Applicant Profile Name of Applicant* CNIC * ID Card Address * Bank Statement (atleast 6 months)* Bank account maintenance certificate* Company Details Name of Company * Nature of Business * Business OwnerShip* --Select-- Proprietorship Partnership Cooperative Country * --Select-- Pakistan America Canada Turkey New Zealand City * --Select-- Abbottabad Ahmadpur Sial Ahmedpur East Akora Khattak Aliabad Amangarh Arif Wala Askole Astore Attock Awaran Azad Jammu and Kashmir Badin District Bāgh Bahawalnagar Bahawalpur Bahiria Road Bahrain Bajaur Agency Bajwat Balakot Bandhi Bannu Barikot Barkhan Batkhela Bela Bhag Bhakkar Bhalwal Bhawana Bhimbar Bhiria City Bhiria Road Bhirkan Boriri Buleda Buner Bunji Burewala Chak Chakwal Chaman Charsadda chashma chawinda Chilas Chillinji Chiniot District Chishtian Chitkan Chitral Cholt Chowbara Chunian Dadu Daharki Dalbandin Dambudas Dansam Danyor Darel Darel District Daska Daulatpur De-Excluded Area Rajanpur Depal Pur Dera Allah Yar Dera Bugti Dera Ghazi Khan Dera Ismail Khan Dera Murad Jamali Dhadar Dharki Dhirkot Diamer Digri Diplo Dir Dokri Duki Dunyapur Dureji Eidghah Eighteen-Hazari Ekka Ghund Faisalabad faizpur Fatehpur Ferozewala Gahkuch Gajjar Mashkay Gambat Garhi Yasin Ghanche Ghizer Ghotki Gilgit Gilgit Baltistan Gilgit District Gojal Gojra Goth Boriri Guddu Barrage Gujranwala Gujranwala Cantonment Gujrat Gulmit Gultari Gupis-Yasin Gupis-Yasin District Gwadar Hafizabad Hala Haldi Hangu Haripur Harnai Haroonabad Hasilpur Hattiān Haveli Havelian Hayyatabad Hopar Hub Hunza Hunza District Huramzai Hussainabad Hyderabad Ishkoman Islamabad Islamkot Jacobabad Jahangira Jahanian Jalalabad Jalalpur Jattan Jampur Jamrud Jamrud Jamshoro Jaranwala Jatoi Jehangira Jhang Jharkal Jhelum Jiwani Juglot Jungshahi Jutial Kabal Kabirwala Kahror Pacca Kahuta Kalat Kallur Kot Kamalia Kamoke Kandhkot Kandiaro kanjwani Karachi Karak Karimabad Kashmore Kasur Keamari Keti Bandar Khadro Khairpur Khairpur Mirs Khalabat Khanewal Khanozai Khanpur Khaplu Kharan Kharfaq Kharian Kharko Kharmang Kharmang District Khipro Khushab Khuzdar Khwazakhela Khyber Agency Kiamari Killa Saifullah Kohat Kohistan Kohlu Korangi Kot Abdul Malik Kot Addu Kot Diji Kot Radha Kishan Kot Sultan Kotli Kotri Kunjri Lahore Lakhi ghulam shah Lakki Marwat Lalian Landi Kotal Larkana Lasbela Layyah Lodhran Loralai Machh Machikey Madeji Malakand Agency Malir Mandi Bahauddin Manjhand Mankera Mansehra Maqsoodo Rind Mardan Mastung Matiari Matta Mayoon Mehar Mehrabpur Mian Channu Mian Sahib Mianwali Mingora Minimarg Miranpur Mīrpur Mīrpur Mirpur Khas Mirpur Mathelo Misgar Mithani Mithi Mohmand Agency Moro Multan Muridke Musakhel Muslim Bagh Muzaffarābād Muzaffargarh Nagar Nagar District Nagarparkar Nal Naltar Nankana Sahib Narowal Nasirabad Nasirabad Naudero Naushahro Feroze Nawabshah Nawan Shehr Nīlam North Waziristan Nowshera Nushki Okara Ormara Oshikhandass Pabbi Paharpur Pakpattan Paroa Pasni pasrur Passu Pattoki Peshawar Phander Pindi Bhattian Pindigheb Pir Jo Goth Piryaloi Pishin Pūnch Punial Qalat Qambar Qasimabad Qasimabad Qilla Abdullah Qubo Saeed Khan Quetta Rahim Yar Khan Rajanpur Rajo Khanani Ranipur Ratodero Rawalakot Rawalpindi Renala Khurd Risalpur Rohri Rojhan Roundu Sadda Sadiqabad Safdarabad Sahiwal Sakrand Samaro Sambrial Samundri Sanghar Sangla Hill Sann Sanwan Sara-e-Alamgir Saranan Sargodha Sehansa Sehwan Sharif Serai Muhajir Shabqadar Shah Kot Shahbandar Shahdadkot Shahdadpur Shaheed Benazir Abad