PROTON Referral Form

PROTON REFERRAL SCHEME (PROTON / DRB-HICOM Group of Employees)

Sales Branch : _________________________

Date : ______________________

Introducer

Verified By Introducer's Human Resource Department

I hereby confirm that

Introducers Name as per I/C

: _______________________________
_________________
________________________

Staff Number

: _______________________________

is a staff of

Company/Department
Bank Name

: _______________________________
: _______________________________

________________________

Bank Account Number

: _______________________________

Contact Number

: _______________________________

_______________________________
Signature & Company's Rubber Stamp
Name :

Email Address

: _______________________________

Contact No :

( Introducer fee will be paid into this account )

I am pleased to introduce a customer who intend to purchase a new car from Proton Edar Sdn Bhd as follow :

Customer
Name of Customer & I/C No

: ________________________________________________________

Address

: ________________________________________________________

: ________________________________________________________

Contact Number

: ________________________________________________________

Interested Model (Please tick)

Saga

Persona

Preve

Iriz

Exora

Inspira

Kindly follow up to complete the purchase

Thank you.
__________________________
Introducers Signature
For Office Use ( Edar Branch )
Invoiced Number

___________________

Car Registration Number

___________________

Sales Advisor

___________________

Status Update : Successful

Unsuccessful

Acknowledged by Sales Manager :

Name & Branch Rubber Stamp:

Date :

Remarks :
_____________
___________ ______

IMPORTANT NOTE
a) Referral can ONLY be through Proton Edar Sales Branch (NOT at its dealers)
b)
Please retain a copy of this form for your record/reference
C)
Info/Details of the prospects will be kept in the STRICTEST CONFIDENCE

Suprima