honda application form 2014

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    LAST DATE FOR SUBMISSION OF THIS APPLICATION FORM IS

    APPLICATION FORM FOR SUB-DEALERSHIP

    INSTRUCTIONS TO THE APPLICANT

    1. Kindly go through the complete form thoroughly before filling it up.

    2. It may be noted that APPLICANT here refers to the Main Promoter /Partner who wouldrun the day to day operations of the proposed Sub-Dealership

    3. This application form should be filled in ENGLISH Language only, either by TYPING or in

    BLOCK LETTERS with Black Ink.

    4. All the financial information mentioned should be in Rs. LACS.

    5. Multiple locations can be applied for; an applicant must fill separate application form for

    each location (A blank form can be photocopied for this purpose). All such applications

    should be sent within the same envelope.

    6. All applications for the dealership must be sent in the envelope provided. The LOCATION

    (S) applied for must be clearly mentioned at the top of the envelope.

    7. If the space provided for giving the information is insufficient, please Xerox relevant

    portions and attach as annexures clearly stating the section and sub-section, which the

    information relates to.

    8. CHECKLIST FOR ENCLOSURES (MOST IMPORTANT)

    a) Passport size photograph of the Main Promoter. (Section2)

    b) Certificate of age Proof-(School Leaving Certificate/Driving License / Any other)

    c) Certificate for educational qualification.

    d) Certificate for any awards, honour or recognition received.

    e) Please attach Bankers letters conforming credit worthiness (Solvency Certificate from

    Nationalized Bank)

    f) City map showing location of site (s). Section8F1)

    g) Detailed plan (s) showing layout of the proposed site (s) and the neighbouring areas.

    (Section8F2)

    h) Property documents as proof of ownership/lease of proposed sites. (Section-8F3)

    i) A copy of relevant city /state byelaws indicating that the proposed piece of land can be

    used for setting up a dealership of 2 wheelers (Inclusive of a Showroom and a

    Workshop). (Section8F5)

    j) At least two recent postcard sized photographs of the proposed site(s). (Section-8F10)

    k) Copy of the Income tax returns of the Main Promoter for last three years.

    l) Balance sheet and Profit & Loss statement for the current business of the main

    Promoter for last Three Years. (Audited / C.A. Certificate)

    m) C.A. certificate confirming investment in the current business in land & building.

    n) Family Tree (Atleast 3 generations)

    Honda Motorcycle & Scooter India Pvt. Ltd.

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    Honda Motorcycle & Scooter India Pvt. Ltd.

    S.No.

    1. LOCATION APPLIED FOR

    2. PERSONAL PARTICULARS OF THE MAIN PROMOTER (WHO WOULD RUN THEDAY TO DAY OPERATIONS)

    a) Name

    b) Date of Birth c) Marital Status

    d) Age e) Citizenship

    f) Address: (Please tick the preferred correspondence address

    in the box indicated)

    Residence:

    Pin:

    Tel: Fax: E-mail:

    Mobile:

    Office:

    g) Educational Qualification:

    Particulars Year ofPassing Institution Degree

    Graduation

    Post Graduation

    Any Automobile Related Degree

    Any Other Degree/Course

    f) Awards/Honours / Recognition, if any:

    ParticularsYear ofPassing

    Institution Degree

    Graduation

    Post Graduation

    Any Automobile Related Degree

    Any Other Degree/Course

    2

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    Honda Motorcycle & Scooter India Pvt. Ltd.

    3. BRIEF BACKGROUND (FAMILY & BUSINESS) OF THE MAIN PROMOTER

    4. BUSINESS PARTICULARS OF THE MAIN PROMOTER

    A) Total experience years

    Period

    Firm / Cos Name &

    Constitution of firm Product/Brand%

    Stake

    Total investment

    (including land &

    building)

    (Rs.Lacs)

    Annual Turn

    Over

    (Rs.Lacs)

    No. of

    Employees

    Pvt. Ltd. Co. / Public Ltd. Co. / Partnership / Proprietorship

    B) Business Investment Details

    (Give Full Names and Addresses) Own

    Fund

    Banking Facilities (Rs. Lacs)

    TotalL/C C/C

    Over

    Draft

    1

    2

    Please attach Bankers letters conforming credit worthiness (Solvency Certificate from Nationalized Bank)

    3

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    Honda Motorcycle & Scooter India Pvt. Ltd.

