Material Handover - Takeover

Frisking

Date:-__________________________Centre Code: -_____________________

Centre Name:-____________________________________________________

City Name :-______________________________________________________

I _____________________confirm the devices count I received from____________________

which is mention below.

BOX Count Thermal gun HHMD Enclosure Jacket Cap

Remarks (if any) :_________________________________________________

The Material is of Innovatiview and will be collected by Innovatiview logistics team. If any devices
found less as mentioned above then I will be responsible for that.

Receiver’s Name:-_____________________________________________
Receiver’s Contact number:-_____________________________________

Sign & Date

Delivery Person’s Name:-_________________________________________

Delivery Person’s Contact number:-_________________________________

Sign & Date