a
DESKTOP/LAPTOP/PRINTER REQUISITION FORM
To Be Filled in by the Employee
‘Com am
Department Ciwid
Designation an?
Employee Code. Wes
Phone/locstion
‘Based on my job function & responsibilities require:
Desktop Laptop Printer Other Devices
(Please tick the appropriate choice)
| agreeto abide by the polcies rules and regulations governing corporate services selected for
tse above. ill be wholly responsible for all usage of these sevces.
Signature:
For HOD Use only:
| agree that this employee must have access to services selected above asa part of ob
responsibilty. also agree to hold the employee accountable fer any Improper use of these
sewn eee
woptames seprane: 90ST
To Be Filled in by the IT Engineer
[Monitor Serial Number |
CU set one Zz TLics EEE
(CPU Product Numbar
(Other Device SL.NO.
‘Win XP Key
TT Engineer Name
ITEnginger Signatur