA SHIMLA OP HPC MK. PL. NO YES 100 20 20 400 12 2 SH-10
TEHSIL KOTKHAI LIMITS
31 WITHIN 2 KM ON EITHER SIDE OF VILLAGE HAMIRPUR OP HPC MK. PL. NO YES 70 20 20 400 10 2
TALERA ON BARSAR -DHANETA ROAD
32 WITH IN 2 KM OF KARSHA VILLAGE LIMITS KULLU OP HPC MK. PL. NO YES 80 20 20 400 10 2
IN TEHSIL - ANNI
33 WITHIN 2 KM OF VILLAGE MAHAKAAL KANGRA OSP HPC MK. PL. NO YES 90 20 20 400 10 2
(BAIJNATH-MAHAKAAL-CHOBIN ROAD)
34 SOLAN BYE PASS SOLAN OP HPC MK. PL. NO YES 70 20 20 400 10 2 NH-22
35 BETWEEN SHOGI & SHIMLA SHIMLA OP HPC MK. PL. NO YES 100 20 20 400 12 2 NH-22
36 BETWEEN DHARAMPUR & KUMARHATTI SOLAN OP HPC MK. PL. NO YES 100 20 20 400 12 2 NH-22
37 BETWEEN 2 KMS OF BATHOLI COLLEGE UNA OP(W) HPC MK. PL. NO YES 80 20 20 400 10 2
ON NANGAL - LALUWAL ROAD
38 WITHIN 2KMS OF VILLAGE BANGANA UNA OP HPC MK. PL. NO YES 100 20 20 400 12 2 NH-22
LIMITS ON UNA-BARSAR ROAD;
39 BADDI TOWN (NOT ON HIGHWAY) SOLAN OP HPC MK. PL. NO YES 120 20 20 400 12 2
40 NALAGARH TOWN (NOT ON HIGHWAY) SOLAN OP HPC MK. PL. NO YES 120 20 20 400 12 2
PUNJAB
41 WITHIN 2 KMS OF VILLAGE HUMAYUNPUR SAS NAGAR OP HPC MK.PL.-RUR NO YES 130 40 36 1440 12 2
LIMITS ON HANDESRA - LALRU ROAD
42 WITHIN 2 KMS OF VILLAGE LEHLI LIMITS, SAS NAGAR PMP(W) HPC MK.PL.-RUR NO YES 110 40 36 1440 12 2
BANUR-DAPPAR ROAD
43 WITHIN 4 KMS OF DERABASSI ON SAS NAGAR OP HPC MK.PL.-RUR NO YES 130 40 36 1440 12 2
DERABASSI-BARWALA ROAD
44 WITHIN 3 KMS OF VILLAGE JEOLY ON SAS NAGAR DEF HPC MK.PL.-RUR NO YES 110 40 36 1440 12 2
DERABSSI-HANDESRA ROAD
45 WITHIN 2KM OF VILLAGE RAIPUR KALAN LIMITS SAS NAGAR OP HPC MK.PL.-RUR NO YES 120 40 36 1440 12 2
46 WITHIN 2KM OF VILLAGE BADA PIND LIMITS, RUPNAGAR OP HPC MK.PL.-RUR NO YES 110 40 36 1440 12 2
ON BHARATGARH-BADA PIND LINK ROAD
47 WITHIN 4 KMS OF ANANDPUR SAHIB, ON RUPNAGAR OP HPC MK.PL.-RUR NO YES 95 40 36 1440 10 2
ANANDPUR SAHIB - NAINA DEVI ROAD
48 BETWEEN JHAJJ CHOWK TO ANANDPUR SAHIB RUPNAGAR OP HPC MK.PL.-RUR NO YES 190 40 36 1440 15 3
49 WITHIN 2 KMS OF VILLAGE BATHIR LIMITS, RUPNAGAR PMP HPC MK.PL.-RUR NO YES 125 40 36 1440 12 2
ON BATHIR-KHANPUR-KHUI RAOD
50 WITHIN 2KMS OF VILLAGE LOHGARH LIMITS RUPNAGAR OP HPC MK.PL.-RUR NO YES 100 40 36 1440 12 2
51 WITHIN 2KMS OF VILLAGE DEHNI LIMITS ON RUPNAGAR OP HPC MK.PL.-RUR NO YES 75 40 36 1440 10 2
JAYPEE PLANT TO NH 21 LINK ROAD
52 WITHIN 2KMS OF VILLAGE GADHANI LIMITS, LUDHIANA OP(W) HPC MK.PL.-RUR NO YES 105 40 36 1440 12 2
ON RARAH SAHIB - PAYAL ROAD
53 BETWEEN PAYAL & DORAHA (OML) LUDHIANA OP HPC MK.PL.-RUR NO YES 85 40 36 1440 10 2
ON RARAH SAHIB - PAYAL ROAD
54 WITHIN 2KMS OF VILLAGE KULEWAL LIMITS, LUDHIANA OP HPC MK.PL.-RUR NO YES 100 40 36 1440 12 2
ON KHANNA-SAMRALA ROAD
55 WITHIN 2KMS OF VILLAGE BRUNDHI LIMITS, LUDHIANA DEF. HPC MK.PL.-RUR NO YES 95 40 36 1440 10 2
ON CHAPPAR- BRUNDHI LINK ROAD
56 WITHIN 2KMS OF VILLAGE BAGLIKALAN LIMITS LUDHIANA OP HPC MK.PL.-RUR NO YES 80 40 36 1440 10 2
ON BIJA-SAMRALA LINK ROAD
57 WITHIN 2KMS OF VILLAGE LALHERI LIMITS LUDHIANA OP HPC MK.PL.-RUR NO YES 100 40 36 1440 12 2
ON KHANNA TO BARI ROAD
58 WITHIN 2KMS OF VILLAGE JODHA LIMITS, LUDHIANA PH(W) HPC MK.PL.-RUR NO YES 115 40 36 1440 12 2
ON MANSOORIAN-PAKHOWAL ROAD
59 WITHIN 2KMS OF VILLAGE MANNGARH LIMITS, LUDHIANA OP(W) HPC MK.PL.-RUR NO YES 110 40 36 1440 12 2
ON KOHARA-MACHIWARA ROAD
60 WITHIN 2KMS OF VILLAGE JHAR SAHAB LIMITS, LUDHIANA PMP HPC MK.PL.-RUR NO YES 120 40 36 1440 12 2
ON SAMRALA-ROPAR ROAD
61 WITHIN 2KMS OF VILLAGE BALION LIMITS, LUDHIANA FF HPC MK.PL.-RUR NO YES 125 40 36 1440 15 2
ON SAMRALA-GARHI ROAD
62 WITHIN 2KMS FROM KOHARA CHOWK TO LUDHIANA OP HPC MK.PL.-RUR NO YES 95 40 36 1440 10 2
LAKHOWAL ON KOHARA LAKHOWAL ROAD
63 WITHIN 2KMS OF RAEKOT OML ON LUDHIANA OP HPC MK.PL.-RUR NO YES 110 40 36 1440 12 2
RAEKOT BARNALA ROAD
64 WITHIN 2KMS OF VILLAGE LEELAN LIMITS, LUDHIANA OP HPC MK.PL.-RUR NO YES 70 40 36 1440 10 2
ON JAGRAON-NAKODAR ROAD
65 WITHIN 2KMS OF VILLAGE BHAINI BARINGAN LUDHIANA OP HPC MK.PL.-RUR NO YES 110 40 36 1440 12 2
LIMITS, ON RAEKOT-DEHLON ROAD
66 WITHIN 2KMS OF VILLAGE AHINGRAN LIMITS LUDHIANA PH HPC MK.PL.-RUR NO YES 135 40 36 1440 15 2
ON SIDHWANBET-AHINGRAN LINK ROAD
67 WITHIN 2KMS OF VILLAGE LEHAL LIMITS LUDHIANA OP(W) HPC MK.PL.-RUR NO YES 125 40 36 1440 12 2
ON RARAH SAHIB TO BER PIND ROAD
68 WITHIN 2KMS OF VILLAGE TIBBA LIMITS LUDHIANA OP(W) HPC MK.PL.-RUR NO YES 100 40 36 1440 12 2
ON TIBBA-SAHNEWAL ROAD
69 WITHIN 2KMS OF VILLAGE MANUKE LIMITS , LUDHIANA OP HPC MK.PL.-RUR NO YES 120 40 36 1440 12 2
ON JAGRAON TO HATHUR LINK ROAD
70 WITHIN 2 KMS OF VILLAGE MANAKPUR LIMITS PATIALA OP HPC MK.PL.-RUR NO YES 70 40 36 1440 10 2
ON CHUNNI - RAJPURA ROAD
71 WITHIN 2KMS OF VILLAGE CHAPPAR LIMITS, PATIALA OP HPC MK.PL.-RUR NO YES 90 40 36 1440 10 2
ON BAHADURGARH - GHANAUR ROAD
72 WITHIN 2KMS OF VILLAGE SULAR LIMITS, PATIALA OP HPC MK.PL.-RUR NO YES 100 40 36 1440 12 2
ON PATIALA - SULAR ROAD
73 WITHIN 2KMS OF VILLAGE DHAKALA LIMITS, PATIALA PH HPC MK.PL.-RUR NO YES 60 40 36 1440 10 2
ON PATIALA - DHAKALA ROAD
74 SANGRUR OML-SANGRUR TO MEHLAN CHOWK SANGRUR OP HPC MK. PL. NO YES 290 50 50 2500 25 5 NH71
75 DIRBA OML, DIRBA KHETLA ROAD ON NH 71 SANGRUR OP HPC MK. PL. NO YES 200 50 50 2500 20 3 NH71
76 BETWEEN BHAWANIGARH & CHANNO (OML) NH64 SANGRUR PH HPC MK. PL. YES NO 160 50 50 2500 20 3 NH 64
77 BETWEEN BARNALA TO CHEEMA JODHPUR, BARNALA OP HPC MK. PL. YES NO 150 50 50 2500 30 2 NH71
OML ON NH 71
78 WITHIN 2 KMS OF VILLAGE BHAINI- BARNALA OP HPC MK. PL. YES NO 155 50 50 2500 30 3 NH 64
MEHRAJ LIMITS ON NH64
79 BETWEEN DAPPAR & DERABASSI ON LALRU- SAS NAGAR OP HPC MK. PL. NO YES 215 50 60 3000 20 3 NH 22
