COLGATE-PALMOLIVE (PAKISTAN) LTD.

CLAIM FORM

DISTRIBUTOR'S ZONAL CONTROL NO : FOR H.O. USE ONLY

C/N
Code No : Claim No :
DATE
Name : Date :

Town : Month :

INOICE SRN / DSAR AMOUNT

PARTICULARS
Date Number Date Number Rs. Ps.

TOTAL CLAIM AMOUNT

Remarks :

NOTE :- 1) CLAIMS FOR DAMAGE STOCK AND STOCK RETURN TO BE RAISED SEPERATLY.
2) PLEASE ATTACH ALL ORIGNAL SUPPORTING DOCUMENTS OF CLAIM WITH SUMMARY.
3) CLAIM RECEIVED AFTER 60 DAYS FROM THE DATE OF INVOICE OR OCCURANCE OF
CAUSE OF CLAIM WILL BE TREATED TIME BARRED

Pre-
Forwarded by Recommended
Audited by
Prepared by distributor 's Signature With Rubber Stamp A.S.M / S.E. / by Zonal Zonal
F.O. Manager
Auditor

FOR HEAD OFFICE USE ONLY

We Have credited the above Distributor Account in Statement of the above claim

under the following HEAD OF ACCOUNT :

PRODUCT HEADS OF AMOUNT

PROCESS CODE REMARKS
CODE ACCOUNT Rs. Ps.

TOTAL CLAIM AMOUNT PASSED

PROCESSED BY CHECKED BY AUTHORISED BY FEEDED BY

 TETLEY CLOVER ( PVT ) LIMITED
CLAIM FORM
DISTRIBUTOR'S ZONAL CONTROL NO : FOR H.O. USE ONLY

C/N
Code No : Claim No :
DATE
Name : Date :

Town : Month :

INOICE SRN / DSAR AMOUNT

PARTICULARS
Date Number Date Number Rs. Ps.
0

TOTAL CLAIM AMOUNT - 0

Remarks :

NOTE :- 1) CLAIMS FOR DAMAGE STOCK AND STOCK RETURN TO BE RAISED SEPERATLY.
2) PLEASE ATTACH ALL ORIGNAL SUPPORTING DOCUMENTS OF CLAIM WITH SUMMARY.
3) CLAIM RECEIVED AFTER 60 DAYS FROM THE DATE OF INVOICE OR OCCURANCE OF
CAUSE OF CLAIM WILL BE TREATED TIME BARRED

Recommended
Prepared by distributor 's Signature With Pre-Audited by
Forwarded by A.S.M / S.E. / F.O. by Zonal
Rubber Stamp Zonal Auditor
Manager

FOR HEAD OFFICE USE ONLY

We Have credited the above Distributor Account in Statement of the above claim

under the following HEAD OF ACCOUNT :

AMOUNT
PROCESS CODE PRODUCT CODE HEADS OF ACCOUNT REMARKS
Rs. Ps.

TOTAL CLAIM AMOUNT PASSED

PROCESSED BY CHECKED BY AUTHORISED BY FEEDED BY