Preliminary Information Sheet – Government Sale
Note: Governmental sales in respect of this preliminary information are sales to
governmental entities (e.g. military, police, ministries, embassies, public services, fire
brigades, public medical services). If in doubt, please consult your Sales or After Sales
market manager at Daimler (DCAA/BF).
From: [ ] Name of General Distributor
To: Daimler AG, DCAA/BF FUSO Market Management (Sales or After Sales)
Submission Date:
Direct sale of GD or its own retail outlet (same legal entity)
Contracted dealer sales (separate legal entity)
Name of end-customer
Address of end-customer
Purpose of customer business
1) Type of Product: Vehicles Spare Parts
Model code and options (code)
Volume
Purpose of use of product
2) Contractual or legal conditions for planned deal which does not allow MFTBC to do deal directly
Quotation / invoice in local currency only
Bid bond / performance bond in local currency only
Local supplier is precondition for quotation
Others – please describe
(Please attach information related to customer, tender documents, e.g. If local currency or a local supplier is
pre-condition for a tender)
3) Gratuities / benefits to the customer:
Will any gratuities / benefits provided to the customer during the course of business? Yes No
Type (e.g. cash payment, gift, travel, entertainment, person receiving benefit, value of gratuity / benefit)
Are these gratuities / benefits part of the tender requirement? Yes No
4) Are there any third parties involved in the transaction? Yes No
(such as body builder, agent, intermediary etc.)
If yes please describe third parties and their role.
Confirmation of General Distributor
_______________________________ _____________
Name / Signature Date