Declaration / Undertaking: –

  • I / we undertake that after issue of letter of offer (LOI) for appointment by the co. for prescribed location, I /we shall not revoke it. In case I /we shall not be able to fulfill the requirements of the co. or Dept. of Explosives then I /we shall pay all dues /losses /expenses /claims of the co.
  • I / we have carefully read the agreement clauses shown to me / us by the company (A.F.L.) and have fully understood the same. I / we am / are ready and willing to comply with the agreement clauses in its totality along with the rulings of Gas Cylinders Rules and guidelines of Department of Explosives & Petroleum Safety.
  • I / we hereby undertake that I / we will complete the process & formalities of LPG Cylinders Storage Godown duly licensed by Dept. of Explosives & Petroleum Safety within 3 three months from the date of issue of Letter of Offer (Letter of Intent) by the co. in favour of me / us, failing which the Co. reserve the right to terminate the distributorship / dealership etc. and forfeit the Registration fee & entire security deposit if deposited. And if the loss or claim of the co. is not covered by the security deposit then the co. herewith authorized to recover the claim by other kinds with interest @ 2% per month.
  • I / we hereby undertake that if any dispute or difference or claim arising shall be settled by arbitrator who shall be appointed solely by the Chairman / Managing Director of the company. The arbitration shall be in accordance with the provisions of the Indian Arbitration and conciliation Act, 1996. The Arbitration shall be held at DELHI All the disputes are to the Jurisdiction of DELHI only through civil suit only. No criminal suit/case will be entertained against co. or on its Director or officer by me / us for the commercial transaction.
  • I / We ……………(Details filled)……….……………………………… S/o or W/o ..……………(Details filled)……………….. being the ……………..(Details filled)……….……….… of the firm ………….…(Details filled)…………………………………….., hereby undertake, declare and verify that  to the best of my knowledge & belief all the figures, statements & information given in this application form are true & correct and nothing has been willfully omitted or wrongly stated. If any information found incorrect or false then I / we’ll be sole responsible.

*Conditions apply.

ENCLOSURES   (Required documents must be provided by the applicant)

  1. Affidavit as per enclosed format of Annexure “A”.
  2. Copy of Agreement Format.
  3. Copy of academic qualification, certifying the Age & Date of Birth of applicant.
  4. Affidavit / declaration for Indian inhabitant of the applicant along with the copy of Ration Card or certifying the proof of address and identity.
  5. Copy of document of land suitable for godown along with diversion certificate under section-143..

 Copy of Pan (Declaration in Form ‘60’ duly filled & signed in case of non availability of Pan No.)