complete information of branch

questionnaire form
Updation as on 30-06-2012
1. Name of your Branch : _________________________________________ Code No._______________
Full Address

________________________________________________________________

________________________________________________________________

________________________________________________________________

Fixed Tel. No.

________________________________________________________________

Mobile No. of B.M.

________________________________________________________________

2. Name of Branch Incharge_________________________ 2nd Commander of the Branch_____________

(Date from which you are BM)________________________Mobile No.____________________________
3. Average Monthly Sale of Branch

As on 30-06-2011

As on 30-06-2012

As on 30-06-2011

As on 30-06-2012

5. Profits/Surplus of the Branch (3-4)

As on 30-06-2011

As on 30-06-2012

6. Actual Surplus transferred to H.O.

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

 8. Total Delivery in the Branch

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

10. List of Serviceable Town served by your Branch as on 30-06-2012

S.No. Serviceable Town

Kms. Delivered by (Name of Agency, Tel. & Mobile No.)

1.
2.
3.
4.
5.

(Attach Separate List)

11. How many new Clients/Franchisees developed during the year.

S.No. Name of Client/Agency

Average Monthly Bill

(Attach List)
12. How many new Clients/Agencyies lost during the year.
S.No. Name of Client/Agency

Average Monthly Bill

(Attach List)
13. How many new towns added in the current year.
S.No. Name of Town

KLM

Through

KLM

Cost for Delivery

13A. How many new client can be served.

S.No. Name of Town

(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 No. &

Date

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

Total Amount in Rupees :___________________

17. Total Staff in your Branch

(Please attach list as per format)

Sl.
Staff Name
Appointment
No.
Date

Status
Gross
Fixed
Brief
Permanent/
Salary Incentive Responsibilites
Temporary

18. Office Rented

Details

Name of the Landlord

________________________________

Address

________________________________

Phone No./Mobile No.

________________________________

Rent amount

________________________________

Security Amount

________________________________

Date of Commencement

________________________________

Date of expiry

________________________________

19. Details of Fixed Assets With the Branch

Particulars
Computer
Printer
Inverter
Generator
Vehicle/Auto
Fax

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.

22. What is the status of On-Line Tracking in your Branch

23. Requirement for your Branch

24. Suggestions if any

Signature of Branch Manager