APPLICATION FOR TATA MOTORS PASSENGER VEHICLE DEALERSHIP

Tata Motors Ltd. designs, develops, manufactures and markets a wide range of cars and utility vehicles. The Companys
dealerships handle one or more of its brands: Zest, Bolt, Indica, Indigo, Aria, Safari, Sumo and Nano.

This Application Form is for a dealership in India only. This Application Form is not an offer document or contract.

INSTRUCTIONS

1. This Application Form has 19 numbered pages. The Applicant is advised to carefully read the entire Form

2. The application must be made by:

an existing entity proposing to operate the dealership (Applicant), or
if a new entity is proposed to be set up to operate the dealership, the application should be made by an existing
entity (Applicant) which shall provide all or most of the funding for the new entity

3. This Application Form has 4 sections. All sections must be filled by the Applicant. Information that does not fit into the
space provided in the Application Form should be attached in a numbered Enclosure, with all such Enclosures filed
with the Application Form. All Enclosures should be referenced from this Application Form.

4. All financial statements provided with the Application Form must be audited statements, complete with all schedules,
notes forming part of accounts and the auditors report.

5. Applicant to ensure that the Application is signed on pages 17 and 18 and on any copies of the same.

6. The filled in and signed copy of the Application Form and Enclosures, should be sent by mail / courier to:

Dealer Development Cell

Tata Motors Ltd.
Passenger Vehicle Business Unit
One Indiabulls Centre, 20th Floor
Tower 2-B, 841 Senapati Bapat Marg
Mumbai 400 013
Board: 022-6658 6000
Email : cardealers@tatamotors.com

No payment is to be made with the Application

Incomplete Application Forms will not be accepted for processing.

On receipt, if the Application is complete, the Applicant will receive an administrative acknowledgement from Tata
Motors with a Number. Applicant to quote the number in all future correspondence.

The information provided by the Applicant is intended only for the Companys use.

By sending the filled Application Form, the Applicant is inviting Tata Motors to consider its application for a
passenger vehicle Dealership. The Company does not assure the Applicant of being selected for such dealership

7. Any information furnished in the Application is voluntarily provided as the Applicant submits the Application on his own
initiative. Tata Motors Ltd. reserves the right to reject this Application without assigning any reason.

8. Should Tata Motors Ltd. find the Application of interest, the Applicant may be invited for discussions and additional
disclosures, including due-diligences.

DA 10 F650 Page 1
 SECTION-A

Applicant Details (Financial and Ownership Information)

Location where dealership is sought: City / State _____________________________________________________

Name of Applicant: Mr. / Ms. / Messer /________________________________________________________________

Applicant Structure: Company Partnership firm Proprietorship

Contact Person ________________________________ Designation ________________________________

Address of Applicant (No Post-Box permitted, a Pin-Code must be given).

City: Pin Code: State:

Telephone (indicate STD code) ______________________________________ Mobile _________________________

Email __________________________________________________________________________

Entity proposed for operating the Tata Motors, Passenger Car Dealership.

Applicant Company / Firm New Entity

If the Applicant is setting up a new Entity, please indicate the type of Entity proposed for the Tata Motors,
Passenger Car Dealership.

Individual / Proprietorship

Partnership

Limited Company

DA 10 F650 Page 2
1. Information about Directors / Partners / Proprietors who would be involved in the Tata Motors, Passenger Car
dealership.

Name Relationship Age Qualification Present Proposed holding

with applicant Occupation in dealership
( %)

2. Provide brief details of the professional experience of each Director / Partner / Proprietor mentioned above.

Please indicate the number of years for which the Director/Partner/Proprietor has handled each responsibility. Indicate
any relevant experience in the automobile industry

i)

ii)

iii)

iv)

v)

DA 10 F650 Page 3
3. Current Business Activities of Applicant.

Please indicate all the current business activities of the Directors/Partners/Proprietors and its subsidiaries. Also indicate
if the Directors/Partners/Proprietors are associated directly / indirectly with any 2/3/4 wheeler automobiles franchisee.

Division / Department / Subsidiary Business activity and the name of the Key Manager Annual Turnover
(Rs. Lakhs)

DA 10 F650 Page 4
4. Provide the audited financial statements for the past 3 years of the Applicant.

The Applicant must submit audited financial statements, even if the proposed dealership will be through a new entity to
be formed.

