Company name

Memo

To:

From:

Date: JANUARY 17, 2011

Re:

This is hereby noted that Mr(s). ________________ has been officially provided with a new
Mobile Instrument details of which are as follows:

Name of Instrument Instrument IMEI Number Dual IMSI No. & Mobile
No.

A Limit of Rs. __________ monthly has been decided by the Management.

The organization has provided this official mobile for office use only, there should be no misuse
whatsoever in any circumstances. If found guilty, the company is liable to take punitive action against
the official. The instrument should be used very carefully, on Loosing/ damaging the Phone, You are
liable to compensate the company either in cash or in Kind as the management decides.

At any point of time, you discontinue your services with ___________________________

Please, see to it that you surrender the instrument along with its accessories, to the administration
department of the company.

______________________________ ____________________________

Received Signature Dated,