Site Clearance From _____________Section

Assets Description
Cash Counting Executive
Stand Fan Table Fan Locker Plastic Chair Office Table with Drawer
Machine Chair

BT Printer with Charger Details

Amigos Impact Analogic Amigos Thermal Total

Cash Transaction (Revenue /Personal) with Mr.Deepak Kumar Jena

Supervisor Bill Colletor

( Yes /No) ( Yes /No)

If Yes then how much and

If Yes then how much
by whom

Supervisor Division HR Division Finance

Signature Signature Signature