RSC Cis Forms 2019
RSC Cis Forms 2019
RSC Cis Forms 2019
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Total Expences :
Prepared By: Total P.O -
Remarks :
Noted by : Total Collection
Approved by:
EXPENSE SUMMARY REPORT
TRANSPO EXPENSE
POSTAGE/TELEGRAM
INTERNET
PRINT
PHOTOCOPY
SUPPLIES
MEAL ALLOWANCE BRKFST
LUNCH
DINNER
Load (Non-Sun):*Pls specify
Budget - Glove / Smart
Representation (Specify)
WAGES for Local recruitment (Helper/Driver)
RENT / STAFF HOUSE
ELECTRICITY
WATER
LODGING
GASOLINE
TOLL FEE
PARKING FEE
MAINTENANCE
SUPPLIES
Total Expenses -
Revolving Fund: Prepared by: Checked by: Checked by: Checked by: Approved by:
_______________ _______________ _______________ _______________ ____________________________
Total Expenses: VTC MKY NCY
- Date: Date:
Balance: _______________ _______________ _______________ _______________ _____________________________
TERRITORY
DELIVERY ADDRESS
AUTHORIZED RECIPIENT OF
DELIVERIES DESIGNATION
PROPRIETOR'S NAME
TYPE OF OWNERSHIP SINGLE PROPRIETOR / PARTNERSHIP / CORPORATION / COOPERATIVE
PROPRIETOR'S ADDRESS
NUMBER OF YEARS RESIDING PERSONAL TELEPHONE
NUMBER (LANDLINE&MOBILE)
SUPPLIER REFERENCE
CREDIT LIMIT/PURCHASE
NAME OF SUPPLIERS MONTHLY VOLUME TERMS
BANK REFERENCE
NAME OF BANK BRANCH ACCOUNT NUMBER
CUSTOMER SIGNATURE
*PLEASE FILL UP ALL THE NECESSARY INFORMATION
*PLEASE PROVIDE PHOTOCOPY OF RECENT SUPPLIERS' RECEIPTS
*PLEASE PROVIDE PHOTOCOPY OF THE FOLLOWING: LICENSE TO OPERATE (FOR DRUGSTORES)
DTI REGISTRATION / SEC FOR CORPORATION
BUSINESS PERMIT
SUBMITTED AND DEVELOPED BY NOTED, REMARKED AND APPROVED BY APPROVED AND PRECESSED BY ENCODED BY
CUSTOMER REFERENCE # INVOICE AMOUNT P.R. # C.R. # CASH BANK CHECK # CHECK DATE PAID AMOUNT REMARKS
CASH
MONTH'S COLLECTION TOTAL COLLECTION - BREAK DENOMINATION PIECES AMOUNT
DOWN
DENOMI
# OF CHEQUES NATION
PIECES AMOUNT 20 -
CHEQUE AMOUNT - 1000 - 10 -
TOTAL CASH - 500 - 5 -
200 - 1 -
100 - TOTAL AMOUNT IN CASH -
50 -
TERRITORY -
DELIVERY ADDRESS
AUTHORIZED RECIPIENT
OF DELIVERIES DESIGNATION
BANK REFERENCE
NAME OF BANK BRANCH ACCOUNT NUMBER
AUTHORIZED SIGNATORIES
SIGNATURE SPECIMEN
FOR CHECK PAYMENTS
CUSTOMER SIGNATURE
*PLEASE FILL UP ALL THE NECESSARY INFORMATION
*PLEASE PROVIDE PHOTOCOPY OF RECENT SUPPLIERS' RECEIPTS
LICENSE TO OPERATE (FOR DRUGSTORES)
*PLEASE PROVIDE PHOTOCOPY OF THE FOLLOWING:
DTI REGISTRATION / SEC FOR CORPORATION
BUSINESS PERMIT
SUBMITTED AND NOTED, REMARKED AND APPROVED AND PRECESSED
ENCODED BY
DEVELOPED BY APPROVED BY BY