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Date: August 10, 2010

Equipment Takeover Form

Reason for takeover: Deactivation

Client’s Name: Japan-Bangladesh Security Printing & Papers Ltd

Address: NSC Tower,19th floor,62/3,Purana Paltan.

Contact person: Mr.Kazi Mustafizur Rahman

Description Model Serial No. Quantity


of
Equipment
Fiber Box Steel Box --------- 01(One)

Media -------- 20050600608 01(One)


Converter
TG Box Black plastic -------- 01 (One)

Power Stripe Nany (4 port) --------- 01 (One)

---------------------- ------------
-----------
Signature Signature
Received By: Authorized By:
(Client) (Agni
Systems)

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