For a Proprietorship, please submit financial statements of your businesses certified by your accountant. Kindly indicate
the Income Tax and Wealth Tax paid in the past 3 assessment years below, and enclose copies of the Income Tax and
Wealth Tax returns for these 3 years.

Name of Applicant (Proprietorship) Income tax paid in the last 3 Wealth tax paid in the last 3
assessment years assessment years

I II III I II III

In case one or more of the Directors / Partners / Proprietor have a Controlling Interests in any other companies, kindly
provide details of the business of such company / firms.

Controlling Interest is defined as one, where one or more Directors / Partners / Proprietor hold 50% or more equity in any
combination (i.e. single or jointly) in any other Company or Firm. Also provide details of proprietorship firms owned by any
Director / Partner.

Please list the Companies / Firms in which the Directors / Partners / Proprietors have a controlling interest below:

Name of Company / Firm Names of Directors / Partners with Controlling interests (%)

DA 10 F650 Page 5
5. Please provide the consolidated financial information of the applicant (Rs. in Lakhs).

Name of the Applicant :

Name of the Company :

Nature of the Company : Proprietorship / Partnership / Limited Company

Year 2011-12 Year 2012-13 Year 2013-14

Financial Details

Total Fixed Asset

Current Asset

Shareholders Funds

a) Share Capital

b) Reserves and Surplus

Long term Loan

Current Liabilities

Income

Expenditure

Depreciation

Profit before Interest and

Taxes

Interest

Profit before Tax

Total Tax

Profit after Tax

DA 10 F650 Page 6
6. Banker to the Applicant.

Please list the Bankers of the Applicant and enclose a letter / certificate from each bank indicating the current limits
enjoyed (term loan and working capital / cash credit) and duration / time of business relationship with bank.

Name and address of Bank Duration of Type of facility Current Limit (Rs. Lakhs)
relationship

7. Existing Relationship with Tata Motors Ltd.

Kindly enclose if the Applicant, or any associate/ group company or firm of the Applicant, has any current or past
business relationship with Tata Motors. If there is no relationship, write No business relationship below.

8. Potential for conflict of interest.

Please indicate if the Applicant or any of the Partners / Directors, or their immediate relatives (sons, daughters,
husband, wife, father or mother) is in any way connected with dealership/ agencies/ OEM for sale of any automobile
(2 wheeler, 4 wheeler etc.). If not, write No potential for conflict of interest below

9. Applicant dispute with Tax Authorities.

If the Applicant had, or has, any tax liability / dispute with the Income Tax / Excise / Sales Tax Department within the
past 3 years, please give a brief resume of the dispute with the amount involved. If not, write No tax dispute below.

10. Legal disputes of Applicant.

If there have been legal proceedings filled by the Applicant or against the Applicant in the past 3 years, please specify
the amount involved and provide a brief resume of the litigation. If there are no such legal proceedings, write No legal
dispute below.

DA 10 F650 Page 7
 SECTION-B

Business Plan for the Proposed Dealership

1. Vehicle sale plan

Please give your estimate (over five years) of the number of Tata Motors Passenger Vehicles you would be able to sell
in the city (inclusive of the district in which the city is located) for which you have applied to set up a dealership. In an
Enclosure, please outline your reasoning and plan for achieving the vehicle sales indicated.

Brand of Tata Vehicle Year 1 Year 2 Year 3 Year 4 Year 5

Zest from Tata Motors

Bolt from Tata Motors

Tata Nano

Tata Indigo including Manza

Tata Indica including Vista

Tata Safari & ARIA

Tata Sumo

2. Vehicle service plan

Please give your estimate (over five years) of the number of Tata Motors Passenger Vehicles you would be able to
service in the city for which you have applied to set up a dealership. In an Enclosure, please outline your reasoning
and plan to attract the number of vehicle indicated, to your service station.

Brand of Tata Vehicle Year 1 Year 2 Year 3 Year 4 Year 5

Zest from Tata Motors

Bolt from Tata Motors

Tata Nano

Zest from Tata Motors

Tata Indigo including Manza

Tata Safari & ARIA

Tata Sumo

DA 10 F650 Page 8
3. Spare Parts plan

Please give your estimate (over five years) of Tata Motors spare parts you will sell through your dealership. In an
Enclosure, please outline your reasoning and plan to achieve the same.

