Visit Form - Credit
Credit Team Name
Please Select
Abhishek Sharma - Hapur - 30821
Ajay Singh - Reengus - 30998
Ajit Singh - Narnaul - 30832
Akash Gola - Shahdara - 31328
Akash Kumar - Hapur - 30645
Amandeep - Kaithal - 31340
Amandeep Singh - Ghaziabad - 31526
Amit Sharma - Ghaziabad - 30596
Anshul Gupta - Hapur - 31620
Ashish Kumar - Loni - 31118
Brij Mohan - Loni - 31672
Gaurav Kamra - Lucknow - 31568
Giriraj Sikri - Gurgaon - 30011
Gulshan Miglani - Gurgaon - 30826
Happy Shrimali - Udaipur - 31400
Harsh Royal - Moradabad - 30914
Himanshu Tyagi - Meerut Urban - 31582
Jai Shankar Ohja - Lucknow - 30830
Kapil Kumar - Yamuna Nagar - 30819
Kaushal Mapara - Jodhpur - 31444
Kishor Kumar Aithani - Shahdara - 31339
Kuldeep Singh - Aligarh - 31412
Lokesh Rajpoot - Gwalior - 31630
Maneesh Kumar - Kanpur - 30449
Manish Kumar Chhipa - Bhilwara - 31260
Manish Kumar Dadhich - Sikar - 31388
Manish Matani - Indore - 31541
Manish Tiwari - Agra - 31664
Mohit Kumar - Aligarh - 31088
Nazish Jamal - Hapur - 30005
Nitin Katara - Jaipur Urban - 30215
Pardeep - Rohtak - 31230
Pinky Varma - Jaipur Urban - 30403
Piyush Pandey - Varanasi - 31657
Pradeep Sharma - Alwar - 30495
Prashant Kumar - Ghaziabad - 30825
Preeti Choudhary - Ghaziabad - 31609
Rahul Kumar - Faridabad - 31231
Rahul saini - Rajgarh - 31696
Rahul soni - Indore - 31639
Raj Saxena - Hathras - 31665
Rohit Singh - Beawar - 30955
Sandeep Frand - Jaipur Urban - 30543
Sanjeev Kumar Sharma - Kotputli - 31491
Saroj Gola - Mathura - 30311
Satish Bansal - Head Office - 31683
Satya Dev Gaur - Mathura - 31660
Shyam Lal Hemaka - Jaipur Urban - 30621
Tanuj - Panipat - 31207
Umesh Verma - Ajmer - 30211
Vaibhav Mishra - Lucknow - 31661
Vikas Mandal - Kota - 31722
Visit Type
Please Select
Base Location Branch
Other Branch
Field Visit
Branch Name
Please Select
AGRA
AJMER
AJMER
ALIGARH
ALWAR
BEAWAR
BHILWARA
BULANDSHAHR
FARIDABAD
GHAZIABAD
GHAZIABAD RURAL
GURGAON
GWALIOR
HAPUR
HATHRAS
HEAD OFFICE
INDORE
JAIPUR RURAL
JAIPUR URBAN
JAIPUR-2
JANAKPURI
JODHPUR
KAITHAL
KANPUR
KARNAL
KOTA
KOTPUTLI
KUCHAMAN
LONI
LUCKNOW
MATHURA
MEERUT
MORADABAD
NARNAUL
NEEM KA THANA
PANIPAT
PHALODI
RAJGARH
REENGUS
REWARI
ROHINI
ROHTAK
SHAHDRA
SHAHPURA
SIKAR
UDAIPUR
VARANASI
YAMUNA NAGAR
Purpose of Visit
Please Select
Credit PD
Collection Visit
Branch Training
Surprise Customer Visit
Surprise Branch Visit
Credit Meeting
Technical Visit
Legal Visit
Property Visit
Business Visit
Home Visit
Customer Type
Please Select
New Customer
Existing Customer
Credit PD - Home Visit
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Name of Customer
Visit or Visit+Collection
Please Select
Visit
Visit+Collection
Bucket
Please Select
0 - 30
30 - 60
60 - 90
High Priority
Remarks
Receipt Image
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Receipt Image
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Location Coordinates
*
Submit
Should be Empty: