Reconstitution Policy - Bharat Petroleum

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Details of Incoming Partner/ local guardian (If more than one partner is proposed, give the following details foreach of the proposed partner by attaching separate sheet).Name :-Residential Address :-DETAILS OF PROPOSED PARTNER –1.Contact No :-Date Of Birth:-Land lineMobileemailEducational Qualification :-Whether legal heir of the existingProprietor/Partner :-Details of Re-Constitution Fee (DD forRs.25000/- in favour of <strong>Bharat</strong> <strong>Petroleum</strong>Corporation Ltd, if applicable)DD No.Bank NamePresent Share holding :- Name PercentageNamePercentageProposed Share holding :- Name PercentageName Percentage NamePercentageSignature of the existing PartnersSignature of the incoming Partners14
ADDITIONAL DETAILS OF THE PROPOSED PARTNERPresent Occupation :-Annual Income :-PAN Card No. :-Family DetailsAny other Relevant Information.NOTE:-1. In case of Re-constitution proposals on account of incapacitation due to serious illness/accidentresulting in total and permanent disability which will disable the to work or follow any profession,certificate indicating the same from the CMO of the District Government Hospital to be attached.2. If the legal heir of the deceased/incapacitated proprietor/partner has not passed X Standard and isproposing to become the proprietor/partner, then the Committee of Officers appointed by theCorporation will verify whether the such legal heir is able to read, write and count.Signature of the existing PartnersSignature of the incoming Partners15
Page 3 and 4: 3 Reconstitution of existing dealer
Page 5 and 6: On due date of the interview with a
Page 7 and 8: APPLICATION FOR RE-CONSTITUTION AT
Page 9 and 10: ADDITIONAL DETAILS OF THE INCOMING
Page 11 and 12: PART BRequest for Reconstitution of
Page 13: APPLICATION FORM FOR RE-CONSTITUTIO

Reconstitution Policy - Bharat Petroleum

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