Sample - Deliverables Register

Sr No. Deliverable Type System Ref No. Receipt

Date Of Receipt a. Customer Name
b. Account Number
Maniram Patel
1 Debit card 123 22.04.2014
7211526710
Raja Nair
2 Welcome kit 2 456 22.04.2014
4561424511
John Dcosta
3 Retained Card 231 23.04.2014
06590030000014
Mohd Akbar
4 Cheque Book 787 25.04.2014
5111411101
5 Debit card 123
 Delivery Sr No. of delivery
Date of a. Customer Name Signature - Delivery Sign Verified
Delivery / b. Account Number Customer / mode - By
Destruction Bearer/ Customer /

Maniram Patel
25.04.2014 Customer
7211526710
 Total No of Total each Deliverable Type Signatures
Deliverables WKIT 1 Pins WKIT 2 WKIT 3 Debit/Retain Cheque Book / Custodian I
ed Card DIS / IDIS

2 0 0 1 0 1 0

3 0 0 1 0 2 0

3 0 0 1 0 1 1
 Remarks
Custodian II

Door locked

Incomplete
Address
Debit card-1
Retained card-1

Customer Request

Debit card-NIL
Retained card-1