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KMMG_Supplier_Information_Sheet

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					                                                                                      Supplier Information Sheet                                                                                                    KR-GA-GP-MRO-F-0001

            Revision Date: 07/28/2009                                                                    Owner: General Purchasing HOD                                                                                      Revision Level:00
                                   Requesting Department                                          Prepared by                   Dept. Manager               Dept. H.O.D                                                                              Purchasing HOD




SECTION 1                 SUPPLIER INFORMATION
Company / Payee Name                                                                                                            Entity Type (Corp, Partnership, Sole Proprietor, etc..)                                Year Established               Supplier Code
                                                                                                                                                                                                                                                  DO NOT ENTER
President / CEO / Owner's Name                                                                                                  Federal Tax ID / EIN                                                                Dunn & Bradstreet ID




       Business Type:                     Manufacturer                      Mfr. Rep.                           Distributor                            Services                                     Other
     Product/Service Provided:                    1.                                                                                                       2.
       Head Office / Main Office Location                                                                                              Payment Remit Location
Address 1                                                                                                                       Address 1



Address 2                                                                                                                       Address 2



City                                                                  State / Province / Region                                 City                                                                                     State / Province / Region



Country                                                               Zip Code / Postal Code                                    Country                                                                                  Zip Code / Postal Code



Phone No.                                                             Fax No.                                                   Phone No.                                                                                Fax No.



Contact Name                                                                                                                    Contact Name



E-mail Address                                                                                                                  E-mail Address



       Purchasing Order Location                                                                                                       Engineering Order Location
Address 1                                                                                                                       Address 1



Address 2                                                                                                                       Address 2



City                                                                  State / Province / Region                                 City                                                                                     State / Province / Region



Country                                                               Zip Code / Postal Code                                    Country                                                                                  Zip Code / Postal Code



Phone No.                                                             Fax No.                                                   Phone No.                                                                                Fax No.



Contact Name                                                                                                                    Contact Name



E-mail Address                                                                                                                  E-mail Address




SECTION 2                 PAYMENT TERMS AND BANK INFORMATION
                 Due Net 30 Days                                 Due Net 30 Days Prox.                                           Other

       Bank Information (requred for TT / Wire Transfer of funds to foreign vendors only)
Bank Name                                                  Swift Code / Routing No.                                             Account No.                                                                              Bank Contact Name



Bank Address (for import parts)                                                                                                 Country                                                                                  Bank Phone No.




SECTION 3 QUALITY CERTIFICATIONS
                                                                                                           Certification Date
                                                                                                                                                                                                Future Plan Date
ISO 9000                 Yes       No             Future Plan             No Plan
                                                                                                           Certification Date                                                                   Future Plan Date
TS 16949                 Yes       No             Future Plan             No Plan
                                                                                                           Certification Date
                                                                                                                                                                                                Future Plan Date
ISO 14001                Yes       No             Future Plan             No Plan
       Please provide a copy of the certificate(s).
SECTION 4 MINORITY AND WOMAN OWNED
                                                                                                           Certification Date
                                                                                                                                                                                                Future Plan Date
MBE                      Yes       No             Future Plan             No Plan
                                                                                                           Certification Date
                                                                                                                                                                                                Future Plan Date
WBE                      Yes       No             Future Plan             No Plan
       Please provide a copy of the certificate(s).
SECTION 5                 REFERENCES
 #                                Company Name                                                      Location / Address                                                               Contact Name                                     Contact Phone No.

1

2

3

I hearby authorize Kia Motors Manufacturing Georgia, Inc to perform a credit check on the above banking and references info.
Authorized                                                                             Printed
Signature:                                                                             Name:                                                                                                                Date:
Please submit a IRS W-9, W-8BEN, or W-8ECL form and a copy of any mentioned certifications when returning this information to Kia Motors Manufacturing Georgia, Inc.

                                                                                  Uncontrolled document when printed-Reference Only.
                                                                             Controlled version of this document is electronically maintained.
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