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DEVI CROP SCIENCE PVT LTD, KOLKATA

FIELD ASST. APPOINT FORM


1.
2.
3.
4.

Name of Field Asst


Father name
Date of Birth
Address of Communication

:
:
:
:..

5.

Contact No

6.

Education Qualification

:..

7.

Name & Address of Distributor

:..

Under which he will work


8. Area Allocation
:..
9. No of Yrs. Experience in Pesticides:.
10. Sales Target- 2012-13
In Ltrs.
a.
b.
c.
d.
11.
12.
13.
14.

Boom Flower Ultra


:Immuno Boom
:Boom tet
:Boom Gold
:Total
:Salary Per month
:% of salary Ag. Sales value
:No of month Recomm. By SO/SR/Mgr
Reference from two Person:-

In Value

Name

:-

Address

Ph.no

1.
Signature:2.
Signature:-

Sign Of F.A.
Sign of SO/Mgr
Sign Of R.M.
Note:- If F.A will unable to complete the above mentioned target then 20% of his total salary will
debited to concern distributor

Signature of Distributor:
(With Stamp)

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