f no, then are you willing to Re-locate

Are you a resident of City applied for

Have you ever applied for Maruti Suzuki dealership before
If yes, then please give details City for which applied
Month & Year MONTH YEAR
EMAIL ADDRESS
OTHER NFORMATON :
EMAIL ADDRESS WEBSITE ADDRESS
MOBILE MOBILE
TELEPHONE NUMBERS TELEPHONE NUMBERS
STATE STATE
CITY CITY
STREET No. STREET No.
PLOT / BUILDING No. PLOT / BUILDING No.
CONTACT NFORMATON :
RESIDENCE ADDRESS COMPANY NAME
DATE OF BIRTH DATE MONTH YEAR
PERSONAL INFORMATIONS :
NAME OF APPLICANT FIRST NAME MIDDLE NAME LAST NAME
CTY APPLED FOR
Photo of the Applicant
MARUT SUZUK NDA LMTED
DEALERSHP APPLCATON FORM
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1 LdlLlon 1sL november 2010
Other
Family tree of Main applicant
9 Current Organisation Structure
10 Occupation and Experience details of directors
FinanciaIs
3 Balance sheet - Last 3 years
4 P & L Account statement (last 3 years
6 Bankers letter in the desired format (see section B, point 11
7 Income tax & Wealth tax returns
Site
1 Photographs of land , building of showroom & workshop (4 ~ 6 nos.
2 Map of city showing the proposed site, competition dealerships, Maruti Suzuki dealership (if any,
major industrial / commercial centers etc.
CHECK LST FOR ATTACHMENTS
Document Details
Enclosed
YES / NO
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11. The soft copy of the completely filled application form may be sent through email to DDD@MARUTI.CO.IN
Constitution of Dealership etc in a stipulated time.
. Applicant will be issued Letter of intent after the completion of terms suggested in above letter.
9. All information provided in the application form would be kept strictly confidential by Maruti Suzuki India Limited.
10. All sheets of the application form needs to be signed by applicant.
Principle' approval is cancelled / surrendered before activation, security deposit will be forfeited.
4. The selection of final candidate is purely at the discretion of MSIL Management.
5. MSIL is not bound to give reason(s for selection or rejection of particular applicant.
6. The selected applicant will be given a letter stating In Principle approval for appointment as MSIL dealership subject to conditions
mentioned in the letter.
7. The conditions will include submission of Security Deposit, documents of proof of possession of suitable site for the dealership.
3. An amount of Rs 1,00000/- (Rs One Lac only is to be deposited by the applicant along with the application form as earnest money
in the form of Demand Draft in favour of "Maruti Suzuki India Ltd" payable at Delhi.
o The earnest money deposit will be refunded to the unsuccessful candidates.
o In case the applicant is awarded the dealership, the earnest money deposit will be adjusted against the security amount to be
deposited by the applicant with MSIL after receiving 'In Principle' approval
o In case the successful applicant fails to submit the remaining security deposit within specified timelines or in case the 'In
1. Only fully filled application will be accepted.
2. Applications received after the date mentioned in the advertisement will not be accepted.
eneraI Terms & Conditions
LdlLlon 1sL november 2010
'asant Kunj, New Delhi - 110070
Maruti Suzuki ndia Limited,
1, Nelson Mandela Road
Development Department on the Following Address.
Deputy General Manager
Dealer Development - 1
. On receiving application forms from a candidate, short listing of candidates is done based on the same, followed by site visit
- Maruti Suzuki officials.
Please send your completed application form by Courier / Registered Post / Speed Post to Maruti Suzuki India Limited, Dealer
7. Additional information may be provided as enclosures. All the enclosures must be firmly attached to the application form.
Wherever you feel the constraint of space, please attach annexure and specify the same in the given space.
5. The relevant information should be provided within the application form itself and should typed clearly.
6. All figures should be in Rs Lakhs as specified (and not in thousands or crores.
executive will be deemed as the main applicant.
2. The term "Controlling Interest" in the context of this form may be read as either single largest shareholding (i.e. Individual /
Group or a position of involvement in the running of the company (i.e. Managing Director / Director / Partner.
GENERAL NSTRUCTONS
1. The term "Main Applicant" refers to the applicant who has the largest proposed shareholding, or is the majority partner /
managing director in the proposed company. In case of equal partnership, the partner who will be designated as the chief
3. Wherever the question requires a YES/NO answer, please circle the correct alternative. PLEASE DO NOT USE TICK MARKS
4. Appropriate options may be selected from Drop-down menus where ever applicable.
LdlLlon 1sL november 2010
N Year
Reserves & Surplus
N-2 Year N-1 Year N-2 Year N-1 Year
Name of Compan
%a-e 2.
Name of Compan
TOTAL
N Year

