SFE - Budget Request
Account Email
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Account Email :
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Account Name :
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Subject
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Remarks
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Account Type
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Select Account Type
Promotional
Requester's Pin
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Divisions
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Select Division
Adulta
METB
METCNS
PEDIA
Adultb
UNIBRAND
Associated Divisions - ADULT A
METABOLIC B
MET/CNS
PEDIA
ADULT B
UNIBRAND
Associated Divisions - MET B
ADULT A
MET/CNS
PEDIA
ADULT B
UNIBRAND
Associated Divisions - MET C
ADULT A
METABOLIC B
PEDIA
ADULT B
UNIBRAND
Associated Divisions - PEDIA
ADULT A
METABOLIC B
MET/CNS
ADULT B
UNIBRAND
Associated Divisions - ADULT B
ADULT A
METABOLIC B
MET/CNS
PEDIA
UNIBRAND
Associated Divisions - UNIBRAND
ADULT A
METABOLIC B
MET/CNS
PEDIA
ADULT B
District - SFE
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Select District
CENTRAL_VISAYAS
METRO_MANILA1
METRO_MANILA2
METRO_MANILA3
METRO_MANILA4
NORTHEAST_LUZON
NORTH_MINDANAO
NORTHWEST_LUZON
SOUTH_LUZON
SOUTHEAST_LUZON
SOUTHMINDANAO
WESTERN_VISAYAS
District - SFA
Select District
CENTRALVISAYAS
GMAWHOLESALERS
NEL
NORTHMINDANAO
NWL
SL
SOUTHMINDANAO
MM1andMM3
MM2andMM4
WESTERNVISAYAS
VISWHOLESALERS
Territory - Central Visayas *
Select Territory
CEBU CITY
CEBU/BOHOL
CEBU/DUM
CEBU/MACTAN
EASTERN VISAYAS
TACLOBAN/LEYTE
Territory - MM1 *
Select Territory
ALABANG
LAS PIÑAS
MDH/MCM SEAMENS
OSMAK
PCGH/OM
UP/PGH
Territory - MM2 *
Select Territory
CAMANAVA
CGH/POC
JRRMC
UST
Territory - MM3 *
Select Territory
MMC(HOSPITAL)
MMC(TERRITORIAL)
OLLH/SAN JUAN
PASIG/TMC(HOSPITAL)
PASIG/TMC(TERRITORIAL)
SLMC
Territory - MM4 *
Select Territory
NKTI/PHC/EAMC
NKTI/LCP/VMMC
NKTI/PHCA/VMMC
NOVALICHES
RIZAL UPTOWNS 1
RIZAL UPTOWNS 2
V. LUNA
Territory - Northeast Luzon *
Select Territory
LOWER BULACAN
LOWER CAGAYAN
NE/TARLAC
UPPER BULACAN
UPPER CAGAYAN
Territory - North Mindanao *
Select Territory
BUTUAN/SURIGAO
CDO/BUKIDNON
CDO/ILIGAN
OZAMIS
Territory - Northwest Luzon *
Select Territory
BAGUIO/LA UNION
BATAAN/ZAMBALES
PAMPANGA 1
PAMPANGA 2
PANGASINAN
Territory - South Luzon *
Select Territory
BATANGAS
Cavite/Lemery/Nasugbu/Balayan
LOWER CAVITE
LOWER LAGUNA
UPPER CAVITE
UPPER LAGUNA
Territory - South Mindanao *
Select Territory
GEN SAN/COTABATO
DAVAO NORTH
DAVAO SOUTH
ZAMBOANGA
Territory - Southeast Luzon *
Select Territory
CAMARINES
LEGASPI
QUEZON
Territory - Western Visayas *
Select Territory
BACOLOD NORTH
BACOLOD SOUTH
ILOILO/ROXAS
ILOILO/ANTIQUE
PSR - Central Visayas *
PSR - MM1 *
PSR - MM2 *
PSR - MM3 *
PSR - MM4 *
PSR - Northeast Luzon *
PSR - North Mindanao *
PSR - Northwest Luzon *
PSR - South Luzon *
PSR - South Mindanao *
PSR - Southeast Luzon *
PSR - Western Visayas *
Project Brief
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Activity
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CME_Cascade
Product_Presentation
Sponsorships
National/International
National
International
National Conference
International Conference
Other Conferences:
Others:
Project Start Date
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-
Month
-
Day
Year
Date
Project End Date
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-
Month
-
