Declaration声明1)Theapplicantdeclaresthattheinformationprovidedaccordingtotherequirementsistrue.“申请单位”声明它按本申请表要求所提供的全部资料都是真实的。Ifanyoftheinformationsubmittedisnottrue,itwillbethebasisfortheMercedes-BenzNetworkDevelopmentdealershipevaluationteamtomakethefollowingdecision:若呈交的有关申请资料存在不真实，将是梅赛德斯—奔驰经销商评估小组做出以下决定的根据：a)Decidenottoconsidertheapplication,or决定不再考虑它的申请，或b)TerminatethedealershipagreementbetweenMercedes-Benz(China)Limitedandtheapplicantfortheinvestment/setupofthedealership.终止由梅赛德斯—奔驰(中国)汽车销售有限公司与其或其投资建立的梅赛德斯—奔驰品牌经销商所执行的经销协议。2)TheapplicantdeclaresheretoagreetheMercedes-BenzNetworkDevelopmentdealershipevaluationteamtoinvestigateanynecessaryinformation,withoutviolatingtheprivacycause.“申请单位”在此声明，同意梅赛德斯—奔驰经销商发展小组对认为有必要核实的资料进行调查，并不构成对其隐私的侵犯。3)Theapplicantdeclarestokeepthisapplicationformandcontentconfidential.TheinformationprovidedintheapplicationformwillbekeptconfidentialbytheMercedes-BenzNetworkDevelopmentdealershipevaluationteam,butwillnotbereturnedtotheapplicant.“申请单位”声明对此申请表的格式及内容保密负责，所提供资料将由梅赛德斯—奔驰经销商发展小组存档并负责保密，但不再归还。Applicant(Stamp)Signaturebythelegalrepresentative申请单位(盖章)：法人代表签名：Date日期：Theapplicantmuststamp&signthedealerapplicationform申请者必须在经销商申请表上签字盖章DealerApplicationFormwithoutStampandSignaturecannotbeprecededfortheselectionprocess!经销商选择程序将不接受未签字和盖章的经销商申请表！NetworkDevelopment,MBCL/BBAC0DealerApplicationFormDealerApplicationForm经销商申请表ApplicantName:申请人名称：ProjectName：项目名称：FormatSize:规格：*PleasefillinapplicationeitherinEnglishorChinese*请用一种语言（英文或中文）填写本申请书Mercedes-Benz(China)Ltd.BeijingBenzAutomotiveCo.,Ltd.NetworkDevelopment梅赛德斯-奔驰（中国）汽车销售有限公司北京奔驰汽车有限公司经销网络发展部CONTENT目录Mercedes-BenzDealerApplicationForm梅赛德斯-奔驰经销商申请表1.ApplicantInformation申请单位现状2.ProposedMercedes-BenzDealershipDetail梅赛德梅赛德斯-奔驰拟建店经销商详情3.DeclarationandListofAttachedDocuments申请声明及随附文件清单NetworkDevelopment,MBCL/BBAC1DealerApplicationFormMercedes-BenzDealerApplicationForm梅赛德斯-奔驰经销商申请表BasicInformation基本信息FinancialStatus财务状况BusinessPerformance经营历史及业绩表现CurrentManagementTeam现有管理团队ComplianceDeclaration合规申明NetworkDevelopment,MBCL/BBAC2DealerApplicationFormPARTIApplicantInformation第一部分申请单位现状BackgroundInformation背景信息1.BasicInformation基本信息ContactInformation联络信息CompanyNameofApp.申请单位公司全称(English)（中文）DateofOpening成立日期LegalRepresentative法人代表(English)（中文）ContactPerson联络人名称：(English)（中文）CompaniesRegisteredADD.公司注册地址(English)（中文）PostalCode邮编PostageAddress邮寄地址(English)（中文）PostalCode邮编215300Telephone电话Mobile手机Fax传真E-mail电子邮箱Website网址LegalStatus法律状况CompanyRegistrationCode公司注册码LegalEntityTypeSOEGroupPrivateJointVentureForeignInvestmentOthers(PleaseSpecify)法人形式国营集体私营合资外资其他(请注明)TypeofCompany公司性质(English)（中文）2.ShareholdersInformation股东及股份信息NetworkDevelopment,MBCL/BBAC4DealerApplicationFormBackgroundInformation背景信息RegisteredCapi...
