Exit this survey KIA MOTORS PANEL BEATER 2018 RE-APPROVAL APPLICATION FORM Question Title * 1. Company details Trading name: Registered name: Co. Registration No. VAT Reference No. PAYE Reference No. UIF Reference No. Question Title * 2. Address Street address Suburb Town Province Postal Code P.O.Box Post Office Postal Code Telephone No. Fax No. General e-Mail: Question Title * 3. Responsible persons Manager e-Mail Buyer e-Mail Accountant e-Mail Question Title * 4. Responsible persons to submit monthly reports Person's name for KIA dealer CSI Person's e-Mail Person's name for Evaluation (Repair Report) Person's e-Mail Question Title * 5. Who is your main KIA supplying dealer? KIA Alberton KIA Bethlehem KIA Bloemfontein KIA Centurion KIA Croco KIA Durban South KIA East London KIA East Rand KIA Edenvale Service Centre KIA Empangeni KIA Ermelo KIA Fountains KIA Fourways KIA George KIA Germiston KIA Gold Reef KIA Heidelberg KIA Hermanus KIA Jeffreys Bay KIA Kempton Park KIA Kimberley KIA Klerksdorp KIA Lydenburg KIA Mafikeng KIA Makhado KIA Malmesbury KIA Menlyn KIA Middelburg KIA Midrand KIA Mokopane KIA Nelspruit KIA Nigel KIA Northcliff KIA Paarl KIA Pietermaritzburg KIA Pinetown KIA Polokwane KIA Port Elizabeth KIA Port Shepstone KIA Queenstown KIA Randburg KIA Randfontein KIA Roodepoort KIA Rustenburg KIA Sandton KIA Silver Lakes KIA Silverton KIA Springs KIA Standerton KIA Swaziland KIA The Glen KIA Tygerberg KIA Upington KIA Vereeniging KIA Vryheid KIA Welkom KIA Weltevredenpark KIA Windhoek KIA Wonderwaters Other (please specify) Question Title * 6. To which Industry Association/s is the Repairer Affiliated to? SAMBRA RMI AA STI NAASP SAARSA Collision Repair Association - CRA Other (Specify) Other (please specify) Done