Day
Year
Date
Venue Description
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(CME Cascade, Product Presentation, Post Grad, CME Grants)
Venue Amount (CME Cascade, Product Presentation, Post Grad, CME Grants)
*
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
HCP - Cebu City
HCP - Cebu/Bohol
HCP - Cebu/Dumaguete
HCP - Cebu/Mactan
HCP - Alabang
HCP - Las Pinas
HCP - MDH/MCM Seamens
HCP - OSMAK
HCP - Bacolod North
HCP - Bacolod South
HCP - Baguio/La Union
HCP - Bataan/Zambales
HCP - Butuan/Surigao
HCP - Batangas
HCP - Camanava
HCP - Camarines
HCP - CDO/Bukidnon
HCP - CDO/Iligan
HCP - CGH/POC
HCP - Davao North
HCP - Davao South
HCP - Eastern Visayas
HCP - Gen San/Cotobato
HCP - Iloilo/Antique
HCP - Iloilo/Roxas
HCP - JRRMC
HCP - Legaspi
HCP - Lower Bulacan
HCP - Lower Cagayan
HCP - Lower Cavite
HCP - Lower Laguna
HCP - MMC Hospital
HCP - MMC Territorial
HCP - N.E./Tarlac
HCP - NKTI/VMMC
HCP - NKTI/LCP/VMMC
HCP - NKTI/PHC/EAMC
HCP - NKTI/PHCA/VMMC
HCP - Novaliches
HCP - OLLH/San Juan
HCP - Ozamis
HCP - Pampanga 1
HCP - Pampanga 2
HCP - Pangasinan
HCP - Pasig TMC (Hospital)
HCP - Pasig TMC (Territorial)
HCP - PCGH/OM
HCP - Quezon
HCP - Rizal Uptowns 1
HCP - Rizal Uptowns 2
HCP - SLMC
HCP - Tacloban/Leyte
HCP - UP/PGH
HCP - Upper Bulacan
HCP - Upper Cagayan
HCP - Upper Cavite
HCP - Upper Laguna
HCP - UST
HCP - V.Luna
HCP - Zamboanga
Institution - Alabang
Institution - Bacolod North
Institution - Bacolod South
Institution - Baguio/La Union
Institution - Bataan/Zambales
Institution - Batangas
Institution - Butuan/Surigao
Institution - Camanava
Institution - Camarines
Institution - CDO/Bukidnon
Institution - CDO/Iligan
Institution - Cebu City
Institution - Cebu/Bohol
Institution - Cebu/Dumaguete
Institution - Cebu/Mactan
Institution - CGH/POC
Institution - Davao North
Institution - Davao South
Institution - Eastern Visayas
Institution - Gen San/Cotobato
Institution - Iloilo/Antique
Institution - Iloilo/Roxas
Institution - JRRMC
Institution - Las Pinas
Institution - Legaspi
Institution - Lower Bulacan
Institution - Lower Cagayan
Institution - Lower Cavite
Institution - Lower Laguna
Institution - MDH/MCM Seamens
Institution - MMC (Territorial)
Institution - MMC (Hospital)
Institution - N.E./Tarlac
Institution - NKTI/LCP/VMMC
Institution - NKTI/PHC/EAMC
Institution - NKTI/PHCA/VMMC
Institution - Novaliches
Institution - OLLH/San Juan
Institution - OsMak
Institution - Ozamis
Institution - Pampanga 1
Institution - Pampanga 2
Institution - Pangasinan
Institution - Pasig TMC (Hospital)
Institution - Pasig TMC (Territorial)
Institution - PCGH/OM
Institution - Quezon
Institution - Rizal Uptowns 1
Institution - Rizal Uptowns 2
Institution - SLMC
Institution - Tacloban/Leyte
Institution - UP/PGH
Institution - Upper Bulacan
Institution - Upper Cagayan
Institution - Upper Cavite
Institution - Upper Laguna
Institution - UPPGH
Institution - UST
Institution - V.Luna
Institution - Zamboanga
Name of Society/Organization
Practice
Government
Private
Department
Number of HCPs
Specialization
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Sponsorship List
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a. Not Applicable
b. Flight Domestic
c. Accommodation Domestic
d. Airport Transfer Domestic
e. Flight International
f. Accommodation International
g. Airport Transfer International
h. Travel VISA
i. Registration (International only)
j. Insurance
k. Accompanying Person
Number of accompanying person