DERABASSI ROAD ON LHS ON NH 22
(ii) below
(iii) below
Name of
SH/NH in
case of
RO's on
Highway
ENGINE OILS
YOUR ENGINE'S ENGINEER
A B C D E F G H I J K L M N
80 WITHIN 5 KMS OF ROPAR ON ROPAR- RUPNAGAR OP(W) HPC MK. PL. YES NO 180 50 60 3000 30 3 NH 21
KURALI ROAD ON LHS (OML)
81 BEWTEEN BHARATGARH & KIRATPUR, LHS, RUPNAGAR OP(W) HPC MK. PL. NO YES 200 50 50 2500 20 3 NH 21
ON ROPAR-KIRATPUR ROAD (NH21)
82 WITHIN 3KMS OF VILLAGE KATANI KALAN LIMITS, LUDHIANA OP HPC MK. PL. YES NO 180 50 50 2500 30 3 NH 95
ON LUDHIANA- CHANDIGARH ROAD, NH-95
83 WITHIN 3KMS FROM LUDHIANA OML ON LUDHIANA OP HPC MK. PL. NO YES 270 50 50 2500 25 5 NH 1
LUDHIANA TO KHANNA ROAD (NH 1)
84 WITHIN 2KMS OF LUDHIANA OML, LUDHIANA OP HPC MK. PL. NO YES 245 50 50 2500 25 3 NH-1
LUDHIANA-JALANDHAR ROAD (NH 1)
85 WITHIN 2KMS OF VILLAGE PAMAL LIMITS ON LUDHIANA OP HPC MK. PL. NO YES 220 50 50 2500 20 3 NH95
NH-95, LUDHIANA TO MOGA ROAD
86 RAJPURA TO BANUR (NEAR CHITKARA PATIALA OP HPC MK. PL. YES NO 150 50 50 2500 25 2 NH 64
INSTITUTE) ON NH 64
87 PATIALA TO PUNJABI UNIVERSITY (OML) ON NH 64 PATIALA OP HPC MK. PL. YES NO 165 50 50 2500 25 3 NH 64
88 IN AND AROUND SAINSARWAL, BETWEEN 74 PATIALA OP HPC MK. PL. YES NO 95 50 50 2500 25 2 NH 64
TO 76 KM STONE ON NH 64
89 BETWEEN BANUR AND RAJGARH PATIALA OP HPC MK. PL. NO YES 245 50 50 2500 20 3
ON BANUR - RAJGARH ROAD
90 WITHIN 2KMS OF VILLAGE SHAMBHU PATIALA OP HPC MK. PL. NO YES 220 50 50 2500 20 3
LIMITS, ON NH 1
91 WITHIN 2KMS OF VILLAGE KHASPUR PATIALA OP(W) HPC MK. PL. YES NO 155 50 50 2500 30 3
LIMITS, ON NH 71
92 WITHIN 2KMS OF VILLAGE WAJIRPUR LIMITS, PATIALA OP(W) HPC MK. PL. NO YES 110 30 30 900 12 2
ON PATIALA - SANGRUR ROAD (NOT ON NH)
93 MOONAK OML ON MOONAK PATRAN ROAD SANGRUR OP(W) HPC MK. PL. NO YES 110 30 30 900 15 3 SH10
TEHSIL MOONAK
94 WITH IN 2KMS OF VILLAGE MANIANA LIMITS SANGRUR OP HPC MK. PL. NO YES 80 30 30 900 10 2
95 WITH IN 2KMS OF VILLAGE GURNEY KHURD SANGRUR OP HPC MK. PL. NO YES 90 30 30 900 10 2
LIMITS, LEHRA JAKHAL ROAD, MDR 21
96 WITH IN 2KMS OF VILLAGE VEERKALAN LIMITS, SANGRUR PMP HPC MK. PL. NO YES 125 30 30 900 12 2 SH12A
SUNAM BATHINDA ROAD
97 WITH IN 2KMS OF VILLAGE AKBARPUR CHHANA SANGRUR OP(W) HPC MK. PL. NO YES 100 30 30 900 12 2 SH11
ON MALERKOTLA-LUDHIANA ROAD
98 MALERKOTLA TOWN WML LIMITS SANGRUR OP HPC MK. PL. NO YES 125 30 30 900 12 2
99 WITH IN 2KMS OF VILLAGE BHASAUR LIMITS, SANGRUR OP HPC MK. PL. NO YES 100 30 30 900 12 2 SH11
DHURI MALERKOTLA ROAD SH11
100 WITHIN 2 KMS OF VILLAGE BALAD KHURD SANGRUR OP(W) HPC MK. PL. NO YES 110 30 30 900 15 2
LIMITS, ON BHAWANIGARH SAMANA ROAD
101 WITHIN 2 KMS OF VILLAGE BAGRIAN LIMITS, SANGRUR OP HPC MK. PL. NO YES 90 30 30 900 10 2
ON MALERKOTLA NABHA ROAD
102 WITH 2KMS OF VILLAGE DHURI LIMITS SANGRUR OP(W) HPC MK. PL. NO YES 70 30 30 900 10 2
ON MANWALA ROAD
103 WITHIN 4KMS OF MALERKOTLA TOWN (OML) SANGRUR OP HPC MK. PL. NO YES 90 30 30 900 10 2
ON MALERKOTLA RAEKOT ROAD
104 WITHIN 2KMS OF VILLAGE SANDHAUR LIMITS, SANGRUR OP HPC MK. PL. NO YES 70 30 30 900 10 2
MALERKOTLA RAEKOT ROAD
105 SUNAM TOWN WML SANGRUR OP HPC MK. PL. NO YES 70 30 30 900 10 2
106 WITHIN 2KMS OF VILLAGE SAMURAN SANGRUR OP HPC MK. PL. NO YES 65 30 30 900 10 2
SUB TEHSIL DIRBA)
107 WITHIN 2KMS OF VILLAGE KHOKAR LIMITS ON SANGRUR OP HPC MK. PL. NO YES 90 30 30 900 10 2
LEHRA GAGGA - SUNAM ROAD
108 WITHIN 4 KMS OF VILLAGE HANDIAYA LIMITS, BARNALA OP HPC MK. PL. NO YES 105 30 30 900 12 2 SH13
ON BARNALA- MANSA ROAD SH 13
109 WITHIN 3 KM OF GANGUWAL LIMITS RUPNAGAR OP HPC MK. PL. NO YES 225 30 30 900 20 3 SH
ON NANGAL ROPAR ROAD - SH
110 BETWEEN VERKA MILK PLANT TO LUDHIANA OP HPC MK. PL. NO YES 180 30 30 900 20 3
LUDHIANA WML ON FEROZEPUR ROAD
111 URBAN ESTATE, DUGRI,LUDHIANA CITY LUDHIANA OP HPC MK. PL. NO YES 165 30 30 900 20 3
112 WITHIN 2KMS OF VILLAGE TIBBA LIMITS LUDHIANA DEF. HPC MK. PL. NO YES 140 30 30 900 15 2
ON TIBBA-SAHNEWAL ROAD
113 WITHIN 2KMS OF VILLAGE RASHIN LUDHIANA OP HPC MK. PL. NO YES 120 30 30 900 12 2
LIMITS, NEAR AHMEDGARH
114 WITHIN 2KMS OF VILLAGE IKLAHA LIMITS, LUDHIANA OSP(W) HPC MK. PL. NO YES 80 30 30 900 10 2
ON KHANNA TO ISSRU ROAD
115 WITHIN 2KMS OF VILLAGE NOORPURBET LUDHIANA OP HPC MK. PL. NO YES 90 30 30 900 10 2
LIMITS, ON LADHOWAL-HAMBRAN ROAD
116 WITHIN 3KMS OF VILLAGE IRAQ LIMITS, LUDHIANA DEF.(W) HPC MK. PL. NO YES 110 30 30 900 12 2
ON KOHARA-MACHIWARA ROAD
117 WITHIN 2KMS OF VILLAGE KOTLI LIMITS, LUDHIANA OP(W) HPC MK. PL. NO YES 100 30 30 900 12 2
ON LUDHIANA BHUNDRI ROAD
118 MODEL TOWN-DANA MANDI ROAD ON LUDHIANA OP HPC MK. PL. NO YES 160 30 30 900 20 2
LHS LUDHIANA CITY
119 DORAHA CITY LUDHIANA OP HPC MK. PL. NO YES 100 30 30 900 12 2
120 KHANNA TOWN (NOT ON NH), LUDHIANA OP HPC MK. PL. NO YES 90 30 30 900 10 2
LHS OF LUDHIANA AMBALA ROAD
121 WITHIN 2KM FROM KHANNA LIMITS LUDHIANA OP HPC MK. PL. NO YES 80 30 30 900 10 2
ON KHANNA-AMLOH ROAD
122 WITHIN 2KMS OF VILLAGE GOPALPURA LIMITS, LUDHIANA OP HPC MK. PL. NO YES 105 30 30 900 12 2
LUDHIANA - POHIR ROAD ON SH-11
123 WITHIN 2KMS OF VILLAGE BARSAL LIMITS, LUDHIANA PH HPC MK. PL. NO YES 110 30 30 900 12 2
ON JAGRAON - BHUNDRI ROAD
124 WITHIN 2KMS OF VILLAGE PANJGARIAN LIMITS LUDHIANA OP HPC MK. PL. NO YES 110 30 30 900 12 2
ON UDHOWAL- MACHIWARA ROAD
125 WITHIN 2KMS OF VILLAGE RAUNI LIMITS, LUDHIANA OP(W) HPC MK. PL. NO YES 95 30 30 900 10 2
ON KHANNA TO MALERKOTLA ROAD
126 WITHIN 2KM FROM MULLANPUR OML LUDHIANA OP HPC MK. PL. NO YES 90 30 30 900 10 2
ON MULLANPUR - HAMBRAN ROAD
127 BETWEEN KOHARA TO SAHNEWAL ON LUDHIANA OSP HPC MK. PL. NO YES 80 30 30 900 10 2
