Contract No				Company Name		Portfolio

Callback Information
Contract No	Customer Name	Time

Contact Information
Contract No	Contact Details	Remarks

Customer Information
Contract No		Team Leader/(Agency Code)		Allocation Date
Exiting Details	Name	Address	Contact No 1	Contact No 2	Contact No 3
Borrower
Co-Borrower
Guarantor

Contract Information
Branch		State		Region
Product		Model		Engine no.
Chassis no		Agrement With		Agreement Date
Tenure From date		Tenure TO date		Direct/Dealer
Repo/N Repo		RC No		Portfolio

Finance Information
OD Bucket		OD Amount		ODC Amount
Expenses		PMT Value		Loan Amount
Contract Value		Last Receipt DT		Last Receipt Amt
LSA as on sale Date		LSA as on date		Asset RePossesion Date
LSA computed upto date		Date of Legal Demand Notice		Legal Demand Issued (Yes/No)

Legal Details
LDN LRN DATE		REF LETTER DATE		CASE NO
FHN DATE		FHN HRNG DATE		SHN DATE
SHN HRNG DATE		AWARD DATE		PRE EXECUTION NOTICE

Collection Details
Date	Amount

Disposition
Disposition	Call Time	Call To	Remark	Followup Date	Amount