Name: (Receiver name)— — — — — Father’s Name: — — — — —
Designation: — — — — — Organization / Department: — — — — —
Address Office: — — — — —
Contact # Office — — — — — Cell # — — — — —
E-Mail: — — — — — — — — — —
Sr# | Description | Signature |
Item 1 | — — — — — | *** |
Item 2 | — — — — — | *** |
Item 3 | — — — — — | *** |
Item 4 | — — — — — | *** |
Received From: )Sender name) — — — — — Designation: — — — — —
Department: — — — — — Date: DD / MM / YY
Terms and Conditions:
Please note safety of received goods is the sole responsibility of the recipient. All items must be returned back in the same condition as received. Any loss or theft will be the responsibility of the recipient.
Received By — — — — —
Sign — — — — —
Issued By — — — — —
Sign — — — — —