KOHARA - SAHNEWAL ROAD
128 WITHIN 2KMS FROM LUDHIANA OML ON LUDHIANA OP HPC MK. PL. NO YES 170 30 30 900 20 3
LUDHIANA HAMBRAN ROAD
129 TRIPARI, PATIALA (WML) PATIALA OP(W) HPC MK. PL. NO YES 120 30 30 900 15 2
130 WITHIN 2KMS OF VILLAGE DEVIGARH LIMITS, PATIALA OP HPC MK. PL. NO YES 110 30 30 900 12 2
ON PATIALA -PEHOWA ROAD
131 WITHIN 2KMS OF VILLAGE KAKRALA LIMITS, PATIALA OP HPC MK. PL. NO YES 80 30 30 900 10 2
ON SAMANA-PATRAN ROAD
132 WITHIN 2KMS OF VILLAGE KASIANA LIMITS, PATIALA OP HPC MK. PL. NO YES 75 30 30 900 10 2
ON PATIALA - SIRHIND ROAD
133 WITHIN 2KMS OF VILLAGE BALBERA LIMITS, PATIALA PMP HPC MK. PL. NO YES 75 30 30 900 10 2
ON PATIALA - KAITHAL ROAD
134 WITHIN 2KMS OF VILLAGE SANAUR LIMITS, PATIALA OP HPC MK. PL. NO YES 75 30 30 900 10 2
ON PATIALA - SANAUR ROAD
135 WITHIN 2KMS OF VILLAGE BHUNERHERI PATIALA PMP(W) HPC MK. PL. NO YES 85 30 30 900 10 2
LIMITS, ON PATIALA - PEHOWA ROAD
136 WITHIN 2KMS OF VILLAGE CHAURA LIMITS, PATIALA OP HPC MK. PL. NO YES 80 30 30 900 10 2
ON OLD PATIALA - AMBALA ROAD
137 SAMANA TOWN ON SAMANA- PATRAN ROAD PATIALA OP HPC MK. PL. NO YES 120 30 30 900 12 2
138 WITHIN 2KMS OF VILLAGE RAKHRA LIMITS, PATIALA DEF HPC MK. PL. NO YES 90 30 30 900 10 2
ON PATIALA- NABHA ROAD
139 WITHIN 2KMS OF VILLAGE GULJARPURA PATIALA OSP HPC MK. PL. NO YES 60 30 30 900 10 2
LIMITS,ON KHANORI - KAITHAL ROAD
140 WITHIN 2KMS OF VILLAGE DULLADHI LIMITS, PATIALA OP HPC MK. PL. NO YES 80 30 30 900 10 2
ON NABHA - MALERKOTLA ROAD
141 WITHIN 2KMS OF VILLAGE GALWATTI LIMITS, PATIALA OP(W) HPC MK. PL. NO YES 65 30 30 900 10 2
ON NABHA-MALERKOTLA ROAD
142 WITHIN 2KMS OF VILLAGE BAURA KALAN PATIALA DEF HPC MK. PL. NO YES 110 30 30 900 12 2
LIMITS,ON NABHA - BHAWANIGARH ROAD
143 WITHIN 2KMS OF VILLAGE GAJEWAS LIMITS, PATIALA DEF(W) HPC MK. PL. NO YES 55 30 30 900 10 2
ON SAMANA-BHAWANIGARH ROAD
144 MANDI GOBINDGARH TOWN ON AMLOH- FATEGARH OP HPC MK. PL. NO YES 80 30 30 900 10 2
GOBINDGARH ROAD-SH12A
SAHIB
145 WITHIN 2KMS OF VILLAGE CHUNNI LIMITS, FATEGARH OP(W) HPC MK. PL. NO YES 90 30 30 900 10 2
ON FATEHGARH SAHIB- LANDRAN ROAD
SAHIB
146 WITHIN 2KMS OF VILLAGE KHAROURA LIMITS, FATEGARH OP HPC MK. PL. NO YES 100 30 30 900 12 2
ON PATIALA- SIRHIND ROAD
SAHIB
147 SIRHIND TOWN ON SIRHIND- FATEGARH PMP(W) HPC MK. PL. NO YES 80 30 30 900 10 2
MORINDA ROAD
SAHIB
148 WITHIN 2KMS OF VILLAGE BADALIWALA LIMITS, FATEGARH OP(W) HPC MK. PL. NO YES 80 30 30 900 10 2
ON CHANDIGARH - SIRHIND ROAD, SH 12A SAHIB
149 WITHIN 2KMS OF VILLAGE JATANA NEECHA FATEGARH OP HPC MK. PL. NO YES 140 30 30 900 15 2
LIMITS, (NOT ON NH) NEAR KHAMANO
SAHIB
150 WITHIN 2KMS OF VILLAGE KHUMNA LIMITS, FATEGARH DEF HPC MK. PL. NO YES 85 30 30 900 10 2
ON KHANNA-AMLOH ROAD
SAHIB
151 BASSI PATHANA ON SIRHIND- FATEGARH OP HPC MK. PL. NO YES 75 30 30 900 10 2
MORINDA ROAD
SAHIB
152 WITHIN 2KMS OF VILLAGE KHERI NAUD SINGH FATEGARH DEF HPC MK. PL. NO YES 80 30 30 900 10 2
LIMITS, ON CHANDIGARH - KHANNA ROAD SAHIB
153 WITHIN 2KMS OF VILLAGE BARWALI KHURD FATEGARH PMP HPC MK. PL. NO YES 70 30 30 900 10 2
LIMITS, ON BHARI-OTALLAN ROAD
SAHIB

...continued from previous page
A B C D E F G H I J K L M N
154 WITHIN 2KMS OF VILLAGE BHARI LIMITS, FATEGARH OP HPC MK. PL. NO YES 90 30 30 900 10 2
ON CHANDIGARH ROAD
SAHIB
155 WITHIN 2KMS OF VILLAGE NOGAWAN LIMITS, FATEGARH OP(W) HPC MK. PL. NO YES 60 30 30 900 10 2
ON SIRHIND - MORINDA ROAD
SAHIB
156 WITHIN 2KMS OF VILLAGE BUGGA KALAN FATEGARH DEF HPC MK. PL. NO YES 60 30 30 900 10 2
LIMITS, ON AMLOH - BUGGA KALAN ROAD SAHIB
157 WITHIN 2KMS OF VILLAGE DHANAULA LIMITS, FATEGARH OP HPC MK. PL. NO YES 70 30 30 900 10 2
ON KHAMANO-CHAMKUR SAHIB ROAD
SAHIB
158 WITHIN 2KM FROM LUDHIANA OML LUDHIANA OP HPC MK. PL. NO YES 280 40 40 1600 25 5
ON HAMBRAN ROAD
159 MODEL TOWN, PATIALA PATIALA OP HPC MK. PL. NO YES 200 30 30 900 20 3
HARYANA
160 WITHIN 2KMS OF RAIPUR RANI LIMITS, ON PANCHKULA OP HPC MK.PL.-RUR NO YES 150 40 36 1440 15 2
RAIPUR RANI - TIRLOKPUR ROAD
161 BETWEEN NANAKPURA & NAWANAGAR ON NH 21A PANCHKULA OP HPC MK. PL. NO YES 350 50 60 3000 25 5
162 WITHIN 2KMS OF SHAMBOO BORDER TO AMBALA OP HPC MK. PL. NO YES 250 50 60 3000 20 3 NH-1
AMBALA CANTT. ON RHS, NH-1
163 WITHIN 2KMS OF VILLAGE DHANAURA LIMITS, AMBALA OP(W) HPC MK. PL. NO YES 100 30 30 900 12 2 SH-4
ON SHAHABAD - KALA AMB ROAD, SH-4
164 WITHIN 2KMS OF VILLAGE BARARA LIMITS, AMBALA OP HPC MK. PL. NO YES 120 30 30 900 12 2 SH-4
ON SHAHABAD - KALA AMB ROAD, SH-4
165 AMBALA CITY WML AMBALA OP HPC MK. PL. NO YES 115 30 30 900 12 2
166 WITHIN 2KMS OF VILLAGE BIHTA LIMITS, AMBALA OP HPC MK. PL. NO YES 80 30 30 900 10 2 SH-31
ON SAHA- KESRI ROAD, SH-31
167 WITHIN 2KMS OF RAIPUR RANI ON RAIPUR AMBALA OP HPC MK. PL. NO YES 100 30 30 900 12 2
RANI - NARAINGARH ROAD LHS (SH-1)
168 WITHIN 2KMS OF VILLAGE SHAZADPUR MAJRA AMBALA OP(W) HPC MK. PL. NO YES 105 30 30 900 12 2
LIMITS, ON SHAZADPUR - AMBLI ROAD
169 WITHIN 2KMS OF VILLAGE LAKHNAURA LIMITS, AMBALA OP HPC MK. PL. NO YES 110 30 30 900 12 2
ON NARAINGARH-KALPI ROAD
170 AMBALA CITY FROM RAMNAGAR COLONY AMBALA OP HPC MK. PL. NO YES 140 30 30 900 15 2
ROAD TO NH-1
NOTE : OP = Open, OP-W = Open Women, PH = Physically Handicapped,
DC/DEF. = Defence Personnel Category, PMP = Para Military/Police/Govt.
Personnels Category, OSP = Outstanding Sports Person, LHS = Left
Hand Side, RHS = Right Hand Side, WML = Within Municipal Limits, OML =
Outside Municipal Limits, KM = Kilometer, Vill.=Village, RUR=Rural
i. (W) indicated in category means reserved for WOMEN only.
ii. The locations indicated as 'YES' under the column 'F' are proposed to be
