Demo Receipt Note

Retailer Shop Name: _______________________________________________

DMS Code: ____________________
Retailer Address: ____________________________________________
REVENUE STAMP
Owner Name: ______________________________________________
City: __________________________________________________
MD Name: ________________________________________________
To,
Pioneer Mobile Pvt Ltd,
I, Mr ______________________________________ (name of Retailer), on behalf of

____________________________________(Name of OUTLET), have gone through the

DEMO POLICY and hereby confirm receiving the demo handset from Pioneer Mobile Pvt Ltd

through the MD_____________________________________________ in the city of

____________________________

Vivo Mobile Demo Phones Details.

Date of Return Dealer
Sr no. Model Number IMEI Number
issue date Price

I shall abide by the following terms and conditions mentioned below.

 I agree to settle my account (Debit/ Credit) of Demo Handsets based on conditions

mentioned in Demo Policy with the Pioneer Mobile Pvt Ltd.
 I will compensate for any loss or damage to this handset in this period at the MOP
price (as above) to the MD
 I also take complete responsibility of providing Wi-Fi/Data connectivity, activation of
the Smart Demo Tracker in the handsets and would be solely responsible for its
proper functioning.
 The Demo phone will solely be used for the purpose of demonstration purpose to
the customer walking in the shop.

Dealer Signature with stamp MD Signature & Stamp