Share Capital
N-2 Year N-1 Year N Year
TOTAL
Shorterm Nth
Year
Networth
PBT
N Year N-2 Year N-1 Year
Loans
N-2 Year N-1 Year
Long Term
Nth Year
Turn Over
N Year
- EXIS%ING BUSINESS (A (A figures to -e mentioned in acs

Company 4

Company 5
Company 3
Company 2
%a-e 1.
* N
th
ear Current / Last I|nanc|a| ear
2. a BUISNESS BACKGROUND
Name
Nature of Business
(Agriculture, Automotive, Realestate,
Manufacturing. If other, Pls mention below
Company Office
based in (Cit
Name
Current CEO
(Self / Professional /
Relative
EXSTNG BUSNESS AND PERSONAL NFORMATON
1. EDUCA%IONAL BACKGROUND
SECTON A
Co- Appicant 3
Co- Appicant 4
Main Appicant
Name
Educational & professional qualifications of applicant(s & other proposed partners / directors for Maruti Suzuki Dealership.
Co- Appicant 1
Co- Appicant 2
Institution
Highest Degree of
Education
Age
ReIationship
With Main
AppIicant
Information for Compaines held by Applicant
Brand
Company 1
Year of
Competion of
Degree

#%OFESS!ONAL
#%OFESS!ONAL
%ELAT!vE
#%OFESS!ONAL
SELF
LdlLlon 1sL november 2010
DD MMM YYYY
%ota Area
%ota Manpower Empoed
Cit
Num-er of Set-Ups
4. Existing infrastructure (On Appica-e to Automotive Compan
Showroom Workshop
OEM
Year of Start
Compan 3
(Ps. Write
Name
Number of Executive / Managerial
Employees
MMM YYYY
Compan 4 (Ps.
Write Name
Type of Company (Public Ltd, Pvt.
Ltd, Proprietorship or Partnership)
Total Manpower Employed
Higher Salary Paid Monthly
in Rupees
Higher Salary Paid Monthly
in Rupees
Year of Start
Number of Executive / Managerial
Employees
DD
Number of Executive / Managerial
Employees
Total Manpower Employed
Higher Salary Paid Monthly
in Rupees
Type of Company (Public Ltd, Pvt.
Ltd, Proprietorship or Partnership)
Compan 2 (Ps.
Write Name
Type of Company (Public Ltd, Pvt.
Ltd, Proprietorship or Partnership)
Year of Start
DD MMM YYYY
Total Manpower Employed
Year of Start
DD MMM
Company Details (Pls select from Drop-down menu
of
Share
Designation &
Role
Shareholder Name
Type of Company (Public Ltd, Pvt.
Ltd, Proprietorship or Partnership)
YYYY
Total Manpower Employed
Higher Salary Paid Monthly
in Rupees
Compan 1 (Ps.
Write Name
Number of Executive / Managerial
Employees
3. Detail for Companies held by applicant as given in Point 2. a
#%!vATE L!N!TED
#A%TNE%SH!#
#%O#%!ETO%SH!#
#%O#%!ETO%SH!#
LdlLlon 1sL november 2010
PLS A%%ACH BALANCE SHEE% AND PROFI% & LOSS S%A%EMEN% FOR LAS% 3 YEARS FOR EACH OF %HE COMPANY
IMPOR%AN% -
1. PLS A%%ACH VALUA%ION CER%IFICA%E BY CER%IFIED VALUERS FOR ALL %HE PROPER%IES SHOWN.
2. PLS A%%ACH CHAR%ERED ACCOUN%AN% CER%IFICA%E FOR ALL %HE O%HER ASSE%S & LIABILI%IES.

S.No Description Owned By

Current Market
Value (Rs Lacs
Mortgaged
(Yes / No
%ota Assets =
Current + Non

REAL ESTATE DETAILS

Business
Investment

%O%AL
Stock in hand
Loans given
Non Current Assets
Applicant 1 Applicant 2 Applicant 3

