Your Name*:
Father's/Husband's Name:
Address:
CNIC Number* :
Your Email*:
Contact Number* :
NTN Number :
Proposed Location*:
Plot Area For Pump* :
Address Of The Plot*:
City*:
Category*:
Land Owner/s Name:
Applicant Relationship with Land Owner:
Applicant CNIC Front View*:
Applicant CNIC Back View*:
Land Owner CNIC Front View*:
Land Owner CNIC Back View*:
Documents (Bank Statement, Fard/Sale Deed/Allotment/Transfer Etc)*:
Site Plan*:
Aks Shajrah*:
Site Video*:
Are you an existing FUELERS Dealer?*:
YesNo

Yes I certify, the information submitted with this application is true & 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 will process on the basis of commercial feasibility & business viability of proposed retail outlet and its conformity with the FUELERS Retail Guidelines as amended from time to time. FUELERS reserves the right to accept or reject any application without assigning any reason.