I.

STORE INFORMATION

Document Number

Shop ID MCS

Branch

City

District

Sub District

Display / Sell out QTY / Sell Out Amt

TV

QLED
OLED
60 u
55"-
46"-
LED Non UHD
40"-
32"-
<32
60 u
55"-
46"-
LED UHD
40"-
32"-
<32
LCD
PDP
CRT
 TOTAL

AUDIO PLAYER

Soundbar
Home theater
Blu-ray player
OTHERS
TOTAL

REFFRIGERATOR

SBS

2 Door (TMF)

1 Door
TOTAL

WASHING MACHINE

Top Loading

Front Load

2 Tub
TOTAL

RAC

Standard
Low Wat
Inverter
TOTAL
V. DISTRIBUTION INFORMATION

From whom do you get Samsung Product?

V.A. STORE STATUS

VI. PROMOTOR INFORMATION

# of PROMOTER

Samsung

Panasonic

Polytron

GfK Information
Does Gfk survey the store? Yes

Does Gfk people give gifts to interviewee? Money (IDR)

FSM Information
# of FSM AV

Shop Board Information

Does the store have Signboard / Signage Samsung

Area Sales Manager

 Name
Date

# of Traffic Cust
Jumlah Traffic Customer 37orang
 FO

C000079112

SAMARINDA

Samsung LG
DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY
2
1
60 up 1
55"-59" 2
46"-54" 1
40"-45" 2 4 18,800,000 1
32"-39" 3 12 33,550,000 1 2
<32" 1 9 15,300,000 3 3
60 up
55"-59" 1 1
46"-54" 3 2 17,000,000 2
40"-45" 1 1
32"-39"
<32"
 Samsung LG
DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY
2 1
1 3

Samsung LG
DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY
3 1
< 300 2 2 7,200,000 3 2
300 - 400 2 2 12,000,000 3
401 up 4 1 7,500,000 4
1

Samsung LG
DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY
< 7 - 7.9 1 2
8 - 8.9 1 1 3,300,000 1
9 - 10 2 2 8,100,000 1
11 up 1
< 7 - 7.9 1 2 11,000,000 2
8 - 8.9 2 1 7,500,000 2
9 - 10 1 1
11 up 1 1
1 3 8,100,000 5 2

Samsung LG
DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY
1 3 9,900,000

2 2
 1 LG

1 Sony

Others

No

Gift (Detail) No

DA Hybrid

LG Sharp Sony Panasonic Toshiba Polytron Others

Area Sales Manager Surv

Name
Date
 FORM RETAIL MAPPING

Store name TOKO ANITA

Address JL.PENDIDIKAN RT04 NO67 KELURAHAN TELUK LIN

Postal Code 75611

Store PIC

PIC Status

Telephone

LG Sharp Sony Panasonic

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY

1
1
1 1 1
5,200,000 2 4 10,000,000 1 3
5,100,000 2 3 4,500,000 2
LG Sharp Sony Panasonic
S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY

LG Sharp Electrolux Panasonic

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY

6,800,000 2 7 18,550,000 4 2
3 2
4
2,500,000 5 6 9,600,000 1

LG Sharp Sanyo Panasonic

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY
1
1 1 1
1 1 3,200,000 1

6,000,000 9 12 21,000,000 8 6 2

LG Sharp Sony Panasonic

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY
3 4 11,600,000 3 3
1 1
7,700,000
 Own

Company Company Name

0 Toshiba

Sharp

1 Staff Toko

Surveyor
: Name
: Date
 No. Doc :

Date : ……………….. s/d …………………….

67 KELURAHAN TELUK LINGGA,SANGATTA,KUTAI TIMUR

Panasonic Toshiba Polytron Lainnya

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY

4,200,000
7,500,000 1 3 7,500,000 1
2 4 6,600,000 3
Panasonic Toshiba Polytron Lainnya
S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY

Panasonic Toshiba Polytron Lainnya

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY
2
6,800,000 3 2 7,000,000 2
3
1
7 8 18,400,000 2

Panasonic Sanken Polytron Lainnya

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY

5,600,000 2 2 9 14,400,000

Panasonic Polytron Toshiba Lainnya

S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY S/O QTY S/O AMT DISPLAY
9,900,000 1
1

PIC STORE
:
:
 Lainnya
S/O QTY S/O AMT
 Lainnya
S/O QTY S/O AMT

Lainnya
S/O QTY S/O AMT

Lainnya
S/O QTY S/O AMT

Lainnya
S/O QTY S/O AMT