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Networth Stock Broking Limited

Asset Request Form

Branch Name & Address Date

Required
Sr.No Item Name Type Item Description Qty User Purpose Latest By
1 Computer
2 Laptop
3 Printer Lazer / Dot Matrix
4 Scanner
5 Networking Products Switch / Cable
6 Chairs Plastic / Metal
7 Tables Wooden / Steel
8 Air Conditioner Split / Window
9 Television 14" / 21 "
10 Phone instruments
11 Fans Pedastal / Ceiling / Table
12 Cuphboard Wooden / Steel
13 UPS 1 / 2 / 3 / 5 / 10 KVA
14 Batteries 26 / 65 / 100 / 110 / 120 AH
15 Any other asset

Prepared By Approved By
Name & Designation Name & Designation
Networth Wealth Solutions Limited
Asset Request Form

Branch Name & Address Date

Sr.No Item Name Type Item Description Qty User


1 Computer
3 Printer Lazer / Dot Matrix
4 Scanner
5 Networking Products Switch / Cable
6 Chairs Plastic / Metal
7 Tables Wooden / Steel
8 Air Conditioner Split / Window
9 Television 14" / 21 "
10 Phone instruments
11 Fans Pedastal / Ceiling / Table
12 Cuphboard Wooden / Steel
13 UPS 1 / 2 / 3 / 5 / 10 KVA
14 Batteries 26 / 65 / 100 / 110 / 120 AH 12v, 26AH Exide FULLY CHARGED BATTERIES 16 113
15 Any other asset

Prepared By Approved By
Name & Designation Name & Designation
Required
Purpose Latest By

For UPS

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