BTS Key Handover-Takeover Form

Key Information
Quantity Key Number

Issuer's Details: Receiver's Details:

Name Name
Subcenter National ID
Mobile Mobile
Employee ID Employee ID
Company Company

Place of Issue Time & Date of Issue

Name Site to be Visited

Work Type

Plan Return date

Signature

Issued By

Return By

Name
ID
Date
orm

Received By

Receive By

Name
ID
Date