developed on company leased basis. The superstructures are to be
constructed by the applicant & Land along with the superstructures will be
leased by the applicant to HPCL. The reasonable lease rental amounts in
these cases will be paid to the landlord & the same amount will be
recovered as additional licence fee from the dealership. Beside this,
Service Station Licence Fee (SSLF) at lower rate will be recovered from
dealership, which is presently Rs 13/- per Kl for Petrol & Rs 11/- per Kl for
Diesel.
iii. The locations indicated as 'YES' under the column 'G' are proposed to be
developed on company owned basis. The applicant is required to lease
only the land to HPCL. Superstructures on the land will be constructed by
HPCL. The lease rental amounts for land in these cases will be paid to the
landlord but will not be recovered from the dealership. Service Station
Licence Fee (SSLF) will be recovered at higher rate from dealership, which
is presently Rs 43/- per Kl for Petrol & Rs 36/- per Kl for Diesel.
iv. The candidate should furnish along with the application, details of land,
which he/she may make available for the Retail Outlet. Considering the
location of the land from the point of view of feasibility and commercial angle
and rates acceptable to the company, applicants willing to transfer the land
on long lease to HPCL would be given preference. The selected
Candidates will be required to lease the plot of land and superstructure, as
defined in sr. no. (ii) above or land as defined in sr. no. (iii) above for a
period of minimum 15 years with renewal option for another 15 years.
v. If an applicant, after selection, is unable to provide the land indicated by
him/her in the application form within a period of TWO months from the date
of Letter of Intent (LOI), the Corporation will have the right to cancel the
allotment of dealership/distributorship made to him/her. The suitability of
Land will be decided by HPCL. There is no commitment from HPCL for
taking the offered Land from the applicant.
vi. The eligible candidates who have readily available site suitable for setting
up of Retail Outlet or have a firm commitment from the land owner for
purchase/lease of site should furnish along with their application the details
of such land. The candidate will not be given the opportunity to offer any
other land subsequently. For this purpose, the land owned by member(s) of
the family unit shall also be considered as belonging to applicant subject to
consent in writing of the concerned member(s) of the family unit. The family
unit in case of married applicant, for this purpose, would comprise of i)
Spouse ii) unmarried Son (s)/ unmarried Daughter(s) and in case of
unmarried applicant would comprise of (i) his/her unmarried brother(s)
/unmarried sister(s) and (ii) parents. The land on long term lease of a
minimum of 15 years as on the date of application, will be treated as
“owned” land for this purpose.
vii. In case the land offered is on National Highway, the same should meet the
NHAI guidelines contained in Govt. of India, Ministry of Road Transport &
Highways No.RW/NH-33023/19/99-DO-III dt. 25.09.03/17.10.03 and
further amendments if any, failing which the offered land will not be
considered for evaluation as above and the candidate will be treated at par
with those candidates who have not offered land. The offered site should
also meet norms of statutory bodies like forest, explosive etc. and land
should be convertible for commercial and petrol pump use. The land
offered shall be clear of all statutory requirement, ULS, CLU, Nonencumbrance
etc.
viii.The Dealer selection guidelines of HPCL including evaluation criteria
can be accessed by the applicants at our website
www.hindustanpetroleum.com. The application format can also be
downloaded from our website www.hindustanpetroleum.com. These
guidelines including the application form, all the applicable
g u i d e l i n e s o n d e a l e r s e l e c t i o n a n d t h e d r a f t s o f
affidavits/declarations to be submitted along with the application
forms are also available in the form of a Brochure also which can be
procured at a cost of Rs.50/- from our office at the address mentioned
below . All the candidates proposing to apply for dealership for any of
the locations mentioned above must access our above mentioned
website and/or procure the brochure on dealership selection
guidelines applicable for advertisements effective 01.4.2009, for
complete and detailed information on dealer selection.
ix The land offered by the applicants for Hamara Pump (Sr. No. 1 to 3, 41
to 73 & 160) for locations at Sr. Nos. 8 to 40, 92 to 159 & 163 to 170
(categorized as HP Raja) would be evaluated in line with the land
evaluation criteria as given in our brochure for dealer selection
guidelines. However the selected candidate for Hamara Pump & HP
Raja category of outlets, after placement of LOI, would be required to
fill the land to the satisfaction of HPCL upto plinth level including the
retaining wall and offer the same to HPCL for setting up the facilities.
x. In compliance with guidelines issued by the Ministry of Petroleum
& Natural Gas vide letter dated 17.11.2005, this is to advise that
locations reserved for SC/ST, as per 100 point roster, could not be
advertised as land for retail outlets are yet to be obtained and that the
advertizement for obtaining suitable land for such locations have been
advertised on 13th June, 2009. As and when suitable land is
obtained, advertisement for selection of dealer would be released.
