Distributor Assessment Form

Name of firm applying for Distributorship: GOLCHHA LUBRICANTS & CHEMICALS Pin visiting card here Name of Managing Partner/ Director: MR. RAHUL GOLCHHA Type of firm: Public Ltd/ Pvt. Ltd/Partnership/HUF PROPRIETORSHIP [MR. RAJENDRA KUMAR GOLCHHA] Address: P3 ASHIYANA TRADE CENTRE ASHIYANA TRADE CENTRE ADITYAPUR , JAMSHEDPUR Pin code: 831006 STD Code & Phone No:0657-2383564,812 e-mail : golchhalub@gmail.com CST No. LST No.

Company registration details Phone No. (Office,Home) % Share in capital

Details of the Partners / Board of Directors Name Age Office Home Address Address

Companies for which the firm is an Authorized Distributor Company Year of start Turnover (Last Area covered completed FY) CASTROL INDUSTRIAL 2007 JHARKHAND

Special Remarks, if any

Other firms where partners / directors have business interests Name of firm Turnover What business Which partner

% stake

Any of the firms or immediate family members dealing in lubes? Yes/No. If yes: Name of the firm Which brand? As what? Volume (kl) per month

Distributor Assessment Form (continued) 2 Financial Information Note: Please provide a letter, addressed to your
bank, authorizing them to provide references to Castrol India Limited 1. Name and address of the Bankers 3. Name of the Bank Manager 5. Bank overdraft limit (Rs. lacs) 7. Loans (in Rs. lacs if any) 2. STD code & Phone No. 4. Current A/c. No. 6. Own capital in business (Rs. Lacs) 8.

8. Assets (movable and immovable in the name of Partners / Directors) Partner Nature of Particulars@ Purchase year Present name asset* and value market (lacs) value

* Please mention whether the asset is land, building, flat, vehicle, share certs, etc @ Depending on the nature of the asset, give the relevant particulars eg. If it is land, survey no. & address, area in sq.ft, etc. Use separate sheet if necessary. Please give complete information

Infrastructure for Business: Please confirm currently available infrastructure 1.Covered godown space: _____ sq.ft. Owned/ rented? 2.Delivery Vehicles (Vehicle make, tonnage): 3.Computer (Number and configuration 4. No. of Field Sales Reps

Distributor Assessment Form (continued)

References: Please give the names of 3 references from your different principals Name of Company Designation Office phone Mobile / Home person & STD code phone

If selected as the Castrol Distributor: 1. Please confirm how much working capital you can make available for the Castrol business 2. How do you propose to raise the above amount? 3. Who will be the person in your firm to run the operations of the distributorship? 4. We will work the Castrol Way: Yes/No 5. We believe we are the best candidates for Castrol distributorship here because _ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ I/we hereby declare that the information given above is valid and correct to the best of my/our knowledge. I/we also hereby agree to inform Castrol India on changes if any on the above information in writing (Authorized Signatories) Signature (Name) Enclosures: Profit and Loss Statement for the last three financial years Balance sheet for the latest financial year Copy of the partnership deed/ Company Articles of Association Letter to our bank authorizing them to provide our account information to Castrol India Note: Please use the space below or separate sheet for any additional comments 1. 2. 3. 4. Signature (Name)

Distributor Assessment Form (continued)

(For Company use only) Shortlisted for Prelim interview? Yes/ No. If No, main reason why: Sales Executive sign Sales Manager sign Prelim interview letter couriered on: __________ Prelim interview done on ______ by __________________ at _______. Shortlisted for Site Visit List? Yes/No. If No, Main reason why: Sales Executive sign Sales Manager sign Site Visit Date Letter couriered on: __________ Site Visit done on ______ by __________________ Site visit observations:

Sales Executive sign Sales Manager sign Reference check done by Sales Manager with Mr./Ms_______________, _________ in company _______________ that is one of the main principals of the Distributor candidate. The check was done by phone/ personal contact/ mail. Reference check feedback: Sales Manager sign Shortlisted for Due Diligence List? Yes/No. If No, Main reason why: Sales Executive sign Sales Manager sign Due Diligence visit made by RCM on______ Shortlisted for Final Interview List? Yes/No. If No, Main reason why: RCM sign Final interview letter couriered on: __________ Final interview done on ______ by GM & SM on___________ at Regional Office. Selected for Distributorship? Yes/No. If No, Main reason why: General Manager sign Sales Manager sign LOI sent by GM on ______ Go ahead given by RCM on____ RCM sign SE All Clear Letter received on____ GM LOA letter sent on_____. Distributorship to start from__________