Value of Parts in Rs. Lakhs

Year 1 Year 2 Year 3 Year 4 Year 5
Spare Parts

4. Dealership Revenue Projections

Please summarize your assessment of the projected revenues of the dealership for the first year of operations.
(in Rs. Lakhs.)

Income from vehicle sales margin

Other income from sales operations

(Sales finance, insurance, registration, accessories etc.)

Labour earnings in workshop

Income from spare parts margin

Other income from workshop operations

(Value added services, co-branded products etc.)

Total revenues from dealership operations

DA 10 F650 Page 9
5. Dealership Plan of Operation

Please summarize the staffing plan of your proposed dealership. In an Enclosure, please provide the details of
organization structure, staffing and facilities proposed.

Department Number of Persons Average Cost per person

Sales

Service

Spare Parts

Accounts & Administration

Allied activities offloaded

TOTAL PERSONS

6. Key Dealership Personnel

Please list the key dealership personnel in your proposed organization and, if you have already identified someone
external to your organization for recruitment, kindly provide details of the same.

Designation Qualification Name (if available) Where is the person

currently working

7. Facilities proposed

The facilities required are indicated on page 2 of the application. In light of these requirements, please place a tick
mark () in the appropriate box below

Indicate the type of facility being proposed Integrated 3-S Facility

Separate Showroom & Workshop

If you have indicated an integrated facility above, please mark your answers only in the Showroom section below. If
you proposed to have separate showroom and workshop, please indicate your answer separately for each. We
request you to answer in accordance with the instruction provided; you are advised to provide further details of your
proposed facility in an Enclosure along with organization structure and staffing.

DA 10 F650 Page 10
 Question Answer using Showroom Workshop (Service &
Spare Parts)

Is land available yes / no

If available, what is the size of the give size in sq. ft.

plot (sq. ft)

If available, is the plot owned or owned / leased

leased

If the plot is owned, is it free / encumbered

encumbered

If land is not available, do you have yes / no

a proposed site

How much time will it take to get the give time in months
site for your purpose

Is there an existing constructed yes / no

facility suitable for dealership
operations

If you propose an existing facility, is owned / leased

it owned or leased by you

If the existing facility is not owned or give time in months

leased by you, what is the time frame
for getting the same

If you propose an existing facility, give area in sq. ft.

what is the floor area available

If no constructed facility is give time in months

proposed, how much time will it take
you to construct a facility

Provide the address of the proposed site

Showroom

Workshop

Note: Minimum frontage required for the plot is 60 ft.

In Enclosures please provide: photographs of land, building and other infrastructure giving an idea of the
layout & surroundings, a city map marking the locations of the facilities. You should have the land title
deeds, lease agreements (existing) available for review at the time of due-diligence. However the same
is to be provided along with the application.

DA 10 F650 Page 11
8. Investment for the Dealership

Please indicate the investment required for the dealership...

Application of Funds (Rs. Lakhs) Source of Funds (Rs. Lakhs) Name of Bank or
Financial Institution

FIXED ASSETS

Land Own Funds

Buildings Term Loan

Equipment

Others

Total Fixed Assets Total FA funding

WORKING CAPITAL

Vehicle Inventory Own Funds

Receivables Working Capital Loan*

Spare Parts

Total Working Capital Total WC funding

* The margin money for working capital has to be provided by the Applicant through own funds.

10. Expenses for the Dealership

Please summarize your assessment of the projected expenses of the dealership for the first year of operations.

Figure in Rs. Lakhs

Interest cost on Fixed Asset investments

Interest cost on Working Capital

Rentals

Marketing Expenses (Including service marketing)

Salary/Wages and incentives

Other Expenses (Electricity / Water / Municipal tax...)

Total Expenses

DA 10 F650 Page 12
 SECTION-C
Applicants Personal Details

This must be filled by the Managing Partner / Managing Director / Proprietor, and all Partners / Directors having more
than 20% ownership stake in the Applicant Company / Firm.

If additional copies are required please make copies of pages 14 to 19 and place in Enclosures.

Full Name _________________________________________________________________________________

(please underline surname)

Business Address (No Post-Box permitted, Pin-Code must be given)

City_____________________________ Pin-Code____________________ State __________________________

Residential Address (No Post-Box permitted, Pin-Code must be given)

City_____________________________ Pin-Code____________________ State __________________________

Phone / electronic contact

Please provide the STD codes and circle the number at which you prefer to be contacted

Home __________________________________ Business ___________________________________

Mobile __________________________________ e-mail ___________________________________

DA 10 F650 Page 13
1. Personal Data

Date of Birth Annual Emoluments drawn Do you have any medical Hometown / Permanent Residence, if
from the Applicant ailment that may prevent you different from residential address
Company / Firm discharging your duties indicated earlier.