2. Eligibility Criteria :
a. Applicant should be Indian Nationals (Affidavit to be furnished as per
Appendix A & A1 as applicable)
b. Category:-
While only persons belonging to the following categories can apply against
specific locations reserved /advertised for the respective category, any
eligible person can apply against Open category. (Copy of certificate from
the competent authority to be furnished as proof of belonging to the
category as applicable)
Scheduled Caste/ Scheduled Tribe Category (SC/ST):
Persons belonging to SC/ST category recognized under Constitution of
India, should submit a caste certificate of `Scheduled Caste/ Scheduled
Tribe' category issued by a competent authority:
(I) District Magistrate/Additional District Magistrate/Collector/Deputy
Commissioner/Additional Deputy Commissioner/ Deputy Collector/1st
Class Stipendiary Magistrate/City Magistrate (Not below the rank of 1st
Class Stipendiary Magistrate/Sub-Divisional Magistrate/Taluka
Magistrate/Executive Magistrate/Extra Assistance Commissioner. Chief
Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency
Magistrate. Revenue Officer not below the rank of Tehsildar. Sub-
Divisional Officer of the area where the candidate and/or his family
normally resides Administator/Secretary to Administrator/Development
Officer (Lakshadweep). Any other competent authority notified by the
Government of India.
The applicant (s) belonging to SC/ST category should ensure that the
original caste validity certificate granted by the Caste Scrutiny Committee
as per Gazettee
Notification of the respective State Govt. is produced at the time of
interview, failing which their candidature/application shall be rejected.
Physically Handicapped Category (PH):
Persons belonging to this category should be orthopaedically handicapped
to the extent of minimum of 40% permanent/ partial disability of either upper
or lower limbs or 50% permanent/ partial disability of both upper and lower
limbs together. For this purpose, the standards contained in the `Manual
for Orthopaedic Surgeon in evaluating Permanent Physically Impairment'
brought out by the American Academy of Orthopaedic Surgeons, USA and
published on its behalf by the Artificial Limbs Manufacturing Corporation of
India, G.T. Road, Kanpur, shall apply. In this connection the Govt.
notification no.154 published on 13.06.2001 by Ministry of Social Justice &
Empowerment will be applicable. Totally Deaf, Dumb or Blind persons are
also eligible.
Please attach a copy of certificate from the Civil Surgeon/ Chief Medical
Officer or Supdt. Of Government Hospital in the format enclosed as
Appendix B.
Defence Personnel Category (DC):
Persons belonging to this category should be sponsored by Director
General of Resettlement (DGR), Ministry of Defence, Govt. of India, as per
the following inter-se priority.
a) Widows/ dependants of posthumous gallantry award winners.
(b) War Widows / dependents of those who died in war.
(c) War disabled.
(d) Widows / dependents of those who died in harness due to attributable
causes
(e) Disabled in peace due to attributable causes
Please attach a copy of certificate from Directorate General of
Resettlement (DGR), Ministry of Defence, Govt. of India sponsoring the
candidate for the dealership for which he/she has applied.
Certificate of Eligibility issued for one particular location/dealership will
not be valid for another location/dealership. The certificate can be
submitted by 25.09.2009, in case presently not available.
Outstanding Sports Persons Category (OSP) :
The following persons will be eligible:
(a) Arjuna Awardees.
(b) Winners of Medals at Olympics/ Asian /Commonwealth Games
and Recognised World Champions.
(c)
National Champions under the Recognised National
Championships.
(d) National Adventure Awardees.
Candidates should attach a copy of certificate from the Recognised
National Federation Organising National Championships (as recognised
by Department of Youth Affairs and Sports, Govt of India) or from the
Dept. of Youth Affairs and Sports, Govt of India.
Paramilitary/ Police/ Government Personnel Category (PMP):
The following persons will be eligible:
The personnel of Paramilitary/Police Personnel including persons
having served in BSF,CRPF,CISF, ITBP, Railway Protection Force,
Special Reserved Police, Special Armed Police, Coast Guards, Assam
Rifles etc. as designated by Central Government and Police Forces of
the States, Customs and Central Excise Department, Narcotics Control
Bureau, Enforcement Directorate, Economic Intelligence Bureau,
Directorate General of Anti-Evasion and Directorate of Revenue
Intelligence and those serving in different Departments of Central/State
Governments who are incapacitated OR disabled while performing their
duties and their widows/ dependants in case of their death while
performing duties.
Inter-se priority for PMP category:
(a) Widows/ dependents of Posthumous gallantry award winners.
(b) Widows / dependents of persons having died in action.
(c) Persons disabled on duty.
(d) Widows / dependants of persons who died while in service
(e) Disabled in peace due to attributable causes
Please attach a copy of certificate from the concerned organization/ Govt
Department signed by the Head of Office or an Officer not below the rank
of Under Secretary to the Govt. indicating that the applicant belongs to
any of the above:
Freedom Fighter Category (FF):
Persons belonging to this category should produce a copy of certificate
or Tamrapatra from the Ministry of Home Affairs, Govt. of India or an
attested copy of the pension order issued by the Accountant General in
pursuance of the sanction letter from the Ministry of Home Affairs for the
grant of Swatantrata Sainik Samman Pension under `Freedom Fighter
Pension Scheme' as proof of his / her being a freedom fighter.
c. Age:
As on the date of Application (in completed years): Not less than 21
years. Enclose an attested copy of either Matriculation or Secondary
School Leaving Certificate indicating date of birth, identity card issued by
election commission or an affidavit as proof of age.
d. Educational Qualification :
Minimum Matriculation or recognised equivalent. Enclose an attested
copy of either matriculation or equivalent and other qualification
certificates as proof. The eligibility criterion on educational qualification is
not applicable in respect of applicants applying for dealerships reserved
for FF, OSP, PMP & Defence categories. However persons applying for
these categories would be assessed for educational qualification.
e. Multiple Dealership Norm (relationship clause):
For Individuals including Partnerships
Persons desirous of applying should not be having either letter of Intent
(LOI) or Dealership/ Distributorship of MS/HSD/SKO-LDO/LPG of any
Oil Company in his/her own name or in the name family members in
his/her family unit.
Family unit, in case of married applicant, for this purpose, would
comprise of i) Spouse ii) unmarried Son (s)/ unmarried Daughter(s) and
in case of unmarried applicant would comprise of (i) his/her unmarried
brother(s) /unmarried sister(s) and (ii) parent
For Non-Individual entities:
For Companies registered under Companies Act 1956:
(i) The applicant company will not be eligible for RO/SKO/LPG
dealership/distributorship, if any RO/SKO/LPG dealership/
distributorship or Letter of Intent (LOI) is held by the applicant Company
or by any of the following :
a. Any of the Director or his family members (family as defined in the
case of multiple dealership norms for individuals)
b. Holding company or Subsidiary company.
c. Any other company or Firm where share holders (put together) of the
applicant company have controlling stake i.e. 51% or more.
(ii) If any individual, partnership firm, company, organized body, trust or
society, already holding RO dealership, SKO/LPG distributorship
acquire controlling stake in a company having RO dealership, SKO/LPG
distributorship, then the RO dealership, SKO/LPG distributorship of the
acquirer is liable to be terminated.
(iii) Government owned Companies defined as major shareholding with the
Government, Public Sector & Joint Sector Units or Government
administered Organizations will be exempted from the multiple
dealership norms as per existing policy adopted by OMCs.
For organized bodies, charitable trusts registered with the Charity
Commissioner of the respective State Government and Societies
registered under Societies Registration Act, 1860.
Such entities will not be eligible for RO/SKO/LPG dealership/
distributorship if any RO/SKO/LPG dealership/distributorship or Letter of
Intent (LOI) is held by it or by any Member of the Governing
Body/Managing Body/any such other Body or his family members (family
as defined in the case of multiple dealership norms for individuals).
f) Note for candidates applying for locations classified as RURAL:
The locations at Sr. Nos. 1 to 3, 41 to 73 & 160 are advertised for
award of dealership and setting up retail outlets in Rural locations
called as Hamara Pump.
In case of application for “Hamara Pumps” in rural locations, the
applicant should be a resident of the concerned district. To qualify for
such candidature, a proof of residence certificate from the competent
authority must be attached with the application as per attached
annexure C.
3. Disqualification
(a) Person who has been convicted or against whom charges have been
framed by a Court of Law for any criminal offence involving moral
turpitude/economic offences (other than Freedom Struggle), would not
be eligible to apply.
(b) Totally paralysed or mentally unsound persons (Who suffer from insanity)
are not eligible to apply under any category.
(c) Signatories of dealership/distributorship agreements which were
terminated by any oil company for proven malpractices / adulteration are
not eligible to apply.
(d) Guilty of wilfully giving wrong information
The applicant will have to furnish an affidavit covering point nos. 2 (a), 2
(e), 3(a) and 3(c) in this regard as per Appendix A.
Married Women applicant with change of name after marriage should
submit a copy of the marriage certificate or an affidavit in support of the
maiden name and name after marriage.
4. Partnerships:In case of partnership, each partner should individually
meet the specified eligibility criteria and also should submit separate
application forms along with separate application fee. However, the
applications should be clubbed together. If called for interview, all of them
must appear for interview. They also have to submit a copy of the
proposed partnership deed.
