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

APPLICATION FOR EMPANELMENT IN MARUTI SUZUKI INDIA LIMITEDAS APPROVED TRANSPORTER FOR DOMESTIC SPARE PARTS & ACESSORIES SALES BY.

  • SURFACETRANSPORTATION BY ROAD
  • SURFACE COURIER BY ROAD & AIR COURIER

Name of Applicant Company:

Registered Address:

State:

Telephone Number (with STD Code): ______

Mobile Number of contact person: ______

E-Mail Address of contact person: ______

Whether local office available at Gurgaon: Yes/No

  1. Please specify the nature of the proposed firm for the Maruti approved transport agency (Tick whichever is applicable).
  1. Sole Proprietorship ( )
  2. Partnership Company ( )
  3. Private Limited Company ( )
  4. Public Limited Company ( )
  1. What are your areas of operations in Transportation Business (Please Tick):
  2. Automobiles (Four Wheelers/Two Wheelers)( )
  3. Automobile Spare parts (Four Wheeler/Two Wheelers)( )

Mode

-Road Transportation ()

-Courier (Surface) ()

-Courier (Air) ()

  1. General Goods ( )
  1. If yes, please specify the years of experience you have in: (Pl. fill whichever is applicable)
  1. General Goods Transportation : ______years
  1. Automobiles (4 Wheelers/2 Wheeler) Transportation : ______years
  1. Automobiles Spare Parts (4 Wheelers/2 Wheelers) Transportation :______years
  1. Name the prominent companies with whom you deal inSpare parts/goods transport service and the freight rate paid by them:

S. N / Company / Trips/Month / Volume per month / Freight/Month / Place From / Place To / Item carried / Working since
1
2
3
4
5
6
  1. Please specify your existing fleet strength .All trucks should be in the name of the company / owner. (Pl. attach additional sheet mentioning below details)

S.N. / Make / Model (Year) / Capacity (MTs) / Cargo body length / Registration No. / Type of goods carried*
1
2
3
4

* Mention whether Spare parts carrier (Closed body)/ General Goods carrier / Automobile carrier

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

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

  1. How many trucks can you induct in MSIL fleet? May please note that all trucks should comply with Government Regulations and owned by your company:

Time frame / No’s
Within 3 months
Beyond 3 months
  1. 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
  1. Please provide the following details about the other companies, which you own :
  1. 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
  1. Is double drivers pertruck deployed:

If yes.. how many number of trucks____

If no.. are you willing to deploy double drivers: Yes/No

  1. Average kilometer run by your trucks

Clocked /Day: ____KM

Clocked/month: ____KM

  1. What type of return goods you carry back to Gurgaon: ______
  1. Is carriers are fitted with GPS device: Yes/No Make:______
  1. No.of offices situated in India _____ No’s & Cities covered______No’s
  1. Which parts of India, your company is transporting goods presently (Pl. tick in appropriate box)

a) North ()

b) South()

c) West()

d) East()

16. 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. Banker’s Letter if the company is Bank Approved
  5. Certificate/Latest Invoice as a proof from the companies with whom your organization is associated
  6. Share Holding Pattern of the Organization
  7. PF Number Details
  8. ESI Number Details
  9. RC copies of own trucks (20 Numbers)