POLICY GUIDELINES FOR RECONSTITUTION OF RETAIL OUTLET

/ SKO-LDO DEALERSHIPS
A. INTRODUCTION

OMCs on Industry basis have framed amended reconstitution guidelines for Retail Outlets /
SKO-LDO Dealership incorporating provisions for “Ease of doing business” and
“Entrepreneurship”. Accordingly, the amended guidelines framed by the OMCs on industry
basis for reconstitution of Retail Outlets / SKO-LDO Dealership, which have been brought into
effect on 04.07.2018, is as indicated below:-

The Reconstitution guidelines given below supersede all earlier guidelines on reconstitution
issued by OMCs.

B. RECONSTITUTION AT LETTER OF INTENT (LOI) STAGE

1. Reconstitution of Retail Outlet dealerships will be permitted only once, except in case of death
and incapacitation, at LOI stage.

2. In case of resignation by Proprietor/partner(s) at LOI stage, the LOI shall be withdrawn, except
in case of death and incapacitation.

3. In cases of death of the sole allottee / all partners at LOI stage, reconstitution will be allowed
in favor of the legal heir(s) / family member(s), with the consent of legal heir(s). However, if
there is/are no legal heir(s) or legal heir(s) have expressed unwillingness, the LOI shall be
cancelled.

4. In case of death of partner(s) at LOI stage, reconstitution will be allowed in favor of the legal
heir(s)/family member(s) with the consent of legal heir(s) and surviving partners. However, if
there is/are no legal heir(s) or legal heir(s) have expressed unwillingness, the dealership at LOI
stage shall be reconstituted with the surviving partner(s). In cases where there are no legal
heir(s) of the deceased/incapacitated LOI holder(s) {incapacitation as defined under para B(7)}
and /or their present address is not known, then OMCs shall issue a notice giving 30 days’ time
to respond {cost to be borne by surviving partner(s) / other legal heir(s)} in the newspaper in
the District concerned, seeking response/objection on the proposed reconstitution of the firm
& clearly stating that no further claim beyond the stipulated period of 30 days will be
entertained.

However, the proposed / existing LOI holder(s) will have to indemnify the OMCs against any
claims or demands which may be made in future.

5. In case of incapacitation due to serious illness/accident of the LOI holder(s), whether sole
allottee or partner(s), resulting in total and permanent disability, which will disable
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him/her/them to work or follow any occupation or profession, reconstitution at LOI stage will
be allowed in favour of the legal heir(s)/family member(s) with the consent of legal heir(s) and
surviving partner(s). In case the incapacitated LOI holder/partner(s) wishes to exit, it may be
permitted.

6. Induction of outside partner(s) can be permitted in case of para 1, 3, 4 & 5 above, subject to
such reconstitution meeting all other criteria including retention of minimum 51% share by
the original allottee(s) and/or legal heir(s) / family member(s) of the original allottee(s), in the
dealership after reconstitution.

7. In case of incapacitation resulting in total and permanent disability, if the LOI holder(s) is not
in a position to give consent due to physical condition & has/have not submitted nomination
form, then consent of the members of the “family unit” and married children would be
required before reconstitution. Before reconstitution, the proposed LOI holder(s) should
furnish appropriate indemnity bond indemnifying the OMC against any claim/damage in
future. (Annexure-K1).

8. LOI holder(s) belonging to SC/ST category, can make a request to induct minority partner(s)
from outside his/her/their category. In such cases the SC/ST LOI holder(s) may be allowed to
induct minority partner(s) from outside his/her/their category. However at any point of time
i.e. before or after reconstitution, the shareholding of persons belonging to the category under
which the subject dealership was allotted should be at least 75% of total shares. If non-SC/ST
spouse of SC/ST LOI holder(s) is inducted as partner, his/her share in the dealership shall be
counted as SC/ST share.

In case of death/permanent incapacitation of SC/ST LOI holder(s), total share of the

deceased/incapacitated LOI holder(s) can be transferred to their Legal heirs. In case of transfer
of share to Non-SC/ST spouse or Non-SC/ST children (legal heirs) the same would be counted
as SC/ST share.

In case of death/permanent incapacitation of SC/ST partner (in a SC/ST category dealership

having partner from outside SC/ST category) and where there is no legal heir (s) or legal heir(s)
have expressed their unwillingness, in such case the share of the deceased/ incapacitated
SC/ST dealer can be transferred to any other person(s) belonging to the same category, there
by maintaining the same category share at minimum 75%.

9. For the purpose of Reconstitution at LOI stage, the LOI stage would also include situation
where the selected candidate has passed FVC and is eligible for issuance of LOI.

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10. Facility for Nomination : Notwithstanding the above, LOI holder(s) may submit a Nomination
Form containing name(s) of person(s) (from among his/her/their legal heir(s)/family
member(s), as per the personal Law applicable) that he/she desires to transfer his/her share
in the event of death or incapacitation resulting in total and permanent disability which
will disable him/her to work or follow any occupation or profession. The nomination form
(Annexure-E1) duly sworn before a First Class Magistrate / Executive Magistrate / any other
equivalent competent authority in the concerned state may be submitted upon issuance of
the LOI. The LOI Holder(s) will also have the option to change his/her nomination at any time
during the LOI stage. In case of partnership, partners may submit nomination separately but
such nomination will have to be witnessed by other partner(s).

On demise or total incapacitation of the LOI holder(s), fresh LOI will be issued to the person(s)
as per the last nomination. In case of more than one nominee, the shareholding of the
deceased will be distributed among the nominated persons in the ratio the deceased LOI
holder has mentioned in the last nomination or equally in case no share out is mentioned.

The OMC can allow for induction of such nominee(s) as proprietor/partner(s) provided
he/she/they meet the eligibility criteria for reconstitution, as applicable without seeking
consent from other legal heirs upon demise of the LOI holder(s).

However, if the person(s) nominated express unwillingness to be inducted as LOI holder(s) or

they are found ineligible, as per norms applicable for Dealership Selection other than age and
education {viz. debarred from dealership under disqualification criteria as per the Dealer
Selection Guidelines in vogue}, at that juncture, the LOI can be reconstituted with the other
willing legal heir(s) or family member(s) of the deceased LOI holder(s) with the consent of the
other legal heir(s).

Along with the proposal for reconstitution, the surviving LOI holder(s) and the nominee(s) are
required to submit Indemnity bond as per Annexure-G1 & Annexure F1 respectively.

C. GENERAL CONDITIONS FOR RECONSTITUTION AT LETTER OF INTENT (LOI) STAGE

1. All inductees should fulfill all the basic requirements for becoming a dealer on ‘Common
eligibility criteria for all categories’, on all parameters prescribed in the dealer selection
guidelines in vogue, except land. All inductees should also not be debarred from dealership
under disqualification criteria as per the Dealer Selection Guidelines in vogue. The new LOI
holder(s) would be required to comply with all the conditions as mentioned in the earlier LOI
issued.

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However, in case of death/incapacitation of LOI holder(s), LOI may be transferred to the legal
heir(s)/family member(s) as per the nomination submitted by the LOI holder, or in absence of
the same with the consent of legal heir(s) of the deceased or incapacitated LOI holder. The
legal heir(s)/family member(s), who is/are to be inducted will have to fulfill the following
conditions:-

a) Multiple dealership norms and other eligibility criteria, as applicable under Dealer
Selection guidelines for the relevant category prevailing at the time of reconstitution,
except age and educational qualification.

b) Relaxation in age can be considered in favour of nominee(s)/legal heir(s)/family member(s)

in case of request for reconstitution is arising out of death / incapacitation. The maximum
age limit may be relaxed in cases of reconstitution involving induction of partner from
within family member(s). The minimum age requirement will be 18 years. If he/she is a
minor, the local guardian shall operate the dealership till he/she becomes a major. The
local guardian should be a major and should be able to read, write and count.

c) Should not come under the purview of disqualification criteria as per the Dealer Selection
Guidelines in vogue.

d) There will not be any minimum educational qualification criteria. However, he/she must
be able to read, write and count.

e) The process of reconstitution must be completed within 6 months of demise of LOI

holder(s). However, in specific cases, approval may be granted beyond the period of 6
months with proper justification.

f) OMCs can transfer the LOI to such eligible Legal heir(s)/family member(s) by issuing fresh
LOI after necessary approval of competent authority.

g) The new LOI holder(s) would be required to comply with all the conditions as mentioned
in the earlier LOI issued to the deceased/incapacitated proprietor/partner(s).

2. The share out of the proposed partnership firm would be decided by the continuing and
incoming partners in line with provisions mentioned under B(6) & B(8) hereinabove and the
same should be mentioned in the Draft Partnership Deed to be submitted along with the
Reconstitution proposal.

3. Multiple Dealership Norm: Multiple Dealership Norm as per Dealer Selection Guidelines in
vogue would be applicable in all cases of reconstitution.

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4. Indian citizen: The incoming LOI holder(s) should be Indian Citizen in line with Dealer Selection
Guidelines in vogue.

5. Legal heir / Succession certificate: Legal heir / Succession certificate should be submitted to
OMC to establish Legal heirs of the deceased LOI Holder(s). In case the same is getting delayed,
then the incoming partner/legal heir(s) can submit an affidavit, sworn before 1st Class
Magistrate/ Executive Magistrate/ any other equivalent competent authority in the concerned
state, by all the legal heir(s) of the deceased {including incoming legal heir(s)} declaring that
they are the only legal heir(s) of the deceased. OMCs can approve reconstitution in such cases.
However, the proposed/existing LOI holder(s) of the reconstituted dealership will have to
indemnify the OMC (Annexure-L1) against any claims or demands which may be made in
future.

6. In cases where Nominee(s) / Legal Heir(s) of deceased partner(s) of LOI is/are not available /
not traceable: In cases where one or more of the Nominee(s) / Legal heir(s) of deceased
partner(s) of the LOI is/are not available / not traceable and /or their present address is not
known, then OMCs shall issue a notice {cost to be borne by surviving partner(s) / other legal
heir(s) / other nominee(s)} in the highest circulated newspaper in the District concerned,
seeking response/objection within 30 days of the date of notice on the proposed
reconstitution of the LOI & clearly stating that no further claim beyond the stipulated period
of 30 days will be entertained. Additionally, the Notice would be sent under Regd/AD Post to
the last known address of the deceased LOI holder(s) / Nominee(s) / Legal Heir(s) of deceased
partner(s). Thereafter, the OMC can approve reconstitution of the LOI excluding such
Nominee(s) / Legal heir(s). However, the inductee(s) of the LOI will have to indemnify the OMC
(Annexure-H1) against any claims or demands which may be made in future.

7. In cases where Nominee(s) / Legal Heir(s) is/are not responding: In case Nominee(s) / Legal
heir(s) have not given their consent within specified period of 30 days, another time period 30
days (as reminder) shall be given to the nominee(s)/legal heir(s) for expressing their
willingness to join the LOI failing which, it will be treated that they {non responding
nominee(s)/legal heir(s) of deceased proprietor/partner(s)} are unwilling to be inducted in the
LOI and the OMC can approve reconstitution of the LOI with the willing nominee(s)/legal
heir(s). However, the surviving / incoming LOI holder(s) of the reconstituted LOI will have to
indemnify the OMC against (Annexure-I1) any claims or demands which may be made in
future.

8. In cases where there is dispute in share out: In case of dispute on share out between legal
heirs of deceased LOI holder(s), the share of the deceased LOI holder(s) will be equally divided
between all the willing incoming legal heirs. However, in this case the willing legal heirs to be

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inducted in the LOI will have to indemnify the OMC against any claims or demands which may
be made in the future.

9. In cases where there is no NOCs from Legal Heir(s) who are not eligible to become LOI
holder(s): In case of death, where one or more Nominee(s) / Legal heir(s) are not willing to
give relinquishment or NOC in favour of surviving/incoming LOI holder(s) despite the fact that
these Nominee(s) / Legal heir(s) may not be eligible to become dealer as per Disqualification
norm of Dealer Selection guidelines, in such cases obtaining NOC/Relinquishment from such
Nominee(s) / Legal heir(s) will not be mandatory. However, the onus would be on the
surviving/incoming LOI holder(s) of the LOI to provide conclusive documentary evidence with
regard to disqualification of such Nominee(s) / Legal heir(s) and OMC would independently
verify the authenticity of the same. In such cases, OMCs will issue a communication to the
concerned Nominee(s) / Legal heir(s) to submit documentary proof with regard to their
eligibility within 30 days from the date of the letter. In case no response is received, the OMC
can approve reconstitution of the LOI excluding such Nominee(s) / Legal heir(s). However, the
surviving / incoming LOI holder(s) of the reconstituted LOI will have to indemnify the OMC
against (Annexure-J1) any claims or demands which may be made in future.

For cases where letters written to such nominee(s) / Legal heir(s) gets returned undelivered.
Such cases will be treated as “Nominee(s) / Legal Heir(s) of deceased partner(s) of LOI is/are
not available / not traceable” and further action is to be taken in accordance with the same.

10. Before reconstitution of LOI, a meeting would be done with all the existing / incoming LOI
holder(s) by OMC. In cases where any/some of them do not attend the meeting due to any
reason, in such cases a Registered letter confirming receipt of reconstitution proposal, giving
reference of the meeting held with the attending partners and Corporation’s intention of
proceeding with the reconstitution proposal would be given to them.

11. All proposals for reconstitution of dealerships at LOI stage shall be disposed of by the
concerned OMC in a time bound manner within 90 days from the date of receipt of complete
proposal.

12. At the time of reconstitution, the dealership should furnish appropriate indemnity bond
indemnifying the OMC against any claim/damage.

Note : Family member(s) of LOI holder(s) are the members of the “Family Unit”( as defined in
Dealer Selection Guidelines in vogue) and married children and/or grandchildren of the LOI
holder(s).

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D. PROCESS OF RECONSTITUTION AT LETTER OF INTENT (LOI) STAGE :

The following process will be followed for disposal of reconstitution at LOI stage.

1. Application :
The application for reconstitution, in the given format (Annexure-A1, B1 & C1 & standard
Affidavit-D1), will have to be submitted to the concerned Divisional/Territory/Regional Office
of IOC/BPC/HPC, as applicable, against acknowledgement. Divisional/Territory/Regional
Office of IOC/BPC/HPC, as applicable, will maintain a record for this purpose and each
application will be acknowledged giving reference to a unique identification no. (Docket no.)

2. Scrutiny at Divisional/Territory/Regional Office of IOC/BPC/HPC :

Divisional/Territory/Regional Office of IOC/BPC/HPC shall assess the eligibility of the legal
heir(s)/family member(s)/outside partner(s) in line with the Dealership Selection Guidelines
in vogue and the relaxations provided hereinabove.

3. If the candidate(s) is/are found meeting the criteria, approval of the competent authority will
be obtained for reconstitution and issuance of fresh LOI and cancellation of the earlier LOI.
The fresh LOI would be issued with all the conditions as was mentioned in the earlier LOI
including that the legal heir(s)/family member(s)/nominee(s) will have to make available the
identified land offered by the original allottee/deceased/incapacitated LOI holder at the time
of selection for Retail Outlet, finances required for commissioning and operation of the
dealership and submission of bidding amount / fixed fee as applicable on case to case basis.

4. The request for reconstitution on account of total and permanent disability will be considered
based on submission of certificate to this effect from Chief Medical Officer (CMO) of Govt.
Hospital of the district. Alternatively, the recommendation of Medical Board recognized by
the Govt. can also be considered by the approving authority.

5. In case of death/incapacitation {incapacitation as defined under para B (7)} of LOI Holder(s),

on receipt of information regarding death/such incapacitation, a letter giving opportunity for
reconstituting the LOI to nominee(s)/legal heir(s)/ “family unit” including married children
will be issued, within 10 (ten) days of receipt of such information. Along with this letter, copy
of application form for reconstitution of dealership at LOI stage and list / format of other
documents and other relevant information to be submitted by the applicant, shall be sent.
30 (thirty) days’ time will be given to the nominee(s)/legal heir(s) for submitting the
application. In case of formal request for extending the time, the time can be further
extended by another 30 days.

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In case the deceased/incapacitated {incapacitation as defined under para B (7)} LOI holder
had earlier appointed nominee(s), letter/information as mentioned above shall be first sent
only to the concerned nominee(s). If the nominee(s) fails to respond within the stipulated
period, subsequent letter/information shall be sent to the legal heir(s)/ “family unit”
including married children of the deceased/incapacitated LOI holder.

6. Communication to Applicants : Within 10 days from receipt of proposal, the

Divisional/Territory/Regional Office of IOC/BPC/HPC, as applicable would send
communication to the applicant(s):-

a. Informing reasons for rejection of proposal (on eligibility norms).

b. Informing short comings, if any, in the documents with a request to re-submit the
corrected / additional documents and that further action will be taken only after receipt
of complete proposal / additional documents. After receipt of revised proposal /
documents, a new identification no. (Docket no.) shall be given.
c. For proposals found suitable, a letter will be sent intimating the date and time on which
all existing partners along with proposed incoming partner should visit the
Divisional/Territory/Regional Office of IOC/BPC/HPC, as applicable, for meeting with
Divisional/Territory/Regional in-charge and verification of documents. This date will be
given with minimum notice of 15 days and not beyond 30 days. If a request from the
applicant(s) is received for changing the date of meeting, such request would be
accommodated and next date with mutual consent should be fixed at the earliest but not
later than 30 days. However, the OMC will not be responsible for delay in the process on
this account.

7. Meeting with existing/incoming LOI holder(s)/Partner(s) :

On due date of meeting with all existing and proposed incoming partner(s), a committee of
two officers, will verify the identity of the individuals with photo identity cards and also verify
the original documents with respect to eligibility criteria. Any one of the following photo
identity cards will be reckoned for the above purpose.

a. Aadhar Card
b. PAN Card
c. Passport
d. Voter ID
e. Photo ID card issued by Govt./PSU
f. Driving Licence

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8. This will be followed by meeting of all existing and incoming partner(s) with the
Divisional/Territory/Regional Office in-charge of IOC/BPC/HPC, as applicable, along with the
above mentioned committee.

9. In case an existing partner is unable to visit Divisional/Territory/Regional Office of

IOC/BPC/HPC, as applicable, on the due date on account of serious illness / hospitalization or
such other situation to the satisfaction of the OMC competent authority may consider such
case and approve the reconstitution proposal with specific reasoning.

10. Disposal of proposal:

After the meeting, in case of the proposals found deficient and not suitable for approval, the
proposal will be disposed of by sending communication on rejection of proposal. However, in
case of proposals meeting norms, the same will be disposed of by conveying “in principle
approval” with instruction for necessary formalities to be completed by the applicants giving
60 days’ time.

11. Formats of application, standard affidavit, indemnity, nomination form, etc. are attached as
Annexures to this guideline.

E. TIME LINES FOR RECONSTITUTION AT LETTER OF INTENT (LOI) STAGE

All proposals for reconstitution at LOI stage should be disposed of within 90 days from
submission of complete proposal.

F. NON-REFUNDABLE APPLICATION PROCESSING FEE & RECONSTITUTION FEE FOR

RECONSTITUTION AT LETTER OF INTENT (LOI) STAGE :

In all cases, the dealerships would be required to pay non-refundable application

processing fee of Rs.25,000/- at the time of application and upon approval of
reconstitution, pay a non-refundable reconstitution fee equivalent to Security Deposit
amount as applicable to the category of dealership defined under Dealer Selection
Guidelines in vogue, before issuance of fresh LOI, except under the cases mentioned
below;

a) In case where reconstitution is arising out of death/incapacitation of the

proprietor / partner(s) and the incoming partner(s) {provided they all are
nominee(s) / Legal heir(s) / family member(s)} propose to hold the same share in
partnership as was with the deceased/incapacitated.

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b) For induction of partner(s) from SC/ST category in LOIs belonging to same
category. However, in cases involving induction of outside category partner(s) in
SC/ST Dealership, no exemption will be given.

G. RECONSTITUTION OF COMMISSIONED DEALERSHIPS

1. There will be no restriction of time period for reconstitution of commissioned dealership.

However, up to 3 years of commissioning of a dealership, reconstitution will be permitted for
induction of minority partner(s) including outside partner(s), with maximum share of
incoming partner(s) restricted up to 49% (except in case of induction of outside category
partners in SC/ST dealerships wherein the share of incoming outside category partner(s) will
be restricted to 25%). There is no restriction on shareholding of the partner(s) in the
dealership after 3 years of commissioning (except in case of induction of outside category
partner(s) in SC/ST dealerships wherein the share of incoming outside category partner(s) will
be restricted to 25%).

2. The Sole Proprietor / Partner(s) belonging to SC/ST category may make a request to induct
minority partner(s) from outside their category. In such cases the SC/ST Proprietor / Partner(s)
may be allowed to induct minority partner(s) from outside their category. However at any
point of time i.e., before or after reconstitution, the shareholding of persons belonging to the
category under which the subject dealership was allotted should be at least 75% of total
shares. If non-SC/ST spouse of SC/ST Proprietor / Partner(s) is inducted as partner, their share
in the dealership shall be counted as SC/ST share.

3. The Sole Proprietor / all Partner(s) can resign from the dealership after 3 years of holding
dealership and transfer his/her/their shareholding in favour of family member(s) /existing
partner(s)/outside partner(s). However, in case of induction of outside category partner(s) in
SC/ST dealerships, the share of incoming outside category partner(s) will be restricted to 25%.

4. In cases of death of the sole proprietor/all partners, reconstitution may be made in favor of
the legal heir(s) / family member(s) with the consent of legal heir(s). In such case, induction
of outside partner(s) will also be permitted. However, the maximum share of outside
incoming partner(s) will be restricted up to 49% till a period of 3 years from the date of
commissioning. In cases of death of the sole proprietor/all partners, if there is no eligible legal
heir(s)/family member(s)/ nominee(s) of the Sole proprietor/Partner(s) or legal heir(s)/family
member(s)/ nominee(s) of the Sole proprietor/Partner(s) express unwillingness, the
dealership shall be terminated.

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5. In cases of death of partner(s), the dealership shall be reconstituted with the legal heir(s) /
family member(s) with the consent of Legal heirs of the deceased partner(s). However, if
there is no legal heir(s) or legal heir(s) have expressed unwillingness, the dealership shall be
reconstituted with the surviving partner(s).

6. In case of incapacitation due to serious illness/accident of the proprietor/partner(s) resulting

in total and permanent disability, which will disable him/her to work or follow any occupation
or profession, the dealership may be reconstituted with family member(s) of the
incapacitated Sole Proprietor/Partner(s) and/or with outside partner(s). In case the
incapacitated proprietor/partner(s) wish to exit, it may be permitted even within 3 years of
commissioning of dealership.

7. Facility of Nomination - Request for transfer of share consequent to Death / Incapacitation :

Notwithstanding the above, Proprietor/Partner(s) of existing Dealerships may submit
nomination form containing name(s) of person(s) {from among his/her/their legal
heir(s)/family member(s)/outsider(s)} if he/she desires to transfer his/her share in the event
of death or incapacitation resulting in total and permanent disability, which will disable
him/her to work or follow any occupation or profession. The nomination form (Annexure-E2)
duly sworn before a First Class Magistrate / Executive Magistrate / any other equivalent
competent authority in the concerned state may be submitted upon commissioning of the
RO. The Proprietor/Partner(s) will also have the option to change his/her nomination anytime.
In case of partnership, partners may submit nomination separately but such nomination will
have to be witnessed by other partner(s).

Upon demise or total incapacitation of the sole proprietor /partner(s), the OMC can allow
induction of such nominee(s), as per last nomination on record, as proprietor/partner(s)
provided he/she/they meet the eligibility criteria for reconstitution, as applicable without
seeking consent from other legal heirs of the demised/totally incapacitated
proprietor/partner(s). In case of more than one nominee, the shareholding of the deceased
will be distributed among the nominated persons in the ratio mentioned in the last
nomination or equally in case no share out is mentioned.

Along with the proposal for reconstitution, the surviving partner(s) and the nominee(s) will
be required to submit Indemnity bond as per Annexure-G2 & Annexure F2 respectively.

However, if the person(s) nominated express unwillingness to be inducted as

proprietor/partner(s), or they are found ineligible, as per norms applicable for Dealership
Selection other than age and education {viz. debarred from dealership under disqualification
criteria as per the Dealer Selection Guidelines in vogue}, at that juncture, the firm can be

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reconstituted with the other willing legal heir(s) or family member(s) of the deceased
proprietor/partner(s) with the consent of the other legal heir(s).

8. In case of incapacitation resulting in total and permanent disability, if the

proprietor/partner(s) is/are not in a position to give consent due to physical condition &
has/have not submitted nomination form, then consent of the members of the family unit
and married children would be required before reconstitution. At the time of reconstitution,
the dealership should furnish appropriate indemnity bond indemnifying the OMC against any
claim/damage. (Annexure-R2).

9. Dispute in case of Induction of nominee / legal heir/ family member amongst partners:
Partner(s) can transfer his/her shareholding in the dealership to Legal heir(s)/family
member(s)/outsider(s), subject to adherence to applicable statutory provisions and the
incoming partner meeting the eligibility criteria. However, if there is any dispute with regard
to the induction amongst the surviving/existing partners, then in such cases the dispute may
be resolved expeditiously by the dealership. In such cases, OMC would send a notice to all
partners calling them for personal hearing to resolve the dispute for operation /
reconstitution of dealership and take an undertaking from the dealership confirming to
resolve the dispute within 6 months. In case any partner(s) does not attend, personal hearing
may be given to the attending partners. However, communication on action proposed to be
taken would be sent to all the partners.

During the dispute period, the dealership may be operated by the partner(s)/legal
heir(s)/family member(s) as per the share out of existing partners prior to the induction of
the new partners. OMC may allow operation of such dealership for a period of 6 months or
as may be decided on case to case basis. If the dispute remains unresolved, then the
dealership may be placed under “Holiday Scheme”, giving the parties a reasonable time to
settle their dispute and revert back for the dealership.

10. Temporary Arrangement for operation of dealership in case of death of proprietor

/partner(s): In cases of death of proprietor / partner(s), temporary arrangement is to be made
through legal heirs of the proprietor / surviving partner(s) to continue the dealership till
formal reconstitution. OMC may allow operation of such dealership through Legal heirs of the
proprietor / surviving partners for a period of 6 months after demise of dealer/partner(s) as
may be decided on case to case basis. In case of non-receipt of reconstitution proposal, after
expiry of 6 months, the Surviving partners should be given an option of “Holiday Scheme” to
sort out their issues within reasonable time and revert back for dealership.

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11. Conviction of partner(s) by Court of Law: In a partnership firm, if any partner(s) gets convicted
by Court of Law for any criminal case / moral turpitude cases, then in such case, OMCs may
exercise their right to derecognize the existing set up, debar the convicted partner(s) and
reconstitute the dealership only with the remaining partners.

If the control of the RO site is not with OMCs or with the remaining partner(s), then OMCs
can permit resitement of the dealership in the same class of market within the same state. In
case of locations in Delhi, dealerships may be allowed to offer land outside the state of Delhi
but within NCR.

The restriction of time period of 3 years from the date of commissioning will not be applicable
in such cases.

12. General condition for Induction of outside category partner in SC/ST Dealership: For
dealerships belonging to SC/ST category, the dealer may make a request to induct minority
partner from outside his/her category , in such cases the SC/ST dealer may be allowed to
induct minority partner(s) from outside his/her category . However at any point of time i.e.,
before or after reconstitution, the shareholding of persons belonging to the category under
which the subject dealership was allotted should be at least 75% of total shares. If non-SC/ST
spouse of SC/ST dealer is inducted as partner in dealership, his/her share in the dealership
shall be counted as SC/ST share.

In case of death/permanent incapacitation of SC/ST dealer, total share of the deceased/

incapacitated dealer can be transferred to Non-SC/ST spouse or Non-SC/ST children {(legal
heir(s)} as the case may be, which would be counted as SC/ST share.

In case of death/permanent incapacitation of SC/ST partner in a SC/ST category dealership

having partner from outside the category of the dealership, and where there is no legal heir
(s)/nominees(s) or legal heir(s) / nominee(s) have expressed their unwillingness, in such case
the share of the deceased/ incapacitated SC/ST dealer can be transferred to any other
person(s) belonging to the same category, there by maintaining the same category share at
minimum 75%.

H. GENERAL CONDITIONS FOR RECONSTITUTION OF COMMISSIONED DEALERSHIPS

1. All incoming proprietor/partner(s) should fulfill all the basic requirements for becoming a
dealer on ‘Common eligibility criteria for all categories’, on all parameters prescribed in the
dealer selection guidelines in vogue, except land. All incoming proprietor/partner(s) should
not fall under disqualification criteria of Dealer Selection Guidelines in vogue. However,

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relaxation with regard to age and minimum qualification of incoming proprietor/partner(s)
can be considered in following cases;

a. Relaxation in age can be considered in favour of nominee(s)/legal heir(s)/family member(s)

in case of request for reconstitution is arising out of death / incapacitation. The maximum
age limit will be relaxed in cases of reconstitution involving induction of partner from
within family member(s). The minimum age requirement will be 18 years. In the event of
nominee(s)/legal heir(s)/family member(s) being minor (below 18 years of age), the local
guardian shall operate the Dealership till nominee(s)/legal heir(s)/family member(s)
becomes a major. The local guardian should be a major and should be able to read, write
and count.

b. Relaxation on educational qualification can be considered in favour of nominee(s)/legal

heir(s)/family member(s) in case of request for reconstitution arising out of death /
incapacitation of the proprietor/partner(s). However, the candidate should be able to
read, write and count.

In other cases i.e. other than (a) & (b) above, depending upon merit, relaxation on age &
educational qualification can be considered and approved.

2. The share out of the proposed partnership firm would be decided by the continuing and
incoming partners and the same should be mentioned in the Draft Partnership Deed to be
submitted along with the Reconstitution proposal.

3. Multiple Dealership Norm: Multiple Dealership Norm as per Dealer Selection Guidelines in
vogue would be applicable in all cases of reconstitution except in the following cases:

a) Where selection of the concerned dealership/distributorship was made prior to multiple

Dealership norms came into existence. This relaxation shall be available only to
spouse/children/grandchildren of the dealer.

b) For dealerships which were commissioned after multiple dealership norm came into
existence and where two or more dealership/distributorship have been awarded to family
member(s) comprising of spouse, father/mother, children/grandchildren (both married
and unmarried). Relaxation would be given in cases of reconstitutions arising out of
death/incapacitation in favour of other family member already holding a dealership
subject to there being no other eligible / willing legal heir(s) / member of family unit
(having no dealer/distributorship) for transfer of dealership.

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4. Indian citizen: The incoming proprietor / partner(s) should be Indian Citizen in line with Dealer
Selection Guidelines. Cases where incoming legal heir(s)/ family member(s) is/are not Indian
Citizen(s) they will be given 6 months’ time to meet the Citizenship criteria.

5. Legal heir / Succession certificate: Legal heir / Succession certificate should be submitted to
OMC to establish Legal heirs of the deceased Proprietor/Partner(s). In case the same is getting
delayed, then the incoming partner/legal heir(s) can submit an affidavit, sworn before 1 stClass
Magistrate/ Executive Magistrate/ any other equivalent competent authority in the concerned
state, by all the legal heir(s) of the deceased {including incoming legal heir(s)} declaring that
they are the only legal heir(s) of the deceased. OMCs can approve reconstitution in such cases.
However, the proposed proprietor/partner(s) of the reconstituted dealership will have to
indemnify the OMC (Annexure-S2) against any claims or demands which may be made in future.
Legal heir(s) from outside “family members” will be considered only if the “Will” made by
deceased Proprietor/Partner(s) has been probated by the competent court.

6. In cases where Nominee(s) / Legal Heir(s) / Partner(s) is/are not traceable: In cases where one
or more of the Nominee(s) / Legal heir(s) of deceased proprietor / Partner(s) is/are not
available / not traceable and /or their present address is not known, then OMCs shall issue a
notice {cost to be borne by surviving partner(s) / other legal heir(s)} in the highest circulated
newspaper in the District concerned, seeking response/objection within 30 days from the date
of notice on the proposed reconstitution of the firm & clearly stating that no further claim
beyond the stipulated period of 30 days will be entertained. Additionally, the Notice would be
sent under Regd/AD Post to the last known address of the deceased Partner(s) / Nominee(s) / Legal
Heir(s) of deceased partner(s). Thereafter, the OMC can approve reconstitution of the dealership
excluding such Nominee(s) / Legal heir(s) / Partner(s). However, the proprietor/partner(s) of
the reconstituted dealership will have to indemnify the OMC (Annexure-H2) against any claims
or demands which may be made in future.

7. In cases where Nominee(s) / Legal Heir(s) not responding: In cases where one or more of the
Nominee(s) / Legal heir(s) of deceased proprietor / partner(s) have not given their consent
within specified period of 30 days, another time period of 30 days (as reminder) shall be given
to the nominee(s)/legal heir(s) for expressing their willingness to join the dealership failing
which, it will be treated that they {non responding nominee(s)/legal heir(s) of deceased
proprietor/partner(s)} are unwilling to be inducted in the Dealership and the OMC can approve
reconstitution of the Dealership with the willing nominee(s)/legal heir(s). However, the
surviving / incoming proprietor/partner(s) of the reconstituted Dealership will have to
indemnify the OMC against (Annexure-I2) any claims or demands which may be made in
future.

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8. In cases where there is dispute in share out: In case of dispute on share out between legal
heir(s) of deceased proprietor / partner(s), the share of the deceased proprietor/partner(s)
will be equally divided between all the willing incoming legal heirs. However, in this case the
willing legal heirs proposed to be inducted in the dealership will have to indemnify the OMC
against any claims or demands, which may be made in future.

