DISPOSAL RECORD DOCUMENT/FILE

Records/Files/Documents Description

Date of stored: Date of archived:

Date of disposal: Quantity of records/files/documents:

Record/file/
Date Created Date Closed
No. Description of record/file/document document Remarks
(for file) (for file)
reference no.

Disposed by:

________________________________
( ) Date:

Verified by: Approved by:

_______________________________ _____________________________
(Manager) (Head of Laboratory)
Date: Date: