“Specimen- This draft is only to take language for
the purpose by Associate/consultant/company.”

Forwarding Letter on Company Letter Head Sending Cheque
for refund of amount of Visiting Charges
in Case of Non-Suitability of land.

(Name & Address of the Applicant)

Sub.:-  Application Form for Associates as Distributor/Dealer/Retailer Dealer(Auto LPG) Cat-  I/II/III.

Dear Sir,

Please find the enclosed Cheque No.__________ dated___________ of  Rs. 10,000/- (Rupees Ten Thousand Only)  drawn on______________________________. as refund of your visiting charges due to the reasons explained by our Consultant vide his letter dated___________. Sorry for inconvenience caused in this regard.

Thanking you,
Yours Sincerely,

For Premier LPG Limited

(Processing Officer)

Encl.: As above