9. In cases where there is no NOCs from Nominee(s) / Legal Heir(s) who are not eligible to
become Dealer: In case of death, where one or more Nominee(s) / Legal heir(s) are not willing
to give relinquishment or NOC in favour of incoming/surviving Proprietor/Partner (s) despite
the fact that these Nominee(s) / Legal heir(s) may not be eligible to become dealer as per
Disqualification norm of Dealer Selection guidelines, in such cases obtaining
NOC/Relinquishment from such Nominee(s)/Legal heir(s) will not be mandatory. However, the
onus would be on the surviving/incoming Proprietor/Partner (s) of the dealership to provide
conclusive documentary evidence with regard to disqualification of such Nominee(s)/Legal
heir(s) and OMC would also independently verify the authenticity of the same. In such cases,
OMCs may issue a communication to the concerned Nominee(s) / Legal heir(s) to submit
documentary proof with regard to their eligibility within 30 days from the date of the letter.
In case no response is received, the OMC can approve reconstitution of the dealership
excluding such Nominee(s) / Legal heir(s). However, the surviving/incoming
Proprietor/Partner (s) of the dealership will have to indemnify the OMC against ( Annexure-J2)
any claims or demands which may be made in future.

For cases where letters written to such nominee(s) / Legal heir(s) gets returned undelivered.
Such cases to be treated as “Nominee(s) / Legal Heir(s) / Partner(s) is/are not traceable” and
further action is to be taken in accordance with the same.

10. In all cases where OMC approves reconstitution wherein consent of all the legal
heir(s)/partner(s) could not be obtained then the proprietor / partner(s) of the reconstituted
firm shall indemnify the OMC against any claims or demands which may be made by such Legal
heirs/partner(s).

11. Before reconstitution of dealership, a meeting would be done with all the existing partners
and incoming partners by OMC.

12.All proposals for reconstitution of dealerships shall be disposed of by the concerned OMC in a
time bound manner within 90 days from the date of receipt of complete proposal.

Note : Family member(s) of Proprietor/Partner(s) are the members of the “Family Unit” (as
defined in Dealer Selection Guidelines in vogue) and married children and/or grandchildren of the

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Proprietor/Partner(s).

I. PROCESS OF RECONSTITUTION OF COMMISSIONED DEALERSHIPS :

The following process will be followed for disposal of reconstitution of commissioned

dealership.

1. Application : The application for reconstitution, in the given format (Annexure-A2, B2, C2 &
Standard Affidavit D2), will be submitted to the concerned Divisional/Territory/Regional
Office of IOC/BPC/HPC, as applicable, against acknowledgement. Divisional/Territory/Regional
Office of IOC/BPC/HPC, as applicable, will maintain a record for this purpose and each
application will be acknowledged giving reference to a unique identification no. (Docket no.)

2. Scrutiny at Divisional/Territory/Regional Office of IOC/BPC/HPC : Concerned

Divisional/Territory/Regional Office of IOC/BPC/HPC shall assess the eligibility of the incoming
partner(s) in line with the Dealership Selection Guidelines in vogue and the relaxations
provided hereinabove.

3. The request for reconstitution on account of total and permanent disability will be considered
based on submission of certificate to this effect from Chief Medical Officer (CMO) of Govt.
Hospital of the district. Alternatively, the recommendation of Medical Board recognized by the
Govt. can also be considered by the approving authority.

4. In case of death / incapacitation {incapacitation as defined under para G (8)} of

proprietor/partner(s), on receipt of information regarding death/such incapacitation, a letter
giving opportunity to reconstitute the dealership to nominee(s)/legal heir(s)/family
member(s) will be issued, within 10 (ten) days of receipt of such information. Along with this
letter, copy of application form for reconstitution of dealership and list / format of other
documents and other relevant information to be submitted by the applicant, shall be sent.
30 (thirty) days’ time will be given for submitting the application. In case of formal request
for extending the time, the time can be further extended by another 30 days.

In case the deceased/incapacitated {incapacitation as defined under para G (8)} Proprietor

/ Partner(s) had earlier appointed nominee(s), letter/information as mentioned above shall
be first sent only to the concerned nominee(s). If the nominee(s) fails to respond within the
stipulated period, subsequent letter/information shall be sent to the legal heir(s)/family
member(s) of the deceased/incapacitated Proprietor / Partner(s).

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5. Communication to Dealership : Within 10 days from receipt of proposal, the
Divisional/Territory/Regional Office of IOC/BPC/HPC, as applicable should send
communication to the dealership;

a. Informing reasons for rejection of proposal (on eligibility norms)

b. Informing short comings in the documents with a request to re-submit the corrected /
additional documents and that further action will be taken only after receipt of complete
proposal / additional documents. After receipt of revised proposal / documents, a new
identification no. (Docket no.) shall be given.
c. Informing the date and time on which all existing partners along with proposed incoming
partner(s) should visit the Divisional/Territory/Regional Office of IOC/BPC/HPC, as
applicable, for meeting with Divisional/Territory/Regional in-charge and verification of
documents, for proposals found suitable in all respects. This date will be given with
minimum notice of 15 days and not beyond 30 days. If a request from the dealership is
received for changing the date of meeting, such request will be accommodated and next
date with mutual consent would be fixed at the earliest but not later than 30 days.
However, the OMC will not be responsible for delay in the process in this account.

6. Meeting with existing/incoming Proprietor/Partner(s) : On due date of meeting with all

existing and proposed incoming partner(s), a committee of two officer will verify the identity
of the individuals with photo identity cards and also verify the original documents with
respect to eligibility criteria. Any one of the following photo identity cards will be reckoned
for the above purpose.

a. Aadhar Card
b. PAN Card
c. Passport
d. Voter ID
e. Photo ID card issued by Govt./PSU
f. Driving Licence

7. This will be followed by meeting of all existing and incoming partners with the
Divisional/Territory/Regional Office in-charge of IOC/BPC/HPC, as applicable, along with the
above mentioned committee.

8. In case an existing partner is unable to visit Divisional/Territory/Regional Office of

IOC/BPC/HPC, as applicable, on the due date on account of serious illness / hospitalization or
such other situation to the satisfaction of the OMC, competent authority may consider such
case and approve the reconstitution proposal with specific reasoning.

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In case an outgoing partner(s) is living outside the country and is not in a position to visit the
Divisional/Territory/Regional Office on the pre assigned date and time of the meeting, the
outgoing partner(s) would be required to submit an affidavit (Annexure-T2) duly signed and
notarized by the concerned Indian consulate in the country where the outgoing partner is
living. Confirmation of the affidavit would also be obtained by the OMC by writing to Indian
Consulate within 60 days. An indemnity (Annexure-U2) from the continuing partner(s) will
also be taken in this regard.

9. Disposal of proposal : After the meeting, in case of the proposals found deficient and not
suitable for approval, the proposal will be disposed of by sending communication on rejection
of proposal. However, in case of proposals meeting norms, the same will be disposed of by
conveying “in principle approval” with instruction for necessary formalities to be completed
by the applicants giving 60 days’ time.

10. Formats of application, standard affidavit, indemnity, nomination form, etc. are attached as
Annexures to this guideline.

J. TIME LINES FOR DISPOSAL OF PROPOSALS FOR RECONSTITUTION OF COMMISSIONED

DEALERSHIPS :

All proposals should be disposed of within 90 days of receipt of complete proposals.

K. NON-REFUNDABLE APPLICATION PROCESSING FEE & RECONSTITUTION FEE FOR

RECONSTITUTION OF COMMISSIONED DEALERSHIPS :

APPLICATION PROCESSING FEE :

In all cases, the dealerships would be required to pay non-refundable application
processing fee of Rs.25,000/- at the time of application, except under the cases
mentioned below;

a) In case where reconstitution is arising out of death/incapacitation of the

proprietor / partner(s) and incoming partner(s) {provided they all are Legal heir(s)
/ family member(s)} proposes to hold the same share in Dealership as was with
the deceased/incapacitated. Further, in cases where Legal heir(s) / family
member(s) of deceased / incapacitated partner(s) is taking over shareholding of
deceased / incapacitated partner(s) in addition to his or her existing shareholding
will also be exempted.

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b) For SC/ST category dealerships involving induction of partner(s) from same
category. In cases involving induction of outside category partner(s) in SC/ST
Dealership, no exemption will be given.

RECONSTITUTION FEE :
Upon approval of reconstitution, the dealerships would be required to pay a non-
refundable reconstitution fee equivalent to Security Deposit amount as applicable
under Dealer Selection Guidelines in vogue, before execution of fresh dealership
agreement, except under the cases mentioned below;

a) In case where reconstitution is arising out of death/incapacitation of the

proprietor / partner(s) and incoming partner(s) {provided they all are Legal heir(s)
/ family member(s)} proposes to hold the same share in Dealership as was with
the deceased/incapacitated. Further, in cases where Legal heir(s) / family
member(s) of deceased / incapacitated partner(s) is taking over shareholdings of
deceased / incapacitated partner in addition to his or her existing shareholdings
will also be exempted.

b) For SC/ST category dealerships involving induction of partner(s) from same

category. In cases involving induction of outside category partner(s) in SC/ST
Dealership, no exemption will be given.

c) For proposals involving induction of partner(s) from within “Family Unit” as

defined in Dealer Selection Guidelines in vogue, without any exit/outgoing
partner, and also when there is no change in the combined shareholding of family
member(s). However, in case of exit by Proprietor/Partner(s) who is senior
citizen(s) (> 60 years old) and relinquishing his/her share in favour of family
member(s), reconstitution fee will be exempted.

d) Proposals with or without induction of partners from within “Family” or without

induction of partners from outside family (along with exit / outgoing partner)
provided continuing partner(s) is / are holding at least 50 % share and maintains
majority share in the dealership post reconstitution.

e) For reconstitution of Dealerships where the Dealer {proprietor/partner(s)} is

senior citizen(s) (> 60 years old), and inducting :

(i) Married son / daughter

(ii) Spouse / children of deceased son / daughter

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L. RECONSTITUTION OF PENDING CASES:

1. Cases where copy of dealership agreements are not available with dealer / OMC

In such cases Dealership status would be ascertained by OMC from any type of record
which is available like copy of Selection panel / LOI / LOA / copy of previous reconstitution
approval / copy of income tax return / sales tax registration and returns or any other record
/ correspondence which can prove name of proprietor / partner(s). However, the basic
documents like copy of Selection panel / LOI / LOA / copy of previous reconstitution
approval will be treated as primary documents. Only if these are not available, the
secondary documents like income tax returns, sales tax registration / returns, Retail Selling
License given by State Govt. (with any name for selling petroleum products – as applicable),
other statutory licenses and official correspondence would be taken into account for
consideration.

An indemnity / affidavit (Annexure-K2) would be taken from the claimant / prospective

dealer indemnifying Corporation against claim on dealership if the information is found
incorrect.

In cases, where either primary or secondary documents are available and the Dealer(s) /
Partner(s) are alive, new Dealership Agreement would be executed after obtaining
approval of competent authority.

In all other cases of above scenario, i.e., for cases where Dealer(s) / Partner(s) have expired
and their Legal heir(s) / Family member(s) are operating the Dealership, in-principle
approval shall be first accorded by the competent authority. This in-principle approval shall
be taken as a reference point for processing further reconstitution of the Dealership by
inducting the Legal heir(s) / Family member(s) of the deceased Dealer(s) / Partner(s) with
or without induction of outside partner(s) as per provisions made under clause nos. G, H,
I, J & K of this policy.

2. Cases where reconstitution proposal was approved in past but dealership agreements not
yet executed.

In such cases, the OMC would look into the reasons for non-execution of dealership
agreement. If conditional approval was given in the past for reconstitution and the
Dealership Agreement could not be executed due to non-compliance of the condition, the
concerned OMC would assess the applicability of the condition under present situation and
either get the condition complied or obtain approval for waiver of the condition from
competent authority and execute the Dealership Agreement.
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If, reconstitution proposal was earlier approved and the Dealership Agreement could not be
signed due to the death of proposed incoming proprietor / partner(s), the last approved
proposal shall be taken as a reference point for processing further reconstitution of the
Dealership by inducting the Legal heir(s) / Family member(s) of the deceased Dealer(s) /
Partner(s) with or without induction of outside partner(s) as per provisions made under
clause nos. G, H, I, J & K of this policy.

3. Cases where reconstitution have not been done due to non-availability / authenticity of
legal heir(s) but is being operated by proclaimed legal heir(s).

There are cases where reconstitution of the dealership was not done after the demise of the
proprietor / partner(s) due to some reason and the Legal heir(s) has been operating the
dealership without any claim / dispute from other Legal heir(s) for a very long time.

In such cases, Legal heir(s) of signatories of last agreement should be identified. Legal heir(s)
from outside “family member(s)” will be considered only if the Will made by deceased
signatory has been probated by the competent court. In case of SC/ST candidates, the Legal
heir(s) will be considered only if they belong to the same category (except in case of induction
of Non SC/ST spouse / children). After identification of all Legal heir(s), they will be invited by
way of notice to apply for reconstitution of dealership as per the prescribed format.

In such cases concerned OMC will issue a suitable notice in the newspaper (cost of notice to
be borne by the dealership) indicating that application has been received for reconstitution
of the dealership in favour of the willing Legal Heir(s) and seeking response/objection, if any,
from any other Legal heir(s) for such reconstitution within a time period of 30 days.
Additionally, the Notice should be sent under Regd/AD Post to the last known address of the
proprietor/partner(s)/Legal heir(s).

In case no objection is received within the time period specified, the proposal received from
the Legal heir(s) will be scrutinized and New dealership agreement will be signed with
dealer(s) subject to approval from competent authority and after taking suitable indemnity
(Annexure-L2) from them.

In case where all Legal heir(s) fail to come to a common understanding within the given time
or fail to submit a suitable proposal to the satisfaction of the OMC, further action would be
initiated as per provisions made under clause no. G (9) of this policy.

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4. Cases where dealership is being operated by one or more partners after exit or prolonged
absence of partner(s) from the dealership without approval of OMCs

There are cases where Dealership is being operated by one or more partners after exit or
prolonged absence of partner(s) from the dealership, without approval of OMCs. The
dealership has been operating without any claim / dispute from the partner(s), who have
exited from the dealership/have been absent for a very long time.

The remaining partner(s) will be invited by way of notice to apply for reconstitution of
dealership as per the prescribed format. The proposal received from the Partner(s) will be
examined for processing reconstitution of the Dealership by the Divisional/Territory/Regional
Office in-charge.

In such cases the OMC concerned will also issue a suitable notice in the newspaper (cost of
notice to be borne by the dealership) indicating that application has been received for
reconstitution of the dealership in favour of applicants and seeking response/objection, if any,
for such reconstitution from the concerned partner(s) / their legal heir(s) (if the partner(s)
have expired) within a time period of 30 days. Additionally, the Notice would be sent under
Regd/AD Post to the last known address of the partner(s).

In case no objection is received within the time period specified, the proposal received from
the remaining partner(s) will be scrutinized and New dealership agreement will be signed
with dealer(s) after obtaining approval from the competent authority and after taking
suitable indemnity (Annexure-M2) from the dealership.

In case where objection is received from absentee/exited partner(s) / their legal heir(s) (if
the partner(s) have expired)and/or in case the remaining partner(s) fail to submit a suitable
proposal to the satisfaction of the OMC, further action would be initiated as per provisions
made under clause no. G (9) of this policy.

5. Cases where constitution is currently in line with approved set up and past deviations
have been rectified.

There are cases where unauthorized persons had operated the dealership fully or in
association with the proprietor/partner(s). However, the dealership has rectified or
requested for rectification of the mistake and reverting to last approved set up. Such
actions can be condoned by OMC on onetime basis after taking a suitable letter from the
dealer indicating complete details of the mistake done in the past along with an
undertaking (Annexure-N2) requesting for condoning the past actions and confirming to
abide by the provisions of dealership agreement in the future.
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Such mistakes can be condoned by the competent authority after issuing a Letter of
warning and levying a penalty fee of Rs.2 lakhs. As no reconstitution is taking place, no
application processing fee or reconstitution fee will be applicable in such cases.

6. Cases where proposed constitution requires recognition of induction of Partner(s) in the

past without approval of OMC

There are cases where dealerships have inducted outside partner(s) without taking
approval from OMC. In such cases the proprietor/partner(s) operating the dealership
would be required to make an application indicating complete details of the case and
requesting for condoning the past actions and confirming to abide by the provisions of
dealership agreement in the future. The proprietor/partner(s) would also be required to
submit complete proposal for induction of the outside partner(s). Upon request from the
dealership, such proposal would be considered.

The proposal received from the dealership will be scrutinized and New dealership
agreement will be signed with dealer(s) after obtaining approval from Competent Authority
and after taking suitable indemnity (Annexure-O2) from the dealership.

