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    CHAMP Device Consent Agreement Form v1

    Uploaded by

    Cloudia Sitali
    The document is a device deployment agreement form for a Southern Region Champion (DSA) employee. It details that the employee is being provided a Samsung A03 phone valued at 3,850 KES and is responsible for its safekeeping. The employee agrees to register at least 5 sales per day, submit accurate performance reports 3 times daily, and not cheat on submissions. The employee understands various responsibilities around SIM cards, work schedules, and duties. Upon separation from the company, the device and other tools must be returned.

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    © All Rights Reserved
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    CHAMP Device Consent Agreement Form v1

    Uploaded by

    Cloudia Sitali
    22 views1 page
    The document is a device deployment agreement form for a Southern Region Champion (DSA) employee. It details that the employee is being provided a Samsung A03 phone valued at 3,850 KES and is responsible for its safekeeping. The employee agrees to register at least 5 sales per day, submit accurate performance reports 3 times daily, and not cheat on submissions. The employee understands various responsibilities around SIM cards, work schedules, and duties. Upon separation from the company, the device and other tools must be returned.

    Original Description:

    Gillbg

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    The document is a device deployment agreement form for a Southern Region Champion (DSA) employee. It details that the employee is being provided a Samsung A03 phone valued at 3,850 KES and is responsible for its safekeeping. The employee agrees to register at least 5 sales per day, submit accurate performance reports 3 times daily, and not cheat on submissions. The employee understands various responsibilities around SIM cards, work schedules, and duties. Upon separation from the company, the device and other tools must be returned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    22 views1 page

    CHAMP Device Consent Agreement Form v1

    Uploaded by

    Cloudia Sitali
    The document is a device deployment agreement form for a Southern Region Champion (DSA) employee. It details that the employee is being provided a Samsung A03 phone valued at 3,850 KES and is responsible for its safekeeping. The employee agrees to register at least 5 sales per day, submit accurate performance reports 3 times daily, and not cheat on submissions. The employee understands various responsibilities around SIM cards, work schedules, and duties. Upon separation from the company, the device and other tools must be returned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Date: ___/____/____ Device Deployment Year:……… Renewal/New (Tick)

    SOUTHERN REGION CHAMP (DSA) DEVICE CONSENT/AGREEMENT FORM


    (This Attestation form shall be kept on employee personal file for future reference)

    CHAMP FULL NAME


    NRC NUMBER CHAMP CONTACT
    REGION/PROVINCE RESIDENTIAL ADDRESS

    DESCRIPTION QUANTITY SERIAL NUMBER (IMEI) PHONE MAKE PHONE VALUE


    1 SAMSUNG A03 K 3,850

    ▪ I acknowledge that I will take full responsibility for the safekeeping of this device whilst in my possession.
    ▪ I agree that I will be held liable for costs incurred for the replacement of the above-mentioned item(s) in the event of loss,
    theft and/or damage through my negligence.
    ▪ I agree that I will be registering 5 and above quality GAs every day, failure to do so for 3 days consecutively will attract
    reposition of the mpos device and termination of the agreement.
    ▪ I agree that I will be sending my accurate performance hourly reports 3 times or more daily, or as demanded by my
    supervisor.
    ▪ I agree that cheating in terms of submitting wrong numbers or information knowingly or unknowingly will attract instant
    dismissal.
    ▪ I understand that it is my responsibility to check regularly with my supervisor in ensuring that my payment details are
    correct on the champ database.
    ▪ I understand that sim cards availability with me is very critical, at no point should I run out of sim cards.
    ▪ I understand that reporting early for work is mandatory, failure to comply will attract instant disciplinary action.
    ▪ I agree that my supervisor at any given time can assign me other duties in line with the company strategy.
    ▪ This device, including any other tools of trade (branding) must be handed over to the company upon separation.

    I________________________________, the undersigned Champ (DSA), do hereby attest that I have read, fully
    understood, and will comply with the company policies, processes, and procedures as per orientation by my
    supervisor.

    PLEASE ATTACH THE FOLLOWING WHEN SUBMITTING THE FORM:


    ▪ NRC COPY
    ▪ UTILITY BILL
    ▪ POLICE CLEARANCE (To be submitted at month end before next commission payment)
    ▪ NEXT OF KIN NRC COPY

    Next of Kin/Guarantor (Name): ____________________ Next of Kin/ Guarantor (Number) ______________

    Employee (DSA) Signature: ____________________ Guarantor Signature: _______________________

    For and on behalf of


    MTN
    __________________________ _____________________ __________________

    Area Sales Representative (Name & Sign) Lead Agent (Name and Sign) Date

    DISCLAIMER: THE DEVICE WILL BE REPOSSESSED IF 50% WEEKLY TARGETS ARE NOT ACHIEVED ON GA AND OR
    MOMO APP & REACTIVATIONS

    nn02/2024/batch1/1

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