5. Registered Co-operative Societies / Consumer Co-operative
Societies are eligible to apply under any category provided all the
members of the society belong to the category for which the location has
been advertised for and also provided that the individual members should
meet the non conviction clause including the society as an entity.
Moreover, the society should be making net profit for the last 3 financial
years. For any society applying for location reserved for women category,
all the members should be women. The members individually and the
society as an entity also should not haven been a signatory to
dealership/distributorship terminated by any oil company for proven
adulteration/malpractice. The Society has to furnish appropriate
resolution to show that the person making the application is empowered to
make the same. Parameters relating to educational qualification and
personality would not be applicable to such societies
6. Organised bodies
Organised Bodies such as registered bus/truck associations etc.,
Charitable Trust and corporate houses i.e. Government
Organisations/Bodies, PSUs, Public Limited Companies incorporated
under Companies Act, 1956 are eligible to apply under OPEN category.
Parameters relating to educational qualification and personality will not be
applicable in their cases.
Pvt Ltd Companies are not eligible to apply
7. Scrutiny of application form:
The valid application received up to the time/ date specified in the
advertisement will be scrutinised by a team of officers and the candidate
found eligible as per the eligibility criteria and other terms and conditions
will be called for a personal interview. The document submitted by the
applicant along with the application form will be scrutinised and the land
details/ document will be evaluated by a team, including the site visit as
may be necessary to establish the suitability of the offered land, if any, for
setting up of a retail outlet. Ineligible applicant will not be called for the
interview and will be advised in writing along with reason for the rejection
of their application.
8. Evaluation of candidates
For Individual candidates including partnerships:
Each candidate will be assessed under the following parameters:
a) Capability to provide land and infrastructure/ facilities* 35 marks
b) Capability to provide finance* 25 marks
c) Educational qualification 15 marks
d) Capability to generate business 10 marks
e) Age 4 marks
f) Experience 4 marks
g) Business ability /acumen 5 marks
h) Personality 2 marks
Total 100 marks
* In respect of Land/Finance parameters as indicated in Dealer selection
guidelines the ownership of Land/Finance by the members(s) of the family
unit is also considered as owned/belonging to the applicant subject to
consent in writing of the concerned member(s) of the family unit. The
family unit in case of married applicant, for this purpose, would comprise
of i) Spouse ii) unmarried Son (s)/ unmarried Daughter(s) and in case of
unmarried applicant would comprise of (i) his/her unmarried brother(s)
/unmarried sister(s) and (ii) parents
Minimum qualifying marks:
Open category
: 60 % of the total applicable marks
Reserved category including : 50 % of the total applicable marks
Open (W)
i. Scheduled caste/Scheduled tribe candidates for locations reserved for
them and war widows applying for dealerships will not be judged under the
heads “Capability to provide infrastructure and facilities” and “Capability to
provide Finance”.
ii. Subject to their application and request, widows and unmarried women
above 40 years of age, without earning parents, for locations reserved for
women will not be judged under the heads “Capability to provide
infrastructure and facilities” and “capability to provide Finance”. These
applicants will be required to indicate in the application form itself whether
they would like to avail the facilities. In case, this is not indicated in the
application form, it will be construed that these applicants would like to get
evaluated in line with other applicants i.e they should also be assessed
under the Heads - “Capability to provide infrastructure and facilities” and
“capability to provide Finance”. For determining the priority to be given to
such candidates over other women candidates, the marks secured by
other women under these two parameters will be excluded by the total
marks secured by them.
iii. Candidates, other than those mentioned under i & ii above and
applying for locations ear marked under 1(ix) shall not be judged
under the heads of capability to provide land and infrastructure/
facilities.
For Non-Individual Applicants (viz., for Companies Registered
under Companies Act 1956, for Organized Bodies, Charitable Trusts
registered with the Charity Commissioner of the respective State
Govt and Socities Registered under Societies Registration Act 1960)
a) Capability to provide land and infrastructure/ facilities 35 marks
b) Capability to provide finance 25 marks
c) Educational qualification 0 marks
d) Capability to generate business 25 marks
e) Age 4 marks*
f) Experience 4 marks**
g) Business ability /acumen 7 marks
h) Personality 0 marks
Total 100 marks
*Evaluation of Age for Non-Individual candidates will be done as follows
No of years of existence
Marks to be awarded
1. Less than 3 years of existence 0 marks
2. Equal to or More than 3 years 2 marks
but less than 5 years
3. Equal to or more than 5 years 4 marks
**Evaluation of Non-Individual candidates under Experience will be as
follows:
Sector
Marks to be awarded
1. Petroleum Sector 4 marks
2. Automobile/Transport service 2 marks
3. Any sector other than mentioned above 1 mark
Note: At least one year of experience of providing services in a
particular sector will entitle the candidate for full marks. No marks will
be awarded for service/experience of less than 1 year
iv. Locations reserved under DEF and PMP category:- In respect of the
candidates securing minimum qualifying marks, the inter-se-priority
marks given by the competent authority (max. 40) will be added to the
above and accordingly the final merit position decided
v. The marks awarded to the candidates placed in the merit panel,
displayed on the notice- board by the selection committee after their
interview shall be subject to scrutiny, subsequently by a Senior officer of
the Corporation on whose satisfactory report, the Head Zone shall ratify
the displayed Merit Panel, which then only shall be considered to be final
9. Other terms and conditions:
(a) The candidate selected for dealership shall be a working dealer and shall
be paying attention towards day to day working of the dealership by
personally managing the affairs of the dealership. He/she will not be
eligible for taking up any other employment. If the selected person is
already employed, before issuance of Letter of Appointment by the oil
company should produce the proof of acceptance of his/her resignation by
his/her employer.
(b) On selection, the candidate will be required to deposit with the oil company
a security deposit, ranging from Rs 2 lakhs to Rs 5 lakhs as mentioned in
the advertisement as per the policy of HPCL. Such deposit will have to be
made at the time of appointment as dealer. This amount called the security
deposit is refundable at the time of resignation / termination and will not
carry any interest. HPCL also reserve its right to adjust any dues to it from
this amount at the time of resignation/ termination. However, in case such
termination is due to proven adulteration/malpractices then the deposit
amount will be forfeited. SC/ST allottees, war widows and widows and
women above 40 years of age without earning parents, availing facilities
under corpus fund scheme will be exempted from payment of such
security deposit
(c) Other things being equal, Unmarried women above 40 years of age
without earning parents and Widows will be given preference over
others in all women categories. Widows have to submit death certificate
of her husband and also an affidavit stating that she has not re-married as
per Appendix A.
10. Provision for Basic Facilities at the Retail Outlet :
(a ) The applicant on selection should be capable to raise necessary funds for
effectively operating the dealership to the satisfaction of HPCL.
(b) Following basic facilities will be provided by each dealer at the Retail
Outlet.
Drinking Water, Free Air@, Toilet@, Pollution under Control Equipment,
viz., PUC wherever it is mandatory@, Telephone, Adequate illumination.
@ Facilities marked with @ will be provided by HPCL to those dealers
who are entitled for financial assistance under `Corpus Fund Scheme'.
(c) In addition, candidates selected for locations against which YES has been
marked under col.(E) of the table, will be required to provide the following
facilities also at the Retail Outlets as may be required by HPCL and as per
layout & standards prescribed by HPCL at his/ her own cost:
✓Mandatory Facilities : Land & its development, Driveway, Compound wall,
Sales Office, Show Room, Store, Toilets, Generator & Compressor
Room, Yard lighting, Air & Water Facilities, Generator, Fire Fighting
Facilities, etc.
✓Additional Facilities (Site specific) : All such facilities required for
customer service such as Staff Room cum Change Room, Canopy,
Service Station, Rest Room, Restaurant, Telephone Facilities, PUC
facility (if mandatory) and/other Facilities as may be specified by HPCL
from time to time.
11. SCHEME OF FINANCIAL ASSISTANCE TO SC/ST CATEGORY
DEALERSHIP UNDER CORPUS FUND SCHEME
For those selected under Scheduled Caste / Scheduled Tribe Category
HPCL shall make the provision for the following facilities as per corpus
fund scheme : -
(I) RETAIL OUTLETS: Land and its development, (b) Sales Room, (c) Drive
Total Number of Pages: 1 to __________
APPLICATION FOR HPCL RETAIL OUTLET
(PETROL PUMP) / SKO-LDO DEALERSHIP
(Please go through the “Brochure” available on our website or at our
Regional Offices carefully before filling in this application format)
Location (at) _________Rev. Distt._________
Passport Size
State_______________Category ________________ Photograph
(OP/ OP-W/ SC/SC-W/ ST/ ST-W/ PH/ PH-W/ PMP/
with specimen
signature
PMP-W/ DEF/ DEF-W/ FF/ FF-W/ OSP/ OSP-W):
on the
(Please attach copy of certificates as proof
photograph
from the respective competant authorities).
