KIA MOTORS INDIA

Dealership Application

GENERAL INTRODUCTION

1. This application form comprises 14 pages including this cover page. Please ensure that all pages
are submitted.

2. Please fill out only YELLOW fields in this form on the computer and send a soft copy via e-mail with
photoscanned enclosures to kmidd@kiamotorsindia.in

3. Please complete the application form for all relevant information. Incomplete application may not
be considered.

4. Hand-written applications will not be accepted. Applications received after the date mentioned in
the notice will not be accepted.

5. All information must be provided within the application form itself. Additional information wherever
specifically asked for in the application form may be provided as enclosures.

6. If you have any question regarding this application process, please contact us at
kmidd@kiamotorsindia.in

7. Please make sure you fill out the application with correct information. In case of any discrepancy or
false information, KIA MOTORS has the right to reject the candidature of the applicant with
immediate effect.

8. All information provided in the application form will be kept strictly confidential. You give us
permission to share the information with an agency appointed by KIA for the purpose of verifying
the given information.

9. This application form entitles you only to apply for a KIA MOTORS INDIA DEALERSHIP PROGRAM
and it does not assure you of granting dealership.

10. Submit any necessary annexure in support of data filled in application form for all relavant
information as applicable.

KIA MOTORS INDIA PRIVATE LIMITED

kmidd@kiamotorsindia.in
 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 Janu

###

CONTACT INFORMATION

OFFICE RESIDENCE
Address 1
Address 2

ZIP Code
Phone
Mobile
Email
Website

Preferred Contact OFFICE OFFI

Proposed Shareholders / Directors (if Any) - Main Applicant must hold minimum 51% of shares.

RELATIONSHIP DATE OF BIRTH CURRENT Proposed

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

Fami

Applicant must hold minimum 51% of shares.

Applicant Signature ________________________________ 2 / 13

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

Applicant Signature ________________________________ 3 / 13

 EXISTING BUSINESSES

I. AUTOMOBILE BUSINESS

COMPANY PROFILE

BRAND & NUMBER OF NUMBER OF YEAR

COMPANY NAME TYPE
SEGMENT EMPLOYEES DIRECTORS STARTED
Indiv

SHAREHOLDING STRUCTURE

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

Self

Self

Self

Self

Self

Self

Applicant Signature ________________________________ 4 / 13

 BRIEF FINANCIALS - LAST 3 YEARS (in Rs Lacs)

Year
COMPANY NAME CONTENT
2017-2018 2018-2019 2019-2020
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
- Attach lates CA Certified shareholding structure
- Other certificates to prove performance and credit can be requested before contract

Applicant Signature ________________________________ 5 / 13

 II. OTHER AUTO-RELATED BUSINESS

COMPANY PROFILE

NUMBER OF NUMBER OF YEAR

COMPANY NAME INDUSTRY TYPE
EMPLOYEES DIRECTORS STARTED
Indiv

SHAREHOLDING STRUCTURE

COMPANY NAME, RELATION- ROLE/ % OF

SHAREHOLDER
INDUSTRY & BRAND SHIP POSITION SHARE
Self
Famil

Self

Self

Self

Self

Self

Self

Applicant Signature ________________________________ 6 / 13

 BRIEF FINANCIALS - LAST 3 YEARS (in Rs Lacs)

Year
COMPANY NAME CONTENT
2017-2018 2018-2019 2019-2020
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
- '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

Applicant Signature ________________________________ 7 / 13

 III. OTHER BUSINESS

COMPANY PROFILE

NUMBER OF NUMBER OF YEAR

COMPANY NAME INDUSTRY TYPE
EMPLOYEES DIRECTORS STARTED
Indiv

SHAREHOLDING STRUCTURE

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

Famil

Applicant Signature ________________________________ 8 / 13

 BRIEF FINANCIALS - LAST 3 YEARS (in Rs Lacs)

Year
COMPANY NAME CONTENT
2017-2018 2018-2019 2019-2020
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

Applicant Signature ________________________________ 9 / 13

 DEALERSHIP PERFORMANCE (Applicable for Auto Business)

STATUS AND PERFORMANCE

SATISFACTION
NUMBER OF OUTLETS NEW CAR SALES VOLUME (Unit) SERVICE LOAD (Unit)
MAIN INDEX (latest)
COMPANY NAME BRAND DEALER
3S 2S 1S LOCATION
(Showroom & (Workshop (Showroom 2017 2018 2019 2017 2018 2019 CSI SSI
Workshop) only) only)

REVENUE (in Rs Lacs)

NEW CAR SALES SERVICE SPARE PARTS SALES OTHERS

COMPANY NAME BRAND

2017 2018 2019 2017 2018 2019 2017 2018 2019 2017 2018 2019

Applicant Signature ________________________________ 10 / 13

 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
Yes

Total

BANKER INFORAMTION (in Rs Lacs)

DURATION OF
NAME OF THE BANK BRANCH LOCATION CURRENT LIMIT
RELATIONSHIP

IMPORTANT
- Attach CA certified Networth statement of key applican and proposes shareholders.
- Last CIBIL or CRISIL report of all directors and companies may be requested after interview
- Certificate from your main banker in support of your financial capability and soundness can be requested before contract

Applicant Signature ________________________________ 11 / 13

 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 3S
2 Brown field
3 Owned
4 Acquired
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
- 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 ________________________________ 12 / 13

 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? No

3-1. In case of yes, please write details

4. Have you ever been bankrupt? No

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: SIGNATURE:

NAME: SIGNATURE:

Applicant Signature ________________________________ 13 / 13