    5. BUSINESS PARTICULARS OF THE OTHER PROMOTERS / PARTNERS

    A) First Promoters Name Date of birth(Other than Main Promoters)

    Period Firm / Cos Name &

    Constitution of firm

    Product/Brand%

    Stake

    Total investment(including land &

    building)

    (Rs.Lacs)

    Annual Turn

    Over

    (Rs.Lacs)

    No. of

    Employees

    B) Second Promoters Name Date of birth

    PeriodFirm / Cos Name &

    Constitution of firm

    Product/Brand%

    Stake

    Total investment

    (including land &

    building)

    (Rs.Lacs)

    Annual Turn

    Over

    (Rs.Lacs)

    No. of

    Employees

    C) Second Promoters Name Date of birth

    PeriodFirm / Cos Name &

    Constitution of firm

    Product/Brand%

    Stake

    Total investment

    (including land &

    building)

    (Rs.Lacs)

    Annual Turn

    Over

    (Rs.Lacs)

    No. of

    Employees

    Pvt. Ltd. Co. / Public Ltd. Co. / Partnership / Proprietorship

    4

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    Honda Motorcycle & Scooter India Pvt. Ltd.

    6. IF DEALING IN 2 - WHEELERS

    A) Name of the Co. / Brand dealing with

    B) Sales Volume / month Nos.

    C) Mention Facilities Available

    (1) AREA (2) ANNUAL TURNOVER laca) Showroom Sq. m. a) Sales lac.

    Frontage Sq. m. b) Spare lac.

    b) Spare Parts Sq. m. Average Stock/month lac.

    c) Workshop Sq. m. c) Service lac (only labour)

    d) Warehouse Sq. m. No. of vehicles serviced/month nos

    No. of Field Service Vehicles nos

    Automated w/shop Yes No

    (if Yes Attach a Photograph)

    (3) TOTAL NO. OF STAFF nos. (2) LAND/BUILDING (please tick)

    a) Sales nos. Showroom owned leased

    b) Spares nos. Workshop owned leased

    c) Service nos. Warehouse owned leased

    d) Others nos. (please tick)

    7. IF DEALING IN 4 - WHEELERS

    A) Name of the Co. / Brand dealing with

    B) Sales Volume / month Nos.

    C) Mention Facilities Available

    (1) AREA (2) ANNUAL TURNOVER lac

    a) Showroom Sq. m. a) Sales lac.

    Frontage Sq. m. b) Spare lac.

    b) Spare Parts Sq. m. Average Stock/month lac.

    c) Workshop Sq. m. c) Service lac (only labour)

    d) Warehouse Sq. m. No. of vehicles serviced/month nos

    No. of Field Service Vehicles nos

    Automated w/shop Yes No

    (if Yes Attach a Photograph)

    (3) TOTAL NO. OF STAFF nos. (2) LAND/BUILDING (please tick)

    a) Sales nos. Showroom owned leased

    b) Spares nos. Workshop owned leased

    c) Service nos. Warehouse owned leased

    d) Others nos. (please tick)

    5

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    Honda Motorcycle & Scooter India Pvt. Ltd.

    8. FACILITIES PROPOSED FOR HMSI 2 WHEELERS SUB-DEALERSHIP

    A) PROPOSED NAME OF THE FIRM

    B) CONSTITUTION OF PROPOSED FIRM

    Pvt. Ltd. Co. / Public Ltd. Co. / Partnership / Proprietorship

    C) ADDRESS OF THE PROPOSED LAND / BUILDING

    D) EXPECTED ANNUAL SALES VOLUMES AND MANPOWER

    Year 1 Year 2 Year 3

    Volume

    Sales - Sales - Sales -

    Service - Service - Service -

    Parts - Parts - Parts -

    Safety - Safety - Safety -

    E) FINANCE

    1. How much are you prepared to invest (including land & building) in this sub-dealership?

    (Give Maximum Amount)

    (Rs. Lacs) (Own % / Bank % )

    2. Does the provision of this amount require you to liquidate some assets? YES /NO

    If yes, please give details of the assets which would be liquidated and how?

    3. Please specify the amount of Working Capital proposed for the sub-dealership?

    (Rs. Lacs) (Own % / Bank % )

    4. Please furnish the details of other promoters / partners in this sub-dealership

    Name of thestakeholder

    Relationship with

    main promoter

    Years of businessassociation with

    the main promoter

    InvestmentAmount

    (lac)

    % ofEquity

    Nature ofInvolvement

    #

    Friend? Business Partner / RelativePlease Specify

    # Shareholder / Director / Active or Sleeping Partner

    6

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    F) LAND/BUILDING

    1. Please attach along with this form a city map showing location where you propose to set-up thisdealership

    2. Please attach along with this form a detailed site plan (to scale) showing the layout of theproposed land and the neighbouring area. (Also show exat dimension of the facility in meters)

    3. Whether the Land / Building is:(PLEASE TICK)

    Owned

    Leased

    If Leased, specify rent / month

    (Rs. Lacs)

    (Please furnish a copy of the ownership/lease documents. In case they are in locallanguage, kindly translate the relevantinformation in English.)

