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SUZUKI DEALERSHIP APPLICATION

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'1. Application Form -qfmra{ ?iq I

2" Other Documents- E-{I[{J $lalq"tq;

'1. The photo of the Shop Location (*iT +m< Ek,
2. The tocat map with the marked shop eiVfts rfi +IIK Erg{:rq:intrcqK si"i^
*1 The copy of Trade License. &s aE(yH .l< <'i;i,
,1. l-he copy of TIN Certificate. frq Efspe6D 'o< <ti4,
5Thecopyoflast06(5ix)monthsBankStatement'i'5tr3(og):iIHldi(ifji{qrffi{irp11",'
6. The document copy of the space agreement (lf availablel e[slke ffit <t(T<i '5-lltil<
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7. tllD Copy/ o.l0r {kb-{"lrq< $i"i.

ijlease firi out and send this form to Rancon Motor qTEq 56 wn-<l"r"i<ffi 5t +cl fi1E< f;sl;IBl o,riil,t
address
Bixes Lrmited at the below fiq.
Deater Development Department &-E|q csrsElrlB fretIBffi

Rancon Motor Bikes Limited $E-<F-d IE< <RSq frfr&s

l: i ,' i-e1g::c;rr l/A, Dhaka-1208 \rbt, CSEi'tJrg Ffq 4EKil, ulsl-)qatr
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Errrail mustafizure.rahman@suzuki.com.bd t6fl{q- mustafizure.rahman@suzuki.com bd

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SUZUKI DEALERSHI P APPLICATION

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A. Dealer Profile E"ilT cffiq:

1. company Name qBblcnailq : Moto Medic Ltd.

2. Applicant Name qlC{q;rslfr{flTI : Mohammad Mahabub Ali Mallik

3. Address fu' 289, 3/ A East Nakhal Para, Haji Moron Ali Road, Dhaka-1215
+. Phone t$l-fl : Mobile mffiq : +8801777766876 Emailffiq: motomedicltd.bd@gmail.com

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l-J Prcprietorship/,4T $frsTdf ! Partnership/ qrfrHRF D Lim ited com pany/ Ftfr"du c+l'";1l;ii

i-l New Business/ nET T-<ql (rypn qrq fitr< qw }rq qH)

6. Establishment Year/ qfr6k <qT : 2020 illq October

T.Total Capital/mt?{q<n ( 25,00,000 rara/ El?Fl) 31,250 uSDAUqqB) of which /.{T {RI %

-,o,", fifq-{: 100% Privatel I{Ft- 0% Others/ qryif-ry:

8. f,tflain Business/ qqfd T{ql '

Service
ii) Spare Parts

9. Total Turnover (Yearly) lffirgsEr 1nffi+) :

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10. Number of Emptoyees/T{HATW{tT : 12 Person/ E7r:

11. Maximum lnvestable AmounU qdt$- fifu-qftft3f"I, qRrf* :

50,00,000 Taka/ BF+t 62500 usD/ ?Sqq&

 SUZU D RJ.. NCO
M O T O R B I K E S

If conducting M/C business, Please Specify/ cq�).1IC� � :>'1l�(<ISfl � �, � "ffl � �

12. Which Brand /(<pt<,� : (✓ )

□ Suzuki □ Honda □ Yamaha □ TVS □ Bajaj □ Hero □ Runner □ Others

13. Number of Employees in M/C BusinesstC?ifG�:P1l�C<Pfl � <Pffl5l�hl �� Of which/LQ� r!W

Salesmen/ Mechanic/ 01<f>IR<fl Worker/�

f.krn -zi1'-!)P!f¼ : 02 05 \Sjrf 05 \Sjrf

14. Number of MIC Selling Outlets/�:>'1l�(<ISfl �cxtt���: fu

15. Number of Units Sold Last Year/�����:

Total/ "C'RTTJ: ( LI nits$),

16. Number of Units Sold Current Year/�� <q>\')"W'TT ��:

Total/ "C'RTTJ: ( LI nits$)

8. Proposed Space for Suzuki Showroom/� Q'tt � � � �� :

•Address/� 289, 3/ A East Nakhal Para, Haji Moron Ali Road, Dhaka-1215

• Dimension/ �9ITTT � : Width/� 14.5 ft Lengthffl 90 ft �

• Ownership (i'llfc4<Plrll) : D Owned/ � {IRented/� 03 Years/�

•Area/i.!I� : D Residental/ Gll1IP1<P yfcommercial/ <l1Pi�J4 D lndustriallfxm

• Location Map/ �9ITTT � :

Moto Medic Ltd.

2 min walk - home
Q9 Aharika Budget
Restaurant & Party Center

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Bangladeshi • S TVSAuto
Bangladesh Limited B i'
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Motor scooter dealer
As Shams Sweets
Confectionery
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4'1C¾'4>'1'11� Dutch-Bangla Bank
Candv store I imit�rl fnRRI )

Google MAP use preferable/ <1lsfF!l'U1'1��

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C. P roposed Area MC Ma rket Detai Is/ effiv .qqFFEt cflk qtroq <rsilr{ fr<l17{ :

. Number of MC Shop Located at DistricUTown/City Where Applied to Open Suzuki

Deatership/GFr qltrsE elt Fcffi qr{rt G $TEHE ffi11e6 crf,, ql-Kqii rrl qG(q
(cq-{Veryil/tpfird) :

Suzuki: ; Honda: ; Yamaha: ;TVS:01 ; Bajaj: ; Hero: ;

Runner: ; Others: ;

. Estimated Sales Volume at Suzuki Deatership/ qgft ffi{ q qld$fr-f Rfrm x$l :

(Units/Month frAfq)

(Signature with Date)

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