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6/F, Cyber One Building, 11 Eastwood Ave.

, Eastwood City
Cyberpark, Bagumbayan, Quezon City, 1110
philippines@emerhub.com / (02) 53102344 / 53102366
EQUIPMENT FORM
Name: Juvy Gelim
Poisiton: SDR
Company: Badger Maps
Date Received:
Delivery Address: Phase 1 Block 13 Lot 1 Gentleness St. Rudlin Homes Abango Barugo Leyte
EQUIPMENT DETAILS
MODEL/BRAND/SERIAL NUMBER CONDITION ITEM/S DESCRIPTION QTY:
DESKTOP-QQL5G6H New Thinkpad T14 1
1
Headset New Logitech USB Headset

I understand that upon the termination of my employment, I shall surrender and turn over the equipment back to the
company. I have an option to purchase the equipment from the company upon due notice. In absence of notice, the
company has the right to withhold my final pay until the return of the equipment or that notice has been given.

By signing this form, I acknowledge that I have received the office equipment described above in working order and I
conform to the terms and conditions for the use of said equipment.

EMPLOYEE SIGNATURE

DATE 6/13/2023

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