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questionnaire form
Updation as on 30-06-2012
1. Name of your Branch : _________________________________________ Code No._______________
Full Address
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
As on 30-06-2011
As on 30-06-2012
As on 30-06-2011
As on 30-06-2012
As on 30-06-2011
As on 30-06-2012
As on 30-06-2011
As on 30-06-2012
a) Cash Sale
b) Direct Sale
c) Agency Sale
TOTAL
4. Average Monthly Exprenses of Branch
a) Cash Expenses (i.e. Petty Cash)
b) Cheque Expenses (i.e. Other Exp.)
TOTAL
7. Advance cheque required for Petty Cash from April 12 onwards to deposit 100% collection in Bank.
Presently Receiving _______________________________________
Future requirement
As on 30-06-2011
As on 30-06-2012
Local
Salelilite
TOTAL
9. No. of Franchisees working under your Branch as on 30-06-2012 (Please attach list)
Local
Satellite
Total
1.
2.
3.
4.
5.
(Attach List)
12. How many new Clients/Agencyies lost during the year.
S.No. Name of Client/Agency
(Attach List)
13. How many new towns added in the current year.
S.No. Name of Town
KLM
Through
KLM
(Attach List)
14. Total Outstanding as on 30.06.2012 (Including Feb09 Sale & Collection upto 30.06.12)
(Please attach detailed List)
Client
Agency
TOTAL
15. Total Amount unrecoverable/bad debts as on 30.06.2012 (Please attach separate List) as per format only.
Client
Agency
TOTAL
Please attach serparate list as per the following format :
Name of
Client Agency
Bill
Amount
Amount
Balance
Received Unrecoverable
Reason for
non-recovery
16. Total liabilities as on 30-06-2012 Including Government dues (Please attach full details)
Sl. No.
Name of Party
Period
Head
Amount
Sl.
Staff Name
Appointment
No.
Date
Status
Gross
Fixed
Brief
Permanent/
Salary Incentive Responsibilites
Temporary
Details
________________________________
Address
________________________________
________________________________
Rent amount
________________________________
Security Amount
________________________________
Date of Commencement
________________________________
Date of expiry
________________________________
Date of Purchase
Quantity
20. How many DD pending as on Date to be transfer H.O. on A/c of C/Note Sale/International Booking / Surplus)
1.
2.
3.
4.
21. How many To-Pay / COD is pending in your Branch (Attach detail list)
1.
2.
3.
4.