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Cooler Requisition Form (CRF)

(To be filled by the CE)


Outlet Details:

Route Details:

Name of the Outlet:


Address:
Landmark:
City / Town:
Pin Code:
Phone Nos:
Contact Person:
Is the shop Permanent or Temporary:
(Temporary means: Kioks / Highway Dhabas / Un-authorized Roadside Stalls)

Account No.
(ASDOS/SAMNA)
Distributor's Name:
Hub Name:
Distributor/HUB SAP Code:
PSR Name:
PSR Ph No.:
Route Code/Spoke Name:
CE Name:
Category: CITY

DHQ

UPC

Channel Type:(Please fill the Channel Profile Code in the relevant box-See Overleaf for details)
Eating &
Drinking

Grocery

Institutions

Travel & Transport

Account Status:

New

Convenience

Leisure

Modern Trade

Food
Service

Wholesale on premise

Existing
Last Year
(Raw cases)

Volume & Share

Current Year YTD


(Raw Cases)

Current Year Estimate


(Raw Cases)

Next Year Estimate


(Raw Cases)

PI Volume
PI Share
CCX Volume
CCX Share
Total BSD Volume
Total LRB Volume

Infrastructure:-Chilling
Cooling Equipment

Existing

Planned/Recommended

Asset No.

New

No.of Coolers

Refurbished

Pull Out Coolers:

Asset No.s

PI

CCX

Yes

No

OWN

Yes

No

Size:(Basis Hurdle rate)


LRB Vol./Hurdle Rate

Size:(Recommended)

7
8
9
4
5
6
1
2
3
(Mark the cooler placement location at the outlet)

Requested By:

Approved By:

(Shop Entrance)
Distributor
TDM/ADC
Date:. Date:

Customer Executive
Date:
.
For MEM Department Use
CRF Status:

Complete

Size As per Hurdle Rate

Incomplete
Yes

No

CRF (Complete) Receipt Date:


Placement EMO/Ticket No.
CSR Signature

(If Incomplete returned to CE)

Installation Target Date:


Date

Pull Out EMO/Ticket No.

Service Dealer

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