However, upon reconstitution the dealership would be warned by issuing a Letter of

warning and levying a penalty fee of Rs.5 lakhs.

7. Cases of total change over in past where proposed constitution requires approval for
induction of "family member(s)” or “blood relative” of approved signatory

There are cases where proprietor / partner(s) have given control of the dealership to their
“family member” or “Blood Relative” without taking approval from OMC.

List of blood relatives will be defined as per Section-56(2) (v) (Explanation) of Income Tax
Act 1961 (permitting receipt of any sum of money from any "relative"), as under :

 Spouse of the individual

 Brother or Sister of the individual
 Brother or Sister of the spouse of the individual
 Brother or Sister of either of the parents of the individual
 Any lineal ascendant or descendant of the individual
 Any lineal ascendant or descendant of the spouse of the individual
 Spouse of the persons referred in above six categories

24
POLICY GUIDELINES FOR RECONSTITUTION OF RETAIL OUTLET
/ SKO-LDO DEALERSHIPS
In such cases the "family member(s)” or “blood relative(s)” of approved signatory of the
dealership would make an application indicating complete details of the case and
requesting for condoning the past actions and confirming to abide by the provisions of
dealership agreement in the future. The "family member(s)” or “blood relative(s)” of
approved signatory of the dealership would also be required to submit complete proposal
for reconstitution. Upon request, such proposal would be considered.

The proposal received from the dealership will be scrutinized and New dealership
agreement will be signed with dealer(s) after obtaining approval from Competent Authority
and after taking suitable indemnity (Annexure-P2) from the dealership

However, upon reconstitution the dealership would be warned by issuing a Letter of

warning and levying a penalty fee of Rs.5 lakhs

8. Cases of Total change over in past where no signatory {including legal heir(s)/ family
member(s)/blood relative(s)} is part of set up

There are cases where the approved proprietor / partner(s) have exited the dealership totally
and it is being operated by persons who are neither legal heir(s) nor family member(s) /
blood relative(s) of the dealer.

In such cases the person(s) operating the dealership would make an application indicating
complete details of the case and requesting for condoning the past actions and confirming to
abide by the provisions of dealership agreement in the future. The person(s) operating the
Dealership would also be required to submit complete proposal for reconstitution. Upon
request from the dealership, such proposal would be considered

In such cases the OMC concerned will issue a suitable notice in the newspaper (cost of notice
to be borne by the dealership) indicating that application has been received for reconstitution
of the dealership in favour of applicants and seeking response/objection, if any, for such
reconstitution from the concerned partner(s) / their legal heir(s) within a time period of 30
days. Additionally, the Notice would be sent under Regd/AD Post to the last known address
of the Proprietor/partner(s).

In case no objection is received within the time period specified, the proposal received
from the dealership will be scrutinized and New dealership agreement will be signed after
obtaining approval of the Competent Authority and after taking suitable indemnity
(Annexure-Q2) from the dealership

25
POLICY GUIDELINES FOR RECONSTITUTION OF RETAIL OUTLET
/ SKO-LDO DEALERSHIPS
However, upon reconstitution the dealership would be warned by issuing a Letter of
warning and levying a penalty fee of Rs.15 lakhs for “B” site Regular ROs (Rs.5 lakhs for
Rural ROs) and Rs.30 lakhs for “A” site Regular ROs (Rs.10 lakhs for Rural ROs).

9. Conditions for Reconstitution of dealerships in respect of Reconstitution of pending cases:

a) In all the above cases, reconstitution of the dealerships is to be done as per the above
guidelines and conditions for reconstitution as applicable for that case.

b) For cases appearing under clause no. L- 5, 6, 7 & 8 the dealerships would be given the
opportunity to reconstitute as stated above, on onetime basis.

c) The applicable penal fee should be collected before execution of agreement.

Dealerships requiring reconstitution and falling under above categories should submit
requisite proposal by 30.06.2019.

After the expiry of the given period, i.e., 30.06.2019, if there is any such dealership which
requires reconstitution and proposals were not submitted within the above mentioned time,
action shall be taken as per the provisions of Dealership Agreement including termination of
dealership.

Note : Family member(s) of Proprietor/Partner(s) are the members of the “Family Unit” (as
defined in Dealer Selection Guidelines in vogue) and married children and/or grandchildren of
the Proprietor/Partner(s).

M. TIMELINES FOR DISPOSAL OF APPLICATIONS :

All proposals should be disposed of within 90 days of receipt of complete proposals.

N. GRIEVANCE REDRESSAL :

In case of any grievance in the matter of reconstitution, the applicant will submit his/her
petition to the Retail Head of State/Zone of IOC/BPC/HPC, as applicable, who will have the
grievance investigated and dispose the case within a period of one month’s time from the
date of receipt of grievance.

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

26
 INSTRUCTIONS FOR RECONSTITUTION OF COMMISSIONED DEALERSHIP

1. The Reconstitution Policy must be read and understood fully. The application complete in
all respects including processing fee must be submitted to the respective
Divisional/Territory/Regional Office of IOC/BPC/HPC, as applicable, preferably in person.
If sent by post/courier the same must be addressed to the respective
Divisional/Territory/Regional Office in-charge.

2. An acknowledgement of receipt of application will be issued by the

Divisional/Territory/Regional Office along with a reference number. In cases where the
applications are not handed over in person and if acknowledgement is not received within
15 days, the same to be brought to the notice of the Divisional/Territory/Regional Office
in-charge immediately. For all future correspondence the reference number to be
mentioned.

3. Application processing fee : A non refundable application processing fee of Rs.25,000/-

for reconstitution, in the form of DD, in favour of Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd., as applicable, and
payable at the Divisional/Territory/Regional Office location, will be payable along with the
application as per the Reconstitution policy, as applicable.

4. Reconstitution fee : Non refundable reconstitution fee equivalent to prevailing security

deposit (as applicable to Dealership Selection policy in vogue) will be collected before
execution of agreement as per the reconstitution Policy, as applicable.

5. In case of reconstitution proposals on account of incapacitation due to serious

illness/accident resulting in total and permanent disability which will disable the dealer
(proprietor / partner) to work or follow any profession, Chief Medical Officer of the Govt.
Hospital or Medical Board recognized by the Govt. need to certify the incapacitation for
considering the proposal.

6. If the nominee / legal heir / family member of the deceased/incapacitated

proprietor/partner(s) does not possess minimum education qualification in line with dealer
selection policy in vogue and is proposing to become the proprietor/partner, then the
Committee of Officers appointed by the Corporation will verify whether such legal heir/s
is/are able to read, write and count.

7. At an appointed date the existing/continuing proprietor/partner(s) along with the proposed

partners have to appear before the Committee along with the original documents, copies
of which were submitted / required along with the application.

8. All the pages of the application along with the annexures to be signed/self attested by all
the existing partner/s and incoming partner(s).

9. In case the nominee / legal heir / family member is a minor, then local guardian proposing
to operate the RO is required to sign alongwith the minor nominee / legal heir / family
member wherever applicable.

10. After receiving the “in principle” approval for the reconstitution, the documentary
confirmation and legal compliance must be submitted to the Divisional/Territory/Regional
Office in-charge within 60 days.
 ANNEXURE-A2

APPLICATION FOR RE-CONSTITUTION OF COMMISSIONED DEALERSHIP

Date : ____________
S. PARTICULARS DETAILS
NO
.
1 Details of Dealership
(a) Whether Dealership is on sole proprietorship Proprietorship / Partnership / Others
or partnership :
(b) Name of Dealership
(c) SAP Code
(d) Date of Commissioning of Dealership :
(e) Age of dealership as on date of proposal :
(f) Location :
(g) Tehsil / Sub-Division /District :
(h) State :
(i) Category of the Dealership : SC / ST / Others
2 Details of existing / deceased / incapacitated proprietor / partner(s)
(a)
Name of Category Alive / Deceased Existing % Wish to Proposed %
Proprietor/partner(s) SC/ST/Others / Incapacitated share continue / share
retire

(b)
Name of Address Telephone / e-mail ID
Proprietor/partner(s) Mobile no.

3 Details of Land on which Dealership is

located :
4 Whether proposal for reconstitution is being Resignation / Death / Incapacitation / Others
submitted on account of Resignation / Death
/ Incapacitation / Others :
5 Name of the deceased or incapacitated 1.
Proprietor / Partner(s), if same is applicable 2.
:
6 Details of nominee(s), in case appointed by deceased or incapacitated Proprietor / Partner(s)
:
(a) Whether nominee(s) was appointed by Yes / No
deceased or incapacitated Proprietor /
Partner(s) :
(b) Name(s) of person(s) last appointed as
nominee(s) by the deceased or incapacitated Name of deceased / Name of % of share
Proprietor / Partner(s), in case nominee(s) incapacitated nominee(s) nominated
Proprietor / Partner(s)
was/were appointed : (if more than one
nominee was appointed by the deceased or
incapacitated Dealer(s) in his last nomination,
 details as indicated alongside has to be given
for each nominee indicating the % share out
proposed by attaching separate sheet). If the
nominee(s) is/are minor, then the details of
the local guardian who will be operating the
dealership till the nominee(s) becomes a
major, is to be furnished along with that of
the minor nominee(s).
7 Detail of reconstitution proposed
(a) Whether reconstitution proposed for Yes / No
induction of outside partner(s) :
(b) Whether proposed for complete changeover Yes / No
in constitution :
(c) Whether dealership is eligible for complete Yes / No
change in constitution based on age of
Dealership :
(d) In case reconstitution is proposed within 3
years of commissioning of Dealership, Yes / No / NA
whether in the proposed reconstitution, 51 %
share is proposed % share out proposed, in case of death of Dealer(s) and
in case of incapacitation of Dealer(s), where the
incapacitated Dealer (s) desires to retire
i. In favour of original allottee(s) and/or in In favour of original allottee(s) In favour of other
favour of nominee(s)/legal heir(s)/family and/or nominee(s) / legal heir(s) incoming partner(s)
member(s) (including married children / family member(s) (including
and/or grandchildren) of original married children and/or
allottee(s) where reconstitution is being grandchildren) of deceased /
incapacitated Dealer(s)
proposed due to death/ Incapacitation of
Dealer(s) and where incapacitated Dealer % share out proposed In other cases
(s) desires to retire. In favour of existing partner(s) In favour of other
ii. In favour of original allottee(s) where incoming partner(s)
reconstitution is being proposed for
reasons other than death of the Dealer (s)
or is being proposed due to other cases.

The % share out of proposed reconstitution is

to be indicated as per table alongside.
(e) If the Dealership was allotted under SC/ST Yes / No / NA
category, whether proposal is being
submitted for induction of other category
partner(s) :
 (f) In case proposal is being submitted for Yes / No / NA
induction of partner(s) of other category in
Dealership allotted under SC/ST category, Name of partner(s) of SC/ST Continuing % of
whether total % share out proposed for other category / Incoming share
proposed
partner(s) is within 25 %. Also, mention total
share out proposed for other category
partner(s) : (In case of death/permanent
incapacitation of SC/ST Proprietor/Partner(s), Total % share proposed for
total share of the deceased/incapacitated partner(s) of SC/ST category
Proprietor/Partner(s) can be transferred to
Non-SC/ST spouse or Non-SC/ST children Name of partner(s) of other Continuing % of share
category / Incoming proposed
(legal heirs) as the case may be, which would
be counted as SC/ST share)

Total % share proposed for

partner(s) of other category

8 Brief reasons for the proposed

reconstitution :
9 Name(s) of continuing Proprietor /
Partner(s) / incoming partner(s) : (if more Name of continuing Proprietor / % of share
than one partner is proposed, details as Partner(s) proposed
indicated below has to be given for each
partner indicating the % share out
proposed). If the legal heir(s) is/are minor,
then the details of the local guardian who Name of incoming Proprietor / Partner(s) % of share
will be operating the dealership till the legal proposed
heir(s) becomes a major, is to be furnished
along with that of the minor legal heir(s).

Signature of existing LOI holder(s) Signature of the incoming partner(s)

(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated LOI holder(s)LOI holder(s)
(wherever applicable)

Signature of Local Guardian

(wherever applicable)
 ANNEXURE-B2

UNDERTAKING

"I/We the existing Proprietor/Partner(s) M/s ___________________________ a Retail Outlet

Dealership of Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. at ____________________, District : _____________, State
_______________ along with the proposed partner(s) hereby confirm that all the details furnished
in the application are true to the best of my/our knowledge. We also confirm that the re-constitution
policy has been read and understood by me/us. I/We confirm that the proposal for re-constitution
is submitted consciously after fully understanding the implications of the same."

Signature of existing Proprietor/Partner(s) Signature of the incoming partner(s)

(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated Proprietor/Partner(s)
(wherever applicable)

Signature of Local Guardian

(wherever applicable)

ANNEXURE-C2
 DETAILS OF CONTINUING PROPRIETOR / PARTNER(S) / INCOMING PROPRIETOR / PARTNER(S) FOR
RECONSTITUTION OF COMMISSIONED DEALERSHIP

Name of the continuing / incoming

1
Proprietor / Partner(s)

Photograph of the continuing /

2
incoming Proprietor / Partner(s)

Continuing Proprietor / Continuing Proprietor / Continuing Proprietor /

Whether continuing / incoming Continuing Partner / Continuing Partner / Continuing Partner /
3
Proprietor / Partner(s) Incoming Proprietor / Incoming Proprietor / Incoming Proprietor /
Incoming Partner Incoming Partner Incoming Partner
Whether nominee of deceased /
4 incapacitated Proprietor / Yes / No / NA Yes / No / NA Yes / No / NA
Partner(s)
Whether legal heir / family
member of deceased /
5 Yes / No / NA Yes / No / NA Yes / No / NA
incapacitated Proprietor /
Partner(s)
Whether incoming Proprietor /
6 Partner(s) is outside / within Outside / Within / NA Outside / Within / NA Outside / Within / NA
family
Category of continuing LOI
7 holder(s) / incoming Proprietor / SC / ST / Others SC / ST / Others SC / ST / Others
Partner(s)
8 % share proposed
9 Address
10 District
11 State
12 PIN Code
13 Telephone / Mobile no.
14 e-mail Id
Educational qualification as on
15
date of application
16 Date of birth
17 Age as on date of application
18 Present occupation
19 PAN no.
Relationship details with existing /
20 deceased / incapacitated
Proprietor / Partner(s), if any
21 Any other relevant information

Signature of existing Proprietor / Partner(s) Signature of the incoming partner(s)

(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated Proprietor / Partner(s)
(wherever applicable)

Signature of Local Guardian

(wherever applicable)
DETAILS OF ANNEXURES FOR RECONSTITUTION OF COMMISSIONED DEALERSHIP
 State attached
No. of
DOCUMENTS REQUIRED or not
pages
applicable

A. FOR INCOMING PARTNER

1. Proof of Identity :- Copy of any of the following (Voter ID / PAN Card
/ Photo ID card issued by Govt. / PSU / Passport / Driving Licence)
2. Age Proof :- Copy of any of the following ( Birth Certificate, School
leaving certificate / Passport / Driving Licence / PAN Card / Self
Affidavit / Identity card issued by Election Commission)
3. Educational Qualification :- Copy of matriculation certificate / SSC / 10 th
passing marksheet.
4. Succession certificate / Legal heir certificate confirming legal heir(s) of
Proprietor / Partner(s)
5. Relinquishment deed (NOC) from
a. Nominee(s) / legal heir(s) of deceased Proprietor / Partner(s), in
case any nominee(s) / legal heir(s) is not proposing to join
dealership.
b. Nominee(s) / legal heir(s) of incapacitated Proprietor / Partner(s),
who is not in a position to give consent due to physical condition
and in case any nominee(s) / legal heir(s) is not proposing to join
dealership.
c. From Proprietor / Partner(s) desiring to resign from the dealership
6. In case of reconstitution of SC/ST category Dealership with SC/ST
partners – Copy of SC/ST Certificate from competent authority as per
Dealership Selection Guideline in vogue.
7. Standard Affidavit on Indian nationality, age, multiple dealership
norms, non-conviction etc. as applicable (Annexure-D2)
8. Passport size photographs of the continuing / incoming candidate(s) to
be pasted on the application
9. If in service, affidavit for resigning from the service after the approval
of reconstitution but before the execution of the agreement.
B. OTHER DOCUMENTS
1. Copy of last dealership agreement executed or reconstitution approval
or copy of LOI/LOA, in case of first reconstitution
2. In case of SC/ST category copy of original LOI/LOA

3. Reconstitution Application Processing Fee (DD for Rs.25000/-)

4. Draft copy of the dissolution deed of the existing partnership (if

applicable).
5. Draft Copy of the deed of the proposed partnership (if applicable).

