MARKETING-SKINNOVA- SAS REQUEST STATE Mumbai

ASM Vacant

SFA Code (MSL) D059475 Date: 1/16/2018

PSR Name : Nikhil Chavhan HQ Code: 9

Employee No. 6389 HQ: PUNE-2

Customer Name: Dr. Varsha Rangari Mob# 7774002665

DR.VARSHA
Address:
RANGARI
Flat/Door/Plot No.
Building Name `
Stret Name Aditya Hospital
Area / Locality Thergaon,Chinchawad
City/Taluk/Dist. Pune
State / Pincode MAHARASHTRA

Details of
Part payment of IADVL
Customer Request

Accurate/ Approx. cost of the service requested by Customer : 20,000

Rupees in words Twenty Thousand Rupees Only

For Office Use

Details of the Privilege availed in the past, by
this Customer if any (Amount, Month & Year) PCPA Rs.

In Favour of * Devyani Hardikar ( Dr's Asst )

* Please provide name exactly as given in Bank account

EXE.V.P- Sales
PSR/ PSO ASM DRM / RSM ZSM DGM-SALES
& Marketing

Nikhil Chavhan Vacant Vacant

DIRECTOR &
Checked by: GM-F CFO CMD
CEO

Please use CAPITAL LETTERS for easy understanding and to avoid mistakes while processing
Name of the Customer: Varsha Rangari
PRODUCTS CURRENTLY PRESCRIBED BY THE CUSTOMER WITH UNITS, STRENGTH & PACK
(Please Mention the Product name and avoid Short forms)

Sl.No Products Units/ Months Sl.No Products

1 Sunblock OC gel 67
2 Levapp 104
3 Ascazin Tab 29
4 Erbinox Tab 109
5 Itrapex 200 18
6 Acnovate Gel 67
7

Total Value of Present Contribution per month In IMP 37378

Customer's Potential for Other Product Categories as per RCPA

1 Itaspor 200 4
2 5
3 6

Which new Product you are going to Promote and Demand further from the Customer on Fulfilling the
Request ?

1 Itrapex 200mg cap 4

2 5
3 6

Have you commited for any Trade Offer ? Yes / No

If Yes mention the Percentage commited No

Date of your Follow-up Visits to Remind the New Products PSR & ASM

Visit 1
Visit 2 Date Visit 3 Date
Date 1/20/2018 2/5/2018

PSR's & ASM's Commitment of Customer's Increase in the Contribution (Rupeewise) for the next 3 Mon

Month 1 40,000 Month 2 50,000 Month 3

NOTE : Please FILL all details, for early approval of the request
 SKINNOVA
RENGTH & PACK

Units/ Months

mer on Fulfilling the

2/20/2018

e) for the next 3 Months

60,000
MARKETING-SKINNOVA

PSR Name: Nikhil Chavhan Employee No.:

HQ: Pune-2 HQ Code: 9 Service Made:
Customer Name: Dr Varsha Rangari Amount spent:
Qualification: MD DVD Month of Service:

Details Customer's Contribution in Inmarket Sales (in Units)

Product CHITOMESH-SF ASCAZIN Itrapex200mg cap Sunblock OC gel Erbinox tab Levapp tab Acnovate gel Sun
Inmarket Price 164.1 30.42 87.77 365.76 100.98 21.53 120.69
Month Prod.1 Prod.2 Prod.3 Prod.4 Prod.5 Prod.6 Prod.7 Prod.8

Present.Contrib.

M 1- Sep 17 6 10 5 60 50
M 2- Oct 17 8 59 30 40 240 150 40

M 3- NOV 17 40 38
M 4- DEC 17 3 20 122 99 114 94

a. A minimum (8-10) Times R.O.I (Return on Investment) on SAS amount spent is the expected business
b. Please note - SAS Tracker to be sent every month till we get Assured R.O.I
c. New SAS request will be considered only on receipt of previous SAS tracker duly filled and sent every month
Mahesh Pingale
Signature of PSR
 State Mumbai
Sep-17 Dec-17
639
Yes
20000/-
Nov-17

in Inmarket Sales (in Units)

Sunblock 50+ Total Value HQ Inmarket
in Rs Sales
274.54
Prod.9 Prod.10

8862.95 0.66
52663.38 1.23

18467.64 1.06
69519.72 1.27

0
0
0

0
0

149513 4.22

Shahid A.Shaikh
Signature of ASM/RSM