    SHOWROOMa) Area Sq.m

    b) Dimension L x B m.

    c) Frontage m.

    d) Parking Space Sq.m

    PARTSa) Area Sq.m

    WORKSHOP

    a) Area Sq.m

    WAREHOUSE

    a) Covered Area Sq.m

    4. How long it will take to make 4S infrastructure ready from the date of LOI? months

    5. Do the building byelaws allow you to construct/run a showroom cum workshop on this land?

    6. Has any of the promoter / relatives as per family tree been into business of 2 wheelers? If yes,

    give details.

    7. Have you applied for Honda Dealership ever before? If yes

    Location Month/Year of application

    Whether interviewed by HMSI Yes No

    8. Are you any of your relative are business partners with HMSI? if, please specify

    Dealership Sub-Dealership ASC Vendor Stockist Transporter

    Duration of association with HMSI Location

    7

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    Honda Motorcycle & Scooter India Pvt. Ltd.

    9. What will be your unique business approach to promote Honda Brand in your area?

    (more information can be attached in separate annexure).

    8

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    Kindly share your family tree (3 Generations one above and one below of the main

    promoters with age, education and business / profession).

    One Generation

    Above main promoter

    Main promoter

    One Generation

    Below main promoter

    8

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    1. Please attach two recent postcard sized photographs of the site in the boxes indicated

    (More photographs may be attached as annexures)

    PHOTOGRAPH - 1

    PHOTOGRAPH - 2

    9

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    Honda Motorcycle & Scooter India Pvt. Ltd.

    DECLARATION

    1) The applicant certifies that he made full disclosure of all the information required in the application

    and all information given by him is true in all respects. He further acknowledges that any

    misinterpretation, whether intentional or unintentional. In the information submitted in connection

    with the application shall be grounds upon which Honda Motorcycle & Scooter India (Pvt.) Ltd.

    (HMSI) may either: (a) Decide to no longer consider his application OR (b) Immediately terminate

    any sub-dealership agreement executed by HMSI with him or the dealer company designated by

    him.

    2) This applicant acknowledges that this is only an application for sub-dealership and by submitting

    this application; he will not place any obligation on HMSI to appoint the applicant as an authorized

    sub-dealer of HMSI.

    3) The applicant certifies that he is not suffering from, or aware of any legal disability that would

    prevent him from being appointed as an Authorized Dealer of HMSI.

    4) The applicant acknowledges that any obligations undertaken or expense incurred by him in

    submitting this application shall be incurred entirely on the applicants own behalf.

    5) The applicant hereby authorizes HMSI to make any inquires it may consider necessary to verify

    this information and will not consider such inquiry to constitute an invasion of his privacy.

    6) The applicant acknowledges that copies of all documents, photographs etc. furnished by him to

    HMSI in the process of applying for dealership would henceforth become a property of HMSI and

    may retain by them for their records.

    7) The applicant hereby authorizes the receipt, provision, verification, and exchange of relevant

    credit related information form / with any source including banks, credit rating agencies, credit

    bureaus in respect of his personal account as well as business for the purpose of considering his

    request.

    8) The applicant certifies that he/she never been convicted by court in India for any criminal offence,

    hence sentenced to imprisonment preceding the date of application.

    DATE:

    NAME OF THE APPLICANT: SIGNATURE:

    NAME OF THE WITNESS: SIGNATURE:

    NOTE: The submission of your Dealer Application Form is only the first step in the process to qualify

    for HMSI dealership. Until you are officially informed in writing and are presented with a dealership

    Letter of Intent, you are not appointed as HMSI dealer. Only after completion of Terms & Conditions in

    the LOI and after due diligence by HMSI nominated Team, we enter into a dealer agreement for official

    commencement of Honda Exclusive Authorised Dealer Operations. Until then, you should not rely on

    any action or communication from HMSI to the contrary.

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    REFERENCES

    REFERENCES 1 REFERENCES 2 REFERENCES 3

    NAME

    CONTACT NO.

    EMAIL ID

    PROFESSION

    RELATIONSHIP

    WITHAPPLICANT

    KNOWN SINCE(NO. OF YEARS)

    11