LPG Supply Request Form

Fill in all required details for commercial/non-domestic LPG supply

Supplier Details

Organization & Contact Details

LPG Requirement Details

Note: Enter consumption in either MT or KG field. Selecting a pack size and cylinder count will auto-calculate both fields.

End Use Details

Supporting Documents

Licence, registration certificate, GST certificate, or any relevant authorization document. Accepted: PDF, DOC, JPG, PNG. Max 10 MB.
Upload your latest LPG purchase invoice. Accepted: PDF, JPG, PNG. Max 5 MB.
Upload a photo of your business premises. Accepted: JPG, PNG. Max 5 MB.
Upload a photo of the LPG cylinder storage area. Accepted: JPG, PNG. Max 5 MB.

Supply Location(s)

Specify all locations where LPG supply is required. You can add multiple locations.

Location 1 (Primary)

Declaration

  1. I confirm that all information and documents provided by me are true, complete, and accurate to the best of my knowledge.
  2. I understand that submission of this application does not guarantee approval, allotment, or supply.
  3. I agree that the application will be processed strictly in accordance with applicable laws, rules, and regulations of the Government of India at the time of approval.
  4. I hereby consent to receive communication from BPCL through SMS, calls, WhatsApp or email regarding its products, services, offers, and promotional campaigns. I understand that this consent will remain valid unless withdrawn by me.
Your data is encrypted and secure. You will receive a unique Request ID upon submission.