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Acknowledgement Form - Asset Receipt

This document is an acknowledgement form for an employee or consultant receiving company assets. It lists the employee's name, designation, location, and date of receipt. It also includes details of the type of device issued such as make, model, and serial number. The employee confirms receipt of the asset(s) in working order and acknowledges responsibility for safekeeping. They agree to return the asset(s) upon ending employment and accept liability for repair or replacement costs if the items are damaged. The employee and issuer provide signatures and the completed form is to be emailed to the specified HR contact.

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192 views1 page

Acknowledgement Form - Asset Receipt

This document is an acknowledgement form for an employee or consultant receiving company assets. It lists the employee's name, designation, location, and date of receipt. It also includes details of the type of device issued such as make, model, and serial number. The employee confirms receipt of the asset(s) in working order and acknowledges responsibility for safekeeping. They agree to return the asset(s) upon ending employment and accept liability for repair or replacement costs if the items are damaged. The employee and issuer provide signatures and the completed form is to be emailed to the specified HR contact.

Uploaded by

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

Employee or Consultant Name: __________________________________________________

Designation: __________________________________________________

Site/Location: __________________________________________________

Date Received: __________________________________________________

Issued By: __________________________________________________

Type of Device (please circle): Cell Phone Computer Laptop WIFI Router

Other:_______________________

Please circle if any of the following are issued: Charger Cable Only Case
Laptop Bag Other:_______________________

Serial Number: ____________________________________________________

Make and Model: __________________________________________________

I hereby confirm that:

1. I have received the above mentioned asset/s. Furthermore, I have ensured that it/they is/are in good
working order and I hereby confirm that I understand that I am responsible for its/their safekeeping from
this point forward. I understand that this/these asset/s belong/s to GRS and is /are under my possession
for carrying out official duties. I hereby assure that I will take care of all asset/s issued to me to the best of
my ability. Upon resignation/termination/end of contract/end of consultant agreement that I’ll
Immediately handover assets/s in good working condition.
2. If not in good working order, I understand that the organisation shall endeavour to obtain quotation for
fixing the devices or buying a replacement, whichever option that will be best suitable. The cost thereof
will be deducted from my final salary/invoice payable.
3. If I encounter any issues during the course of employment/contract, I will contact my manager, and the
HR Team (osepato@grassrootsoccer.org) to ensure that these device/s are fixed as required.

Employee Signature: ________________________________ Date: __________

Issuer Signature: ___________________________________ Date: __________

Please scan and email this form to osepato@grassrootsoccer.org when completed. If you have any queries please use the same email
provided. Thank You!

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