Market Return Note

To : Director Sales Date : ....................................................

: Perfetti Van Melle Lanka (Pvt) Ltd
DB Code : ……..............................................
DB Name : ……..............................................
Territory : ....................................................

From : ……….......................…....……………………………………………………………………………… Office Use Only

: ……….......................…....……………………………………………………………………………… MR No
: ……….......................…....……………………………………………………………………………… Received Date (Sales)
Received Date (Logistic)
Collected Date (Stores)

Subject : Details of stock collected from the market on account of quality issues.

Box/Jars/
Product Nature of
Product Description Exp Date Quantity Pouch/ Value (Rs) QA Comment
Code Complaint
Pieces

Total Value at distributor's landed cost (Rs) :

…………………………………………………………. ………………………………………………………….
Stamp & Signature of Distributor Physically Checked & Verified By : ASM

………………………………………………………….
ASM Checked Date

Approved By : ………………………………………………………….
Director Sales