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Student Storage Acknowledgment Form

The document is a storage form from the Student Housing Department at Cape Peninsula University of Technology, acknowledging the receipt of items for safekeeping by a student named Ade Afika Ndzelu. It outlines that the university and its employees are not liable for any loss or damage to the stored items, and the student accepts these conditions by signing the form. The form includes details such as the student's name, residence, student number, and the date of storage.

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mihlemodze257
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51 views1 page

Student Storage Acknowledgment Form

The document is a storage form from the Student Housing Department at Cape Peninsula University of Technology, acknowledging the receipt of items for safekeeping by a student named Ade Afika Ndzelu. It outlines that the university and its employees are not liable for any loss or damage to the stored items, and the student accepts these conditions by signing the form. The form includes details such as the student's name, residence, student number, and the date of storage.

Uploaded by

mihlemodze257
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

STUDENT HOUSING DEPARTMENT

STORAGE FORM
I, the Residence Coordinator/Assistant Residence Coordinator/RSA
………………………………………………………………………… hereby acknowledge receipt of below-
mentioned articles(s) for safekeeping. Although the necessary precautions to prevent damage
or loss will be taken, it is subject to the following conditions:

Neither the Cape Peninsula University of Technology nor any of its employees (including the
RSA’s) will be liable for any loss or damage of any article(s) held in safekeeping. All students
hand in their item(s) for safekeeping at their own risk.
ARTICLES

1 3

2 4

NAME OF STUDENT: RESIDENCE:


ADE AFIKA NDZELU ANGLO AMERICAN
STUDENT NUMBER : R00M NO:
222408936 C8
DATE: KEYS RETURNED:
30 NOVEMBER 2022

Signature of Residence Coordinator/Assistant Residence


Coordinator/RSA on behalf of CPUT

Please read the conditions of storage above before signing this form.

I, the undersigned ___ADE AFIKA NDZELU____________________________________________ herewith accept the conditions for safekeeping
mentioned above.

DATE: ____30 NOVEMBER 2022________________________________________________ PLACE__ANGLO AMERICAN RESIDENCE________

SIGNATURE OF STUDENT: ___ADE AFIKA NDZELU_____________________________________________________

ITEMS COLLECTED DATE 30 NOVEMBER 2022 SIGNATURE ADE AFIKA NDZELU

COMMENTS

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