Title Page
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Name of Customer
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Address
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Contact No
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Service / Contract Type
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Type of Premise
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Total no. of Floors
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Treated area situated on : Ground Floor / 1st Floor /
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Covered area (in Sq.ft.)
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Conducted on
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Prepared by
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Pest Infestation observed
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Specimen collected and identified as
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Key Characteristic features that helped in identification
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Pest's sign of infestation noitced
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Specific area/items where infestation noticed
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Pests 'hot spots' and hide outs noticed
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Type of pest-related damages noticed
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Prevailing hygiene & Sanitation conditions
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Do's and Don'ts suggested by Technician
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Customer queries (if any)
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Other observations, queries & Service USPs
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Details of Pesticides/materials used by Technicians
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Total quantity of pesticide used (in ml.)
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Total quantity of pesticide used (in ml.)
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List all other equipment / PPEs used during service
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Name & Signature of Mentor