Shahpur Chakar Shahpur jahania Shahrug Shangla Sheikhupura Shigar Shigar District Shikarpur Shimshal Shorkot Sialkot Sibi Sijawal Junejo Sinjhoro Sita Road Skardu Skardu District Sobhodero Sohbatpur South Waziristan Sudhnoti Sui Town Sujawal Sukkur Sultanabad Surab Sust Swabi Swat Takht-i-Bahi Tall Tando Adam Khan Tando Allahyar Tando Muhammad Khan Tangi Tangir Tangir District Tangwani Tank Tasp Taxila Thalichi Thari Mirwah Tharparkar Tharu Shah Thatta Thole Thowar Thul Timargara Toba Tek Singh Tolti Topi Tordher Tump Turbat Ubauro Umerkot Usta Mohammad Uthal Utmanzai Vehari Wadh Wah Cant Wah Cantonment Warah Washuk Wazirabad Waziristan Winder Yasin Zaida Zehri Zhob Address * Postal/Zip Code Landline Mobile * Email * Date of Establishment * Income Tax Certificate* NTN * Monthly Turnover Business experience certificate * How many human resources are being employed in following roles? i- Office Admin ii- Accounts iii- Sales iv- Order Booking v- Driver Trading History How long have you been in product trading? Logistic (a). Do you own vehicle for distribution? Yes No (b). No of vehicles --Select-- 1 2 3 4 5 (c). Model and capacity of vehicles Number: Model: Capacity: Do you operate any rented vehicle for distribution? Yes No (b).If yes,State the Number of vehicles with Model and Capacity. Number: Model: Capacity: Storage Space Photographs * Authorization Distributor's Authorized Representative/Manager/s Particulars Name * CNIC * Address * Country * --Select-- Pakistan America Canada Turkey New Zealand City * --Select-- Abbottabad Ahmadpur Sial Ahmedpur East Akora Khattak Aliabad Amangarh Arif Wala Askole Astore Attock Awaran Azad Jammu and Kashmir Badin District Bāgh Bahawalnagar Bahawalpur Bahiria Road Bahrain Bajaur Agency Bajwat Balakot Bandhi Bannu Barikot Barkhan Batkhela Bela Bhag Bhakkar Bhalwal Bhawana Bhimbar Bhiria City Bhiria Road Bhirkan Boriri Buleda Buner Bunji Burewala Chak Chakwal Chaman Charsadda chashma chawinda Chilas Chillinji Chiniot District Chishtian Chitkan Chitral Cholt Chowbara Chunian Dadu Daharki Dalbandin Dambudas Dansam Danyor Darel Darel District Daska Daulatpur De-Excluded Area Rajanpur Depal Pur Dera Allah Yar Dera Bugti Dera Ghazi Khan Dera Ismail Khan Dera Murad Jamali Dhadar Dharki Dhirkot Diamer Digri Diplo Dir Dokri Duki Dunyapur Dureji Eidghah Eighteen-Hazari Ekka Ghund Faisalabad faizpur Fatehpur Ferozewala Gahkuch Gajjar Mashkay Gambat Garhi Yasin Ghanche Ghizer Ghotki Gilgit Gilgit Baltistan Gilgit District Gojal Gojra Goth Boriri Guddu Barrage Gujranwala Gujranwala Cantonment Gujrat Gulmit Gultari Gupis-Yasin Gupis-Yasin District Gwadar Hafizabad Hala Haldi Hangu Haripur Harnai Haroonabad Hasilpur Hattiān Haveli Havelian Hayyatabad Hopar Hub Hunza Hunza District Huramzai Hussainabad Hyderabad Ishkoman Islamabad Islamkot Jacobabad Jahangira Jahanian Jalalabad Jalalpur Jattan Jampur Jamrud Jamrud Jamshoro Jaranwala Jatoi Jehangira Jhang Jharkal Jhelum Jiwani Juglot Jungshahi Jutial Kabal Kabirwala Kahror Pacca Kahuta Kalat Kallur Kot Kamalia Kamoke Kandhkot Kandiaro kanjwani Karachi Karak Karimabad Kashmore Kasur Keamari Keti Bandar Khadro Khairpur Khairpur Mirs Khalabat Khanewal Khanozai Khanpur Khaplu Kharan Kharfaq Kharian Kharko Kharmang Kharmang District Khipro Khushab Khuzdar Khwazakhela Khyber Agency Kiamari Killa Saifullah Kohat Kohistan Kohlu Korangi Kot Abdul Malik Kot Addu Kot Diji Kot Radha Kishan Kot Sultan Kotli Kotri Kunjri Lahore Lakhi