FREELANCER
REPORT NO :
/
/ 2008
REPORT DATE :
VISIT REPORT
MOBILE NO :
NAME OF BUSINESS
LAND PH NO:
NAME OF PROPRIETOR
VILL
P.O
AREA -
TYPE OF BUSINESS
RETAIL
NATURE OF BUSINESS
MEDICINE GROCERY FERTILISER GARMENT HARDWARE CYBER CAFÉ TRAINING CENTER COMPUTER BUSINESS NURSING HOME OTHERS IF ANY PLEASE MENTION __________________________________________
COMPUTER : YES
NO
DEALER
WILL PURCHASE SOON
DISTRIBUTOR
OR NOT NOW
SELF EMPLOYED
OTHERS
NOT DECIDED
IF ABOVE ANSWER YES THEN PLEASE FILL UP THE BELOW FORM USE OF COMPUTER : BUSINESS HISAB
IF SPECIAL
PEROSNAL
IF BUSINESS, NAME OF SOFTWARE ALREADY IN USE : OFFICE
MENTION NAME :______________________________
INTERNET CONNECTION : TELEPHONE LINE : YES
REFFERED[NO-
NO
INTERNET CONNECTION : YES
NO
] FROM ------------------------------------------------------TO -------------------------------------------------------------------
DEMONSTRATED ON : QUICKHEAL RESPONSE : POSITIVE
TALLY
TALLY
NEGATIVE
HISAB
BIJOY
OTHERS
__________________________ For Office Use :
MIXED
VISIT EXPENSE INCURRED RS._______
DATE:
FREELANCER
SALESMAN SIGNATURE
SIGNATURE DATE ;
REPORT NO :
MANAGER
/
/ 2008
REPORT DATE :
VISIT REPORT
MOBILE NO :
NAME OF BUSINESS
LAND PH NO:
NAME OF PROPRIETOR
VILL
P.O
AREA -
TYPE OF BUSINESS
RETAIL
NATURE OF BUSINESS
MEDICINE GROCERY FERTILISER GARMENT HARDWARE CYBER CAFÉ TRAINING CENTER COMPUTER BUSINESS NURSING HOME OTHERS IF ANY PLEASE MENTION __________________________________________
COMPUTER : YES
NO
DEALER
WILL PURCHASE SOON
DISTRIBUTOR
OR NOT NOW
SELF EMPLOYED
OTHERS
NOT DECIDED
IF ABOVE ANSWER YES THEN PLEASE FILL UP THE BELOW FORM USE OF COMPUTER : BUSINESS HISAB
IF SPECIAL
PEROSNAL
IF BUSINESS, NAME OF SOFTWARE ALREADY IN USE : OFFICE
MENTION NAME :______________________________
INTERNET CONNECTION : TELEPHONE LINE : YES
REFFERED[NO-
NO
INTERNET CONNECTION : YES
NO
] FROM ------------------------------------------------------TO -------------------------------------------------------------------
DEMONSTRATED ON : QUICKHEAL RESPONSE : POSITIVE
TALLY
NEGATIVE
TALLY
HISAB
BIJOY
OTHERS
__________________________ For Office Use :
MIXED
VISIT EXPENSE INCURRED RS._______
DATE:
SALESMAN SIGNATURE
SIGNATURE DATE ;
MANAGER