Visit Report

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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

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