To

The Central Public Information
…………. Petroleum Corporation Ltd
……………(Full address)
PIN Code………….

Sub: Request for information under Section-6(1) of RTI Act.

Sir,

Please supply me the following information:

Details of LPG Connection:

Name of LPG Distributor: M/s …….…….
Address of LPG Distributor:
My Consumer No. …………………
Address of Consumer: …………..

Particulars of information required

[1] Kindly supply me certified copy of ‘Dealership Agreement’ executed by and between M/s ……………………………………………(Indane/HP/BP - Agency name), for distribution of Indane/HP/BP LPG cylinders, including Terms & Conditions as well as Services and facilities required to be provided by the Dealer to the consumers / Customers.

[2] Kindly supply me List showing (a) Consumer No., (b) Date of Booking, [c] Date of Delivery & (d) Bill/Cash Memo number and date, of all Domestic use Indane/HP/BP LPG Cylinders booked and delivered by M/s …………………… (Agency name), from ………………to …………………….. (this period is 2 days before your date of booking and one day after you received delivery or actual date of filing RTI Application, if refill is not received)

[3] Kindly supply me date-wise quantity (in number of cylinders) of Indane/HP/BP domestic use LPG cylinders supplied by Indane/HP/BP to M/s ………………………… (Agency name), from ……………to …………… (this period is 2 days before your date of booking and one day after you received delivery or actual date of filing RTI Application, if refill is not received)

[4] Kindly supply me list showing date-wise Home Delivery as well as Cash & Carry delivery of LPG Refill in respect of my Consumer no. ………………………… (your consumer no) with M/s ………………… (Name and Address of Agency) from …………… (six months prior date) to …….…… (date of filing RTI Application).

Application Fee of Rs.10 is attached as IPO No……………………….. payable to the Accounts Officer, ……….. .

Please send the information to my below address by Registered post.

Yours faithfully,

Signature
Name ………………
Consumer No……
Address ……………
Pin Code ………

Date: