OFFSITE STORAGE FORM

STORAGE TRANSACTION RETRIEVAL TRANSACTION

Date : 5 March 2019 Time:___________ Date : __________________ Time: ________________

Tape Detail : DNT OFFSITE JANUARY 2019

Box No. Media Description / Box No. Media Description /

Remarks Remarks

BOX 1 : AVT 651 L6 AVT 740 L6

AVT 760 L6 AVT 762 L6

AVT 763 L6 AVT 764 L6

AVT 765 L6 AVT 766 L6

AVT 767 L6 AVT 768 L6

AVT 769 L6 AVT 772 L6

TOTAL TAPES / Total Tape 12 TOTAL TAPES /

BOXES BOXES ( )

PREPARED BY REQUESTED BY
Signature: Signature:
Name : Azman Jusoh Name :

NRIC No : 680224-03-5387 NRIC No:

Company : DAGANG NET TECHNOLOGIES SDN Company : DAGANG NET TECHNOLOGIES SDN
Stamp BHD Stamp BHD

FOR STRATEQ DC USE ONLY

COLLECTED BY RELEASED BY
Name & Initial : Signature :
Departure time from Cust. Off: Name :
NRIC No.
RECEIVED BY Date : Time :
Signature:
Name : DELIVERED BY
NRIC No : Name & Initial
Date : Time : Date : Time:
RECEIVED BY (Customer’s office)
Signature:
Name :
Date : Time :

Tel No: 03-7626 6333 Fax No: 03-7957 3323 Emergency No: 019-3580 933 OSF-01/3.0/DEC2010