6. Letter of Acceptance from the local guardian to operate the dealership

till the legal heir becomes a major. (18 years)***
7. In case of incapacitation, copy of the Incapacitation Certificate issued
by the Chief Medical officer of the District Govt. Medical Hospital /
Medical Board recognized by the Govt.
8. Age Proof of local guardian *** :- Copy of any of the following (Birth
Certificate, School leaving certificate, Passport, Driving Licence, PAN
Card, Self Affidavit, Identity card issued by Election Commission).
9. Proof of educational qualification of the local guardian : If not able to
furnish, he/she should be able to read, write & Count.
10. For induction of outside category partner in SC/ST dealership,
incoming partner to fill the new dealership form and submit alongwith
relevant enclosures.
11. Copy of the latest audited balance sheet of the dealership
 12. Recent certificate from Bank (issued within 3 months prior to the date
of application) giving the name(s) of account holders of the dealership
as per bank account
13. Total no. of Pages enclosed

*** Required only if the proposed legal heir of the deceased/incapacitated LOI holder is a minor.

Signature of existing Proprietor / Partner(s) Signature of the incoming partner(s)

(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated Proprietor / Partner(s)
(wherever applicable)

Signature of Local Guardian

(wherever applicable)

ANNEXURE – D2
 Notarized Affidavit

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

Reconstitution of Retail Outlet Dealership M/s ______________________, at ____________________,

District : _______________, State : _____________________

I,____________________________________ son/daughter/wife of ______________________________ Age

_____ years residing at __________________________ do hereby solemnly affirm and say as under :

1 That I am an Indian Citizen and resident of India (as per Income Tax Rules).

2 That my date of birth is d d / m m / y y y y (Age as on date of application for reconstitution

in words______________________________)

3 * That I have passed the 10th Standard examination conducted by Board in the year y y y y

4 * That I am unmarried. That neither I, nor my Father, Mother, unmarried brother(s), unmarried sister(s) have
dealership/distributorship or hold Letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship
of any Oil Company except the subject Retail Outlet Dealership for which Reconstitution is proposed #.

OR

* That I am married and name of my spouse is __________________. That neither I nor my spouse, unmarried
son(s) / unmarried daughter(s) have dealership / distributorship or hold letter of Intent for Retail Outlet or SKO-
LDO dealership or LPG distributorship of any Oil Company except the subject Retail Outlet Dealership for
which Reconstitution is proposed #.

OR

* That I am widow / widower. That neither I nor my unmarried son(s) / unmarried daughter(s) have dealership/
distributorship or hold letter of Intent for Retail Outlet or SKO-LDO dealership or LPG distributorship of any Oil
Company except the subject Retail Outlet Dealership for which Reconstitution is proposed #..

OR
* That I am divorcee. That neither I , nor any of my unmarried son(s) / unmarried daughter(s) (whose custody is
given to me) have dealership/ distributorship or hold letter of Intent for Retail Outlet or SKO-LDO dealership or
LPG distributorship of any Oil Company except the subject Retail Outlet Dealership for which
Reconstitution is proposed #.

5 That I hereby confirm that none of my family members (as per multiple dealership norms as defined in Dealer
Selection Guidelines of Oil Marketing Companies) are employees of Oil Marketing Companies.

6 That I am of sound mental health & I am not totally paralyzed.

7 That I am married and my name before marriage was ____________ and after my marriage to Shri
__________________________ has been changed to Smt.___________________________.

8 That I have never been convicted by any Court of Law for any criminal offences involving moral turpitude and/or
economic offences (other than freedom struggle).
 9 That I hereby confirm that I was never a signatory to dealership/distributorship agreement of any Oil Company,
which was terminated for proven malpractices and / or for violations of provisions of the Marketing Discipline
Guidelines.

10 That I hereby confirm that I will not be taking up any other employment upon my appointment as a dealer. If I
am already employed I will resign from the employment and produce the letter of acceptance of resignation by
the employer before the acceptance of Letter of Appointment issued by the Oil Company.

11 I hereby declare that I am neither employed in private sector nor drawing any salary/perks/emoluments from
State / Central Government. I also affirm that during the tenure of the Dealership I will not draw any salary
/perks/emoluments from State / Central Government / Private Sector.

12 That presently I am not having any contract with any Oil Marketing Company as Service Provider/Labour
contractor/Job Contractor for any COCO RO
OR
That presently I am having a contract with an Oil Marketing Company as Service Provider/Labour contractor/Job
Contractor for one COCO RO (Name of COCO Location _________________, Dist._______________, State
___________, Oil Company name______________________). I also know that if I am appointed as a Dealer,
I will have to terminate this contract before issuance of Letter of Appointment.

13 That if any information/declaration given by me in my application or in any document submitted by me in support

of application for the award of the RO dealership or in this affidavit shall be found to be untrue or incorrect or
false, then Corporation would be within its rights to withdraw the letter of intent / terminate the dealership (if
already appointed) and that I would have no claim, whatsoever, against the Corporation for such withdrawal /
termination.

* Strike off whatever is not applicable. # Strike off the portion in italics if not applicable.

I hereby verify that what has been stated above is true and correct to the best of my knowledge and nothing material has
been concealed there from.

Signature of Deponent
(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-E2
 AFFIDAVIT / INDEMNITY BOND FOR APPOINTMENT OF NOMINEE(S)
BY PROPRIETOR / PARTNER(S) OF COMMISSIONED DEALERSHIP

Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the sole-Proprietor / Partner of M/s ____________________________ Retail Outlet

dealership of Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. located at ____________________, District : _____________, State
_______________ *along with Sri ___________________________________, son / daughter /
wife of ______________________________ Age _____ years residing at
__________________________ .

*That, the percentage share out of all the partners in the above stated RO dealership as per Deed
of Partnership no. _________ dated ________ is as indicated below;

* Name of Partner % Share Out

That, in case of my death or in case of any serious illness/accident which may lead to my
incapacitation resulting in total and permanent disability, which will disable me to work or follow
any occupation or profession, I hereby nominate Sri/Smt. _______________________________
son / daughter / wife of ______________________________ Age _____ years residing at
__________________________ as my appointed nominee(s).

That, in case of my death or incapacitation resulting in total and permanent disability, Indian Oil
Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. will
be in its rights to reconstitute the above stated RO Dealership by inducting my appointed
nominee(s) Sri/Smt. _______________________________ son / daughter / wife of
______________________________ in the RO Dealership firm by allotting my share in the above
stated RO Dealership firm to my appointed nominee(s) as indicated below;

Name of the Nominee(s) Address % Share out If nominee is minor, name and
proposed address of person who will act
as Guardian

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Limited/
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable) would
be within its rights to take suitable action as deemed fit including termination and that I would
have no claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation
Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable) for such action.
I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO Dealership by inducting my
appointed nominee(s) as Proprietor/partner(s).

Signature of Deponent (Proprietor/Partner)

(Name in block letters)

Witnessed by other Partner(s)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

First Class Magistrate/Executive Magistrate

* : Applicable only in case of partnership firm

ANNEXURE-F2
 AFFIDAVIT / INDEMNITY BOND BY NOMINEE(S) OF PROPRIETOR / PARTNER(S)
(to be obtained at time of reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, Sri/Smt. _______________________, son / daughter / wife of

_________________________ Age _____ years residing at __________________________
is the sole Proprietor / Partner of M/s ____________________________ Retail Outlet dealership
of Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. located at ____________________, District : _____________, State
_______________ *along with Sri ___________________________________, son / daughter /
wife of _________________________Age _____ years residing at
__________________________

*That, the percentage share out of all the partners in the above stated RO dealership as per Deed
of Partnership no. _________ dated ________ is as indicated below;

Name of Partner % Share Out

That, Sri/Smt. _______________________, has appointed me as his/her nominee vide affidavit

dated _________.

That, in view of death / incapacitation resulting in total and permanent disability, of Sri/Smt.
___________________________, I hereby request Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. to induct me as sole
Proprietor / Partner for RO Dealership at ____________________, District : _____________,
State _______________ *along with Sri/Smt ___________________________________, son /
daughter / wife of ______________________________ Age _____ years residing at
__________________________ as per the share stated in the Affidavit dated _______ for
nomination submitted by Sri/Smt. ____________________________.

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Limited/
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. would be within its
rights to take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO Dealership by inducting me as
Proprietor/partner.
 Signature of Nominee(s) of Proprietor/Partner(s)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

* : Applicable only in case of partnership firm

ANNEXURE-G2
 AFFIDAVIT / INDEMNITY BOND BY OTHER SURVIVING / EXISTING PARTNERS OF DEALERSHIP
IN CASE OF APPOINTMENT OF NOMINEE(S) BY ANY PARTNER
(Applicable only in case of Dealership under partnership and is to be obtained at time of
reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the Partner of M/s ____________________________ Retail Outlet dealership of Indian

Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.
located at ____________________, District : _____________, State _______________ along
with Sri ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
__________________________

That, the percentage share out of all the partners in the above stated RO dealership as per Deed
of Partnership no. _________ dated ________ is as indicated below;

Name of Partner % Share Out

That, Sri/Smt. _______________________, who is my partner in the above stated RO dealership

had appointed Sri/Smt. __________________ son / daughter / wife of
_____________________________ Age _____ years residing at
__________________________ as his/her nominee vide affidavit dated _________.

That, in view of death / incapacitation resulting in total and permanent disability, of Sri/Smt.
___________________________, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation
Ltd. / Hindustan Petroleum Corporation Ltd. is requested to induct his / her nominee(s) Sri/Smt.
__________________ as partner in the RO Dealership at __________________, District :
_____________, State ___________ along with me and Sri/Smt _________________________,
son / daughter / wife of ______________________________.

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO Dealership by inducting
Sri/Smt. _________________ as partner in the Dealership.

Signature of Deponent {surviving partner(s)}

 (Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-H2

AFFIDAVIT / INDEMNITY BOND BY SURVIVING PARTNERS OF DEALERSHIP

(Applicable only in case of Dealership under partnership and is being reconstituted in favour of only
surviving partners in case Nominee(s) / Legal heir(s) of deceased partner(s) is/are not available / not
traceable - to be obtained at time of reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,_________________________ son / daughter / wife of ______________________________

Age _____ years residing at __________________________ do hereby solemnly affirm and say
as under;

That, I am the Partner of M/s ____________________________ Retail Outlet dealership of Indian

Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.
located at ____________________, District : _____________, State _______________ along
with Sri ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
________________________

That, the percentage share out of all the partners in the above stated RO dealership as per Deed
of Partnership no. _________ dated ________ is as indicated below;

Name of Partner % Share Out

That, Sri/Smt. _______________________, who is my partner in the above stated RO dealership

expired / got totally incapacitated on ______________. That, Sri/Smt.
_______________________, had earlier appointed Sri/Smt. __________________ son /
daughter / wife of _____________________________ Age _____ years residing at
__________________________ as his/her nominee vide affidavit dated _________. That, vide
his/her affidavit dated ___________ Sri/Smt. _______________________ had requested Indian
Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.
to reconstitute the above stated RO dealership in the event of his/her death/ incapacitation
resulting in total and permanent disability, by inducting Sri/Smt. ______________________ as
partner in the dealership in lieu of him/her, as per shareholding allocated by him/her. That,
Sri/Smt. _____________________ who was appointed as nominee by
Sri/Smt.________________ is not available / is not traceable.

Or

That, Sri/Smt. _______________________, who is my partner in the above stated RO dealership

expired / got totally incapacitated on ______________. That, Sri/Smt.
_______________________ son / daughter / wife of _____________________ Age _____
years residing at _____________________ is/are the Legal heirs of Sri/Smt.
__________________________. That, Sri/Smt. _____________________ who is the legal heir
of Sri/Smt. ________________ is not available / is not traceable.
 Or

That, Sri/Smt. _______________________, who is my partner in the above stated RO dealership

expired / got totally incapacitated on ______________. That, there is no surviving Legal heir of
deceased Sri/Smt. ________________.

In view of above, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. is requested to reconstitute the above stated Dealership as per share
holding indicated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated Dealership.

Signature of Deponent (Surviving Partner(s)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-I2

AFFIDAVIT / INDEMNITY BOND BY LEGAL HEIR(S) & SURVIVING PARTNERS OF DEALERSHIP

(Applicable only in case of some/all nominee(s) / Legal heir(s) of deceased Proprietor/Partner(s) is/are
not responding and Dealership is being reconstituted in favour of responding nominee(s) / Legal
heir(s) / surviving partners - to be obtained at time of reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the Partner of M/s ____________________________ Retail Outlet dealership of Indian

Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.
located at ____________________, District : _____________, State _______________ along
with Sri ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
________________________

Or

That, Sri/Smt. _______________________, Proprietor / partner of M/s

____________________________ Retail Outlet dealership of Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. located at
____________________, District : _____________, State _______________ has appointed me
and Sri/Smt._____________________ as his/her nominee vide affidavit dated _________.

Or

That, I and Sri/Smt. __________________________ son / daughter / wife of

_____________________ Age _____ years residing at _____________________ are the
Legal heirs of Sri/Smt. _______________________, Proprietor / partner of M/s
____________________________ Retail Outlet dealership of Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. located at
____________________, District : _____________, State _______________

That, the percentage share out of all the partners in the above stated RO dealership as per Deed
of Partnership no. _________ dated ________ is as indicated below;

Name of Existing Partners % Share Out

That, Sri/Smt. _______________________, the partner of the above stated RO dealership

expired / got totally incapacitated on ______________.
That, Sri/Smt. _____________________ who is the nominee / legal heir of Sri/Smt.
____________________ is not interested to join the above stated dealership / is not responding.

That, in view of death / incapacitation resulting in total and permanent disability, of Sri/Smt.
_________________________ and as Sri/Smt. _____________________ is not interested to
join the above stated dealership / not responding, Indian Oil Corporation Ltd. / Bharat Petroleum
Corporation Ltd. / Hindustan Petroleum Corporation Ltd. is requested to reconstitute the above
stated RO Dealership at ____________________, District : _____________, State
_______________ as per the share out stated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO Dealership.

Signature of Deponent {surviving Partner(s)/Legal Heir(s)}

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-J2

AFFIDAVIT / INDEMNITY BOND BY ELIGIBLE LEGAL HEIR(S) & SURVIVING PARTNERS OF DEALERSHIP

(Applicable only in case of reconstitution cases where there is no NOCs from Nominee(s)/Legal Heir(s)
who are not eligible to become Dealer(s) - to be obtained at time of reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the Partner of M/s ____________________________ Retail Outlet dealership of Indian

Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.
located at ____________________, District : _____________, State _______________ along
with Sri/Smt. ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
________________________

Or

That, I and Sri/Smt. __________________ son / daughter / wife of _____________________

Age _____ years residing at _____________________ are the Legal heirs of Sri/Smt.
_______________________, who is the proprietor / partner of M/s
____________________________ Retail Outlet dealership of Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. located at
____________________, District : _____________, State _______________

That, the percentage share out of all the partners in the above stated RO dealership as per Deed
of Partnership no. _________ dated ________ is as indicated below;

Name of Existing Partners % Share Out

That, Sri/Smt. _______________________, the proprietor/partner of the above stated RO

dealership expired / got totally incapacitated on ______________.

That, Sri/Smt.___________________ who is also the Nominee/Legal heir of deceased / totally

incapacitated proprietor/partner Sri/Smt. _______________________, is not eligible to become
a dealer as per eligibility criteria / disqualification criteria of RO Dealership Selection Guidelines
in vogue.

That, Sri/Smt._____________________ is not tendering her No-Objection towards reconstitution

of the above stated RO dealership with me as a partner, in-spite of he/she not being eligible to
become a dealer as per eligibility criteria / disqualification criteria of RO Dealership Selection
Guidelines in vogue.

That, in view of death / incapacitation resulting in total and permanent disability, of Sri/Smt.
___________________________ and as Sri/Smt. _______________________, is not eligible to
become a dealer as per eligibility criteria / disqualification criteria of RO Dealership Selection
Guidelines in vogue, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. is requested to reconstitute the above stated RO Dealership at
____________________, District : _____________, State _______________ as per the share
out stated below, without waiting for No-Objection certificate from Sri/Smt. _________________.

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO Dealership.

Signature of Deponent (surviving Partner(s) / eligible Legal Heirs)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-K2

AFFIDAVIT / INDEMNITY BOND BY CLAIMANT / PROSPECTIVE DEALER OF DEALERSHIP

 (Applicable in case of reconstitution where copy of Dealership Agreement is not available - to be
obtained at time of reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, M/s. _____________________, at ____________________, District : _____________,

State _______________, has been operating as a duly approved Retail Outlet dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. since __________.

That, as per copy of Selection panel dated __________________ / LOI no. ______________
dated __________ / LOA no. _______________ dated ______________ / copy of reconstitution
approval no. _______________ dated ________________, I/we am/are the proprietor/ partners
in the above mentioned RO dealership as per the following approved constitution;

Or

That, as per copy of copy of income tax return for the period __________ / sales tax registration
no. ___________ and/or sales tax returns for the period _____________ / RSL dated
______________ or (any other record / correspondence) I/we am/are the proprietor/ partners in
the above mentioned RO dealership as per the following approved constitution;

Name of Existing Proprietor / Son / Daughter / wife of % Share Out

Partner(s)

That, the Dealership Agreement of the above stated RO Dealership is not traceable.

