Applicant's Profile First Name * Middle Names Last Name * CNIC/NICOP * Province * --Select-- Sindh Punjab Balochistan Khyber Pakhtunkhwa Gilgit-Baltistan Islamabad Azad Jammu and Kashmir District * --Select-- Abbottabad Astore Attock Awaran Azad Jammu and Kashmir Badin Bāgh Bahawalnagar Bahawalpur Bajaur District Bannu Barkhan Bhakkar Bhimbar (Bhimber) Bolan Buner District Chaghai Chakwal Chaman Charsadda Chiniot Chitral Dadu Darel District Dera Bugti Dera Ghazi Khan Dera Ismail Khan Diamer Duki Faisalabad Ghanche Ghizer Ghotki Gilgit Baltistan Gilgit District Gujranwala Gujrat Gupis-Yasin Gupis-Yasin District Gwadar Hafizabad Hangu Haripur Harnai Hattiān (Jhelum Valley) Haveli (Kahutta) Hazara Hunza Hunza District Hyderabad Islamabad Jacobabad Jaffarabad Jamshoro Jhang Jhelum Kachhi Kalat Karachi Karak Kashmore Kasur Kech Khairpur Khairpur Mirs Khanewal Kharan Kharmang Kharmang District Khushab Khuzdar Khyber Killa Saifullah Kohat Kohistan District Kohlu Korangi Kotli Kurram Lahore Lakki Marwat Larkana Las Bela Lasbela Layyah Lodhran Lower Dir Malakand Malir Mandi Bahauddin Mansehra Mardan Mastung Matiari Mianwali Mīrpur Mirpur Khas Mohmand District Multan Musakhel Muzaffarābād Muzaffargarh Nagar Nagar District Nankana Narowal Nasirabad Naushahro Naushahro Feroze Nīlam (Neelam) Nowshera Nushki Okara Pakpattan Panjgur Peshawar Pishin Pūnch (Poonch) Qambar Shahdadkot Qilla Abdullah Quetta Rahim Yar Khan Rajanpur Rajo Khanani Rawalpindi Roundu Sahiwal Sanghar Saranan Sargodha Shaheed Benazir Abad Sheikhupura Shigar Shigar District Shikarpur Sialkot Sibi Skardu District Sohbatpur Sudhnoti (Sudhnutti, Sudhanoti) Sujawal District Sukkur Swabi Swat Tando Allahyar Tando Muhammad Khan Tangir District Tank Tharparkar Thatta Toba Tek Singh Umerkot Upper Dir Vehari Washuk Waziristan Zhob 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 Phone * Landline No. Email * NTN * Company Name Focal Person Name * Focal Person Designation/Relationship with Land Owner * Focal Person Email Focal Person Cell Number Existing Site Profile & Information Customer Code (in case of remodelling and conversion) * Outlet Name Existing Site Category --Select-- CF DFA DFB DFC Existing Land Dimension Existing Land Area (Sq.ft) Additional Land Dimensions (If applicable) For Site Expansion Additional Land Area (Sq. Ft.) (If applicable) For Site Expansion Existing Sales Details/Month (six months avg.) (in case of Conversion and Remodeling) (Qty to be mentioned in KLs) HOBC PMG HSD LUBES Existing Equipments Details (in case of Conversion and Remodeling) Electronic Dispensing Units: Two Products - Four Nozzles (Quadro) One Products - Two Nozzles (Duo Dispenser) - Tatsuno One Product - One Nozzle (Single) - Tatsuno Storage Tanks : 15,000 Litres (a)DG Set 40 KVA 25,000 Litres (b)DG Set 30 KVA 50,000 Litres (c)DG Set 15 KVA Company Details Company Name * Province * --Select-- Sindh Punjab Balochistan Khyber Pakhtunkhwa Gilgit-Baltistan Islamabad Azad Jammu and Kashmir District * --Select-- Abbottabad Astore Attock Awaran Azad Jammu and Kashmir Badin Bāgh Bahawalnagar Bahawalpur Bajaur District Bannu Barkhan Bhakkar Bhimbar (Bhimber) Bolan Buner District Chaghai Chakwal Chaman Charsadda Chiniot Chitral Dadu Darel District Dera Bugti Dera Ghazi Khan Dera Ismail Khan Diamer Duki Faisalabad Ghanche Ghizer Ghotki Gilgit Baltistan Gilgit District Gujranwala Gujrat Gupis-Yasin Gupis-Yasin District Gwadar Hafizabad Hangu Haripur Harnai Hattiān (Jhelum Valley) Haveli (Kahutta) Hazara Hunza Hunza District Hyderabad Islamabad Jacobabad Jaffarabad Jamshoro Jhang Jhelum Kachhi Kalat Karachi Karak Kashmore Kasur Kech Khairpur Khairpur Mirs Khanewal Kharan Kharmang Kharmang District Khushab Khuzdar Khyber Killa Saifullah Kohat Kohistan District Kohlu Korangi Kotli Kurram Lahore Lakki Marwat Larkana Las Bela Lasbela Layyah Lodhran Lower Dir Malakand Malir Mandi Bahauddin Mansehra Mardan Mastung Matiari Mianwali Mīrpur Mirpur Khas Mohmand District Multan Musakhel Muzaffarābād Muzaffargarh Nagar Nagar District Nankana Narowal Nasirabad