RECEIVED GATEPASS

Azpired Inc.,
7th,8th & 9th Floor,
Park Centrale Bldg., Jose del Mar St.,
Cebu I.T. Park, Cebu City, Philippines

AZI/INTTR/0004866

Source Destination
CDO/One Providence/7th_Floor Work From Home/Work From Home/Work From Home

Purpose Advise to WFH (Oracle User: Concepcion, Ellison)

Asset Category Brand Model Quantity Serial No

Peripheral (Laptop Adaptor) Toshiba PA5177E-1AC3 1 I418103WPSCC
Peripheral (Headset) Rapoo H100 1 185010H1001398
Laptop Toshiba Tecra A40-D 1 5J099727H
Peripheral (Mouse) Lenovo MSU1175 1 6K170H0254B

I/we hereby declare that all items have been checked, and the information provided on this Gate Pass is true and complete. I/we shall
bear the liability accordance with the AZPIRED Inc. policy. In the even of any loss or damage, I will report the details to the IT Asset
Officer.

I completely understand and realize that by bringing Company/Client Asset outside the company premises I will be held responsible
for any damages or if the asset will be lost/stolen. I will be fully responsible to pay for this item at a price requested by the
company/client and other charges like licenses and of the like.

By signing this ‘Mobile Device/Laptop Usage Agreement’, I agree to the following terms and conditions of use and accept delivery of
the Mobile Device and I confirm that the information given in this form is true, complete and accurate.

Ryanneal Rey Cabonilas Isravel Raja Ryanneal Rey Cabonilas

Requested By Approved By Received By Guard On Duty
30-04-2022 03:50:20 30-04-2022 04:00:14 30-04-2022 04:00:42

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