In view of above, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd is requested to take cognizance of the above stated Primary /
Secondary documents and execute a fresh Dealership Agreement as per the constitution stated
hereinabove.

That, I hereby verify that what has been stated above is true and correct to the best of my
knowledge and nothing material has been concealed there from. If any information/declaration
given by me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within
its rights to take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO Dealership.

Signature of Deponent (claimant / prospective dealers)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-L2
 AFFIDAVIT / INDEMNITY BOND BY PROCLAIMED LEGAL HEIRS OF PROPRIETOR / PARTNER(S)

(Applicable in case where reconstitution have not been done due to non-availability / authenticity of
legal heir(s) but is being operated by proclaimed legal heir(s))
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, M/s. _____________________, at ____________________, District : _____________,

State _______________, has been operating as a duly approved Retail Outlet dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. since __________.

That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of Proprietor / Partner(s) Son / Daughter / wife of % Share Out

as per Dealership Agreement

That, Sri/Smt. ________________________expired / got totally incapacitated on __________

and since then I and Sri/Smt. __________________ son / daughter / wife of
_____________________ Age _____ years residing at _____________________ who are the
Legal heirs of Sri/Smt. _______________________ has been peacefully and without dispute
running the above stated Retail Outlet dealership as per shareholding indicated below since
____________, without obtaining prior approval from Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.;

Name of Proclaimed Legal Son / Daughter / wife of % Share Out

Heirs operating the Dealership

I/we have requested Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd to take cognizance of the above and condone the mistake committed
by me/us and reconstitute the above stated RO Dealership by inducting me/us as per the
shareholding indicated above.

That, I/we further confirm to have gone through and fully understood various clauses of the
dealership agreement and would fully comply by the same in future.

That, I/we undertake to take full responsibility of our actions in the past and verify that what has
been stated above is true and correct to the best of my knowledge and nothing material has been
concealed there from. If any information/declaration given by me in this affidavit shall be found to
be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd would be within its rights to take suitable action as deemed
fit including termination and that I would have no claim, whatsoever against Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable)
for such action.

I/we along with my/our heirs, nominees, successors, executors, assigns and administrators
hereby also indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages,
suits or any other risks arising out of reconstitution of the above stated RO Dealership and for our
actions in the past.

Signature of Deponent (claimant / prospective dealers)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-M2

AFFIDAVIT / INDEMNITY BOND BY REMAINING PARTNER(S)

(Applicable in case where dealership is being operated by one or more partners after exit or prolonged
absence of partner(s) from the dealership without approval of OMCs)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, M/s. _____________________, at ____________________, District : _____________,

State _______________, has been operating as a duly approved Retail Outlet dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. since __________.

That, as per Dealership Agreement dated _____________________ the following are the
approved partners of the RO dealership as per shareholding indicated below;

Name of Partner(s) as per Son / Daughter / wife of % Share Out

Dealership Agreement

That, Sri/Smt. ________________________ had exited the RO Dealership / is absent from the
RO Dealership since _____________, without obtaining any prior approval from Indian Oil
Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.

That, I/we have been peacefully and without dispute running the above stated Retail Outlet
dealership as per shareholding indicated below since ____________, without obtaining prior
approval from Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd.;

Name of Partner(s) operating Son / Daughter / wife of % Share Out

the Dealership

I/we have requested Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd to take cognizance of the above and condone the mistake committed
by me/us and reconstitute the above stated RO Dealership by inducting me/us as per the
shareholding indicated above.

That, I/we further confirm to have gone through and fully understood various clauses of the
dealership agreement and would fully comply by the same in future.

That, I/we undertake to take full responsibility of our actions in the past and verify that what has
been stated above is true and correct to the best of my knowledge and nothing material has been
concealed there from. If any information/declaration given by me in this affidavit shall be found to
be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd would be within its rights to take suitable action as deemed
fit including termination and that I would have no claim, whatsoever against Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable)
for such action.

I/we along with my/our heirs, nominees, successors, executors, assigns and administrators
hereby also indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages,
suits or any other risks arising out of reconstitution of the above stated RO Dealership and for our
actions in the past.

Signature of Deponent (claimant / prospective dealers)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-N2
 AFFIDAVIT / INDEMNITY BOND BY PROPRIETOR / PARTNER(S)

(Applicable in case where constitution is currently in line with approved set up and past deviations
have been rectified)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, M/s. _____________________, at ____________________, District : _____________,

State _______________, has been operating as a duly approved Retail Outlet dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. since __________.

That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of Proprietor / Partner(s) Son / Daughter / wife of % Share Out

as per Dealership Agreement

That, the constitution of the RO Dealership was changed by me/us on _____________ without
obtaining prior approval of the Corporation, however subsequently I/we have restored the
constitution of the firm to its last approved setup as per the Dealership Agreement effected on
________.

I/we have requested Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd to take cognizance of the above and condone the mistake committed
by me/us and allow rectification / restoration of the constitution of the above stated RO Dealership
to its’ earlier approved constitution (set-up) of the dealership.

That, I/we further confirm to have gone through and fully understood various clauses of the
dealership agreement and would fully comply by the same in future.

That, I/we undertake to take full responsibility of our actions in the past and verify that what has
been stated above is true and correct to the best of my knowledge and nothing material has been
concealed there from. If any information/declaration given by me in this affidavit shall be found to
be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd would be within its rights to take suitable action as deemed
fit including termination and that I would have no claim, whatsoever against Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable)
for such action.

I/we along with my/our heirs, nominees, successors, executors, assigns and administrators
hereby also indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages,
suits or any other risks arising out of reconstitution of the above stated RO Dealership and for our
actions in the past.
 Signature of Deponent {Proprietor/Partner(s)}
(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-O2

AFFIDAVIT / INDEMNITY BOND BY INDUCTEES

 (Applicable in case where proposed constitution requires recognition of induction of Partner(s) in the
past without approval of OMC)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, M/s. _____________________, at ____________________, District : _____________,

State _______________, has been operating as a duly approved Retail Outlet dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. since __________.

That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of Proprietor / Partner(s) Son / Daughter / wife of % Share Out

as per Dealership Agreement

That, without obtaining prior approval of the Corporation, the constitution of the above stated RO
Dealership was changed by me/us on _____________ by inducting
Sri/Smt.__________________ son / daughter / wife of _____________________ Age _____
years residing at _____________________ as partner(s) with shareholdings as indicated below;

Name of partner(s) of Son / Daughter / wife of Within family / % Share Out

current constitution Outside family

I/we request Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd to take cognizance of the above and condone the mistake committed
by me/us and reconstitute the above stated RO Dealership as per the shareholding indicated
above.

That, I/we further confirm to have gone through and fully understood various clauses of the
dealership agreement and would fully comply by the same in future.

That, I/we undertake to take full responsibility of our actions in the past and verify that what has
been stated above is true and correct to the best of my knowledge and nothing material has been
concealed there from. If any information/declaration given by me in this affidavit shall be found to
be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd would be within its rights to take suitable action as deemed
fit including termination and that I would have no claim, whatsoever against Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable)
for such action.
I/we along with my/our heirs, nominees, successors, executors, assigns and administrators
hereby also indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages,
suits or any other risks arising out of reconstitution of the above stated RO Dealership and for our
actions in the past.

Signature of Deponent (claimant / prospective dealers)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-P2

AFFIDAVIT / INDEMNITY BOND BY INDUCTEES

 (Applicable in case of total change over in past where proposed constitution requires approval for
induction of "family member(s)” or “blood relative” of approved signatory)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, M/s. _____________________, at ____________________, District : _____________,

State _______________, has been operating as a duly approved Retail Outlet dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. since __________.

That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of Proprietor / Partner(s) Son / Daughter / wife of % Share Out

as per Dealership Agreement

That, I being ________________ of Sri/Smt. ________________________, who is the

proprietor/partner of the above mentioned RO Dealership, is his/her family member / blood
relative.

That, without obtaining prior approval of the Corporation, the constitution of the above stated RO
Dealership was changed by me/us on _____________ as per the shareholdings indicated below;

Name of partner(s) of Son / Daughter / wife of % Share Out

current constitution

I/we request Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd to take cognizance of the above and condone the mistake committed
by me/us and reconstitute the above stated RO Dealership as per the shareholding indicated
above.

That, I/we further confirm to have gone through and fully understood various clauses of the
dealership agreement and would fully comply by the same in future.

That, I/we undertake to take full responsibility of our actions in the past and verify that what has
been stated above is true and correct to the best of my knowledge and nothing material has been
concealed there from. If any information/declaration given by me in this affidavit shall be found to
be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd would be within its rights to take suitable action as deemed
fit including termination and that I would have no claim, whatsoever against Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable)
for such action.

I/we along with my/our heirs, nominees, successors, executors, assigns and administrators
hereby also indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages,
suits or any other risks arising out of reconstitution of the above stated RO Dealership and for our
actions in the past.

Signature of Deponent (claimant / prospective dealers)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-Q2

AFFIDAVIT / INDEMNITY BOND BY INDUCTEES

 (Applicable in case of total change over in past where no signatory {including legal heir(s)/ family
member(s)/blood relative(s)} is part of set up)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, M/s. _____________________, at ____________________, District : _____________,

State _______________, has been operating as a duly approved Retail Outlet dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. since __________.

That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of Proprietor / Partner(s) Son / Daughter / wife of % Share Out

as per Dealership Agreement

That, without obtaining prior approval of the Corporation, the constitution of the above stated RO
Dealership was changed by me/us on _____________ as per the shareholdings indicated below;

Name of partner(s) of Son / Daughter / wife of % Share Out

current constitution

I/we have requested Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd to take cognizance of the above and condone the mistake committed
by me/us and reconstitute the above stated RO Dealership as per the shareholding indicated
above.

That, I/we further confirm to have gone through and fully understood various clauses of the
dealership agreement and would fully comply by the same in future.

That, I/we undertake to take full responsibility of our actions in the past and verify that what has
been stated above is true and correct to the best of my knowledge and nothing material has been
concealed there from. If any information/declaration given by me in this affidavit shall be found to
be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd would be within its rights to take suitable action as deemed
fit including termination and that I would have no claim, whatsoever against Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. (as applicable)
for such action.
I/we along with my/our heirs, nominees, successors, executors, assigns and administrators
hereby also indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages,
suits or any other risks arising out of reconstitution of the above stated RO Dealership and for our
actions in the past.

Signature of Deponent (claimant / prospective dealers)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-R2
 AFFIDAVIT / INDEMNITY BOND BY MEMBERS OF “FAMILY UNIT” AND MARRIED CHILDREN OF
TOTALLY INCAPACITATED DEALER(S).

(Applicable only in case of reconstitution cases where there is no nominee(s) and totally incapacitated
Dealer(s) is not in a position to give consent due to physical condition - to be obtained at time of
reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, Sri/Smt. _______________________, son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ is the proprietor / partner of the Retail Outlet Dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. at the location ____________________, District : _____________, State
_______________ *along with Sri/Smt ___________________________________, son /
daughter / wife of ______________________________ Age _____ years residing at
__________________________ .

* That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of Proprietor / Partner(s) Son / Daughter / wife of % Share Out

as per Dealership Agreement

That, Sri/Smt. ___________________, who is the proprietor/partner of the above stated RO

dealership got totally incapacitated on ______________ due to ____________________ and is
not in a position to give his/her consent in respect of reconstitution of his/her above stated RO
dealership, owing to his/her physical condition.

That, I being the _________________ of Sri/Smt. _______________________ is a member of

his / her “Family Unit”.

That, in view of death / incapacitation resulting in total and permanent disability, of Sri/Smt.
___________________________ and as he / she is not in a position to give his/her consent in
respect of reconstitution of his/her above stated RO dealership, due to his/ her physical condition,
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. is requested to reconstitute the above stated RO dealership at
____________________, District : _____________, State _______________ as per the share
out stated below,
 Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO dealership.

Signature of Deponent (Member of family unit / Married children)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-S2
AFFIDAVIT / INDEMNITY BOND BY LEGAL HEIR(S) OF DEALER(S)
 (Applicable only in case of reconstitution cases where Legal Heir(s) have applied for Succession
Certificate but have not been able to obtain it due to pending court proceedings - to be obtained at
time of reconstitution)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, Sri/Smt. _______________________, son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ is the proprietor / partner of Retail Outlet Dealership of Indian
Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.
at location ____________________, District : _____________, State _______________ *along
with Sri/Smt ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
__________________________ .

* That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of Proprietor / Partner(s) Son / Daughter / wife of % Share Out

as per Dealership Agreement

That, Sri/Smt. _______________________, the proprietor / partner of the above stated RO

Dealership expired / got totally incapacitated on ______________.

That, I and Sri/Smt._________________________ son / daughter / wife of

_____________________ Age _____ years residing at _____________________ are the
Legal heir(s) of deceased / totally incapacitated proprietor / partner of Retail Outlet Dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. at location ____________________, District : _____________, State
_______________

That, vide application no. _____________ dated __________,I have submitted an application /
petition to the Hon’ble Court at __________ for recognizing me as Legal heir of deceased / totally
incapacitated proprietor / partner Sri/Smt. _______________________, by issuing a Succession
Certificate. However, due to pending proceedings by the Hon’ble court, succession certificate
could not be issued till date. Further, it is expected that the issuance of Succession Certificate will
take some more time.

That, in view of death / incapacitation resulting in total and permanent disability, of Sri/Smt.
_________________________ and as it is expected that the competent authority will take some
more time to issue a succession certificate to the effect that I am the Legal Heir of deceased /
totally incapacitated proprietor / partner Sri/Smt. __________________, Indian Oil Corporation
Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. is requested to
recognize me as the Legal heir of deceased / totally incapacitated proprietor / partner Sri/Smt.
__________________, and reconstitute the above RO dealership at ____________________,
District : _____________, State _______________ as per the share out stated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO dealership.

Signature of Deponent {Legal heir of Proprietor/Partner(s)}

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

ANNEXURE-T2
 AFFIDAVIT / INDEMNITY BOND BY OUTGOING PROPRIETOR/PARTNER(S) LIVING OUTSIDE COUNTRY

(Applicable only in case of reconstitution cases where outgoing partner living outside country cannot
attend meeting of existing/incoming proprietor/partner(s) at Divisional/Territory/Regional Office - to
be obtained at time of reconstitution)
Affidavit

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years resident of
__________________________ currently residing at __________________________ do hereby
solemnly affirm and say as under;

That, I *along with Sri/Smt. _______________________, son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ am/are the proprietor / partners of Retail Outlet Dealership of
Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. at location ____________________, District : _____________, State
_______________.

* That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of existing Proprietor / Son / Daughter / wife of % Share Out

Partner(s) as per Dealership
Agreement

That, due to my permanent / temporary residency status of ________________ since

______________ I am unable to continue as proprietor / partner of the above stated RO
Dealership and therefore want to resign from the dealership.

That, vide docket no. _____________ dated __________, an application have been submitted
for reconstituting the above mentioned RO Dealership as indicated below;

Name of proposed Proprietor / Son / Daughter / wife of % Share Out

Partner(s)

That, vide letter no. ______________ dated ___________, the Divisional/Territory/Regional

Office in-charge of Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. has advised me to attend the meeting of existing/in-coming
proprietor/partner(s) at _______________ on ________________.

That, due to _________________, I will not be to attend the above stated meeting.

That, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. is requested to approve the reconstitution proposal submitted vide docket no.
___________ and reconstitute the above RO dealership at ____________________, District :
_____________, State _______________ as per the share out stated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO dealership.

Signature of Deponent (Proprietor/Partner living outside India)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Authorized personnel of
Indian Consulate at ________________

ANNEXURE-U2
AFFIDAVIT / INDEMNITY BOND BY OTHER EXISTING/INCOMING PARTNER(S) LIVING IN INDIA
(Applicable only in case of reconstitution cases where outgoing partner living outside country cannot
attend meeting of existing/incoming proprietor/partner(s) at Divisional/Territory/Regional Office - to
be obtained at time of reconstitution)
Affidavit

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years resident of
__________________________ currently residing at __________________________ do hereby
solemnly affirm and say as under;

That, Sri/Smt. _______________________, son / daughter / wife of

_________________________ Age _____ years residing at __________________________
is the sole Proprietor / Partner of M/s ____________________________ Retail Outlet dealership
of Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. located at ____________________, District : _____________, State
_______________ *along with Sri ___________________________________, son / daughter /
wife of _________________________Age _____ years residing at
__________________________

* That, as per Dealership Agreement dated _____________________ the following are the
approved proprietor/ partners of the RO dealership as per shareholding indicated below;

Name of existing Proprietor / Son / Daughter / wife of % Share Out

Partner(s) as per Dealership
Agreement

That, Sri/Smt. ______________________ is currently a temporary / permanent resident of

________________ since ____________.

That, due to the permanent / temporary residency status of ________________ since

______________ he/she is unable to continue as proprietor / partner of the above stated RO
Dealership and therefore has proposed to resign from the dealership.

