TIDEL PARK COIMBATORE LTD. Regd. Office: No.4, Rajiv Gandhi Salai Taramani, Chennai

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1. PARTICULARS OF APPLICANT TIDEL PARK COIMBATORE LTD. Regd. Office: No.4, Rajiv Gandhi Salai Taramani, Chennai 600 113 IT Park: ELCOSEZ, Aerodrome Post Coimbatore 641 014 Contact Ph: 0422-2513604 Fax: 0422-2513609 Web: www.tidelparkcoimbatore.in Mail: md@tidelpark-coimbatore.com Name of Applicant / Company / Firm APPLICATION FORM (For Licencing of Food Court Counters / Outlets) Name of the Authorised person Designation Address of Company / Firm Telephone Number Mobile Fax Email Website URL

2. SPACE REQUIREMENTS ( sq. ft) : Sq.ft. (Minimum 580 Sq.ft comprising of 180 Sq.ft of counter and 400 Sq.ft of undivided dining area) 3. Counter Preference : (Please refer Sl.No. 5 for details) 4. Expected date of occupation : (DD / MM / YYYY) 5. Please specify the proposed Counter / Outlet : North Indians (Kabab/Tandoori etc) Continental (Chinese/Mexican/Italian/Thai Branded Food Pizza Corner/Dominos Pizza/Pizza Hut Ice Creams Sweets & Savouries Traditional Foods (Millet/Grains etc.) Any other (Please specify) 6. Licence Period (Please indicate) : 3 years / 5 years 7. Token Advance amount payable : Rs. along with application form (3 months rent Rs.20/- per Sq.ft.) 8. UTILITIES SERVICE REQUIREMENTS (i) Electricity (estimated) a. Average Daily energy Consumption (kwh) b. Electrical Load Required (Connected) (KVA) 9. EMPLOYMENT (expected) No. of employees to be housed Nos 10. OTHER RELEVANT INFORMATION Information is to be submitted as per formats enclosed, with necessary supporting documents such as copies of VAT, PAN No., TNGST No, Service tax No etc for the information given by him in the above proforma, failing which the application will be rejected.

11. Payment Details a) Counter / Outlet b) Area (super built-up) c) Advance Payment Rs. d) DD/Cheque No. e) Drawn on Bank /Branch, etc. DD / Cheque to be drawn in favour of Tidel Park Coimbatore Ltd payable at Coimbatore Place : Signature : Date : Name : Designation : Seal :

Exhibit - A TIDEL PARK COIMBATORE LIMITED Application for operating a Food Court Counter in the Food Court (South) Furnish particulars w.r.t. Turnover from Restaurant Business Name of the Bidder Year of Establishment Type of Organisation / Firms Proprietary / Partnership Firm / Private Limited / Public Limited / Other (Please Specify) Period of operations 1 st April 2013 31 st March 2014 a) Annual turnover of the Bidder (Rupees in Lakhs) b) Annual turnover from Restaurant Business (Rs. In Lakhs.) c) Balance Sheet / Annual Report (or) P&L Statement. d) Certificate for annual turnover from restaurant business. To be enclosed NOTE: (a) (b) (c) If the above space provided in the statement is not sufficient to fill up the details, Bidders may submit a separate enclosure. Supporting documents for the information provided above should be furnished Auditor certificate for S.No. (d) is compulsory

Exhibit - B TIDEL PARK COIMBATORE LIMITED Application for operating a Food Court Counter in the Food Court (South) To satisfy pre-qualification criteria for experience in establishing and operating Counter since its inception. 1 Name of the Bidder 2 Year of Commencement of Business 3 No. of years of experience in Food Outlet / Restaurant Business since its inception. 4 Year Name of the Food Outlet / Counter / Restuarant a 2013-2014 b 2012-2013 c 2011-2012 d 2010 2011 e 2009-2010 f 2008-2009 g 2007-2008 h 2006-2007 I 2005-2006 J 2004-2005 k 2003-2004 Location NOTE: (a) If the above space provided in the statement is not sufficient to fill up the details, the bidder may submit a separate enclosure. (b) Supporting documents may be furnished for each year viz; Income Tax Return / Restaurant Licence etc.

TIDEL PARK COIMBATORE LIMITED Application for operating a counter in the Food Court (South) Exhibit - C Furnish the particulars to satisfy the pre-qualification criteria of Seating capacity in Coimbatore City as on 31-03-2014. S.No Name of the Restaurant Location Seating Capacity 1 2 3 4 5 6 7 8 9 10 NOTE: If the above space provided in the statement is not sufficient to fill up the details, the bidder may submit a separate enclosure. Supporting document should be furnished.

TIDEL PARK COIMBATORE LIMITED Application for operating a Counter in the Food Court (South) Exhibit - D Furnish the particulars to satisfy the pre-qualification criteria of Number of Food Outlets / Counters within Tamil Nadu, as on 31-03-2014. S.No Name of the Restaurant Address Proof Corporation / Municipal License Details Enclosed / Not enclosed 1 st 2 nd 3 rd 4 th 5 th NOTE: (a) If the above space provided in the statement is not sufficient to fill up the details, the bidder may submit a separate enclosure along the Part I of the Tender. (b) Supporting document if any may be furnished. (c) The above details are compulsory for average.