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4 Reconstitution Application

The document provides guidelines for reconstituting an LPG distributorship in 2022. It includes an application form seeking details of the existing and proposed partnership, including names and categories of partners, share percentages, and reasons for reconstitution.

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kannakiyinsilambu
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© © All Rights Reserved
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34 views

4 Reconstitution Application

The document provides guidelines for reconstituting an LPG distributorship in 2022. It includes an application form seeking details of the existing and proposed partnership, including names and categories of partners, share percentages, and reasons for reconstitution.

Uploaded by

kannakiyinsilambu
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Guidelines for Reconstitution of LPG Distributorship 2022

ANNEXURE-A2

APPLICATION FOR RE-CONSTITUTION OF COMMISSIONED DISTRIBUTORSHIP


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

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

3 Details of Land on which Distributorship is


located :
4 Whether proposal for reconstitution is being Resignation / Death / Incapacitation /
submitted on account of Resignation / Death Others
/ 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 Name %of
Proprietor / Partner(s), in case nominee(s) deceased / of share
was/were appointed: (if more than one nominee incapacitate nomin nominated
was appointed by the deceased or incapacitated d Proprietor ee

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Guidelines for Reconstitution of LPG Distributorship 2022

Distributor(s) in his last nomination, details as / Partner(s) (s)


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
Distributorship 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 induction of Yes / No
outside partner(s) :
(b) Whether proposed for complete changeover in Yes / No
constitution :
(c) Whether Distributorship is eligible for complete Yes / No
change in constitution based on age of
Distributorship :
(d) In case reconstitution is proposed within 3 years
of commissioning of Distributorship, whether in Yes / No / NA
the proposed reconstitution, 51 % share is
proposed % share out proposed, in case of death of
Distributor(s) and in case of incapacitation of
a) In favour of original allottee(s) and/or in Distributor(s), where the incapacitated
favour of nominee(s)/legal heir(s)/family Distributor (s) desires to retire
member(s) (including married children, son In favour of original allottee(s) In favour of
in law, daughter in law and grandchildren) of and/or nominee(s) / legal other
original allottee(s) where reconstitution is heir(s) / family member(s) incoming
being proposed due to death/ Incapacitation (including married children partner(s)
of Distributor(s) and where incapacitated son in law, daughter in law
Distributor (s) desires to retire. and grandchildren) of
b) In favour of original allottee(s) where deceased / incapacitated
reconstitution is being proposed for reasons Distributor(s)
other than death of the Distributor (s) or is
being proposed due to other cases. % share out proposed In other cases
In favour of existing partner(s) In favour of
The % share out of proposed reconstitution is to other
be indicated as per table alongside. incoming
partner(s)

(e) If the Distributorship was allotted under SC/ST Yes / No / NA


category, whether proposal is being submitted
for induction of other category partner(s) :

54
Guidelines for Reconstitution of LPG Distributorship 2022

(f) In case proposal is being submitted for induction Yes / No / NA


of partner(s) of other category in Distributorship
allotted under SC/ST category, whether total % Name of Continuing % of share
share out proposed for other partner(s) is within partner(s) of / Incoming proposed
25 %. Also, mention total share out proposed for SC/ST category
other category partner(s) : (In case of death/
incapacitation (due to serious illness/accident
resulting in total and permanent disability which
has disabled the distributor (proprietor / partner) Total % share
to work or follow any profession) of SC/ST proposed for
Proprietor/Partner(s), total share of the partner(s) of
deceased/incapacitated Proprietor/Partner(s) SC/ST category
can be transferred to Non-SC/ST spouse or
Non-SC/ST children (legal heirs) as the case Name of Continuing % of share
may be, which would be counted as SC/ST partner(s) of / Incoming proposed
share) other category

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

Signature of existing Distributor /Partner(s). Signature of the incoming partner(s)

(wherever applicable)

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


of deceased/incapacitated
(wherever applicable)

Signature of Local Guardian


(wherever applicable)

55

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