Applicant 4 Applicant 5 Total Assets

God / Jeweer
Rea estate
%ota
Bonds
Securities
FDs
Cash
5. Total Assets owned by the applicant(s (in Rupees Lacs : (Pls mention name of applicants
Current Assets
Applicant 1 Applicant 2 Applicant 3 Applicant 4 Applicant 5 Total Assets
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- Woud ou -e wiing to sever this connection, if it is considered - Maruti Suzuki not to -e in the commercia interest
of the proposed deaership?
9. a Are the applicant / Co-applicant / applicant Reative involved with an agency for the sale of automobiles (2-Wheelers,
Cars, Trucks, LCVs, Tractors etc., If Yes please give details of the business.
Personal Achievements / Awards
Club Membership
. Other Personal Details :
Cars Owned
b Any Major Achievements / Awards won by you / your organization (Personal / Professional. Pls be brief:
c Are you member of any Trade Organisation :
7. a Please give a brief description of your existing business (Your Company's Role, share in the Market, Day to day
running of operations etc..
6. Please describe in brief, the Work Experience of each partner / director, specifying the Responsibility handled and the
number of years spent in each responsibility. (Please give details as a separate annexure.
LdlLlon 1sL november 2010
Fixed investment (for creating Infrastructure for deaership - Buiding, Interiors, Workshop equipments etc.
%O%AL
Working
Capita Investment
Fixed
Investment

%O%AL
Securities
/MFs /Ins
Propert
Liquidation
Cash FDs
Land
Others
Expected Project Cost in Rs Lacs :
OWN FUNDS %ERM LOAN
Experience Detais
Reationship with Main Appicant
Source of OWN Funds - in Rs Lacs
Current Occupation / Business
3. How much investment can you make in the Maruti Suzuki dealership? You should specify the maximum investment you
are willing to make in the Maruti Suzuki dealership (All figures in Rupees Lacs.
Name & Designation
Private Limited Compan
Is it an existing Company (Yes / No
2. Details of Person(s who would be managing the dealership on day to day basis:
Pu-ic Limited Compan
Shareholder's
Name
Proposed
Shareholding
Partnership
Soe Proprietorship
(tick whichever is applicable
Name of the Compan proposed
Nature of proposed concern Sharehoding pattern
Responsi-iiteis in
Deaership
Reationship with
Main Appicant
Please Tick ( )
1. Please specify the nature of the proposed concern and Shareholding pattern for the Maruti Suzuki dealership.
SECTON B
Proposed Business
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LdlLlon 1sL november 2010
(b. If funds to be invested are not readily available in cash, and will be provided by liquidation of other assets, please
provide details of how these funds will be raised.

