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- Dated the 01st June, 2018

GATE PASS No. 2018/017

The following item(s) may please be allowed to be taken out from the premises of , :-

Sl. Name of Serial No. Asset No. Qty Remarks


No. the Item (if any) (if any)
1. PAPER Nil One Faulty part replaced
DELIVERY with New
ASSY
2. Scanner Nil One Faulty part replaced
Assembly/A with New
DF
(DUPLEX)

2. Gate Pass for above item(s) has been issued on the request of ____________________ ) vide request
dated ____________ to release above item(s) from _________ on Non-returnable basis through
__________________

(_____________________)
_________________________

Note.: The item(s) has to be taken out on the date of issuance of the Gate Pass.

Copy to:-
- Dated the 01st June, 2018

GATE PASS No. 2018/017

The following item(s) may please be allowed to be taken out from the premises of , :-

Sl. Name of Serial No. Asset No. Qty Remarks


No. the Item (if any) (if any)
1. PAPER Nil One Faulty part replaced
DELIVERY with New
ASSY
2. Scanner Nil One Faulty part replaced
Assembly/A with New
DF
(DUPLEX)

2. Gate Pass for above item(s) has been issued on the request of ____________________ ) vide request
dated ____________ to release above item(s) from _________ on Non-returnable basis through
__________________

(_____________________)
_________________________

Note.: The item(s) has to be taken out on the date of issuance of the Gate Pass.

Copy to:-
- Dated the 01st June, 2018

GATE PASS No. 2018/017

The following item(s) may please be allowed to be taken out from the premises of , :-

Sl. Name of Serial No. Asset No. Qty Remarks


No. the Item (if any) (if any)
1. PAPER Nil One Faulty part replaced
DELIVERY with New
ASSY
2. Scanner Nil One Faulty part replaced
Assembly/A with New
DF
(DUPLEX)

2. Gate Pass for above item(s) has been issued on the request of ____________________ ) vide request
dated ____________ to release above item(s) from _________ on Non-returnable basis through
__________________

(_____________________)
_________________________

Note.: The item(s) has to be taken out on the date of issuance of the Gate Pass.

Copy to:-
- Dated the 01st June, 2018

GATE PASS No. 2018/017

The following item(s) may please be allowed to be taken out from the premises of , :-

Sl. Name of Serial No. Asset No. Qty Remarks


No. the Item (if any) (if any)
1. PAPER Nil One Faulty part replaced
DELIVERY with New
ASSY
2. Scanner Nil One Faulty part replaced
Assembly/A with New
DF
(DUPLEX)

2. Gate Pass for above item(s) has been issued on the request of ____________________ ) vide request
dated ____________ to release above item(s) from _________ on Non-returnable basis through
__________________

(_____________________)
_________________________

Note.: The item(s) has to be taken out on the date of issuance of the Gate Pass.

Copy to:-
- Dated the 01st June, 2018

GATE PASS No. 2018/017

The following item(s) may please be allowed to be taken out from the premises of , :-

Sl. Name of Serial No. Asset No. Qty Remarks


No. the Item (if any) (if any)
1. PAPER Nil One Faulty part replaced
DELIVERY with New
ASSY
2. Scanner Nil One Faulty part replaced
Assembly/A with New
DF
(DUPLEX)

2. Gate Pass for above item(s) has been issued on the request of ____________________ ) vide request
dated ____________ to release above item(s) from _________ on Non-returnable basis through
__________________

(_____________________)
_________________________

Note.: The item(s) has to be taken out on the date of issuance of the Gate Pass.

Copy to:-

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