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  1. |    |       |         |  0      | 0     | 0     | 0     | 0          | 0          | 0          | 0          | 
  2. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  3. |                              |  0      | 0     | 0     | 0     | Tot Amount | 0          | Total Tran |  0         |
  4. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  5. |                                                                | Other      | 0          |            | 0          |
  6. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  7. |                                                  Bonus Amount for ACE Calls | 0          |            |            |
  8. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  9. |                                                                |Service Tax | 0          |            |            |
  10. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  11. |                                          Total Amount Including Service Tax | 0          |            |            |
  12. |--------------------------------------------------------------------------------------------------------------------|
  13.  
  14. Payment done only for visit category WAR,PPL,PRS.
  15. |----------------------------------------------------------------------------------------------|
  16. |                 |  CHA  |  CHW  |  CUP  |  OSC  |  UPV  |  WAR  |  PPL  |  PRS  |GRAND TOTAL |
  17. |-----------------|-------|-------|-------|-------|-------|-------|-------|-------|------------|
  18. |Total Call Count | 0     | 0     | 0     | 0     | 0     | 0     | 0     | 0     |   0        |
  19. |----------------------------------------------------------------------------------------------|
  20.  
  21. Repeat  : RDC  -->0    
  22.         : CALL -->0    
  23. ACE Calls (FRT <= 4 Hrs) :0    
  24. We confirm that the above said claims are for the month  _______________ . We do not have any claims pending prior to this month.          
  25.   
  26.   
  27. Signature of ASP   
  28.   
  29.        
  30. We confirm having audited 20 % of the above calls. We found that updation was correct and wherever we found them to be not correct          
  31. we have corrected/penealized the said calls."    
  32.  
  33.          
  34. Branch Executive                                    Service Manager                                                  RSvM
  35.  
  36.  
  37. --------------------------------------------------------------------------------------
  38. |       |    V1    |    V2    |    V3    |    V4    |    V5    |    V8    |    V9    |
  39. |-------|----------|----------|----------|----------|----------|----------|----------|
  40. | Total | 0        | 0        | 0        | 0        | 0        | 0        | 0        | 
  41. |-------|----------|----------|----------|----------|----------|----------|----------|
  42. |Ace amt|----------| 0        |----------|----------|----------|----------|----------|
  43. |-------|----------|----------|----------|----------|----------|----------|----------|
  44. | Other |----------| 0        |----------|----------|----------|----------|----------|
  45. |-------|----------|----------|----------|----------|----------|----------|----------|
  46. |Tot+Ser| 0        | 0        | 0        | 0        | 0        | 0        | 0        | 
  47. |-------|----------|----------|----------|----------|----------|----------|----------|
  48. |Transport  Amount |          | 0        |          | 0        |          | 0        | 
  49. --------------------------------------------------------------------------------------
  50. Remarks  : 
  51.  
  52. V1  DEMO SERVICE ORDER
  53. V2  WAR CALL
  54. V3  WAR RELEATED RDC
  55. V5  PPL CALLS
  56. V5  PPL RELATED RDC
  57. V8  PRS/PDI CALLS
  58. V9  PRS/PDI RELATED RDC
  59.