APPLICATION FORM Hyundai Authorised Service Center Name of Applicant Ref. No. Correspondence Address and Contact Nos. Status of Applicant (Type of Own...
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APPLICATION FORM Hyundai Authorised Service Center
Name of Applicant
Date Ref. No. Sr. No.
City Applied For
Correspondence Address and Contact Nos.
City State
Fax No.
Tel. No.
Mobile No.
Pincode
Status of Applicant (Type of Ownership)
Partnership
Individual
Private Ltd. Co.
For HMI office use only
All Application are to be addressed to Manager Service Network Planning HYUNDAI MOTOR INDIA LTD. 5th & 6th Floor, Corporate One (Banni Building) Plot no. 5, Commercial Centre, Jasola New Delhi - 110025 (India)
Received application form on Complete
Public Ltd. Co.
Incomplete
Enclosures (Nos.) Not to be detached by applicants Acknowledgment of Dealer Application Receipt * To be filled by applicant
* For Office Use Only Received Date
Sr. no. City applied Name of the applicant Address
Received By (Name & Signature)
HYUNDAI MOTOR INDIA LTD. Sales & Marketing Office New Delhi - 110025, India
Tele # FDR # (Note: For future correspondence, please quote city applied for and form Sr. No. always)
1
About Yourself
1.0 Educational & Professional Qualification of Applicant/s Name
Age
Qualification
Year
University/ Institution
2.0 Total assets owned by the applicant/s (In INR Lacs) Name
Moveable Assets
Immovable Assets
3.0 Please give below the work experience, responsibilities held and achievements of the applicant/s
(Please attach additional sheets, if necessary) 2
otal
About your Infrastructure
Infrastructure availability details 4.1Office and Workshop
Office
Workshop
Available
Available
Not Available
Not Available
Owned
Owned
Leased
Leased
Yes
Yes
No
No
Available
Available
Not Available
Not Available
4.2 Land Area (Sq. Mtrs.)
4.3 Ownership
4.4 (A) Is it in your possession
4.4 (B) If not, by when can you take possession (please mention date) 4.5 If leased Annual Rent (INR) Lease expiry month & year 4.6 Buildings
4.7 (A) Covered Area (Sq. Mtrs.) 4.7 (B) Open Area (Sq. Mtrs.) 4.7 (C) Frontage (Sq. Mtrs.)
4.8 Full Address of Land/Building
4.9 Date of Inception/ Start of Business
3
About your Performance 5.1 Products handled Maruti
Honda
Tata Motors
Fiat
General Motors GM
Others, Please Specify
5.2 Service Performance Item
Avg. No. of Jobs/ month 2010
2011
Comments
2012
Service Running Repairs Major Repairs Labour Revenue Parts Sales Source of Parts Procurement:
Tools & Equipments 6.0 Item
Avl./ Not avl.
Nos.
Comments
Two Post Lift Inspection Pit Washing Hoist/ Ramp Air Compressor Car Washer Generator Wheel Aligner Wheel Balancer Torque Wrenches Vernier Calliper Micrometer Multi Meter Timing Light Dwell Angle/ Tachometer Tyre Press. Gauge Work Benches Bench Grinder Bench Vice Drill Machine Gen. Tool Kits 4
Manpower 7.0 Name
Age
Qualification
Designation
Exp. (Yrs.)
Professional Training
Language Read/Write
Financial Strengths 8.0 Investment Capabilities Own Funds __________________________ (INR in Lacs) Borrowed Funds ______________________ (INR in Lacs) Total _______________________________ (INR in Lacs) Affiliations 9.1 Incase you are Authorized Service Center for any other automobile manufacturer/s, please specify details:
9.2 Will you, the Partners/Directors, be willing to sever this connection, in case it is a precondition by HYUNDAI MOTOR INDIA LTD.. to granting Auth. Service Center
10.0 Give in brief on “Why you wish to associate with Hyundai”
Declaration I/We or the applicant company have not been convicted in any court in any criminal act. I/We fully understand that in case any information provided above is found to be false/ incorrect, HYUNDAI MOTOR INDIA LTD. reserves the right to reject this application or reverse any decision taken on the basis of above stated information provided in this application.
Signature: ____________________
Signature: _______________________
Name: _______________________
Name: __________________________
(Signature of Individuals, Partners or Managing Directors as applicable) 5
