INDOCO REMEDIES LTD.

MUMBAI 400 098

PROPOSAL FOR PSP/CPP

(Strike whichever is applicable)
APPLICATION REF NO. :

DATE:

NAME OF M. R.

J SUDHAKAR

H. Q.:

NAME OF ABM:

MR V.SIVASUNDARAM

30/11/2013

VELLORE TN
UNIT NO. :

(A) PSP/CPP entitlement for the year (unitwise)

: RS.

(B) PSP/CPP amount already utilized (unitwise)

: RS.

(C) Balance PSP/CPP amount for the year (unitwise)

: RS.

(D) Amount of this proposal

: RS.

1758

(E) How will this amount be utilized (Provide brief detail

.

This amount will be utilize for SPONSORSHIP OF ACCOMODATION CHARGES TO DR. ATTEND CME
PRAGRAMME

(F) Name of Doctors with Phone No. & Mobile No. to be entertained.
Code
No.

05

Doctors Name

DR. VIJAY CHOPRA

Specialty

Place

MSDO

VELLORE

Clinic Tel No.

Mobile No.

(G)

Dates of Last 6 Visits

MR
ABM

5/7

7/6, 21/6,

2/8, 20/8

6/9, 20/9

8/10, 23/10

8/11, 22/11

21/6

8/11, 22/11

DBM

(H) Date of lat sponsorship for the doctor

& amount Sanctioned

(I) What is the objective of your proposal? (Tick)

Rs.
Productwise (units)

Present Quantum of Sales from

Focused doctor/s
8000 P/M
OFLOREN 50, OXI 50, TOB 50, TOB-D 100,
DEX-S 200, IRIMIST 50.

(J) Cheque / DD should be in favour of

_

Expected Sales after Activity

NEPACHECK, MAC FORTE

DR. VIJAY CHOPRA

SIGNATURE OF M.R.

:OK

SIGNATURE OF ABM

DATE:
DATE:

SIGNATURE OF DBM

DATE:

SIGNATURE OF ZBM/SM :

DATE:

P.S.:

30/11/2013

________

a. Attach Request letter of Doctor with proposal.

b. Attach brochure incase proposal is for seminar.
SOFT COPY: Please mention as OK as against signature in case of your approval to proposal.

Incomplete forms will be rejected.

FOR OFFICE USE ONLY

OFFICIAL ORDER NO.

P.S. : Please fill in all the details in this format & send. Please attach the scanned copy of Doctors
request letter to this mail page.