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DABUR "DISPENCING VAIDY'S LOYALTY PROGRAMME 2010-11

ENROLLMENT FORM

NAME OF VAIDY'S -
TOWN -

ADDRESS -

TOWN -
STATE -
PIN CODE -
TELEPHONE NO - MOBILE NO -
E mail ID -
STOCKIST NAME & CODE -
SALES OFFICER -

ACH TGT I QTR ACH II QTR III QTR IV QTR TOTAL


MAY & JUNE JULY -SEPT OCT -DEC JAN - MAR 2010-11
2009-10 2010-11
TGT ACH TGT ACH TGT ACH TGT ACH TGT ACH

I HAVE READ THE TERM & CONDITION OF DABUR "DISP VAIDYS" PROGRAMME 2010-11 AND AGREE TO ABIDE BY THEM.

DATE OF ENROLLMENT -

VAIDYS SIGNATURE/STAMP SALES OFFICE SIGNATURE

STOCKIST STAMP & SIGNATURE REGIONAL HEAD SIGNATURE


DABUR "DISPENCING VAIDY'S LOYALTY PROGRAMME 2010-11
TRCKING REPORT
NAME OF VAIDYS -
TOWN -
STOCKIST NAME -
HQ -
BILL NO SALES BILL NO SALES BILL NO SALES BILL NO SALES

TOTAL PURCHASE -
% OF SCHEME AS PER CIRCULAR -
TOTAL FREE GOODS VALUE -

SO SIGNATURE STOCKIST STAMP/SIGN

VERIFIED AREA HEAD

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