KIA MOTORS INDIA

Dealership Application

GENERAL INTRODUCTION

1. This application form comprises 14 pages including this cover page. Please ensure that all pages
2. are submitted.
Please fill out only YELLOW fields in this form on the computer and send a soft copy via e-mail
3. with photoscanned
Please complete theenclosures
applicationtoform
KMIdealerapply@kia.com
for all relevant information. Incomplete application may not
4. be considered.applications will not be accepted. Applications received after the date mentioned in
Hand-written
5. the notice
All information must be provided within the application form itself. Additional information
6. will
If younothave
wherever bespecifically
accepted. asked
any question for in the
regarding application
this applicationform may be
process, provided
please as enclosures.
contact us at
7. KMIdealerapply@kia.com
Please make sure you fill out the application with correct information. In case of any discrepancy
8. or
All false information,
information KIA in
provided MOTORS has the form
the application right will
to reject thestrictly
be kept candidature of the applicant
confidential. with
You give us
9. immediate
permission
This effect.
to share
application formthe information
entitles you only with
to an agency
apply for a appointed
KIA MOTORS by KIA for DEALERSHIP
INDIA the purpose of verifying
PROGRAM
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and
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finished evaluating the applications to arrange an
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Please submit and site visit. There
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the required attachment at the
presentation and interview after evaluating your application.

KIA MOTORS INDIA PRIVATE LIMITED

KMIdealerapply@kia.com
 BASIC INFORMATION

PREFERRED LOCATION

STATE CITY
Location 1
Location 2
Location 3

PERSONAL INFORMATION - MAIN APPLICANT

Company Name
FIRST NAME MIDDLE NAME LAST NAME
Applicant Name
DAY MONTH YEAR
Date of Birth

CONTACT INFORMATION

OFFICE RESIDENCE
Address 1 STATE CITY STATE CITY
Address 2 DETAIL DETAIL

ZIP Code
Phone
Mobile
Email
Website

Preferred Contact OFFICE

PARTNERS / DIRECTORS IN CASE OF PARTNERSHIP

RELATIONSHIP DATE OF BIRTH CURRENT

NAME % OF SHARE
WITH APPLICANT (YYYY-MM-DD) OCCUPATION
Self

Applicant Signature ________________________________ 2/

 APPLICANT DETAIL

EDUCATIONAL BACKGROUND -
Highest Degree of Education
University / Institution
Major
Years

BUSINESS BACKGROUND -

COMPANY/ DURATION (Year)

CITY BRAND POSITION
ORGANISATION START END

SOCIAL ACTIVITIES

Memebership of Club, Social Organization and Community

Social Responsibiliity Activities and Contribution

IMPORTANT

Applicant Signature ________________________________ 3/

 - Resumes or CVs can be attached for detailed information of applicants' detail
- Certificates, photographs or news clips car be requested for social activities

Applicant Signature ________________________________ 4/

 EXISTING BUSINESSES

I. PASSENGER CAR SALES

COMPANY PROFILE

NUMBER OF NUMBER OF YEAR

COMPANY NAME BRAND TYPE
EMPLOYEES DIRECTORS STARTED

SHAREHOLDING STRUCTURE

RELATION- ROLE/ % OF
COMPANY NAME SHAREHOLDER
SHIP POSITION SHARE
Self

Self

Self

Self

Self

Self

Self

Applicant Signature ________________________________ 5/

 BRIEF FINANCIALS - LAST 3 YEARS (in Rs Lacs)

Year
COMPANY NAME CONTENT
2014-2015 2015-2016 2016-2017
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue - - -
Profit Before Tax (PBT) - - -
Total
Loans - - -
Equity - - -

IMPORTANT
- Please attach balance sheets and profit & loss statements of each company for the last 3 years
- Other certificates to prove performance and credit can be requested before contract

II. OTHER AUTO-RELATED BUSINESS

COMPANY PROFILE

Applicant Signature ________________________________ 6/

 NUMBER OF NUMBER OF YEAR
COMPANY NAME INDUSTRY TYPE
EMPLOYEES DIRECTORS STARTED

SHAREHOLDING STRUCTURE

RELATION- ROLE/ % OF
COMPANY NAME SHAREHOLDER
SHIP POSITION SHARE
Self

Self

Self

Self

Self

Self

Self

BRIEF FINANCIALS - LAST 3 YEARS (in Rs Lacs)

Year
COMPANY NAME CONTENT
2014-2015 2015-2016 2016-2017
Revenue
Profit Before Tax (PBT)
Loans

Applicant Signature ________________________________ 7/

 Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue - - -
Profit Before Tax (PBT) - - -
Total
Loans - - -
Equity - - -

IMPORTANT
- 'Other Auto-related Business' includes commercial vehicle sales, 2-wheeler sales, automotive workshop, etc.
- Please attach balance sheets and profit & loss statements of each company for the last 3 years
- Other certificates to prove performance and credit can be requested before contract