Flight Details Domestic - Itinerary
Flight Details Domestic - Date of Departure
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Month
/
Day
Year
Date
Flight Details Domestic - Date of Return
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Month
/
Day
Year
Date
Flight Details Domestic - Amount
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Flight Details International - Itinerary
Flight Details International - Date of Departure
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Month
/
Day
Year
Date
Flight Details International - Date of Return
/
Month
/
Day
Year
Date
Flight Details International - Amount
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Accommodation Domestic From
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Month
/
Day
Year
Date
Accommodation Domestic To
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Month
/
Day
Year
Date
Accommodation Domestic Hotel
Accommodation Domestic Amount
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Accommodation International Amount
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Contingency Description
Contingency Amount
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Booth: Participation (CME Grants/Post Graduate Courses)
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Sympnosia: Participation (CME Grants/Post Graduate Courses)
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Registration Setup: Participation (CME Grants/Post Graduate Courses)
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Others: Participation (CME Grants/Post Graduate Courses)
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Speaker's Name
Speaker: Honorarium Fee
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Speaker: Plane Fare
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Speaker: Accommodation
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
Total Amount of Project
Note: COMMAS ARE NOT ALLOWED (ex. 50,000.00)
With RCA
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Yes
No
SFE ADULT A - Products
Product Share (in %)
CLARITHRO-NATRAPHARM
FIXCOM
LEVOCET-NATRAPHARM
LEVOFLOXIN-NATRAPHARM
MONTEMAX
NATRAVOX
PEPRAZOM
PNEUMOTYL 600MG
STELIX
ZOBRIXOL
SFE METB - Products
Product Share (in %)
KELTICAN
OMACOR
PNEUMOTYL 600MG
PODEVTA
VASALAT FAMILY
VELMETIA
XELEVIA
I-MAX
SFE METC - Products
Product Share (in %)
KELTICAN
NERVAGEST
PLATEXAN
PNEUMOTYL 600MG
TDL
VELMETIA
XELEVIA
ZIMERZ
ZYNAPSE
SFE PEDIA - Products
Product Share (in %)
BETADINE COLD DEFENSE KIDS
BREZU
CLARITHRO
FLUTIFORM
HERACLENE
KIDZKIT
MONTEMAX
NATRAVOX
PNEUMOTYL 200MG
SFE ADULT B - Products
Product Share (in %)
AZITHRO-NATRAPHARM
CILTAMIN
FLUTIFORM
NATRONEM
PELDACYN
PNEUMOTYL 600MG
ZOLTAX
SFE UNIBRAND - Products
Product Share (in %)
ATORVAST FAMILY
FELODIPINE-NATRAPHARM
GLICLA-NATRAPHARM
I-MAX
PNEUMOTYL 600MG
PODEVTA
RENOGUARD
Form Calculator
Total Shares (Must be 100%)
SUMMARY
SPR No.
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DIVISION - Dropbox
TEAM - Dropbox
Associated Division - Dropbox
SFE District - Dropbox
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Territory - Dropbox
*
PSR - Dropbox
*
Conferences
HCP - Dropbox
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Institution - Dropbox
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Specialization/Titles Dropbox
Sponsorship List - Dropbox
Product Summary
Attachments
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