SAFESTORAGE TECHNOLOGIES AND SERVICES PRIVATE LIMITED.

#130/2, Hanumantha Gowda Compound, Near Anjaneya Anugraha Aptmt,

Third party - Vendor
Immadihalli Road, Immadihalli, Whitefield, Bangalore - 560 066
Phone: +91 8088 84 84 84 / 080-41121686
Transport (Ameer
Email: info@safestorage.in
packers and movers)
www.SafeStorage.in

Personal Information Date: 13-Jan-2022

Customer Name: Mr. Rashmi Customer ID: BH19765
Address: Janapriya Lakeview Apartments, Phase 2, Kodichikkanahalli,
Block 3, Kodichikknahalli, Lake City, Bommanahalli, Bengaluru, Permanent Address:
Karnataka, India
City: Bangalore Phone: 8884661177 /
Email: nair.rashmim@gmail.com Floor: 4 / Lift: Not available

Office Purpose
17ft Vehicle
Carton Box - Medium (1.5'x1.5'x1.5') 15, Carton Box - Large (2'x1.5'x1.5') 15, Swiming
bath tub 1, Mirror ( Small ) 1, Mop Stick 1, Luggage bag - medium 3, Plastic Chair 2,
Plastic buckets/Chair/Tubs 9, Office Table large 2, Pooja lamp 5, Vaccuum cleaner 1,
Item Room Heater 1, Single Matress 2, Queen Size Double Cot (Non-Storage) + Matress 1,
Quantity Wooden TV Table 1, TV (Above 50 inches) 1, Split AC 1, Washing Machine 1, Washing
machine stand 1, Fridge Stand 1, Fridge: Single door 1, Gas Stove 1, Broom 1, Laptop
stand 1, Steel cupboard medium 1, Plastic cupboard 1, Dinner set 1, water can stand 1,
Laundry basket 2, Quilt 1, Trolley Bags - large 1,
Floor : Vehicle type :
Lift : Home type :
Lift to loading distance : Pickup type :
Supervisor name : Supervisor contact:

Inventory
Barcode Description Qty Est.Value Remarks/Notes
 Total
Terms and Conditions: 1. Customer declares that all the goods are owned by him and authorize Safe Storage
Technologies and Services Pvt Ltd to store all his/her goods. 2. Customer declared that there are no hazardous items or
illegal content items in his goods. 3 . Goods delivery / transport charges born by the customer at the time of retrieval. 4.
Bills /Monthly storage charges should be paid with in 7 days from due date. All other terms and conditions would be
as per the Service Agreement.
Received all the Items in good condition
For Safe Storage Signature
Customer/Receiver Signature

Customer Feedback
 Damage Requisition Form

Damages found at customer place

Damage done by Transport team at customer place,Transit & WH.

Customer Feedback & Signature

 Back Office

Warehouse Receiver Name:

Any Damages done during Transit or warehouse ?

Total Items Received :

Damaged items reported (yes/no) :
Damage items images collected (yes/no) :

Rating for the Packing :

Packing material Quality :

Packers Attitude : Poor Average Good Excellent

Acknowledgement call to customer : Yes No

Important Remarks :

Signature of the receiver Signature of the Packer/Customer

Barcoding(WH executive, Supervisor Names with Timestamp):

Stacking (WH executive, Supervisor Names with Timestamp):

Verified By: (Name, signature with Timestamp)