Naushahro Naushahro Feroze Nīlam (Neelam) Nowshera Nushki Okara Pakpattan Panjgur Peshawar Pishin Pūnch (Poonch) Qambar Shahdadkot Qilla Abdullah Quetta Rahim Yar Khan Rajanpur Rajo Khanani Rawalpindi Roundu Sahiwal Sanghar Saranan Sargodha Shaheed Benazir Abad Sheikhupura Shigar Shigar District Shikarpur Sialkot Sibi Skardu District Sohbatpur Sudhnoti (Sudhnutti, Sudhanoti) Sujawal District Sukkur Swabi Swat Tando Allahyar Tando Muhammad Khan Tangir District Tank Tharparkar Thatta Toba Tek Singh Umerkot Upper Dir Vehari Washuk Waziristan Zhob 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 Phone Landline No. Email NTN * Website Point of Contact Details Name * Designation * Address CNIC/NICOP * Email * Phone * Landline No. Land Details GPS Coordinates Latitude * Longitude * Total Plot Area For Pump (Sq.ft) * Province * --Select-- Sindh Punjab Balochistan Khyber Pakhtunkhwa Gilgit-Baltistan Islamabad Azad Jammu and Kashmir District * --Select-- Abbottabad Astore Attock Awaran Azad Jammu and Kashmir Badin Bāgh Bahawalnagar Bahawalpur Bajaur District Bannu Barkhan Bhakkar Bhimbar (Bhimber) Bolan Buner District Chaghai Chakwal Chaman Charsadda Chiniot Chitral Dadu Darel District Dera Bugti Dera Ghazi Khan Dera Ismail Khan Diamer Duki Faisalabad Ghanche Ghizer Ghotki Gilgit Baltistan Gilgit District Gujranwala Gujrat Gupis-Yasin Gupis-Yasin District Gwadar Hafizabad Hangu Haripur Harnai Hattiān (Jhelum Valley) Haveli (Kahutta) Hazara Hunza Hunza District Hyderabad Islamabad Jacobabad Jaffarabad Jamshoro Jhang Jhelum Kachhi Kalat Karachi Karak Kashmore Kasur Kech Khairpur Khairpur Mirs Khanewal Kharan Kharmang Kharmang District Khushab Khuzdar Khyber Killa Saifullah Kohat Kohistan District Kohlu Korangi Kotli Kurram Lahore Lakki Marwat Larkana Las Bela Lasbela Layyah Lodhran Lower Dir Malakand Malir Mandi Bahauddin Mansehra Mardan Mastung Matiari Mianwali Mīrpur Mirpur Khas Mohmand District Multan Musakhel Muzaffarābād Muzaffargarh Nagar Nagar District Nankana Narowal Nasirabad Naushahro Naushahro Feroze Nīlam (Neelam) Nowshera Nushki Okara Pakpattan Panjgur Peshawar Pishin Pūnch (Poonch) Qambar Shahdadkot Qilla Abdullah Quetta Rahim Yar Khan Rajanpur Rajo Khanani Rawalpindi Roundu Sahiwal Sanghar Saranan Sargodha Shaheed Benazir Abad Sheikhupura Shigar Shigar District Shikarpur Sialkot Sibi Skardu District Sohbatpur Sudhnoti (Sudhnutti, Sudhanoti) Sujawal District Sukkur Swabi Swat Tando Allahyar Tando Muhammad Khan Tangir District Tank Tharparkar Thatta Toba Tek Singh Umerkot Upper Dir Vehari Washuk Waziristan Zhob 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 Location Demographics * --Select-- Rural Urban Highway Land Ownership Status * --Select-- Self Owned Owned by Relatives/Friend (POA to self) Owned by institution (sub leased to self) Complete Address with Nearby Landmark * Name of Land Owner/s Relationship of Applicant with Land Owner Attach Relevant Documents Applicant CNIC * Land Owner's CNIC * Latest Title Documents * (Fard/ Sale Deed/ Allotment /Transfer /etc) Site Plan/ Aks Shajrah * Land Document * Bank Certificate * Prior Business Experience Certificate Signed Survey Map * Site Video Max Size: 4MB Allowed Ext: .FLV, .MP4, .3GP, .MKV Partnership Deed * (in case of partnership) Power of attorney(if applicable) (in case of partnership) Certificate of incorporation * (in case of institutional) Note Are you an existing PSO Dealer? * Yes No Do you have any other business relationship with PSO? * Yes No Do you have a relative in PSO? * Yes No I certify that the information submitted in this application is true and correct to the best of my knowledge. I understand that if any information submitted is found incorrect, my application will be liable for rejection. Applications received will be assessed on the basis of commercial feasibility and business viability of proposed retail outlet and its conformity with the PSO Retail Development Guidelines as amended from time to time. PSO reserves the right to accept or reject any application without assigning any reason. Submit