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1、经销商基本信息表Dealer Contact Form姓名/ Name电邮地址/ Email电话/ Telephone传真/ Fax移动电话/ Cell Phone公司名称/ Company NameCNEN投资人信息（简历可作附件）/ Investors（Resume preferred as Attachment）123公司地址/ AddressCNEN电话/ Telephone企业网站/ Website公司简介(可用附件呈交)/ Company Brief Introduction (Attachment preferred)CN公司简介(可用附件呈交)/ Company Brief I
2、ntroduction (Attachment preferred)EN过去及现在的汽车行业经历 /Past and Current Activities in Automotive IndustryCNEN计划申请国家 / Planned Country of Dealership计划申请省份 (如适用)/ Planned Province of Dealership (if applicable) CNEN计划建店城市/ Planned City of DealershipCNEN意向区域或城市的市场情况与机遇分析 (可用附件呈交) /Automotive Environment Anal
3、ysis and Opportunities in the Area (Attachment preferred)CNEN加盟观致汽车经销商网络的原因/ Motivation for Joining the Qoros Dealer NetworkCNEN中国申请公司，请同时使用中文及英文填写表格及相关附件。For an applying company based in China, please complete the form and attach relevant documents in both English and Chinese.矚慫润厲钐瘗睞枥庑赖賃軔。矚慫润厲钐瘗睞枥庑
4、赖賃。非中国申请公司，请使用英文填写表格及相关附件。For an applying company based out of China, please complete the form and attach relevant documents in English.聞創沟燴鐺險爱氇谴净祸測。聞創沟燴鐺險爱氇谴净祸。Dealer Application Form 经销商申请书Applicant Name:申请人名称： Time of Application:申请时间:Applicants Chop:申请单位(盖章)：残骛楼諍锩瀨濟溆塹籟婭骒。残骛楼諍锩瀨濟溆塹籟婭。Qoros Automo
5、tive Co., Ltd.观致汽车有限公司Preface 前言Thanks for your interest in joining Qoros sales and service network! We hereby provide you instructions about the application form 非常感谢您对加盟观致汽车营销网络的兴趣！现对本申请书相关事宜做如下说明：酽锕极額閉镇桧猪訣锥顧荭。酽锕极額閉镇桧猪訣锥顧。Applicants submission of the application form represents applicants agreemen
6、t in building the sale and service sites for Qoros Automotive Co., Ltd. according to Qoro Facility Standard 申请单位呈递本计划书，即代表申报单位同意按照观致汽车有限公司的建店标准建设观致汽车销售服务店。彈贸摄尔霁毙攬砖卤庑诒尔。彈贸摄尔霁毙攬砖卤庑诒。Applicant agrees that the documents submitted will be kept on file by Qoros Automotive Co., Ltd. and will not be returne
7、d 申报单位同意在申报过程中，由其提供给观致汽车有限公司的所有文件及其复印件、照片等资料由观致汽车有限公司作为记录保存，将不予以退还，敬请理解。謀荞抟箧飆鐸怼类蒋薔點鉍。謀荞抟箧飆鐸怼类蒋薔點。Qoros Automotive Co., Ltd. will keep confidential of the documents that applicant submitted 观致汽车有限公司应对申报单位所提供的任何资料恪守保密原则。厦礴恳蹒骈時盡继價骚卺癩。厦礴恳蹒骈時盡继價骚卺。Please bind the application documents and mail to 书面申请材料请
8、装订成册后邮寄至：茕桢广鳓鯡选块网羈泪镀齐。茕桢广鳓鯡选块网羈泪镀。上海市浦东新区国展路388号3楼观致汽车经销商网络发展与管理部。邮编：Applicant introduction申请公司简介Business of the applicant申请公司所经营业务Financial Status of the applicant鹅娅尽損鹌惨歷茏鴛賴縈诘。鹅娅尽損鹌惨歷茏鴛賴縈。申请公司财务状况Business plan of the proposed Qoros dealership观致拟建店业务计划Declaration and list of required attachments申请声明
9、及附件清单Please fill all questions in either Chinese or English籟丛妈羥为贍偾蛏练淨槠挞。籟丛妈羥为贍偾蛏练淨槠。请选择使用中文或英文填写Applicant introduction申请公司介绍Basic information 基本信息Company Name of Applicant申请单位全称Date of Opening 成立日期Automotive Sales Experience 汽车销售经验Automotive Service Experience 汽车售后服务经验Registered Capital 注册资本Companie
10、s Registered Address公司注册地址Legal Entity Type法人形式 SOE 国有 Collective 集体 Private 私营 Joint Venture 合资 Foreign Investment 外资 Others (Please Specify) 其他 (请注明)Legal Representative法人代表Contact Person联络人名称Telephone 电话Cell phone 手机Fax 传真Email Address 电子邮件Postage Address and Postal Code 邮寄地址与邮编Website 网址Applican
11、ts management 申请单位管理层Position 职位Name姓名Age年龄Education教育程度Automotive experience汽车行业经验LegalRepresentatives Background 企业法人代表背景Name 姓名 Position 职务Age 年龄Gender 性别Education Background 教育背景School学校Time就读年份Degree学位Major专业Working Experience 工作经验Time起止年月Company单位名称Position/Job职务/岗位Shareholdersstructure股权结构Sha
12、reholders股东Capital （000 RMB）出资额（千元）Share (%)份额 (%)Position职务Business of the applicant申请公司所经营业务If the applicant company is now operating automotive business (shareholding is more than 50%), please include information of 5 most representative dealership 如申请公司现正经营汽车业务（股权比例超过50%），请说明最具代表性的5个授权的汽车经销品牌的经营
13、情况預頌圣鉉儐歲龈讶骅籴買闥。預頌圣鉉儐歲龈讶骅籴買。Manufacturer生产厂家Brand品牌Time of Authorization 授权时间Opening date开业时间Territory业务区域CSI & SSI ranking of latest year 最近1年的CSI & SSI 排名Sales units of last year上一年度年销量Sales units of strongest local competing dealer上一年度本区域内上牌量最大的同品牌店的年销量Note 备注: Total No. of brands authorized 授权经营的
14、汽车品牌数量: （）个Total No. of 4S dealership in operation 所运营的4S店数量:（）个渗釤呛俨匀谔鱉调硯錦鋇絨。渗釤呛俨匀谔鱉调硯錦鋇。Automotive retail business sales and service figures (past three years) 汽车经营销售及维修数量（过去三年）铙誅卧泻噦圣骋贶頂廡缝勵。铙誅卧泻噦圣骋贶頂廡缝。Brand 品牌Total sales unit销售数量（台）Total service throughput维修数量（台）201420152016201420152016Total 总计备注：Historical business performance of automotive retail business (past 3 years) 汽车经销
