APPLICATION FOR BAJAJ AUTO AUTHORISED SERVICE DEALER ASD (MOTORCYCLE BUSINESS)

Bajaj Auto Ltd. designs, develops, manufactures and markets a wide range of Motorcycles. This Application Form is for
ASD in India only. This Application Form is not an offer document or contract.
INSTRUCTIONS
1. The application must be made by:
i. an existing entity proposing to operate the ASD (Applicant), or
ii. if a new entity is proposed to be set up to operate the ASD, the application should be made by an existing
entity (Applicant) which shall provide all or most of the funding for the new entity

2. The filled in Application Form along with enclosures should be emailed to bajaj2wnetwork@bajajauto.co.in
and the signed hard copy need to be sent to the below mention address: Phone +91 20661066959
3. No payment is to be made with the Application

4. Incomplete Application Forms will not be accepted for processing.

5. The information provided by the Applicant is intended only for the Companys use.
6. By sending the filled Application Form, the Applicant is inviting Baja Auto to consider its application for ASD.
The Company does not assure the applicant of being selected for such ASD

7. Any information furnished in the Application is voluntarily provided as the Applicant submits the Application on his
own initiative. Bajaj Auto limited reserves the right to reject this Application without assigning any reason.
For further information please refer to the contact details in the advertisement.

GUIDELINES ON THE FACILITY REQUIRED

For the Applicant to identify appropriate facilities and analyze the economic viability of the dealership the following
approximations may be taken.

Sr. NO. Facility Area/ Quantity

Total area of 1200 to 1500 sq. ft. with frontage
1 Total Area of 20-25 feet. Covered area of 1000-1300 sq.
ft. and open area of 200 sq. ft.
2 Equipment/Hardware/Tools Approx. Rs 2.5 Lakhs
3 Security Deposit with BAL Approx. Rs 20,000

Applicant Details & Other Information

Location where ASD is sought: Teluka or Tehsil:______________City:_______________State:___________________
Name of Applicant: Mr. / Ms. / M/s :_____________________________________________________________________
Proposed composition of the firm (Public/Pvt.Ltd./Partnership/Proprietary):__________________________________

Principal person who would be responsible for all transaction with Bajaj Auto limited__________________________
Correspondence address:________________________________________

________________________________________

Town/City ______________________ Tehsil/Taluka: ________________________________

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District: _____________________ Pin code: ___________________State:_______________

Email Id (If available):________________Landline:_______________________ Mobile: __________________________

Name of the proposed firm:__________________________________________

Address: ________________________________________________
________________________________________________

Town/City ______________________ Tehsil/Taluka: ________________________________

District: _____________________ Pin code: ___________________State:_______________

1. Current Business Activities of Applicant

Please indicate all the current business activities of the Applicant/s.

Name of the Firm Business activity Annual Turnover (Rs Lakhs)

2. Bank Details

Type & Amount of

Bank Name Bank Branch (City, Facility with Bank Bank Manager Name Bank Manager mobile
IFSC Code) (Rs Lakhs) No.

3. Please provide the asset details of the applicant (Rs. in Lakhs)

Asset Details Year 2014-15

Land/Building
Bank Deposit/Any Other Fixed Deposit
Cash in Hand/Bank
Gold

4. Reasons for applying for Bajaj Auto Limited ASD

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 5. Facilities proposed

Facility Proposed
Is the land/plot owned or Leased Owned/Leased
If land is not available, do you have a proposed site Yes/No
How much time will it take to get the site for your purpose Give time in months
If no constructed facility is proposed, how much time will it take you to construct a facility Give time in months

6. Investment Plan for proposed ASD

(Rs.
Application of Funds (Rs. Lakhs) Source of Funds Lakhs)
Own Funds
Land/Building/Equipment
Term Loan
Own Funds
Inventory/Receivables
Short Term Loan

Total

7. Provide the following documents for Id and address proof.

Address Proof Electricity Bill, Telephone Bill, Municipality Bill

Identity Proof - PAN Card, Aadhar Card, Election Card
DECLARATION
I/we the Applicant confirm the personal data provided is correct and authorize Bajaj Auto Ltd (and ifs officials) to scrutinize
and validate this data. I/We the applicant, accept the decision of Bajaj Auto Ltd as final & binding. I/We the applicant, have
not been convicted in any court for any offense.

I/We fully understand that in case any information provided above is found to be false/incorrect, M/s Bajaj Auto Ltd reserves
the right to reject the application or reverse any decision taken on the basis of this format

Signature______________________________ Date______________

Doc NO: AMD-0200/DA/02-Rev-08-Feb-2016

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