Field Visit Report - App View

New Field Visit Entry

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1. & 2. Customer & Account Details

1. Telephone No:

2. Billing Account No:

Name:

Visit Date & Time:

3. Address of the Defaulter visited

4. Contact & Availability

4.1 Defaulter Available & Contacted?

4.2 Outcome if contacted:

4.3 Family Member Contact (If defaulter not available)

Person Contacted:

Relationship:

Phone/Mobile:

Response:

5. Vacated Premises Information

5.1 Present occupant & info availability:

5.2 Neighbour information gathered:

6 & 7. Witness & Nominee Visits

6. Witness visited?

6.1 Outcome:

7.1 Nominee visited?

7.2 Outcome:

8. Office Records

8.1 Records consulted?

8.2 Useful information gathered:

9. Information Collected

Present Address:

Working Tel:

Mobile:

Other Contact:

Financial Status:

Other Information:

10-12. Conclusion & Officer Details

10. Next visit date:

11. Follow-up action:

Write-off? Yes

12. Other remarks:

Officer Details

Name:

Designation:

Signature (Image):

13. Approval & Officer Details

Approver - Officer Details

Name:

Designation:

Signature (Image):