2. Educational Qualifications & Professional Training

Course Date Completed Company / Institute, City, Country

3. Family

Spouses Name Spouses Education Name of Children Age of Children

4. If any family members work in the Applicant Company / Firm, kindly provide details below

Name Qualification Role Annual Emoluments

DA 10 F650 Page 14
5. Business / Employment history

Business Name / Company employed at Type of business Period from - to Position Held

6. Briefly describe your major achievement / success story.

7. Why do you believe that you will make a success of the Tata Motors Passenger Vehicle dealership?

8. Will you personally manage the dealership operations? If not, why?

9. If you, or your family, have any current or past business relationship with Tata Motors, please provide details
of the same.

DA 10 F650 Page 15
10. Membership of Clubs / Social Organizations

1. _______________________________________________ Member Since (Year) _______________________

2. _______________________________________________ Member Since (Year) _______________________

3. _______________________________________________ Member Since (Year) _______________________

11. References capable of being contacted for a written recommendation.

Professional: Please provide details of your Banker, Lawyer and Chartered Accountant.

Full Name & Address Occupation Years Phone Number

Known (with STD code)

Banker

Lawyer

Chartered Accountant

DA 10 F650 Page 16
12. Personal Financial Position

Amount in
Asset Details Value in Rs. Liability Class Liability Details
Asset Class Rs.
Lakhs Lakhs

Cash Bank Borrowing

Securities Personal Loans

(unsecured)

Real Estate Income Tax

Liabilities

Household Others

Items

Business

Investments

TOTAL (A) TOTAL (L)

How much of your net worth [Total (A)-Total (L)] are you
prepared to invest in a Tata Motors dealership Rs ___________________ Lakhs

Time frame to liquidate assets if the present cash available

does not meet investment plans ___________________ month(s)

Signature _________________________ Date ___________________

Name _________________________

DA 10 F650 Page 17
 SECTION-D

Checklist and Declaration

Please place a tick mark () against each item to ensure completeness of the application.

1. Audited Financial Statements for the last 3 year of Applicant have been provided. For Proprietorship, the
Income Tax and Wealth tax returns have been provided in addition to the Accountants certified financial
statements

2. Details of entities in which directors / partners / proprietor have controlling interest are provided

3. Letter from the Applicants Banker(s) indicating current facilities provided to the Applicant

4. Vehicle sale plan, vehicle service plan, spare parts plan

5 Dealership plan of operation (details of: structure, staffing and facilities proposed)

6. Photographs of the proposed site(s) with map indicating location of sites in the city

7. All Enclosures have been filed and are indexed and referenced from this Application Form

8. Applicant has signed and dated pages 18 and 19. Additional Applicants Personal Details (as required) have
been placed in the Enclosures and signed by the relevant individuals

DECLARATION

I/We, the Applicant, accept the decision of M/s Tata Motors Limited as final and binding.
I/We, the Applicant, have not been convicted in any court for any offense.
I/We, the Applicant, have read and understood the entire Application Form (pages 1 to 19) and have fully filled in
Section-A, Section-B, Section-C and Section-D.
I/We fully understand that in case any information provided above is found to be false / incorrect, M/s. Tata Motors
Limited reserves the right to reject the application or reverse any decision taken on the basis of this information.

Signature __________________________________ Date ____________________________

(Proprietor / Managing Director / Managing Partner)

Name __________________________________ Place ____________________________

Designation__________________________________

DA 10 F650 Page 18
 AKNOWLEDGEMENT COPY

Name of the applicant : __________________________________

Address of the applicant: __________________________________

__________________________________

__________________________________

__________________________________

Subject : Acknowledgement of receipt of your application form

Dear Applicant,

We acknowledge the receipt of your duly filled application form for the dealership at _______________________

For all your future correspondence with us, kindly quote the form number mentioned below.

To be filled by applicant Acknowledgement from Tata Motors

Date of Submission Date of receipt

Name of Authorized Form Number PVBU

Signatory

Signature Signature

DA 10 F650 Page 19