4 (a. If provision of this amount will require liquidation of assets, please provide details of which assets will be liqidated,
How they will be liquidated, and when can the funds be expected to be made available for investment in a Maruti
Suzuki dealership.
S. No. Asset Detais
Current Seing
Price
(Rs Lacs
No. of Das
Required For
Liquidation
Other Detais
10 LdlLlon 1sL november 2010
Kms.
In case showroom & workshop are at different location i.e. not a 3S (Sales, Service & Spares facility,
what is the distance between the proposed Showroom and Workshop :
Site iv
Site v
Site ii
Site iii
Site i
(c. Location Details :
Sites Address
Nearest Dealership
(Name & Distance
Other Nearby Landmarks
Site v
Site iv
Site iii
Site ii
Site i
(-. Area Specification :
Sites Actual Plot Area Frontage Depth
Land Use
(Agricultural / Commercial /
Residence / Industrial
Site v
Site iv
Site iii
Acquisition (Acquired /
To be Acquired
5 (a. Site Detais : (Ps seect appropriate options from Drop-down menus
Site ii
Site i
Sites
Proposed for
(Showroom / Workshop /
Combined
Type
(Builtup / Greenfield
Proposed Setup
(Owned / Leased
SHOW%OON
WO%SHO#
WO%SHO#
WO%SHO#
WO%SHO#
!LT#
%EENF!ELD
!LT#
%EENF!ELD
%EENF!ELD
OWNED
LEASED
OWNED
OWNED
OWNED
TO E ACO!%ED
ACO!%ED
TO E ACO!%ED
TO E ACO!%ED
TO E ACO!%ED
!NDST%!AL
A%!CLT%AL
!NDST%!AL
CONNE%C!AL
%ES!DENT!AL
11 LdlLlon 1sL november 2010
Opposite Infront of the Site Left & Right side of Site
Site ii
Site Front Site Front - Across the Road
Site Front Site Front - Across the Road
Opposite Infront of the Site Left & Right side of Site
Site i
Site Pictures (Annexture
12 LdlLlon 1sL november 2010
Site Front Site Front - Across the Road
Opposite Infront of the Site
Site Front Site Front - Across the Road
Left & Right side of Site
Opposite Infront of the Site Left & Right side of Site
Site iv
Site iii
1 LdlLlon 1sL november 2010
. Market Information
5
6
7
4
2
3
(Detais for existing four wheeer deaership in the cit
%ota Industr Voumes
Maruti
1
S.No. Deaership Name Manufacturing Brand
Average Saes
Per Month
How man of MARU%I SUZUKI
cars woud ou -e
a-e to se out of the tota industr
during the
next 3 ears
Industr
U%ILI%Y VEHICLES
Maruti
Industr
Industr
5
PREMIUM SEG (Civic, Coroa,
Accord, Skoda
Maruti
Industr
3
B+ SEGMEN% (Swift, Getz, Fusion
etc.
4
C SEGMEN% (Esteem,SX4, Accent,
Verna, Ikon,
Fiesta, Cit, Indigo, Optra, Aveo
etc.
Maruti
Industr
Maruti
Industr
1 EN%RY LEVEL (M 800, Omni, Ato
2
B SEGMEN% (Zen, Wagon R,
Santro, Indica
Maruti
Next Year (N+1
avg. monthly
N+2 Year avg.
monthly
Industr
Maruti
a Automo-ie Deaerships around the site(s
c Major Roads / Highwas, Business Centers in the vicinit. d An other information.
. Pease give us an assessment of the Automo-ie Market scenario in our Cit/area. You ma -ase our assessment on
the existing popuation of vehices, economic deveopment, R%O data etc.
S. No Segments
Car Industr Saes figures & Projection
Last Year (N-1
avg. monthly
Current Year
(N montly
- Maruti Suzuki Deaerships around the site(s and distance from the proposed site.
%1. Pease attach photographs of and / -uiding
2. Use photocopies of this format, if more sites are avaia-e.
3. Pease show the ocation of the SI%E(s on the geographica map of our cit and highight
1 LdlLlon 1sL november 2010
Name & Address of a the Banks
a the appicants are -anking with
Duration of
Reationshi
p
%pe of Faciit
(Inventor finance,
Loan, Credit imit
etc.
Current Limit
(Rs. Lacs
Remarks
9|ease g|ve any |nformat|on wh|ch you fee| |s re|evant to your app||cat|on and wh|ch you wou|d ||ke us to cons|der
10. Pease give the fu name, address, teephone & fax num-ers of our main -ankers. In case ou have shifted the -uk of our
-usiness from one -ank to another within the ast 5 ears, pease give the fu name, address and teephone num-er, name,
address, and teephone num-ers of our previous -ankers aso.
- Have ou ever -een convicted of Saes tax / Income tax vioation?
if es, pease give detais.
c Do ou have an financia o-igations, other than those discosed a-ove? Yes / No
If es, pease give detais.
d Have ou ever -een -ankrupt?
if es, pease give detais
. In what respects do you feel qualified to own and manage a Maruti Suzuki Dealership, considering your background
Track record, Infrastructure and Financial strength?
9. Other Important Information
a Have ou ever -een convicted of a Crimina offence?
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Signature with date : _________________________ Signature with date : _________________________
FuII Name FuII Name
Signature with date : _________________________ Signature with date : _________________________
FuII Name FuII Name
(Signatures of individuals, partners or directors, as applicable)
I / we fu understand that, in case an information provided - me/ us herein is found to -e fase or incorrect,
Maruti Suzuki India Limited (MSIL reserves the right to reject the appication or reverse an decision taken
on the -asis of this information.
(f Credit imit from Bank
(g %he average month -aance in our accounts
I / we accept that the decision of the -oard of Maruti Suzuki India Limited (MSIL as fina and -inding.
(c Indicate if an coatera is hed - Bank for the oans / advances extended
(d Bank's rating for a the firms
(e %urnover of our current account
11. Pease attach a Certificate from our Main Banker in support of our financia strength and investment capa-iit.
%his document shoud certif the foowing :
(a %he num-er of ears ou have -een -anking with that -ank
(- Faciities -eing extended - the Bank - Inventor finance, Loan, Credit imit etc.
1 LdlLlon 1sL november 2010
Business InvoIved
Resident of
Age in Yrs
FamiIy Head
Age in Yrs
Business InvoIved
Business InvoIved
Resident of
FamiIy Head
FamiIy Head
Age in Yrs
FamiIy Head
Resident of
FamiIy Head
Age in Yrs
Age in Yrs
Business InvoIved
Resident of
Business InvoIved
Age in Yrs
Business InvoIved
Resident of
FamiIy Head
Resident of
FamiIy Head
Age in Yrs
Business InvoIved
Resident of
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