Advertised on ___________in _________by HINDUSTAN PETROLEUM
(Date) (Name of Newspaper) CORPORATION LTD.
Status : Individual/ Partnership / Regd. Co-operative Society /Organised
body / Corporate House / Fleet Operator / Charitable Trust
(Tick as applicable)
1. Individual : ( Individuals to enclose Affidavit as per Appendix 'A')
(a) Name (in Block Letters) : Mr. / Ms. _________________________
(b) Father's/ Husband's Name :______________________________
(c) Address : ____________________________________________
____________________________________PIN:____________
Telephone No. :_______________E-Mail Address: ____________
(d) Nationality : ___________________
(e) Date of Birth : _________________ Completed Age as on date of
application :_______________(Proof to be attached)
(f) Educational Qualification (s) : __________( Proof to be attached)
(g) Resident of : ________Town___________District_________State
(Residence Proof to be attached in case of “Hamara Pumps” in Rural Market)
(h) Gender :_________________ (Male / Female)
(i) Marital Status:______________ (Unmarried / Married / Widow /
Widower / Divorcee)
(j) In case of married applicant please give:
Full Name of Spouse: ___________________________
Full Name of unmarried Children:
1. ____________________________________________
2. ____________________________________________
3. ____________________________________________
(k) In case of unmarried applicant please give:
1. Full name of Father: _________________________________
2. Full name of Mother: _________________________________
3. Full name(s) of unmarried brother(s) /unmarried sister(s) _______
_______________________________________________
✔In case of unmarried woman above 40 years of age :
• Are your parents (Mother/ Father) earning ? YES/ NO
• Do you wish to avail the Corpus Fund factlities YES/NO
✔In case of widows,
• Please advise the date of expiry of your husband (DD/MM/YY)
• Do you wish to avail the Corpus Fund factlities YES/NO
please attach death certificate of your Husband & also affidavit that
you are not remarried.
✔Married Women applicant with change of name after marriage should
submit a copy of the marriage certificate or an affidavit in support of
the maiden name and name after marriage.
✔In case of War widows, please attach supporting documents issued
by competent authority.

...continued from previous page
2. Are you or any of your following close relatives is dealer or LOI holder of
any MS-HSD/ SKO-LDO dealership or LPG distributorship of any oil
company ?
In case of married applicant:
(i) Spouse (ii) Unmarried sons/unmarried daughters: YES/ NO
In case of unmarried applicant
(i) Parent (ii) unmarried brothers/unmarried sisters: YES/NO
If yes, please furnish details : ________________________________
3. Gross Income during last financial year ended (state year)
_____________Gross Income in Rs_____ Attach Certificate.
4. Present occupation : ___________________________________
5. In case you are an income Tax Assesse, please furnish PAN NO:____
6. Do you have business / selling experience? if yes, give full details ______
______________________________________(attach addl sheets)
7. Do you have experience of supervision of personnel ? if Yes, give full
details._______________________________ (attach addl sheets).
8. Please attach a separate sheet giving your detailed plans to run the
dealership.
9. In case of partnership, please give name of each of the partners and
attach Proposed Partnership Deed. Application of all the partner(s)
should be attached together while submission:__________________
____________________________________________________
10. Were you a signatory to a retail outlet / SKO-LDO dealership / LPG
distributorship of any Oil company terminated for proven adulteration /
malpractice. If yes, give details. Otherwise submit an affidavit as per
Appendix 'A'.
11. Registered Co-op. Society/ Organised body: (Organised bodies
can apply under 'OPEN' category only)
(a) Name of the Society/organized body : ______________________
(b) Address ______________________________ PIN:__________
Telephone No.:_______ E-Mail Address:___________________
(Enclose affidavit as per Appendix 'A1')
Copies of audited Profit & Loss account statement for the previous 3
financial years to be enclosed
12. Land details (to be provided by all applicants) :
(a) Do you have a suitable site readily available at or around the
location where the dealership has been advertised ? YES / NO
If Yes, City/Town/Village ________________________________
District____________ State:____________ Survey No :
_________Hissa No.: ___________________ Name of the
Road:_________________________
NH No. / SH No. / Other Road :___________Nearest Km Stones :
_____________Total land area : (Acre/Sq.m)_____________
Frontage : ________ meters Depth : ________ meters
(Site map with dimensions to be attached)
(b) Name of the owner of the land : ________________________
(proof to be attached)
(c) Relationship of land owner with the applicant :
_________________
(d) Are you willing to transfer the land on sale/long lease to the oil
Co. ?
YES / NO
If yes, at what rate/ terms.___________________________
(In case the applicant is not the land owner, consent letter/
Legal documents rom the Land owner to be enclosed)
13. Give details of source of funds : (to be provided by all applicants)
The details to cover free & unencumbered Bank accounts/ Govt.
Securities/ fixed deposits, bankers/financial institution certificate for
credit worthiness(in the enclosed Appendix A2 / loans, UTI,NSC,
Bonds, Shares of public limited companies etc., details of other assets
like immovable property (land, building etc.). Movable properties like
vehicle etc., any other sources of income like from interest, rent,
business etc. (please attach proof in all cases). The details under
“Finance” may be provided in the following format: (Attach Separate
sheet as required).
Type Details of Name of Holder The Rela- Amt.
A/c No. etc tionship (Rs.)
NOTE : Candidates applying under Category reserved for SC/ ST
and War widows need not provide details under para 12 & 13.
Widows and Unmarried women above 40 years of age without
earning parents applying against locations reserved for Women
Category and proposing to avail Corpus Fund Scheme Facilities
also need not provide details under 12 and 13 above.
14. Wherever applicants state that they would be having tie up on sales
volume with prospective customers they would be required to submit
an affidavit alongwith application, from such prospective customers in
the prescribed format as per Appendix A 3.
15. Have you ever been convicted by a court of law for any criminal offence
involving moral turpitude and / or economic offence (other than
freedom struggle)? (Applicable to individuals, partners, members of
Co-op. society, Co-op. society as an entity and also organized body as
an entity)
Please state YES or NO__________________________
16. Demand Draft/ Pay order No. _________ dated ________for Rs.
_____ drawn on ______________(state Bank's name) in favour of
Hindustan Petroleum Corporation Limited payable at ____________is
enclosed.
NOTE : Affidavits to be enclosed in original. In respect of all other
certificates / documents, duly attested Photo copy/ True copy ONLY
need be attached along with the application. However, originals of all
these will have to be brought at the time of interview, if called for.
17. Any other information :
18. UNDERTAKING :-
I undertake to produce Originals of all the attachments enclosed with
this application at the time of interview, if called and is aware that in the
event I fail to produce the Originals, my application for dealership will be
disqualified. I am fully aware that M/s Hindustan Petroleum
Corporation Ltd. under its policy will not appoint me as their dealer if I
am employed. I shall have to resign from the service and produce proof
of acceptance of my resignation by my employer to HPCL before
issuance of Letter of Appointment for the dealership.
That, If selected, I undertake that I will be required to deposit an interest
free Security deposit as per the policy of HPCL.
I _____________________________________________________
hereby certify that the information given above is true to the best of my
knowledge and belief. Any wrong information / suppression of facts will
disqualify me from being considered for the dealership .
Place :
Signature
Date: (Name in block letters)
Encl : Total of _____ no. of documents with this application,
Encl : Checklist for supporting documents/affidavits
APPENDIX- A
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL
STAMP PAPER OF REQUIRED VALUE)
AFFIDAVIT FOR INDIVIDUALS & PARTNERS
I,_________________________ son/daughter/wife of ______________
Age _____ years residing at ____________________________________
do hereby solemnly affirm and say as under :
1. That I am an Indian National.
2.
of any Oil Company.
3. @That I am a unmarried woman above 40 years of age without earning
parents.
4. @ That I am a widow and not re-married.
[@ DELETE THESE IF NOT APPLICABLE]
5. I have never been convicted and / or no charges have been framed by a
Court of law against me for any criminal offence involving moral turpitude
/ economic offences (other than freedom struggle) .
6. I hereby confirm that I was never a signatory to a dealership /
distributorship agreement of any oil company, which was terminated for
proven adulteration / malpractices.
7.
That I am unmarried. That neither I nor my Father, Mother, unmarried
brother(s), unmarried sister(s) have dealerships/distributorships or hold
Letter of Intent for Retail Outlet or SKO-LDO dealership or LPG
distributorship of any Oil Company
OR
That I am married. That neither I nor my spouse, unmarried son(s) /
unmarried daughter(s) have dealerships / distributorships or hold Letter
of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship
That against item no.13 of my application form details of various sources
of funds required for setting up and operation of the dealership has been
furnished. I undertake that these funds will be made available for the
purpose stated above. In case it is found that the same is not made
available as and when required, the offer of dealership, at any stage, can
be withdrawn and that I will have no claim/damages whatsoever against
the oil company.
