Contact Us
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.
Please enter location name.
Please enter tehsil name.
District / Territory
Please enter district name.
Please enter city name.
Highway Name
Please enter Highway name.
Please enter province name.
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.
Site Classification
Status of Land Petrol Pump Plot(*)
Invalid Input
Invalid Input
Invalid Input
Background of Dealer: (Present & Past occupation/ Any experience of oil marketing/ Financial background)(*)
Please enter dealer background text.
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.
{captcha:caption} (*) {captcha:body}