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Name of the Person being relieved:

Department:

Designation:

Date of Relieving:

CONTENTS VERIFIED

Sr. No. Details of location Data Verified In the presence of Verified By

1. Personal Email ID’s

2. Online Storage Accounts eg.


Dropbox

3. Physical Storage Modes eg.


Pen drive, CD, Personal Laptops,
etc.

4. Any other mode of storage of Data


whether online or Offline
______________________

Reviewed and approved by

Sign: __________________________

Name: ________________________

Designation: ___________________

Date: __________________________

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