DISTRIBUTOR SALESMAN PROFILE SHEET TOWN STATE

TRIB DISTRIBUTOR NAME NO. OF SALESMAN THE DISTRIBUTOR HAS FOR HCCB: SR. NO. PROFILE OF THE DISTRIBUTOR SALESMAN FIRST NAME

MIDDLE NAME

SURNAME APPROX. MONTHLY INCOME Rs. SPEA K LANGUAGES 1 2 3 WRIT E

AGE IN YEARS

READ

EXPERIENCE IN SALES IN PRESENT JOB PREVIOUS JOB TOTAL EXPERIENCE CONTACT ADDRESS HOUSE NO.

YEARS YEARS YEARS YEARS

COLONY

Classified - Internal use

STREET NAME

TOWN/VILLAGE

TALUKA/DISTRICT

STATE

PIN CODE

STD CODE

PHONE NO.

PLEASE USE A SEPARATE SHEET FOR EACH DISTRIBUTOR SALESMAN, SERIALLY NUMBERING THEM, INDICATING ON THE FIRST SHEET, THE TOTAL NO. OF SALESMEN THE DISTRIBUTOR HAS. NAME OF THE STL/SE WHO HAS COLLECTED THIS INFORMATION: ____________________ SIGNATURE: __________________ DATE: ____________

Classified - Internal use