Sales Department Scientific event Request Form

SCIENTIFIC EVENT REQUEST FORM

RTM WS OTHERS
Requested by(Name/Title): Vu Thi Thu Hang TEAM : Merck CH AREA : Nam nh
x

PRODUCT: SEVEN SEAS SIRO HOSPITAL: BV NHI NAM NH

Topic:Role of cod liver oil and multivitamins in treatment

Target Department: PK Nhi
supplement for children with heart disease

Proposed Speaker: Vu Thi Thu Hang No. of Guest (*): 20 guests

Place : PK Nhi Proposed Date: Sep-17 Time:11h30-12h

STYLE & REQUIREMENTS

Food & x Sample for

Soft Drink x Lunch Dinner
new Product

Brochure &
Organization fees Gimmicks Others
Documents

A. OBJECTIVES
Present to doctors about Merck CH
Present to doctors about benefits and features of SEVEN SEAS SYRO

Sales Performance ( Attached sales is requested) - Sales by produc/Hospital (Monthly Average)

Actual Sales Sales Expectation Time for Review

B. SUPPORT REQUEST (All Expense)

Nature of Support Quantity Unit Cost (VND) Total Cost (VND)

lunch box 20 150,000 3,000,000

3,000,000
AMOUNT :

17RH10310
PP REF :

MKT
SF Budget: $ PP code: $ PP code: Other: $ PP code:
Budget:

ADVANCE OR BANK TRANSFER

MERCK STAFF'S INFO SUPPLIER / SPEAKER'S INFO

Name of Staff Vu Thi Thu Hang Name of Supplier/Speaker
Bank Account number: 1000385545 Speaker's address:
Bank Citibank CN Ng Quyn Hon Kim H Ni Bank Account number:
Bank
AMOUNT AMOUNT
C. MARKETING ACKNOWLEDGE TARGET PRODUCT

PRODUCT MANAGER/ MARKETING MANAGER'S COMMENT Marketing Agreement Yes

Comments: Yes No Invited speaker GLP CON COL TER

I am speaker for Roundtable Speaker fees GLV LOD COLPO SAN

Suggestion: Checked Presentation THY NEU LUT X SEVEN

Document support LEV

Brochure / Gift support

Budget support
Signature: Date: Requested : Date: SUV/DSM Date:

(*) Attached guest list as request

D. PROVIDED DOCUMENTS CHECKING
Agreement Hospital Authorized
Gift's quotation
Letter invitation letter Bank transfer
Presentation
Sales perfomance Contract
of speaker

Area Sales Manager National Sales Manager GM/CR Checked by

Date : Date:
Date: Date:

Comments of GM/CR

FINANCIAL CHECKING & ADVANCE PROCESS

Received date / Signature Unacceptable Reasons

Acceptable

The 1st Returned date

Unacceptable
to SFA

Received date / Signature Unacceptable Reasons

Acceptable

Revised date : 09/22/2017 SF form Effective date :09/22/2017

7
Sales Department Scientific event Request Form

SCIENTIFIC EVENT REQUEST FORM

The 2nd Returned date
Unacceptable
to SFA

Revised date : 09/22/2017 SF form Effective date :09/22/2017

7
Sales Department Scientific event Request Form

SCIENTIFIC EVENT REQUEST FORM

RTM WS OTHERS
Requested by(Name/Title): Vu Thi Thu Hang TEAM : Merck CH AREA : BAC GIANG
x

PRODUCT: SANGOBION HOSPITAL: BV SAN NHI BAC GIANG

Topic:Supplementation Iron & Folic acid for Pregnant mothers

Target Department: KHOA SAN
preparation , Pregnancy & Breastfeeding .

Proposed Speaker: Vu Thi Thu Hang No. of Guest (*): 20 guests

Place : Khoa San Proposed Date: Sep-17 Time:11h30-12h

STYLE & REQUIREMENTS

Food & x Sample for

Soft Drink x Lunch Dinner
new Product

Brochure &
Organization fees Gimmicks Others
Documents

A. OBJECTIVES
Present to doctors about Merck CH
Present to doctors about benefits and features of Sangobion.

Sales Performance ( Attached sales is requested) - Sales by produc/Hospital (Monthly Average)

Actual Sales Sales Expectation Time for Review

B. SUPPORT REQUEST (All Expense)

Nature of Support Quantity Unit Cost (VND) Total Cost (VND)

lunch box 20 150,000 3,000,000

3,000,000
AMOUNT :

17RH10307
PP REF :

MKT
SF Budget: $ PP code: $ PP code: Other: $ PP code:
Budget:

ADVANCE OR BANK TRANSFER

MERCK STAFF'S INFO SUPPLIER / SPEAKER'S INFO

Name of Staff Vu Thi Thu Hang Name of Supplier/Speaker
Bank Account number: 1000385545 Speaker's address:
Bank Citibank CN Ng Quyn Hon Kim H Ni Bank Account number:
Bank
AMOUNT AMOUNT
C. MARKETING ACKNOWLEDGE TARGET PRODUCT

PRODUCT MANAGER/ MARKETING MANAGER'S COMMENT Marketing Agreement Yes

Comments: Yes No Invited speaker GLP CON COL TER

I am speaker for Roundtable Speaker fees GLV LOD COLPO SAN

Suggestion: Checked Presentation THY NEU LUT X SEVEN

Document support LEV

Brochure / Gift support

Budget support
Signature: Date: Requested : Date: SUV/DSM Date:

