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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 Pincode
State Fax No.
Tel. No. Mobile No.

Status of Applicant (Type of Ownership)

Individual Partnership Private Ltd. Co. Public Ltd. Co.

For HMI office use only All Application are to be addressed to


Manager Service Network Planning
Received application form on HYUNDAI MOTOR INDIA LTD.
5th & 6th Floor, Corporate One
Complete Incomplete (Banni Building) Plot no. 5,
Commercial Centre, Jasola
Enclosures (Nos.) New Delhi - 110025 (India)

Not to be detached by applicants

Acknowledgment of Dealer Application Receipt * For Office Use Only


* To be filled by applicant
Received Date
Sr. no.
City applied Received By
Name of the applicant (Name & Signature)

Address
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 otal

3.0 Please give below the work experience, responsibilities held and achievements of the applicant/s

(Please attach additional sheets, if necessary)

2
About your Infrastructure

Infrastructure availability details Office Workshop

Available Available
4.1Office and Workshop
Not Available Not Available

4.2 Land Area (Sq. Mtrs.)

Owned Owned
4.3 Ownership
Leased Leased

Yes Yes
4.4 (A) Is it in your possession
No No

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

Available Available
4.6 Buildings
Not Available Not Available

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

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About your Performance

5.1 Products handled

Maruti Honda

Tata Motors Fiat

General Motors GM Others, Please Specify

5.2 Service Performance

Avg. No. of Jobs/ month


Item Comments
2010 2011 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 Language
Training 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)


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