8. I hereby verify that what has been stated above is true to the best of my
knowledge and belief and nothing material has been concealed thereof.
If any information/declaration given by me in my /our application or in any
document submitted by me/us in support of application for the award of
______________dealership or in this affidavit shall be found to be
untrue or incorrect or false, Hindustan Petroleum Corporation Ltd would
be within its rights to withdraw the letter of intent / terminate the
dealership (if already appointed) and that we would have no claim,
whatsoever, against Hindustan Petroleum Corporation Ltd for such
withdrawal / termination.
Solemnly affirmed and declared before me
This ___________day of ________________
______________________
Signature and Seal of
Signature of person making affidavit
Magistrate/Judge/Notary public (Name in block letters)
APPENDIX 'A1 '
(To be submitted by Registered Co-operative Societies, Organised
bodies, Fleet Operators, Charitable Trusts and Corporate Houses)
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL
STAMP PAPER OF REQUIRED VALUE)
AFFIDAVIT
In the matter of_____________ dealership of _____________ Hindustan
Petroleum Corporation Ltd., at___________ (Location) Whereas
________ (Name of the Co-operative Society*/organised body*)
____________ (Location) has applied for RO dealership of
__________________, Hindustan Petroleum Corporation Ltd. at
___________.
I,__________________________________________ son/daughter/wife
of _________________________ Age _____ years resident of
_________in the capacity of ___________do hereby solemnly declare :
1. That through a resolution passed by the Co-operative
society*/organised body* I have been authorised to apply for the said
dealership. A copy of the resolution/authorisation is enclosed herewith
forming part and parcel of this affidavit.
2. That the said Co-operative Society*/organised body* is duly registered
and a photocopy of the registration certificate is enclosed herewith
forming part and parcel of this affidavit.
3. That the said Co-operative Society / organised body is a profit making
body during last 3 concecutive Financial years. (Delete if not
applicable).A copy of certificate from chartered accountant is enclosed
herewith forming part and parcel of this affidavit.
4. That on behalf of the Co-operative Society*/organised body*, I
undertake that I will observe all the relevant guidelines with regard to
award / operation of the said dealership issued by the, Hindustan
Petroleum Corporation Ltd /Government of India or any other statutory
body from time to time.
5. That all members of the Co-operative Society belong to the reserved
category for which the location has been advertised including for
women and none of the members have been convicted and / or no
charges have been framed by a Court of law against them for criminal
offences involving moral turpitude and / or economic offences (other
than freedom struggle). Moreover, none of the members was ever
signatory to a dealership / distributorship of any oil company, which
was terminated for proven adulteration/malpractices. A copy of the
certificate to this effect from the Registrar of Co-operative Societies is
enclosed herewith forming part and parcel of this affidavit .(applicable
for co-operative societies/consumer societies only).
6. That the Co-operative Society*/organised body* does not have any
criminal records nor does it have any criminal charges framed against it
by court of law involving moral turpitude and/or economic offences.
7. That the Co-operative Society*/organised body* was never a signatory
to a dealership/ distributorship agreement of any oil company, which
was terminated for proven adulteration / malpractices.
8. That the applicant company hereby confirms that the applicant
company and any of the following do not hold RO/SKO/LPG
dealership/distributorship of Letter or Intent (LOI):
a. Any of the Director or his family members (family as defined in the
case of multiple dealership norms for individuals)
b. Holding company or Subsidiary company.
c. Any other company for Firm where share holders (put together) of
the applicant company have controlling stake i.e. 51% or more.
Organized bodies, charitable trusts registered with the Charity
commissioner of the respective State Government and Societies
registered under Societies Registration Act, 1860, hereby confirm that no
RO/SKO/LPG dealership/distributorship or Letter of Intent (LOI) is held by
it or by any Member of the Governing Body/ Managing/Body/ any such
other Body or his family members (family as defined in case of multiple
dealership norms for individuals).
9. @ That against item no.13 of my application form details of various
sources of funds required for setting up and operation of the dealership
has been furnished. I undertake that these funds will be made available
for the purpose stated above. In case it is found that the same is not
made available as and when required, the offer of dealership, at any
stage, can be withdrawn and that I will have no claim/damages
whatsoever against the , Hindustan Petroleum Corporation Ltd.
10. I hereby verify that what has been stated above is true to the best of my
knowledge and belief and nothing material has been concealed
therefrom. If any information/declaration given by me in my application
or in any document submitted by me in support of my application for the
award of the dealership or in this affidavit shall be found to be untrue or
incorrect or false, Hindustan Petroleum Corporation Ltd would be
within its rights to withdraw the letter of intent / terminate the dealership
(if already appointed) and that I would have no claim, whatsoever,
against , Hindustan Petroleum Corporation Ltd for such
withdrawal/termination.
*strike out whatever is not applicable.
Solemnly affirmed and declared before me
This ___________day of ________________ ___________
____________________________
Signature and Seal of
affidavit/Magistrate/
Judge/Notary public
APPENDIX 'A2 '
(To be submitted by all applicants except those applying under
category reserved for SC/ST and War Widows applicants:
TO WHOMSOEVER IT MAY CONCERN
Shri/Ms/M/s _____________ is a customer of this bank / institution for
last _____ years and he/she/they, is/are enjoying the following facilities
from our bank/ institution:
a. _____________________________
b. _____________________________
c. _____________________________
During the above period, the dealings of Shri/Ms/M/s
__________________ with the bank and his/her/their conduct has been
satisfactory. In case, a dealership is allotted to him/her/them, we will be
willing to extend a loan of Rs. __________ (Rupees
______________________________ (in words).
Office seal
Signature
Date
Name and Designation
APPENDIX -A3
(To be obtained from the prospective customers and to be
submitted by the applicant along with the application)
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL
STAMP PAPER OF REQUIRED VALUE)
AFFIDAVIT
I,_____________________ son/daughter/wife of _________________
Age _____ years residing at _______________________ do hereby
solemnly affirm and say as under :
1. ____________________________ (Name of applicant), son/
daughter of _____________, resident of _____________________
(address) has applied for Retail Outlet dealership at __________
(location) of _________(name of Oil Co.).
2. I am having approx. consumption of ________ kl per month of
________ (name of product) required for _________ (purpose).
3. I hereby confirm that in case the dealership is awarded to above
applicant, I will be taking my supplies through him to the extent of
____ kl per month subject to the commercial terms and conditions
agreed mutually.
4. I hereby confirm that this type of commitment has not been given to
any other candidate applied for the above location.
5. I hereby verify that what has been stated above is true to the best of
my knowledge and belief and nothing material has been concealed
there from.
Solemnly affirmed and declared before me
This ___________day of ________________
_________________________
Signature and Seal of
Signature of person making
affidavit
Magistrate/Judge/Notary public
(Name in block letters)
APPENDIX 'B'
CERTIFICATE FOR MEDICAL OFFICER FOR PHYSICALLY
HANDICAPPED CANDIDATES
Certified that I, Dr. _________________________Registration No.
______ ________ have, this________ day of________________
examined the candidate whose particulars are given below:
1. Name : ________________________
2. Identification Marks : ________________________
3. Sex : ________
4. Father's/Husband's Name : ________________________
5. Approximate Age : ________
6. (A) Orthopaedically Handicapped
i) Nature of disability (tick the relevant from the following): Post
Polio Paralysis, Hemiplegia, Quadriplegia, Congenital,
Hemipelvectomy, Cheopats Wrist.
ii) Extent of disability
iii) Estimate percentages
iv) Use of appliance (if any)
v) Any operation done or indicated
(B) Handicapped by way of "being blind"
(C) Handicapped by way of "being dumb"
(D) Handicapped by way of "being deaf"
7. Any other particulars to clarify: The nature and extent of disability that
the surgeon might like to point out:
Place :
Signature of Orthopaedic Surgeon/
Eye Surgeon/ ENT Surgeon
Designation
(Seal)
Date
Counter-signed by Civil Surgeon/
Chief Medical Officer/ Supt. Govt. Hospital
APPENDIX 'C'
RESIDENCE CERTIFICATE
Signature of person making
(Name & Designation
in block letters)
This is to certify that Shri/Smt/Kum. _______________________________
son/daughter of ______________________________________ is a
resident of ___________________________________ District _________
State_________________
(________________) OR (________________)
Signature of Dy. Tehsildar/Tehsildar Signature of Dy. Commissioner /
Dy. Mamlatdar/Mamlatdar
Commissioner of Police*
(Seal of Office)
(Seal of Office)
* Only if the Competent Authority is Dy. Commissioner of Police.
Note: Residence certificate issued within previous six months of the date
of application in the prescribed herein will only be treated as valid
residence certificate.
Size: 36x24.6