iFuel

Full Name *

Age *

D.O.B *

Email Address *

Phone *

Permanent Address *

Adhaar Number *

Current Business/Occupation *

Any Experience in Oil Sector *

Yes

Qualification *

Location of the Potential Area *

Investment you wish to make *

Distance from nearest petrol pump *

Years of Residential Stay in the Area *

Political Affiliations if any *

Yes

Upload Your Passport Size Photo *

Registered As *

Individual

Field Officer

Your State *

Your District *

Full Name *

Father's Name *

Email Address *

Phone *

D.O.B *

Permanent Address *

Business Address *

Vehicle Number *

Pin Code *

Any Experience in Oil Sector *

Yes

Distance from nearest petrol pump *

Your Investment Plan *

Transaction reference Number *

Upload Your Payment Proof (₹2100) *

PAN Number*

Upload Your PAN Card *

Adhaar Number*

Upload Your Adhaar Number *

Driving License*

Upload Your Driving License *

Registration certificate No. of two wheeler*

Upload Your Registration Certificate *

Upload Your Passport Size Photo *

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Payment Details

Please make your payments using one of the following methods:

Please include your transaction reference number in the form after completing the payment.

1. UPI Payment

UPI ID – ifuelprivatelimited@icici

2. Bank Transfer

Bank Details for NEFT/RTGS/IMPS:

Account Name: I-FUEL PVT. LTD.
Account Number: 385905000802
Bank: ICICI Bank Ltd
Branch: Jakhan, Dehradun
IFSC Code: ICIC0003859

Please include your transaction reference number in the form after completing the payment.

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Payment Details

1. UPI Payment

2. Bank Transfer

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