That, vide docket no. _____________ dated __________, an application have been submitted
for reconstituting the above mentioned RO Dealership as indicated below;

Name of proposed Proprietor / Son / Daughter / wife of % Share Out

Partner(s)

That, vide letter no. ______________ dated ___________, the Divisional/Territory/Regional

Office in-charge of Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. has advised me along with Sri/Smt. ______________________ to
attend the meeting of existing/in-coming proprietor/partner(s) at _______________ on
________________.
That, due to _________________, Sri/Smt __________________ has informed that he/she will
not be able to attend the above stated meeting.

That, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. is requested to approve the reconstitution proposal submitted vide docket no.
___________ and reconstitute the above RO dealership at ____________________, District :
_____________, State _______________ as per the share out stated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by me
in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its rights to
take suitable action as deemed fit including termination and that I would have no claim,
whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) for such action.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum
Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims, damages, suits or
any other risks arising out of reconstitution of the above stated RO dealership.

Signature of Deponent {Incoming Proprietor/Partner(s)}

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 INSTRUCTIONS FOR RECONSTITUTION AT LOI STAGE

1. The Reconstitution Policy must be read and understood fully. The application complete
in all respects including processing fee must be submitted to the respective
Divisional/Territory/Regional Office of IOC/BPC/HPC, as applicable, preferably in person.
If sent by post/courier the same must be addressed to the respective
Divisional/Territory/Regional Office in-charge.

2. An acknowledgement of receipt of application will be issued by the

Divisional/Territory/Regional Office along with a reference number. In cases where the
applications are not handed over in person and if acknowledgement is not received
within 15 days, the same to be brought to the notice of the Divisional/Territory/Regional
Office in-charge immediately. For all future correspondence the reference number to be
mentioned.

3. Application processing fee : A non refundable application processing fee of Rs.25,000/-

for reconstitution in favour of Indian Oil Corporation Ltd. / Bharat Petroleum
Corporation Ltd. / Hindustan Petroleum Corporation Ltd., as applicable, and payable at
the Divisional/Territory/Regional Office location, will be payable along with the
application as per the Reconstitution policy, as applicable.

4. Reconstitution fee : Non refundable reconstitution fee equivalent to prevailing security

deposit (as applicable to Dealership Selection policy in vogue) will be collected before
execution of agreement as per the reconstitution Policy, as applicable.

5. In case of reconstitution proposals on account of incapacitation due to serious

illness/accident resulting in permanent and total disability which will disable the LOI
holder to work or follow any profession, Chief Medical Officer of Govt. Hospital of the
District or Medical Board recognized by the Govt. need to certify the incapacitation for
considering the proposal.

6. If the nominee / legal heir / family member of the deceased/incapacitated LOI holder
does not possess the minimum educational qualification in line with the dealer selection
policy in vogue and is proposing to become the proprietor/partner, then the Committee
of Officers appointed by the Corporation will verify whether such legal heir is able to
read, write and count.

7. At an appointed date the incoming candidate(s) along with continuing/existing

partner(s) have to appear before the Committee along with the original documents
copies of which were submitted / required along with the application.

8. All the pages of the application along with the annexures to be signed / self attested by
the incoming candidate(s) along with the existing / continuing partner(s) and
incapacitated LOI holder, as applicable.
9. In case the nominee / legal heir / family member is a minor, then local guardian
proposing to operate the RO is required to sign along with the minor nominee / legal
heir / family member wherever applicable.

10. On communicating the ‘in principle’ approval for the re-constitution, the documentary
confirmation of the relevant formalities and legal compliance must be submitted to the
Divisional/Territory/Regional Office in-charge within 60 days.
 ANNEXURE-A1
APPLICATION FOR RE-CONSTITUTION AT LOI STAGE
Date : ____________
S. PARTICULARS DETAILS
NO.
1 Details of LOI
(a) Whether LOI is on sole proprietorship or Proprietorship / Partnership
partnership :
(b) Name of LOI holder(s) : (Name of all co- 1.
LOI holder(s) in case of partnership) 2.
(c) LOI reference & date :
(d) Location :
(e) Tehsil / Sub-Division / District :
(f) State :
(g) Category under which LOI was issued :
2 Details of existing / deceased / incapacitated LOI holder(s)

Name of LOI Category Alive / Existing % Proposed %

holder(s) SC/ST/Others Deceased / share share
Incapacitated

Name of LOI Address Telephone / e-mail ID

holder(s) Mobile no.

3 Whether same land mentioned in the Yes / No

earlier LOI will be made available :
4 Details of Land as per earlier LOI :
5 Details of revised Land, in case alternate
suitable land have been offered :
6 Whether proposal for reconstitution is Death / Incapacitation / Others
being submitted on account of Death /
Incapacitation / Others :
7 Name of the deceased or incapacitated
LOI holder(s), if same is applicable :
8 Details of nominee(s), in case appointed by deceased or incapacitated LOI holder(s) :
(a) Whether nominee(s) was appointed by Yes / No
deceased or incapacitated LOI holder(s).
(b) Name(s) of person(s) last appointed as
nominee(s) by the deceased or Name of Name of % of share
incapacitated LOI holder(s), in case deceased / nominee(s) nominated
nominee(s) was/were appointed : (if incapacitated
 more than one nominee was appointed LOI holder
by the deceased or incapacitated LOI
holder(s) in his last nomination, details
as indicated alongside has to be given for
each nominee indicating the % share out
proposed). If the nominee(s) is/are
minor, then the details of the local
guardian who will be operating the
dealership till the nominee(s) becomes a
major, is to be furnished along with that
of the minor nominee(s).
9 Detail of reconstitution proposed
(a) Whether reconstitution proposed for Yes / No
induction of outside partner(s)
(b) Whether minimum 51 % share is
proposed Yes / No / NA

a) In favour of original allottee(s) % share out proposed, in case of death of

and/or in favour of nominee(s)/legal LOI holder(s) and in case of incapacitation
heir(s)/family member(s) (including of LOI holder(s), where the incapacitated
married children and/or LOI holder(s) desires to retire
grandchildren) of original allottee(s) In favour of existing In favour of
where reconstitution is being partner(s) and other incoming
proposed due to death/ nominee(s) / legal heir(s) partner(s)
Incapacitation of LOI holder(s) and / family member(s)
where incapacitated LOI holder(s) (including married
desires to retire. children and/or
b) In favour of original allottee(s) where grandchildren) of the
reconstitution is being proposed for deceased / incapacitated
reasons other than death of the LOI LOI holder(s)
holder(s).
% share out proposed In other cases
The % share out of proposed In favour of existing In favour of
reconstitution is to be indicated as per partner(s) other incoming
table attached. partner(s)

(c) If the LOI was issued under SC/ST Yes / No / NA

category, whether proposal is being
submitted for induction of non SC/ST
partner(s) :
(d) In case proposal is being submitted for Yes / No / NA
induction of non SC/ST partner(s) in LOIs
issued under SC/ST category, whether Name of partner(s) of % of share
total % share out proposed for non SC/ST category proposed
SC/ST partner(s) is within 25 %. Also,
mention total share out proposed for
non SC/ST partner(s) : (In case of
death/permanent incapacitation of Total % share
SC/ST LOI holder(s), total share of the proposed for
deceased/incapacitated LOI holder(s) partner(s) of SC/ST
can be transferred to Non-SC/ST spouse category
or Non-SC/ST children (legal heirs) as the
case may be, which would be counted as Name of partner(s) of % of share
SC/ST share) other category proposed

Total % share
proposed for
partner(s) of other
category
10 Brief reasons for the proposed
reconstitution :
11 Name(s) of continuing LOI holder(s) /
incoming partner(s) : (if more than one Name of continuing % of share
partner is proposed, details as indicated LOI holder(s) proposed
below has to be given for each partner
indicating the % share out proposed by
attaching separate sheet). If the legal
heir(s) is/are minor, then the details of
the local guardian who will be operating Name of incoming % of share
the dealership till the legal heir(s) partner(s) proposed
becomes a major, is to be furnished
along with that of the minor legal
heir(s).
12 Details of reconstitution processing fee

Signature of existing LOI holder(s) Signature of the incoming partner(s)

(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated LOI holder(s)LOI holder(s) (wherever applicable)

Signature of Local Guardian (wherever applicable)

 ANNEXURE-B1

UNDERTAKING

"I/We the existing LOI holder(s) of LOI no. _______________________, dated ____________
issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________, District :
_____________, State _______________ along with the proposed partner(s) hereby confirm
that all the details furnished in the application are true to the best of my/our knowledge. We
also confirm that the re-constitution policy has been read and understood by me/us. I/We
confirm that the proposal for re-constitution is submitted consciously after fully understanding
the implications of the same."

Signature of existing LOI holder(s) Signature of the incoming

partner(s)
(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated LOI holder(s)
(wherever applicable)

Signature of Local Guardian

(wherever applicable)
 ANNEXURE-C1
DETAILS OF CONTINUING LOI HOLDER(S) / INCOMING PROPRIETOR / PARTNER(S) FOR
RECONSTITUTION AT LOI STAGE

Name of the continuing

1 LOI holder(s) / incoming
Proprietor / Partner(s)

Photograph of the
continuing LOI holder(s) /
2
incoming Proprietor /
Partner(s)

Continuing LOI Continuing LOI Continuing LOI

Whether continuing LOI
holder / Incoming holder / Incoming holder / Incoming
3 holder(s) / incoming
Proprietor / Proprietor / Proprietor /
Proprietor / Partner(s)
Incoming Partner Incoming Partner Incoming Partner
Whether nominee of
4 deceased / incapacitated Yes / No / NA Yes / No / NA Yes / No / NA
LOI holder(s)
Whether legal heir /
family member of
5 Yes / No / NA Yes / No / NA Yes / No / NA
deceased / incapacitated
LOI holder(s)
Whether incoming
Outside / Within / Outside / Within / Outside / Within /
6 Proprietor / Partner(s) is
NA NA NA
outside / within family
Category of continuing
7 LOI holder(s) / incoming SC / ST / Others SC / ST / Others SC / ST / Others
Proprietor / Partner(s)
8 % share proposed
9 Address
10 District
11 State
12 PIN Code
13 Telephone / Mobile no.
14 e-mail Id
Educational qualification
15
as on date of application
16 Date of birth
 Age as on date of
17
application
18 Present occupation
19 PAN no.
Relationship details with
existing / deceased /
20
incapacitated LOI
holder(s), if any
Any other relevant
21
information

Signature of existing LOI holder(s) Signature of the

incoming partner(s)
(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated LOI holder(s)LOI holder(s)
(wherever applicable)

Signature of Local Guardian

(wherever applicable)
 DETAILS OF DOCUMENTS ENCLOSED FOR RECONSTITUTION AT LOI STAGE

State whether No. of

DOCUMENTS REQUIRED attached or pages
Not applicable

A. FOR INCOMING CANDIDATE

1. Proof of Identity :- Copy of any of the following (Voter ID /
PAN Card / Photo ID card issued by Govt. / PSU / Passport /
Driving Licence)
2. Age Proof :- Copy of any of the following ( Birth Certificate,
School leaving certificate / Passport / Driving Licence / PAN
Card / Self Affidavit / Identity card issued by Election
Commission)
3. Educational Qualification :- Copy of matriculation certificate /
SSC / 10th passing marksheet.
4. Succession certificate / Legal heir certificate confirming legal
heir(s) of deceased LOI holder(s)
5. NOC from
a. Nominee(s) / legal heir(s) of deceased LOI holder(s) in case
any nominee(s) / legal heir(s) is not proposing to join
dealership.
b. Nominee(s) / legal heir(s) of incapacitated LOI holder(s)
(who is not in a position to give consent due to physical
condition) in case they are not proposing to join
dealership
6. In case of reconstitution of SC/ST category LOI with SC/ST
partner – Copy of SC/ST certificate from competent authority
as per Dealership selection guidelines in vogue.
7. Standard Affidavit on Indian nationality, age, multiple
dealership norms, non-conviction etc. as applicable
(Annexure-D1)
8. Passport size photographs of the continuing / incoming
candidate(s) to be pasted on the application in (Annexure-C1)
9. If in service, affidavit for resigning from the service after the
approval of Reconstitution but before the execution of the
agreement.
B. OTHER DOCUMENTS
1. Copy of the death Certificate in case of death of LOI holder.

2. In case of incapacitation, copy of the Incapacitation Certificate

issued by the Chief Medical officer of the District Govt.
Medical Hospital / Medical Board recognized by the Govt.
3. Letter of Acceptance in the form of Affidavit from the local
guardian to operate the dealership till the legal heir becomes
 a major. (18 years)***
4. Copy of LOI

5. Draft copy of the dissolution deed of the existing partnership

(if applicable)
6. Draft Copy of the deed of the proposed partnership (if
applicable)
7. Reconstitution Fee (DD for Rs.25000/-)

8. For induction of outside category partner in SC/ST dealership,

incoming partner to fill the new dealership form and submit
along with relevant enclosures.
9. Age Proof of local guardian *** :- Copy of any of the following
(Birth Certificate, School leaving certificate, Passport, Driving
Licence, PAN Card, Self Affidavit, Identity card issued by
Election Commission).
10. Proof of educational qualification of the local guardian : If not
able to furnish, then, he/she should be able to read, write &
count.
11. Total no. of pages enclosed

*** Required only if the proposed legal heir of the deceased/incapacitated LOI holder is a
minor.

Signature of existing LOI holder(s) Signature of the incoming partner(s)

(wherever applicable)

Signature of nominee(s)/legal heir(s)/family member(s)

of deceased/incapacitated LOI holder(s)LOI holder(s)
(wherever applicable)

Signature of Local Guardian

(wherever applicable)
 ANNEXURE-D1

Notarized Affidavit

(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

Reconstitution of Retail Outlet Dealership at LOI Stage for the Location : ______________________,
District : _______________, State : _____________________ which was offered vide LOI no.
______________________, dated ________________________

I,____________________________________ son/daughter/wife of
______________________________ Age _____ years residing at __________________________
do hereby solemnly affirm and say as under :

1 That I am an Indian Citizen and resident of India (as per Income Tax Rules).

2 That my date of birth is d d / m m / y y y y (Age as on date of application for

reconstitution in
words______________________________)

* That I have passed the 10th Standard examination conducted by Board in y y y y

3
the year

4 * That I am unmarried. That neither I, nor my Father, Mother, unmarried brother(s), unmarried
sister(s) have dealership/distributorship or hold Letter of Intent for Retail Outlet or SKO-LDO
dealership or LPG distributorship of any Oil Company except the subject Retail Outlet Dealership
for which Reconstitution is proposed #.

OR
* That I am married and name of my spouse is __________________. That neither I nor my spouse,
unmarried son(s) / unmarried daughter(s) have dealership / distributorship or hold letter of Intent
for Retail Outlet or SKO-LDO dealership or LPG distributorship of any Oil Company except the
subject Retail Outlet Dealership for which Reconstitution is proposed #.

OR
* That I am widow / widower. That neither I nor my unmarried son(s) / unmarried daughter(s) have
dealership/ distributorship or hold letter of Intent for Retail Outlet or SKO-LDO dealership or LPG
distributorship of any Oil Company except the subject Retail Outlet Dealership for which
Reconstitution is proposed #..

OR
 * That I am divorcee. That neither I , nor any of my unmarried son(s) / unmarried daughter(s)
(whose custody is given to me) have dealership/ distributorship or hold letter of Intent for Retail
Outlet or SKO-LDO dealership or LPG distributorship of any Oil Company except the subject Retail
Outlet Dealership for which Reconstitution is proposed #.

5 That I hereby confirm that none of my family members (as per multiple dealership norms as defined
in Dealer Selection Guidelines of Oil Marketing Companies) are employees of Oil Marketing
Companies.

6 That I am of sound mental health & I am not totally paralyzed.

7 That I am married and my name before marriage was ____________ and after my marriage to Shri
__________________________ has been changed to Smt.___________________________.

8 That I have never been convicted by any Court of Law for any criminal offences involving moral
turpitude and/or economic offences (other than freedom struggle).

9 That I hereby confirm that I was never a signatory to dealership/distributorship agreement of any
Oil Company, which was terminated for proven malpractices and / or for violations of provisions of
the Marketing Discipline Guidelines.

10 That I hereby confirm that I will not be taking up any other employment upon my appointment as a
dealer. If I am already employed I will resign from the employment and produce the letter of
acceptance of resignation by the employer before the acceptance of Letter of Appointment issued
by the Oil Company.

11 I hereby declare that I am neither employed in private sector nor drawing any
salary/perks/emoluments from State / Central Government. I also affirm that during the tenure of
the Dealership I will not draw any salary /perks/emoluments from State / Central Government /
Private Sector.

