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Retail Site Development Form
*= Required Information
Basic Information
Name of Landlord/ Dealer(*)
Please enter Landlord/dealer name.
Tel No. / Cell No(*)
Please Enter Telephone/ Cellphone Number
Email Address(*)
Please enter your email address.
Site Information
Proposed Site Name(*)
Please enter proposed site name.
Location(*)
Please enter location name.
Tehsil
Please enter tehsil name.
District / Territory
Please enter district name.
City(*)
Please enter city name.
Highway Name
Please enter Highway name.
Province
Please enter province name.
Country(*)
Please select Country Name
Competing Retail Station(s) within a distance of 5km?(*)
Please enter competing retail station.
Site Attributes
Front (ft.)(*)
Please enter front value.
Depth (ft.)(*)
Please enter depth value.
Area (Sq. yards)(*)
Please enter area value.
Earth Fill Required from Road Level (in feet)(*)
Please enter earth fill required.
Shape(*)
Site Classification
Status of Land Petrol Pump Plot(*)
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Zoning(*)
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Ownership(*)
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Background of Dealer: (Present & Past occupation/ Any experience of oil marketing/ Financial background)(*)
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Brief Description of Trade Area Where Site is Proposed: (Area's business profile / Nearby petrol pumps 10 km each)(*)
Please enter the brief description of the trade area.
Type the letters (*) Type the letters
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