PERFETTY VAN MELLE LANKA (PVT) LTD

VEHICLE SUBSIDY CLAIM FORMAT

DB Code : ……………………………………………………………………………… MONTH : …………………………………………………………
DISTRIBUTOR NAME : ……………………………………………………………………………………………….. Territory Code: ………………………………………………………….
SO's NAME : ……………………………………………………………………………………………….. Territory Name: ………………………………………………………….

CALLS DETAILS TOTAL NO. OF SKU SOLD SECONDARY SALES VALUE

PER DAY TOTAL VEHICLE
DATE ROUTE NAME
TOTAL CALLS PROD. CALLS INCREASE WHOLESALE RETAIL TOTAL WHOLESALE RETAIL TOTAL SUBSIDY CLAIM
VALUE

TOTAL

VEHICLE SUBSIDY VALUE

SECONDARY SALES VALUE
X 100% = %
……………………………………………………… ……………………………………………………… ………………………………………………………
STAMP & SINATURE OF DISTRIBUTOR SIGNATURE OF ASM APPROVAL OF Director of Sales

# Classification: Internal