የኢትዮጲያ የምድር ባቡር ኮርፖሬሽን

ETHIOPIAN RAILWAYS CORPORATION

የሰነዱ ርዕስ፡ የተሽከርካሪ መረካከቢያ ቅጽ
Documented Information Title: Vehicle Handover Form
መለያ ቁጥር፡ ቀን ገጽ
Ref.No: ERC_SPA_SOF_VHF_24 Date: Page No:

የተሽከርካሪ መረካከቢያ ቅጽ
የመኪናው ዓይነትና ሠሌዳ ቁጥር

የሻንሲ ቁጥር _______________________________________

የሞተር ቁጥር__________________________________________

እኔ _________________________________________________ከዚህ በታች በተዘረዘረው መሰረት መኪናውን

መረከቤን አረጋግጣለሁ።

1. ሞተር በትክክል ይሠራል አይሠራም

የማይሠራ ከሆነ ምክንያቱ
ባጭሩ________________________________________________________________________________
_________________

2. ኤሌክትሪክ ሲስተሙ በሙሉ ይሠራል አይሠራም

የማይሠራ ከሆነ ብልሽቱን ይግለፁ
_____________________________________________________________________________________
__________

3. የመኪናው አካል ግጭት አለበት የለበትም

ግጭት ካለበት ቦታው ይጠቀስ
_____________________________________________________________________________________
______________

4. ከመኪናው ላይ የወለቁና የተሰበሩ አካሎች ካሉ በዝርዝር ይገለፁ

_____________________________________________________________________________________
________________________________________________

_____________________________________________________________________________________
________________________________________________

_____________________________________________________________________________________
________________________________________________

_____________________________________________________________________________________
________________________________________________

5. ከመኪናው ጋር የሚገኙ መፍቻዎች ዝርዝር ይገለፁ

 የኢትዮጲያ የምድር ባቡር ኮርፖሬሽን
ETHIOPIAN RAILWAYS CORPORATION
የሰነዱ ርዕስ፡ የተሽከርካሪ መረካከቢያ ቅጽ
Documented Information Title: Vehicle Handover Form
መለያ ቁጥር፡ ቀን ገጽ
Ref.No: ERC_SPA_SOF_VHF_24 Date: Page No:

_____________________________________________________________________________________
________________________________________________

_____________________________________________________________________________________
________________________________________________

_____________________________________________________________________________________
________________________________________________

_____________________________________________________________________________________
________________________________________________
የተረካቢ የአስረካቢ የአረካካቢ የፈቀደው ኃላፊ

ስም _______ ስም __________ ስም ________ ስም _________

ፊርማ ______ ፊርማ ________ ፊርማ _________ ፊርማ _________