III. OTHER BUSINESS

COMPANY PROFILE

NUMBER OF NUMBER OF YEAR

COMPANY NAME INDUSTRY TYPE
EMPLOYEES DIRECTORS STARTED

Applicant Signature ________________________________ 8/

 SHAREHOLDING STRUCTURE

RELATION- ROLE/ % OF
COMPANY NAME SHAREHOLDER
SHIP POSITION SHARE
Self

Self

Self

Self

Self

Self

Self

BRIEF FINANCIALS - LAST 3 YEARS (in Rs Lacs)

Year
COMPANY NAME CONTENT
2014-2015 2015-2016 2016-2017
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans

Applicant Signature ________________________________ 9/

 Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue
Profit Before Tax (PBT)
Loans
Equity
Revenue - - -
Profit Before Tax (PBT) - - -
Total
Loans - - -
Equity - - -

IMPORTANT
- Please attach balance sheets and profit & loss statements of each company for the last 3 years
- Other certificates to prove performance and credit can be requested before contract

Applicant Signature ________________________________ 10 /

 DEALERSHIP PERFORMANCE

STATUS AND PERFORMANCE

SATISFACTION
NUMBER OF OUTLETS NEW CAR SALES VOLUME (Unit) SERVICE LOAD (Unit)
MAIN INDEX (2016)
COMPANY NAME BRAND DEALER
3S 2S 1S
LOCATION
(Showroom (Workshop (Showroom 2014 2015 2016 2014 2015 2016 CSI SSI
& Workshop) only) only)

REVENUE (in Rs Lacs)

NEW CAR SALES SERVICE SPARE PARTS SALES OTHERS

COMPANY NAME BRAND

2014 2015 2016 2014 2015 2016 2014 2015 2016 2014 2015 2016

Applicant Signature ________________________________ 11 /

 FINANCIAL STATUS

TOTAL ASSETS OWNED BY THE APPLICANT AND CO-APPLICANTS/PARTNERS (in Rs Lacs)

CURRENT ASSETS NON-CURRENT ASSETS

NAME TOTAL
(MOVABLE ASSETS) (IMMOVABLE ASSETS)

-
-
-
-
-
Total - - -

KEY REAL ESTATES OWNED BY THE APPLICANT AND CO-APPLICANTS/PARTNERS (in Rs Lacs)

CURRENT
DESCRIPTION OWNED BY MORTGAGED
MARKET VALUE

Total -

BANKER INFORAMTION (in Rs Lacs)

DURATION OF
NAME OF THE BANK BRANCH LOCATION CURRENT LIMIT
RELATIONSHIP

IMPORTANT
- Last CIBIL or CRISIL report of all directors and companies will be requested after interview
- Certificate from your main banker in support of your financial capability and soundness can be requested before contract

Applicant Signature ________________________________ 12 /

 APPLICANT'S OPINION AND PERSPECTIVE

Please write your opinion and perspective with reasons briefly

What does make you want to be a dealer of KIA?

What can be KIA’s strength in India and what model can be the best seller?

What is your strength and reason to be chosen as a dealer for KIA?

What is your strategy and plan to make KIA a market leader in your given market?

What do you, as a dealer, expect from KIA?

Applicant Signature ________________________________ 13 /

Applicant Signature ________________________________ 14 /
 SITE PROPOSAL

SITE INFORMATION (IF AVAILABLE)

SIZE
AVAILABLE
OUTLET FACILITY ACQUISITION
No. STATE CITY OPEN DATE OWNERSHIP LAND BUILDING FRONT
FORMAT STATUS STATUS
(YYYY-MM-DD) (㎡) (㎡) (m)

1
2
3
4
5
6
7
8
9
10

If a site is not ready yet, please explain your plan to acquire a site for the dealership

IMPORTANT

Applicant Signature ________________________________ 15 /

 - Site visits will be requested if an interview is arranged
- Detailed site information and floor plan and site information can be requested
- In outlet format, 3S means a facility with Sales, Service and Spare parts toghether, 2S means a workshop for Service and Spare parts, and 1S means a showroom only for Sales

- In case a site is proposed, please attach a geographical map which the location, nearby dealerships, commercial areas and landmarks are marked
- In case a site is proposed, photographs of land and building can be attached for detailed information

- In case NO site is proposed as of now, it should be proposed before an interview

- In case NO site is proposed as of now, please write detailed plan for a site including location (area), timeline and ownership

Applicant Signature ________________________________ 16 /

 OTHER IMPORTANT INFORMATION

1. Have you ever been convicted of a criminal offence?

2. Have you ever been convicted of sales tax or income tax violation?

2-1. In case of yes, please write details

3. Do you have any financial obligations, other than those disclosed above?
3-1. In case of yes, please write details

4. Have you ever been bankrupt?

DECLARATION

I / We the applicant company have not been convicted in any court in any criminal act.

I / We fully understand that in case any information provided above is found to be false/
incorrect, KIA MOTORS INDIA LTD reserves the right to reject this application or reverses
any decision taken on the basis of information provided in this applicaiton.

NAME: SIGNATURE:

NAME: SIGNATURE:

NAME: SIGNATURE:

NAME: SI

Applicant Signature ________________________________ 17 /

 NAME: SIGNATURE:

Applicant Signature ________________________________ 18 /