ghulam shah Lakki Marwat Lalian Landi Kotal Larkana Lasbela Layyah Lodhran Loralai Machh Machikey Madeji Malakand Agency Malir Mandi Bahauddin Manjhand Mankera Mansehra Maqsoodo Rind Mardan Mastung Matiari Matta Mayoon Mehar Mehrabpur Mian Channu Mian Sahib Mianwali Mingora Minimarg Miranpur Mīrpur Mīrpur Mirpur Khas Mirpur Mathelo Misgar Mithani Mithi Mohmand Agency Moro Multan Muridke Musakhel Muslim Bagh Muzaffarābād Muzaffargarh Nagar Nagar District Nagarparkar Nal Naltar Nankana Sahib Narowal Nasirabad Nasirabad Naudero Naushahro Feroze Nawabshah Nawan Shehr Nīlam North Waziristan Nowshera Nushki Okara Ormara Oshikhandass Pabbi Paharpur Pakpattan Paroa Pasni pasrur Passu Pattoki Peshawar Phander Pindi Bhattian Pindigheb Pir Jo Goth Piryaloi Pishin Pūnch Punial Qalat Qambar Qasimabad Qasimabad Qilla Abdullah Qubo Saeed Khan Quetta Rahim Yar Khan Rajanpur Rajo Khanani Ranipur Ratodero Rawalakot Rawalpindi Renala Khurd Risalpur Rohri Rojhan Roundu Sadda Sadiqabad Safdarabad Sahiwal Sakrand Samaro Sambrial Samundri Sanghar Sangla Hill Sann Sanwan Sara-e-Alamgir Saranan Sargodha Sehansa Sehwan Sharif Serai Muhajir Shabqadar Shah Kot Shahbandar Shahdadkot Shahdadpur Shaheed Benazir Abad Shahpur Chakar Shahpur jahania Shahrug Shangla Sheikhupura Shigar Shigar District Shikarpur Shimshal Shorkot Sialkot Sibi Sijawal Junejo Sinjhoro Sita Road Skardu Skardu District Sobhodero Sohbatpur South Waziristan Sudhnoti Sui Town Sujawal Sukkur Sultanabad Surab Sust Swabi Swat Takht-i-Bahi Tall Tando Adam Khan Tando Allahyar Tando Muhammad Khan Tangi Tangir Tangir District Tangwani Tank Tasp Taxila Thalichi Thari Mirwah Tharparkar Tharu Shah Thatta Thole Thowar Thul Timargara Toba Tek Singh Tolti Topi Tordher Tump Turbat Ubauro Umerkot Usta Mohammad Uthal Utmanzai Vehari Wadh Wah Cant Wah Cantonment Warah Washuk Wazirabad Waziristan Winder Yasin Zaida Zehri Zhob Postal/Zip Code Phone Designation Projections What area do you intend to cover as a distributor/sub distributor. Business Experience Are you dealer / distributor/Industrial distributor or partner or hold a letter of intent in any Retail Outlet / Kerosene / LDO distributorship / LPG distributorship or distributorship of any other petroleum product including Lubricants of any Public sector Oil Co.? Yes No If yes, please also attach NOC from competent authority of the Company, for which you are dealer / distributor/Industrial distributor or partner or hold a letter of intent in any Retail Outlet / Kerosene / LDO distributorship / LPG distributorship or distributorship of any other petroleum product including Lubricants. Years : --Select-- 1 2 3 4 5 6 7 8 9 9 10 11 12 Do you have business / selling experience? If yes, give full details as below Yes No i- Experience in Lube trade / FMCG / Auto parts Yes No ii- Experience in Transport / Automobile Yes No iii- Any other selling experience Yes No iv- Knowledge of Local Market (If yes,then please provide details). Yes No v- Skills of Managing Distribution business Yes No I hereby confirm that I have read and understood the contents mentioned above. I have provided the necessary information to the best of my knowledge and belief & I have not concealed anything. I assure that if I am awarded PSO PAK Lubricants Distributorship, I shall abide by the rules, regulations and instructions issued from time to time by PSO. However, PSO reserves the right to reject or accept any application without prior notice. Submit
