JUSCO Central Car Pool

CAR REQUEST FORM

Requester Details.
Name of Requester. Suman Mandal.. P.NO150820.DeptPSD
Date of Request30-08-2016 (Please note date of request should not exceed 24hr)
Car Require Date & Time 9:00AM..Expected Date & Time of Returning the Car02:00PM
(Pls Note Car will be only provided subject to its availability on the given date & time)

Place To Report PSD OFFICE Reason for reportingQMS AUDIT AT TGS

CAR (WITH TSL GATE PASS) REQUIRED WITH DRIVER FOR QMS AUDITOR

Approving Authority Details.

Dept HODs NameSUMAN MANDALP.NO150820DeptPSD-SK
DesignationDiv. Manager Email ID

(Signature with Seal)

For Use of L&A.
Availability of Car (YES/NO) .Car Issued Date &Time.
Provided Car Model & Reg No:
Total Km Run Actual Date & Time of Returning...
Remarks:-