Society of Indian Automobile Manufacturers

PROFORMA

MODEL WISE DATA OF PASSENGER VEHICLES FOR 2012-2013

To

Society of Indian Automobile Manufacturers (SIAM)

Core 4B, 5th Floor, India Habitat Centre

Lodi Road, New Delhi 110 003 (INDIA)

Phone: +91-11- 2464 8555/2464 7810-12

Fax: +91-11- 2464 8222

E.mail: ; website:

Dear Sir,

We wish to take the SIAMstatistical information for the period of April 2012 - March 2013.

(a)@ Rs 10,000/- + Service Tax @12.36% or as applicable Per Annum (Applicable for Company registered in India) @ Rs. 11,236/- including service tax

(b)@ USD 750/- + Service Tax @12.36% or as applicable Per Annum (Applicable for overseas company) @ USD 843/- including service tax

We also agree to the following:

We shall not share, publish, upload, transmit, reproduce, redistribute or in any other manner make available the statistical information compiled and provided by SIAM, without the expressprior permission of SIAM. On being permitted, the user shall always mention the source ofthe statistical information i.e. SIAM. Any incidence of single copy being used by multiple users will result in immediate cancellation of supply of statistical information without any refund for the remaining period.

Name: ______

Designation: ______

Organization’s Name (In Full): ______

Address: ______

Ph: ______Fax: ______

Email: ______

Amount:______DD No:______Date:______Drawnon: ______

Signature: ______Date:______Stamp of Organization: ______

Demand Draft may kindly be drawn in favour of “SOCIETY OF INDIAN AUTOMOBILE MANUFACTURERS” payable at New Delhi, India

AFFILIATE MEMBERSHIP FORM FOR FY: 2012-2013

Dear Sir/Madam,

We are interested in the aims and objects of Society of Indian Automobile Manufacturers (SIAM) and are desirous of becoming its Affiliate Member for purchasing industry reports, sponsoring events, attending open seminars/conferences etc from time to time. Accordingly, we submit here under the following information in respect of our/my organization/self:

  1. Name of the Applicant (In Full) : ______
  1. Designation : ______
  1. Communication Address of the Applicant : ______

______

Tel: ______Fax: ______

Email: ______

  1. Name of Company/ Organization : ______
  1. Occupation of the Applicant : Please tick the appropriate box

Professional / Business / Employed / Others
  1. Signature: ______

For full year membership = Rs 500/- + Service Tax @ 12.36%or as applicable (For applications received between 1st April – 30th September)

For half year membership = Rs 250/- + Service Tax @ 12.36% or as applicable (For Applications received between 1st October – 31st March)

Payment Details:

Enclosed Draft or PO No. ______Date: ______

Drawn On: ______City: ______

Amount ______

All Draft / Pay Order should be in favour of “Society of Indian Automobile Manufacturers” payable at New Delhi

X------X

FOR OFFICE USE ONLY

Checked by: ______Approved by: ______

(Authorized official) (Authorized official)

Approved from the financial year : ______

Membership Number: ______Date: ______

Membership subscription: ______

Membership Valid till : ______

Signature of Authorized official

Model wise data PVs12th April 2012