12 That presently I am not having any contract with any Oil Marketing Company as Service
Provider/Labour contractor/Job Contractor for any COCO RO
OR
That presently I am having a contract with an Oil Marketing Company as Service Provider/Labour
contractor/Job Contractor for one COCO RO (Name of COCO Location _________________,
Dist._______________, State ___________, Oil Company name______________________). I also
know that if I am appointed as a Dealer, I will have to terminate this contract before issuance of
Letter of Appointment.

13 That if any information/declaration given by me in my application or in any document submitted by

me in support of application for the award of the RO dealership or in this affidavit shall be found to
be untrue or incorrect or false, then Corporation would be within its rights to withdraw the letter of
intent / terminate the dealership (if already appointed) and that I would have no claim, whatsoever,
 against the Corporation for such withdrawal / termination.

* Strike off whatever is not applicable. # Strike off the portion in italics if not applicable.

I hereby verify that what has been stated above is true and correct to the best of my knowledge and nothing
material has been concealed there from.

Signature of Deponent
(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-E1

AFFIDAVIT / INDEMNITY BOND FOR APPOINTMENT OF NOMINEE(S) BY LOI HOLDER(S)

Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED
VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the sole / joint LOI holder of LOI no. _______________________, dated
____________ issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________,
District : _____________, State _______________ *along with Sri
___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
__________________________ .

*That, the percentage share out of all the partners in the above stated LOI as per Deed of
Partnership no. _________ dated ________ is as indicated below;

Name of Partner % Share Out

That, in case of my death or in case of any serious illness/accident which may lead to my
incapacitation resulting in total and permanent disability, which will disable me to work or
follow any occupation or profession, I hereby nominate Sri/Smt.
_______________________________ son / daughter / wife of
______________________________ Age _____ years residing at
__________________________ (complete postal address) as my appointed nominee(s).

That, in case of my death or incapacitation resulting in total and permanent disability, Indian Oil
Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd.
(as applicable) will be in its rights to reconstitute the above stated LOI by inducting my
appointed nominee(s) Sri/Smt. _______________________________ son / daughter / wife of
______________________________ in the LOI by allotting my share in the above stated LOI to
my appointed nominee(s) as indicated below;

Name of Nominee(s) Relation with LOI holder % Share Out proposed

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI by
inducting my appointed nominee(s) as the LOI holder / partner(s) in the LOI.

Signature of Deponent (LOI Holder)

(Name in block letters)

Signature of Nominee(s) of LOI Holder

(Name in block letters)

Witnessed by co-LOI holder (s) (if any)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

First Class Magistrate/Executive Magistrate

* : Applicable only in case of partnership LOI

 ANNEXURE-F1

AFFIDAVIT / INDEMNITY BOND BY NOMINEE(S) OF LOI HOLDER(S)

(to be obtained at time of reconstitution at LOI Stage)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED
VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, Sri/Smt. _______________________, son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ is the sole / joint LOI holder of LOI no.
_______________________, dated ____________ issued by Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. for Retail Outlet
Dealership at ____________________, District : _____________, State _______________
*along with Sri/Smt ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
__________________________ .

*That, the percentage share out of all the partners in the above stated LOI as per Draft /
Proposed Deed of Partnership dated ________ is as indicated below;

Name of Partner % Share Out

That, Sri/Smt. _______________________, has appointed me as his/her nominee vide affidavit

dated _________.

That, in view of death / incapacitation resulting in total and permanent disability of Sri/Smt.
___________________________, I hereby request Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. to induct me as sole/joint
LOI holder for Retail Outlet Dealership at ____________________, District : _____________,
State _______________ *along with Sri/Smt ___________________________________, son /
daughter / wife of ______________________________ Age _____ years residing at
__________________________ as per the share stated in the Affidavit dated _______ for
nomination submitted by Sri/Smt. ____________________________.
I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI by
inducting me as the LOI holder / partner in the LOI.

Signature of Nominee(s) of LOI Holder

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public

* : Applicable only in case of partnership LOI

 ANNEXURE-G1

AFFIDAVIT / INDEMNITY BOND FOR APPOINTMENT OF NOMINEE(S) BY SURVIVING PARTNERS

OF LOI
(Applicable only in case of LOIs issued under partnership and is to be obtained at time of
reconstitution at LOI Stage)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the joint LOI holder of LOI no. _______________________, dated ____________
issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________, District :
_____________, State _______________ along with Sri
___________________________________, .

That, the percentage share out of all the partners in the above stated LOI as per Draft /
proposed Deed of Partnership dated ________ is as indicated below;

Name of Partner % Share Out

That, Sri/Smt. _______________________, who is my partner in the above stated LOI had
appointed Sri/Smt. __________________ son / daughter / wife of
_____________________________ Age _____ years residing at
__________________________ as his/her nominee vide affidavit dated _________.

That, in view of death / incapacitation resulting in total and permanent disability of Sri/Smt.
___________________________, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation
Ltd. / Hindustan Petroleum Corporation Ltd. is requested to induct his/her nominee(s) as LOI
holder(s) for Retail Outlet Dealership at ____________________, District : _____________,
State _____________ along with me and Sri/Smt ___________________________________,
son / daughter / wife of ______________________________.

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.
I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI by
inducting Sri/Smt. ___________________ as partner in the LOI.

Signature of Deponent (surviving LOI Holder)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-H1

AFFIDAVIT / INDEMNITY BOND BY SURVIVING / INCOMING PARTNERS OF LOI

(Applicable only in case of LOIs issued under partnership and is being reconstituted in favour
of only surviving partners in case nominee(s) / Legal heir(s) of deceased partner(s) is/are not
available / not traceable - to be obtained at time of reconstitution at LOI Stage)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED
VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the joint LOI holder of LOI no. _______________________, dated ____________
issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________, District :
_____________, State _______________ along with Sri
___________________________________, .

That, the percentage share out of all the partners in the above stated LOI as per Draft /
proposed Deed of Partnership dated ________ is as indicated below;

Name of Existing Partners % Share Out

That, Sri/Smt. _______________________, who is my partner in the above stated LOI expired /
got totally incapacitated on ______________. That, Sri/Smt. _______________________, had
earlier appointed Sri/Smt. __________________ son / daughter / wife of
_____________________________ Age _____ years residing at
__________________________ as his/her nominee vide affidavit dated _________. That, vide
his/her affidavit dated ___________ Sri/Smt. _______________________ had requested Indian
Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation
Ltd. to reconstitute the above stated LOI in the event of his/her death/ incapacitation resulting
in total and permanent disability by inducting Sri/Smt. ______________________ as partner in
the LOI in lieu of him/her, as per shareholding allocated by him/her vide affidavit dated
___________ . That, Sri/Smt. _____________________ who was appointed as nominee by
Sri/Smt.________________ is not interested to be inducted as partner in the LOI / is not
traceable.

Or
That, Sri/Smt. _______________________, who is my partner in the above stated LOI expired /
got totally incapacitated on ______________. That, Sri/Smt. _______________________ son /
daughter / wife of _____________________ Age _____ years residing at
_____________________ is/are the Legal heirs of Sri/Smt. __________________________.
That, Sri/Smt. _____________________ who is the legal heir of Sri/Smt. ________________ is
not interested to be inducted as partner in the LOI / is not traceable.

Or

That, Sri/Smt. _______________________, who is my partner in the above stated LOI expired /
got totally incapacitated on ______________. That, there is no surviving Legal heir of deceased
Sri/Smt. ________________.

In view of above, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. is requested to reconstitute the above stated LOI as per share
holding indicated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI.

Signature of Deponent (surviving LOI Holder)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-I1

AFFIDAVIT / INDEMNITY BOND BY NOMINEE(S) / LEGAL HEIR(S) & SURVIVING PARTNERS OF

LOI

(Applicable only in case of some/all nominee(s) / Legal heir(s) of deceased LOI holder(s) is/are
not responding and LOI is being reconstituted in favour of responding nominee(s) / Legal
heir(s) / surviving partners - to be obtained at time of reconstitution at LOI Stage)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the joint LOI holder of LOI no. _______________________, dated ____________
issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________, District :
_____________, State _______________ along with Sri
___________________________________,

Or

That, Sri/Smt. _______________________, LOI holder of LOI no. _______________________,

dated ____________ issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd.
/ Hindustan Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________,
District : _____________, State _______________ has appointed me and
Sri/Smt._____________________ as his/her nominee vide affidavit dated _________.

Or

That, I and Sri/Smt.__________________________ ___________ son / daughter / wife of

_____________________ Age _____ years residing at _____________________ are the
Legal heir of deceased LOI holder of LOI no. _______________________, dated ____________
issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________, District :
_____________, State _______________ .

That, the percentage share out of all the partners in the above stated LOI as per Draft /
proposed Deed of Partnership dated ________ is as indicated below;

Name of Existing Partners % Share Out

That, Sri/Smt. _______________________, the partner of the above stated LOI expired / got
totally incapacitated on ______________.

That, Sri/Smt. _____________________ who is the nominee / legal heir of Sri/Smt.

____________________ is not interested to join the above stated dealership / is not
responding.

That, in view of death / incapacitation resulting in total and permanent disability of Sri/Smt.
_________________________ and as Sri/Smt. _____________________ is not interested to
join the above stated dealership / not responding, Indian Oil Corporation Ltd. / Bharat
Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. is requested to
reconstitute the above stated LOI for RO dealership at ____________________, District :
_____________, State _______________ as per the share out stated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI by
inducting my appointed nominee(s) as the LOI holder / partner(s) in the LOI.

Signature of Deponent (Nominee(s)/Legal Heir(s)/surviving LOI holder)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-J1
AFFIDAVIT / INDEMNITY BOND BY NOMINEE(S) / LEGAL HEIR(S) & SURVIVING PARTNERS OF
LOI

(Applicable only in case of reconstitution cases where there is no NOCs from

Nominee(s)/Legal Heir(s) who are not eligible to become LOI holder(s) - to be obtained at
time of reconstitution at LOI Stage)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, I am the joint LOI holder of LOI no. _______________________, dated ____________
issued by Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. for Retail Outlet Dealership at ____________________, District :
_____________, State __________ along with Sri/Smt. ______________________________,
son / daughter / wife of ______________________________ Age _____ years residing at
________________________

Or

That, I and Sri/Smt. __________________ son / daughter / wife of _____________________

Age _____ years residing at _____________________ are the Legal heirs of Sri/Smt.
_______________________, who is the proprietor / partner of M/s
____________________________ Retail Outlet dealership of Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. located at
____________________, District : _____________, State _______________

That, the percentage share out of all the partners in the above stated LOI as per Draft /
proposed Deed of Partnership dated ________ is as indicated;

Name of Existing Partners % Share Out

That, the LOI Holder Sri/Smt. ___________________, expired / got totally incapacitated on
______________.

That, Sri/Smt.___________________ who is also the Nominee/Legal heir of deceased / totally

incapacitated LOI holder Sri/Smt. _______________________, is not eligible to become a
dealer as per eligibility criteria / disqualification criteria of RO Dealership Selection Guidelines in
vogue.

That, Sri/Smt._____________________ is not tendering his/her No-Objection towards

reconstitution of the above stated RO dealership with me as a partner, in-spite of he/she not
being eligible to become a dealer as per eligibility criteria / disqualification criteria of RO
Dealership Selection Guidelines in vogue.

That, in view of death / incapacitation resulting in total and permanent disability of Sri/Smt.
___________________________ and as Sri/Smt. _______________________, is not eligible to
become a dealer as per eligibility criteria / disqualification criteria of RO Dealership Selection
Guidelines in vogue, Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. is requested to reconstitute the above stated LOI for RO
dealership at ____________________, District : _____________, State _______________ as
per the share out stated below, without No-Objection certificate from Sri/Smt.
_________________.

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI by
inducting my appointed nominee(s) as the LOI holder / partner(s) in the LOI.

Signature of Deponent (surviving LOI Holder)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-K1
AFFIDAVIT / INDEMNITY BOND BY MEMBERS OF “FAMILY UNIT” AND MARRIED CHILDREN OF
TOTALLY INCAPACITATED LOI HOLDER(S).

(Applicable only in case of reconstitution cases where there is no nominee(s) and totally
incapacitated LOI Holder(s) is not in a position to give consent due to physical condition - to
be obtained at time of reconstitution at LOI Stage)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, Sri/Smt. _______________________, son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ is the sole / joint LOI holder of LOI no.
_______________________, dated ____________ issued by Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. for Retail Outlet
Dealership at ____________________, District : _____________, State _______________
*along with Sri/Smt ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
__________________________ .

*That, the percentage share out of all the partners in the above stated LOI as per Draft /
Proposed Deed of Partnership dated ________ is as indicated below;

Name of Partner % Share Out

That, the LOI Holder Sri/Smt. ___________________, got totally incapacitated on

______________ due to ____________________ and is not in a position to give his/her consent
in respect of reconstitution of his/her above stated LOI, owing to his/her physical condition.

That, I being the _________________ Sri/Smt. _______________________ is a member of his /

her “Family Unit”.

That, in view of death / incapacitation resulting in total and permanent disability of Sri/Smt.
___________________________ and as he / she is not in a position to give his/her consent in
respect of reconstitution of his/her above stated LOI, due to his/ her physical condition, Indian
Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation
Ltd. is requested to reconstitute the above stated LOI for RO dealership at
____________________, District : _____________, State _______________ as per the share
out stated below,

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI.

Signature of Deponent (surviving LOI Holder)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public
 ANNEXURE-L1
AFFIDAVIT / INDEMNITY BOND BY LEGAL HEIR(S) OF LOI

(Applicable only in case of reconstitution cases where Legal Heir(s) have applied for
Succession Certificate but have not been able to obtain it - to be obtained at time of
reconstitution at LOI Stage)
Notarized Affidavit
(TO BE TYPED ON APPROPRIATE NON-JUDICIAL STAMP PAPER OF REQUIRED VALUE)

I,____________________________________ son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ do hereby solemnly affirm and say as under;

That, Sri/Smt. _______________________, son / daughter / wife of

______________________________ Age _____ years residing at
__________________________ is the sole / joint LOI holder of LOI no.
_______________________, dated ____________ issued by Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. for Retail Outlet
Dealership at ____________________, District : _____________, State _______________
*along with Sri/Smt ___________________________________, son / daughter / wife of
______________________________ Age _____ years residing at
__________________________ .

*That, the percentage share out of all the partners in the above stated LOI as per Draft /
Proposed Deed of Partnership dated ________ is as indicated below;

Name of Partner % Share Out

That, Sri/Smt. _______________________, the LOI holder/ partner of the above stated LOI
expired / got totally incapacitated on ______________.

That, I and Sri/Smt._________________________ son / daughter / wife of

_____________________ Age _____ years residing at _____________________ are the
Legal heir(s) of deceased / totally incapacitated LOI holder of LOI no.
_______________________, dated ____________ issued by Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. for Retail Outlet
Dealership at ____________________, District : _____________, State _______________

That, vide application no. _____________ dated __________,I have submitted an application /
petition to the Hon’ble Court at __________ for recognizing me as Legal heir of deceased /
totally incapacitated LOI holder Sri/Smt. _______________________, by issuing a Succession
Certificate. However, due to pending proceedings by the Hon’ble court, succession certificate
could not be issued till date. Further, it expected that the issuance of Succession Certificate will
take some more time.

That, in view of death / incapacitation resulting in total and permanent disability of Sri/Smt.
_________________________ and as it is expected that the competent authority will take
some more time to issue a succession certificate to the effect that I am the Legal Heir of
deceased / totally incapacitated LOI Holder Sri/Smt. __________________, Indian Oil
Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd. is
requested to recognize me as the Legal heir of deceased / totally incapacitated LOI holder
Sri/Smt. __________________, and reconstitute the above stated LOI for RO dealership at
____________________, District : _____________, State _______________ as per the share
out stated below;

Name of Proposed Proprietor/Partner(s) % Share Out

I hereby verify that what has been stated above is true and correct to the best of my knowledge
and nothing material has been concealed there from. If any information/declaration given by
me in this affidavit shall be found to be untrue or incorrect or false, Indian Oil Corporation Ltd. /
Bharat Petroleum Corporation Ltd. / Hindustan Petroleum Corporation Ltd would be within its
rights to withdraw the LOI or initiate suitable action as deemed fit and that I would have no
claim, whatsoever against Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. /
Hindustan Petroleum Corporation Ltd. (as applicable) for such withdrawal.

I along with my heirs, nominees, successors, executors, assigns and administrators hereby also
indemnify Indian Oil Corporation Ltd. / Bharat Petroleum Corporation Ltd. / Hindustan
Petroleum Corporation Ltd. (as applicable) from all acts, disputes, costs, losses, claims,
damages, suits or any other risks arising out of reconstitution of the above stated LOI.

Signature of Deponent (surviving LOI Holder)

(Name in block letters)

Solemnly affirmed and declared before me. This ___________day of ________________

Signature and Seal of

Magistrate/Judge/Notary public