(*) Attached guest list as request

D. PROVIDED DOCUMENTS CHECKING
Agreement Hospital Authorized
Gift's quotation
Letter invitation letter Bank transfer
Presentation
Sales perfomance Contract
of speaker

Area Sales Manager National Sales Manager GM/CR Checked by

Date : Date:
Date: Date:

Comments of GM/CR

FINANCIAL CHECKING & ADVANCE PROCESS

Received date / Signature Unacceptable Reasons

Acceptable

The 1st Returned date

Unacceptable
to SFA

Received date / Signature Unacceptable Reasons

Acceptable

Revised date : 09/22/2017 SF form Effective date :09/22/2017

7
Sales Department Scientific event Request Form

SCIENTIFIC EVENT REQUEST FORM

The 2nd Returned date
Unacceptable
to SFA

Revised date : 09/22/2017 SF form Effective date :09/22/2017

7
Sales Department Scientific event Request Form

SCIENTIFIC EVENT REQUEST FORM

RTM WS OTHERS
Requested by(Name/Title): V Th Thu Hng TEAM : Merck CH AREA : Hi Phng
x

PRODUCT: Neurobion HOSPITAL: Viet Tiep-hai phong

Topic: Role of vitamin 3B in treatment for patient Target Department: Khoa kham benh

Proposed Speaker: Vu Thi Thu Hang No. of Guest (*): 20 guests

Place : Phng Khm Proposed Date: 9/2017 Time:10h00 -10h30

STYLE & REQUIREMENTS

Food & xxX Sample for

Soft Drink
x Lunch Dinner
new Product

Brochure &
Organization fees Gimmicks Others
Documents

A. OBJECTIVES
Present to doctors about Merck CH
Present to doctors about benefits and features of Neurobion.

Sales Performance ( Attached sales is requested) - Sales by produc/Hospital (Monthly Average)

Actual Sales Sales Expectation Time for Review

B. SUPPORT REQUEST (All Expense)

Nature of Support Quantity Unit Cost (VND) Total Cost (VND)

Lunch box 20 150,000 3,000,000

3,000,000
AMOUNT :

16RH1209
PP REF :

MKT
SF Budget: $ PP code: $$ PP code: Other: $ PP code:
Budget:

ADVANCE OR BANK TRANSFER

MERCK STAFF'S INFO SUPPLIER / SPEAKER'S INFO

Name of Staff Name of Supplier/Speaker
Bank Account number: Speaker's address:
Bank Bank Account number:
Bank
AMOUNT AMOUNT
C. MARKETING ACKNOWLEDGE TARGET PRODUCT

PRODUCT MANAGER/ MARKETING MANAGER'S COMMENTS Marketing Agreement Yes

Comments: Yes No Invited speaker GLP CON COL TER

I am speaker for Roundtable Speaker fees GLV LOD COLPO SAN

Suggestion: Checked Presentation THY NEU X LUT SEVEN

Document support LEV

Brochure / Gift support

Budget support
Signature: Date: Requested : Date: SUV/DSM Date:

(*) Attached guest list as request

D. PROVIDED DOCUMENTS CHECKING
Agreement Hospital Authorized
Gift's quotation
Letter invitation letter Bank transfer
Presentation
Sales perfomance Contract
of speaker

Area Sales Manager National Sales Manager GM/CR Checked by

Date : Date:
Date: Date:

Comments of GM/CR

FINANCIAL CHECKING & ADVANCE PROCESS

Received date / Signature Unacceptable Reasons

Acceptable

The 1st Returned date

Unacceptable
to SFA

Received date / Signature Unacceptable Reasons

Acceptable

Revised date : 09/22/2017 SF form Effective date :09/22/2017

7
Sales Department Scientific event Request Form

SCIENTIFIC EVENT REQUEST FORM

The 2nd Returned date
Unacceptable
to SFA

Revised date : 09/22/2017 SF form Effective date :09/22/2017

7
 Sales Department Scientific Event Clearance form
SCIENTIFIC EVENT CLEARANCE FORM
Cleared by (Name/Title): TEAM : AREA :
Date of clearance :
(max 2 weeks after event) RTM WS OTHERS PP CODE :

PRODUCT: HOSPITAL :
Topic Target Dept
Date of event : Place :
POST EVENT FEEDBACK
No. of Guest: Present: % Vs guest list:
GIFTS PRESENTATION
Not Need to
Quantity: Enough Enough:
Speaker Very well Acceptable improve
Not
Quality: Nice Acceptable: Topic Interesting Acceptable
interesting
OPINION OF GUESTS:

DRAWBACKS:

SUGGESTIONS: CONCLUSION

Good
Acceptable

Not
acceptable

EXPENDITURE & ADVANCE CLEARANCE
Nature of Support Quantity Unit cost Actual Expense

Cleared by AMOUNT SPENT :

FINAL APPROVED AMOUNT :

ALL DOCUMENTS ACCEPTED (Y/N) : AMOUNT PAID BACK/MORE :

PROVIDED DOCUMENTS CHECKING
Hospital Gift's Invoice Restaurant
Pictures
Receipt invoice
ALL DOCUMENTS ACCEPTED (Y/N) : Checked by :

SUP / DSM Area Sales Manager NSM GM/CR Recipient

Dated: Dated: Dated: Dated: Dated:

FINANCIAL CHECKING & PAYMENT PROCESS
Received date
Returned date
Acceptable
to SFA
Unacceptable
Signature Unacceptable
Reasons

Revised date : 09/22/2017 SF form Effective date : 09/22/2017