Request Form For Shifting Of Computer Equipment

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REQUEST FORM
for Shifting of Computer Equipment
(to be submitted to IT Sections(H&S) , Room No. 209,Parliament House Annexe)
Part A (to be filled up by the Officer/User)
Name of Officer/Section:_____________________________________________________________
Contact details (Room no., Phone, e-mail): _______________________________________________
_________________________________________________________________________________
User of computer equipment (name/designation):_________________________________________
Present location of Computer equipment:________________________________________________
_________________________________________________________________________________
Location where computer equipment is to be shifted:_______________________________________
_________________________________________________________________________________
Reason for shifting of computer equipment:______________________________________________
_________________________________________________________________________________
Brief details of Computer equipment to be shifted:_________________________________________
__________________________________________________________________________________
Signature of Officer/Section In charge with designation
Part B( to be filled up by IT Sections(H&S) )
Details of Computer equipment (Model, Make, Serial no. , IP Address etc):_____________________
_________________________________________________________________________________
_________________________________________________________________________________
Comments of IT Sections (H&S) on the request:____________________________________________
___________________________________________________________________________________
Signature of EO/AD , IT sections(H&S)
Part C (to be filled up by the AMC vendor and User)
Computer equipment shifted on: ________________________________________________________
Comments , if any of User: _____________________________________________________________
___________________________________________________________________________________

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