MSIL: SNDL: INDUCTION 2016-17 Serial No.______

APPLICATION FOR EMPANELMENT IN MARUTI SUZUKI INDIA LIMITED AS APPROVED TRANSPORTER FOR FINISHED VEHICLES

Name of Applicant Company:

Registered Address:

State:

Telephone (with STD Code): ______

Cellular No.: ______

Fax No. (with STD Code): ______

E Mail Address:

1.  Please specify the nature of the proposed concern for the Maruti approved transport Carrier (Tick whichever is applicable).

a.  Sole Proprietorship ( )

b.  Partnership Company ( )

c.  Private Limited Company ( )

d.  Public Limited Company ( )

2.  What are your areas of operations in Transportation Business (Please Tick):

a.  Automobiles (Four Wheelers)

b.  Automobiles (Two Wheelers)

c.  General Goods ( )

d.  All of the above

3.  If yes, please specify the years of experience you have in:

a.  Carrying General Goods : ______years

b.  Carrying Automobiles (4 Wheelers) : ______years

c.  Carrying Automobiles (2 Wheelers) : ______years

4.  Name the companies whose vehicles/ goods you carry and the freight rate paid by them (in Rupees per Trailer per km and Rupees per ):

5.  Please specify your existing fleet strength (All Carriers should be in the name of the company / Owner)

a.  For Automobile carrying (Four Wheelers) :

Trucks: ______Nos., Trailers: ______Nos.

b.  For Automobile carrying (Two Wheelers) :

Trucks: ______Nos., Trailers: ______Nos.

c.  For General Goods carrying :

Trucks: ______Nos., Trailers: ______Nos.

6.  Is your Transport company bank approved: Yes / No

If yes, please specify the Bank’s Name & Address (Attach Banker’s Letter):

7.  How many Trucks & Trailers can you induct in MSIL fleet in a given time period (minimum 100 carriers within 6 months. May please note that all carriers should comply with Government Regulations):

Time Period / Trucks / Trailers
Old* / New / Old* / New

*Chassis with manufacturing year 2011 and older to be treated as old trucks / trailers.

8.  Please mention total number of Trucks & Trailers that you wish to induct in Maruti Suzuki India Limited and period of induction:

9.  Please provide the following details about your company for last 3 years (please attach audited financial statements / returns of your company ):

Year 2012-13 / Year 2013-14 / Year 2014-15
Turnover
Manpower
Fleet Size

10.  Please provide the following details about the other companies, which you own :

a.  Name of Business / Company: ______

Nature of Business: Transportation / Agricultural / Manufacturing / Trading / Construction / Finance / Others (please specify)______

Year 2012-13 / Year 2013-14 / Year 2014-15
Turnover
Manpower

b.  Name of Business / Company: ______

Nature of Business: Transportation / Agricultural / Manufacturing / Trading / Construction / Finance / Others (please specify)______

Year 2012-13 / Year 2013-14 / Year 2014-15
Turnover
Manpower

12. Please give any additional information, which you feel is relevant to your application and you would like us to consider:

Signature:

Name:

Designation:

Note: This Application Form should accompany following documents:

1.  Article of Association / Certificate of Incorporation / Partnership Deed whichever is applicable

2.  Proof of Registered Address

3.  Copy of Audited Financial Statements and Balance Sheet for last three financial years

4.  Copy of P/L statements for last three financial years

5.  Banker’s Letter if the company is Bank Approved

6.  Certificates from the companies with whom your organization is associated

7.  Share Holding Pattern of the Organization

8.  PF Number Details

9.  ESI Number Details