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LNG DODO Form
fields marked
*
are mandatory
Mobile Number
*
State
*
select
Andhra Pradesh
Gujarat
Haryana
Karnataka
Madhya Pradesh
Maharashtra
Rajasthan
Tamil Nadu
Telangana
Locations
*
Select
Salutation
*
select
Miss
Mr.
Mrs.
First Name
*
Middle Name
Last Name
*
Communication Address
Address Line 1
*
Address Line 2
*
Address Line 3
City
*
District
*
State
*
Pincode
*
Contact Number
Landline Number with STD Code
*
Email Id
*
Occupation
*
select
Agriculture
Business
Self Employed
Others
Brief Details of Occupation
Details of land owned by you to set up LNG Station
Plot No/Survey No/Khasra No/TP No
*
Road:National Highway with NO / State Highway with NO / City Road/ Village Road
*
Near Land Mark
*
Road Going Towards
*
Name of City
*
Name of Tehsil/District
*
Name of State
*
Pin Code
*
Plot Type
*
Non-Agriculture
Agriculture
Plot Size(In Square Meter)
*
Photographs of Land
Front View Photo
*
Left Side Entry of the Plot
*
Right Side Exit of the Plot
*
Inside out View of the Plot
*
Plot co-ordinates
Latitude
Longtitude
Name of Nearest Petrol Pump from the land
Name of filling Station
*
Distance from Land(In KM)
*
Any Previous experience in Petroleum Industry
*
Yes
No
Name of the OMC
*
Please Select
BPCL
Essar
HPCL
IOCL
Others
Reliance
Shell
Associated with OMC since
*
Please Select
Less then 1 year
More then 1 Yr to 5 Yrs
More then 5 years
Proposed Entity if Dealership is awarded
*
Proprietorship
Partnership
How did you come to know about Adani Gas (DODO Format) LNG Stations
*
select
Adani Total Gas Website
Advertisement
Common Friends
Newspaper
Social Media
Others
I allow Adani Gas Limited to send alerts via SMS on mobile number & Email ID as given in the above inquiry form.
The Details given above by me does not bind Adani Gas Limited to offer or give dealership for LNG Station
I agree to pay a Non-refundable fees of Rs.2000/- for enquiry form fees DODO dealership.
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DODO Form
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